Automated clinical system to facilitate secondary review and authentication of clinical laboratory result values

• US 20040030578A1
• Filed: 10/01/2002
• Published: 02/12/2004
• Est. Priority Date: 08/07/2002
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Corporation (Oracle Corporation)
• Inventors: Berkowitz, Diane L., Fry, Jeffrey D., Cross, Lori N., Kelly, Timothy S., Bossi, Brent W.
• Granted Patent: US 8,155,886 B2
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 10/40 for data related to laboratory analysis, e.g. patient specimen analysis
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records

Abstract

A method in a computer system for the review and authentication of clinical laboratory result values is provided. The method includes receiving patient data. The method also includes accessing review criteria. The method further includes comparing the patient data and the review criteria to determine if the patient data should be routed for review. The method further includes routing qualified patient data to a review hierarchy including at least one review queue defined by at least one user.

Claims

1. A method in a computing environment for the authentication of clinical laboratory test results, the method comprising the steps of:

accessing review criteria, wherein the review criteria comprise at least one of instrument criteria, order criteria, approval criteria, result correction criteria patient result change criteria, mandatory criteria, dilution criteria, laboratory information criteria, and test specific criteria;

receiving patient data;

comparing the review criteria to the patient data; and

determining whether the patient data qualifies for review.

2. The method of claim 1, wherein the patient data qualifies for review, further comprising routing the patient data to a review hierarchy.

3. The method of claim 2, wherein the review hierarchy includes at least one review queue defined by at least one user.

4. The method of claim 2, wherein there are different levels of review for each review queue within a review hierarchy.

5. The method of claim 2, wherein the patient data is routed for review manually.

6. The method of claim 2, wherein the patient data is viewed by multiple users from multiple locations.

7. The method of claim 3, wherein each the review queue comprises more than one user.

8. The method of claim 2, further comprising displaying the patient data in a result viewer.

9. The method of claim 8, further comprising allowing access to support information from the result viewer.

10. The method of claim 8, further comprising allowing access to prior patient results from the result viewer.

11. The method of claim 8, further comprising allowing access to other laboratory results from the result viewer.

12. The method of claim 8, wherein the user may enter result comments.

13. The method of claim 1, wherein the patient data may be routed to another review queue after having already been reviewed by one user.

14. The method of claim 1, wherein a user with appropriate security clearance views the patient data that has been routed to the review hierarchy.

15. The method of claim 14, wherein the user has access to view the patient data but not to approve the patient data for release.

16. The method of claim 14, wherein a user approves the patient data.

17. The method of claim 16, wherein the patient data is routed for further review.

18. The method of claim 14, wherein the user does not approve the patient data, and wherein the user routes the patient data to one of a review queue for further review and a service resource for further testing.

19. The method of claim 8, wherein the user designates a proxy to review the patient data.

20. The method of claim 1, wherein a user with appropriate security clearance may enter review criteria.

21. A method in a computing environment for the authentication of clinical laboratory test results, the method comprising:

accessing review criteria;

receiving patient data;

comparing the review criteria to patient data; and

determining whether the patient data is to be reviewed, wherein if the patient data is to be reviewed, the patient data is placed in a review hierarchy including at least one review queue defined by at least one user.

22. The method of claim 21, further comprising displaying the patient data in a result viewer.

23. The method of claim 21, wherein there are different levels of review for each hierarchy.

24. The method of claim 21, wherein the patient data is routed for review manually.

25. The method of claim 21, wherein the review queue comprises more than one user.

26. The method of claim 21, wherein the patient data may be routed to another review queue after having already been reviewed by one user.

27. The method of claim 21, wherein the review hierarchy for the patient data is determined based on prequalification criteria.

28. The method of claim 21, wherein the patient data includes an orderable item and the orderable item is routed for review.

29. The method of claim 21, wherein the patient data includes multiple assays and all assays are routed for review.

30. The method of claim 21, wherein the patient data includes multiple assays and only assays that qualify for review are routed for review.

31. The method of claim 21, wherein the patient data is viewed by multiple users from multiple locations.

32. The method of claim 21, wherein each review queue has a review type.

33. The method of claim of claim 32, wherein the review type requires all users to approve the patient data.

34. The method of claim 32, wherein the review type requires only one of the users to approve the patient data.

35. The method of claim 32, wherein the review type does not require any of the users to approve patient data

36. A method in a computing environment for the authentication of clinical laboratory test results, the method comprising:

accessing microbiology test result review criteria;

receiving patient data;

comparing the review criteria to patient data; and

determining whether the patient data qualifies for review.

37. The method of claim 36, wherein the patient data qualifies for review, further comprising routing the patient data to a review hierarchy.

38. The method of claim 36, wherein the microbiology test result review criteria includes at least one of the source, the body site, susceptibility results, report responses, correlation checking failure, abnormal results, automatic no growth, procedure status and combinations thereof.

39. The method of claim 37, further comprising displaying patient data in a result viewer.

40. The method of claim 37, wherein the review hierarchy comprises at least one review queue defined by at least one user.

41. A computer system for the authentication of clinical laboratory test results, the system comprising:

an accessing component for accessing review criteria, wherein the review criteria comprises at least one of instrument criteria, order criteria, approval criteria, patient result change criteria, mandatory criteria, dilution criteria, laboratory information criteria, test specific criteria and combinations thereof;

a receiving component for receiving patient data; and

a comparing component for comparing review criteria and patient data to determine whether the patient data qualifies for review.

42. The system of claim 41, further comprising:

a routing component for routing patient data that has qualified for review to a review hierarchy including at least one review queue defined by at least one user.

43. The system of claim 41, further comprising:

a displaying component for displaying patient data in a result viewer.

44. A computer system for the authentication of clinical laboratory test results, the system comprising:

a means for accessing review criteria, wherein the review criteria comprises at least one of instrument criteria, order criteria, approval criteria, patient result change criteria, mandatory criteria, dilution criteria, laboratory information criteria, test specific criteria and combinations thereof;

a means for receiving patient data; and

a means for determining whether patient data should be routed for review.

45. The system of claim 44, further comprising:

a means for routing patient data that has qualified for review to a review hierarchy including at least one review queue defined by at least one user.

46. The system of claim 44, further comprising:

a means for displaying patient data.

47. A computer system the authentication of clinical laboratory test results, the system comprising:

an accessing component for accessing review criteria;

a receiving component for receiving patient data;

a comparing component for comparing the review criteria to patient data to determine whether the patient data is to be reviewed; and

a routing component for routing the patient data to be reviewed to a review hierarchy wherein the review hierarchy including at least one review queue defined by at least one reviewer.

48. The system of claim 47, further comprising:

a displaying component for displaying the patient data.

49. A computer system the authentication of clinical laboratory test results, the system comprising:

a means for accessing review criteria;

a means for receiving patient data;

a means for comparing the review criteria to patient data to determine whether the patient data is to be reviewed; and

a means for routing patient data to be reviewed to a review hierarchy including at least one review queue defined by at least one reviewer.

50. The system of claim 49, further comprising:

a means for displaying patient data.

51. A computer readable medium comprising a method in a computing environment for the authentication of clinical laboratory test results, the method comprising:

accessing review criteria, wherein the review criteria comprise at least one of instrument criteria, order criteria, approval criteria, patient result change criteria, mandatory criteria, dilution criteria, laboratory information criteria, test specific criteria and combinations thereof;

receiving patient data;

comparing the review criteria to the patient data; and

determining whether the patient data qualifies for review.

52. The method of claim 51, wherein the patient data qualifies for review, and further comprising routing the patient data to a review hierarchy.

53. The method of claim 52, wherein the review hierarchy includes at least one review queue defined by at least one user.

54. The method of claim 53, wherein the review queue comprises more than one user.

55. The method of claim 52, further comprising displaying the patient data in a result viewer.

56. The method of claim 52, wherein the patient data may be routed to another review queue after having already been reviewed by one user.

57. A computer readable medium comprising a method in a computing environment for the authentication of clinical laboratory test results, the method comprising:

accessing review criteria;

receiving patient data;

comparing the review criteria to patient data; and

determining whether the patient data is to be reviewed, wherein if the patient data is to be reviewed, the patient data is placed in a review hierarchy including at least one review queue defined by at least one user.

58. The method of claim 57, further comprising displaying the patient data in a result viewer.

59. The method of claim 57, wherein a user views the displayed patient data in the result viewer.

60. The method of claim 57, wherein there are different levels of review for each review queue within a review hierarchy.

61. The method of claim 57, wherein each the review queue includes more than one user.

62. A computer readable medium comprising a method in a computing environment for the authentication of clinical laboratory test results, the method comprising:

accessing microbiology test result review criteria;

receiving patient data;

comparing the review criteria to patient data; and

determining whether the patient data qualifies for review.

63. The method of claim 62, wherein the patient data qualifies for review, and further comprising routing the patient data to a review hierarchy.

64. The method of claim 62, wherein the microbiology test result review criteria includes at least one of source, body site, susceptibility results, report responses, correlation checking failure, abnormal results, automatic no growth, procedure status and combinations thereof.

65. The method of claim 63, further comprising displaying the patient data in a result viewer.

66. The method of claim 63, wherein the review hierarchy comprises at least one review queue defined by at least one user.

67. A method in a computing environment for routing clinical laboratory tests results for review, the method comprising:

receiving patient data for review; and

routing the patient data to a review hierarchy, wherein review hierarchy including at least one review queue defined by at least one user.

68. The method of claim 67, further comprising displaying the patient data in a result viewer.

69. The method of claim 67, wherein there are different levels of review for each review queue in a review hierarchy.

70. The method of claim 67, wherein the review queue comprises more than one user.

71. The method of claim 67, wherein the patient data may be routed to another review queue after having already been reviewed by one user.

72. The method of claim 67, wherein the patient data may be viewed by multiple users from multiple locations.

73. A method in a computing environment triggering review of clinical laboratory results, the method comprising:

accessing at least one of the current patient test result, prior patient test result, age of patient, sex of patient, species of patient, test performed and instrument performing test;

determining the required numeric or percent change that will trigger review based on at least one of the current result value, age of patient, sex of patient, species of patient, test performed and instrument performing test;

accessing the prior patient test result;

subtracting the current patient test result from the prior patient test result to determine the current numeric or percent change; and

comparing the current numeric or percent change with the required numeric or percent change need to determine if the patient data qualifies for review.

74. A method in a computing environment for the authentication of clinical laboratory test results, the method comprising the steps of:

accessing review criteria, wherein the review criteria comprises order criteria;

receiving patient data;

comparing the review criteria to the patient data; and

determining whether the patient data qualifies for review.

75. A method in a computing environment for the authentication of clinical laboratory test results, the method comprising the steps of:

accessing review criteria, wherein the review criteria comprises approval criteria;

receiving patient data;

comparing the review criteria to the patient data; and

determining whether the patient data qualifies for review.

76. A method in a computing environment for the authentication of clinical laboratory test results, the method comprising the steps of:

accessing review criteria, wherein the review criteria comprises patient result change criteria;

receiving patient data;

comparing the review criteria to the patient data; and

determining whether the patient data qualifies for review.

77. A method in a computing environment for the authentication of clinical laboratory test results, the method comprising the steps of:

accessing review criteria, wherein the review criteria comprises dilution criteria;

receiving patient data;

comparing the review criteria to the patient data; and

whether the patient data qualifies for review.

78. A method in a computing environment for the authentication of clinical laboratory test results, the method comprising the steps of:

accessing review criteria, wherein the review criteria comprises laboratory information criteria;

receiving patient data;

comparing the review criteria to the patient data; and

determining whether the patient data qualifies for review.

79. A method in a computing environment for the authentication of clinical laboratory test results, the method comprising the steps of:

accessing review criteria, wherein the review criteria comprises test specific criteria;

receiving patient data;

comparing the review criteria to the patient data; and

determining whether the patient data qualifies for review.