Enhanced safety medication administration system

• US 20050021368A1
• Filed: 01/05/2004
• Published: 01/27/2005
• Est. Priority Date: 07/25/2003
• Status: Abandoned Application

• Current Assignee: Siemens Medical Solutions Health Services Corporation (Siemens AG)
• Original Assignee: Siemens Medical Solutions Health Services Corporation (Siemens AG)
• Inventors: Burkeen, Debra, Miller, Raymond F.
• Application Number:
  US10/751,800
• Publication Number:
  US 20050021368A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients

Abstract

A system provides dual independent medication administration clinical safety checks comprising a check upon medication ordering and a check substantially at the time of medication administration. A system checks safety of medication administration to a patient using an input processor for receiving, an identifier identifying a particular medication and an identifier identifying a particular patient. A first safety processor uses the received identifiers in checking for a clinical condition indicative of potentially impaired safety in administering the particular medication to the particular patient. The checking occurs substantially at the time of administering the particular medication to the particular patient. A display generator initiates generation of data representing at least one display image including a message alerting a user to the safety impairment. A second safety processor checks for a clinical condition indicative of potentially impaired safety in administering the particular medication to the particular patient using received information associated with an order prescribing the particular medication is to be administered to the particular patient.

Claims

1. A system for checking safety of medication administration to a patient, comprising:

an input processor for receiving an identifier identifying a particular medication and an identifier identifying a particular patient;

a first safety processor for using said received identifiers in checking for a clinical condition indicative of potentially impaired safety in administering said particular medication to said particular patient, said checking occurring substantially at said time of administering said particular medication to said particular patient; and

a display generator for initiating generation of data representing at least one display image including a message alerting a user to a safety impairment.

2. A system according to claim 1, wherein

said input processor receives said identifier identifying said particular medication and said identifier identifying said particular patient via a data entry device used substantially at a place of administering said particular medication to said particular patient.

3. A system according to claim 2, wherein

said data entry device comprises a bar code scanner and said identifier identifying said particular medication and said identifier identifying said particular patient are derived from data comprising a bar code scan of a medication identifier and a bar code scan of a patient identifier.

4. A system according to claim 1, wherein

said first safety processor uses a time value indicating a time of medication administration received by said input processor in checking for a clinical condition indicative of potentially impaired safety.

5. A system according to claim 1, including

a second safety processor for checking for a clinical condition indicative of potentially impaired safety in administering said particular medication to said particular patient using an identifier identifying said particular medication and an identifier identifying said particular patient derived from received information associated with an order prescribing said particular medication is to be administered to said particular patient.

6. A system according to claim 5, wherein

said first and said second safety processors independently check for said clinical condition indicative of potentially impaired safety in administering said particular medication to said particular patient.

7. A system according to claim 5, wherein

a result of said clinical check performed by said first safety processor is communicated to said second safety processor.

8. A system according to claim 5, wherein

said first and second safety processors exchange data representing results of clinical checks.

9. A system according to claim 5, wherein

a check for a clinical condition indicative of potentially impaired safety uses medical condition information of said particular patient acquired during an intervening time interval occurring between safety checks performed by said first and second safety processors.

10. A system according to claim 5, wherein

said checking for said clinical condition indicative of potentially impaired safety in administering said particular medication to said particular patient, comprises at least one of, (a) checking said particular medication is not already prescribed for administration to said particular patient, (b) checking said particular medication is not already prescribed as a component of another medication for administration to said particular patient, (c) checking for undesirable medication interaction with another medication prescribed for administration to said particular patient, (d) checking said particular medication is suitable for said particular patient based on age and pediatric related restrictions, and (e) checking said particular medication is suitable for said particular patient based on age and geriatric related restrictions.

11. A system according to claim 5, wherein

said checking for said clinical condition indicative of potentially impaired safety in administering said particular medication to said particular patient, comprises at least one of, (a) checking said particular medication is suitable for said particular patient based on laboratory test results of said particular patient, (b) checking said particular medication is suitable for said particular patient based on warnings associated with said particular medication, (c) checking said particular medication is suitable for said particular patient based on user determined rules, (d) checking said particular medication is suitable for administration to said particular patient based on whether said medication administration results in an overdose condition, (e) checking whether an existing under-dose condition affects administration of said particular medication to said particular patient, (f) checking said particular medication is suitable for administration to said particular patient based on cumulative medication dose administered to said particular patient and (g) checking said particular medication is suitable for administration to said particular patient in a particular IV infusion and is not incompatible with a different medication being administered to said particular patient as a component of said particular IV infusion.

12. A system according to claim 1, wherein

said medication comprises at least one of, (a) an IV infusion fluid, (b) an orally administered medication, (c) an injected medication and (d) a medication applied externally to a patient'"'"'s body.

13. A system according to claim 1, including

a task manager for updating a record indicating a task sequence to be performed by a healthcare worker by including an additional task in response to a determined safety impairment.

14. A system according to claim 13, wherein

said additional task comprises a scheduled reminder to prompt a healthcare worker to do a follow-up patient assessment.

15. A system according to claim 14, wherein

said display generator initiates generation of data representing a display image comprising a data entry form for prompting a healthcare worker to enter data associated with said follow-up patient assessment.

16. A system for checking safety of medication administration to a patient, comprising:

an input processor for receiving an identifier identifying a particular medication and an identifier identifying a particular patient;

a first safety processor for using said received identifiers for performing a first check for a clinical condition indicative of potentially impaired safety in administering said particular medication to said particular patient, said first check occurring in response to user initiation of an order prescribing said particular medication is to be administered to said particular patient;

a second safety processor for using said received identifiers in performing a second check for a clinical condition indicative of potentially impaired safety in administering said particular medication to said particular patient using medical condition information of said particular patient acquired during an intervening time interval occurring between said first and second checks, said second check occurring substantially at said time of administering said particular medication to said particular patient; and

a display generator for initiating generation of data representing at least one display image including a message alerting a user to a safety impairment.

17. A system according to claim 16, wherein

at least one of, (a) information associated with said first check is communicated from said first safety processor to said second safety processor and (b) information associated with said second check is communicated from said second safety processor to said first safety processor and

said data representing said at least one display image includes said information associated with said first check or second safety check.

18. A system according to claim 16, wherein

said first and said second safety processors independently check for said clinical condition indicative of potentially impaired safety in administering said particular medication to said particular patient at different times.

19. A system according to claim 16, wherein

said input processor receives said identifier identifying said particular medication and said identifier identifying said particular patient via a data entry device used substantially at a place of administering said particular medication to said particular patient.

20. A system for checking safety of medication administration to a patient, comprising:

an input processor for receiving an identifier identifying a particular medication and an identifier identifying a particular patient;

a first safety processor for using said received identifiers for performing a first check for a clinical condition indicative of potentially impaired safety in administering said particular medication to said particular patient, said first check occurring in response to user initiation of an order prescribing said particular medication is to be administered to said particular patient;

a second safety processor for using said received identifiers in performing a second check for a clinical condition indicative of potentially impaired safety in administering said particular medication to said particular patient using medical condition information of said particular patient acquired during an intervening time interval occurring between said first and second checks, said second check occurring substantially at said time of administering said particular medication to said particular patient; and

a task manager for updating a record indicating a task sequence to be performed by a healthcare worker by including an additional task in response to a determined safety impairment.

21. A method for checking safety of medication administration to a patient, comprising the activities of:

receiving an identifier identifying a particular medication and an identifier identifying a particular patient;

using said received identifiers in checking for a clinical condition indicative of potentially impaired safety in administering said particular medication to said particular patient, said checking occurring substantially at said time of administering said particular medication to said particular patient; and

initiating generation of data representing at least one display image including a message alerting a user to a safety impairment.

22. A method for checking safety of medication administration to a patient, comprising the activities of:

receiving an identifier identifying a particular medication and an identifier identifying a particular patient;

using said received identifiers for performing a first check for a clinical condition indicative of potentially impaired safety in administering said particular medication to said particular patient, said first check occurring in response to user initiation of an order prescribing said particular medication is to be administered to said particular patient;

employing said received identifiers in performing a second check for a clinical condition indicative of potentially impaired safety in administering said particular medication to said particular patient using medical condition information of said particular patient acquired during an intervening time interval occurring between said first and second checks, said second check occurring substantially at said time of administering said particular medication to said particular patient; and

initiating generation of data representing at least one display image including a message alerting a user to a safety impairment.

23. A method according to claim 22, including the activity of updating a record indicating a task sequence to be performed by a healthcare worker by including an additional task in response to a determined safety impairment.