MEDICATION ADMINISTRATION AND MANAGEMENT SYSTEM AND METHOD

• US 20070233521A1
• Filed: 03/28/2007
• Published: 10/04/2007
• Est. Priority Date: 03/28/2006
• Status: Active Grant

• Current Assignee: ICU Medical Incorporated
• Original Assignee: Hospira Incorporated (Pfizer Inc.)
• Inventors: Pelletier, Jeff, Trohimovich, Barbara, Rinda, Jeffrey, Wehba, Steven
• Granted Patent: US 8,768,719 B2
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 2205/6018 providing set-up signals for the apparatus configuration
• CPC Class Codes: A61M 2205/6072 Bar codes
• CPC Class Codes: A61M 5/142 Pressure infusion, e.g. using pumps
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 40/40 for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

A system, method and computer program for programming a medical device to administer a medication to a patient includes the medical device, a scanner that may be associated with a point of care (POC) system, and a medication management unit (MMU). A computer in the POC system can directly program the medical device with the permission of the MMU after a full “five rights” check or the “right patient” check can be delayed until after the pump program is downloaded. Other workflows are disclosed for programming the medical device in manual, semi-automatic and automatic modes, with safety checks incorporated at various points.

Claims

1. A method for programming a medical device, comprising the steps of:

capturing with an input means at least a medical device identifier associated with the medical device and additional identification information including a medication container identifier associated with a container containing a medication, the medication container identifier including at least one of an order ID and a medication ID;

transmitting a message to a medication management computer in communication with the medical device and a hospital information system, the message including at least the medical device identifier and the additional identification information;

if the message includes the order ID but the medication ID is missing, acquiring for the medication management computer from the hospital information system the medication ID that corresponds to the order ID;

if the message includes the medication ID but the order ID is missing, optionally acquiring for the medication management computer from the hospital information system the order ID that corresponds to the medication ID;

providing from the hospital information system to the medication management computer a medication name and a concentration that correspond to the medication ID;

transmitting from the medication management computer to the medical device a select medication message that includes the medication name and the concentration and allows the medical device to automatically select a drug library rule set from a drug library resident in a memory of the medical device;

manually entering program settings at the medical device;

comparing the program settings to the drug library rule set;

if there are any violations of the drug library rule set,

generating an alert;

undertaking one of the steps of entering adjusted program settings and overriding the alert;

repeating the comparing, generating, adjusting and overriding steps until all violations of the drug library rule set have been resolved; and

confirming the program settings at the medical device.

2. The method of claim 1, wherein the additional identification information includes a clinician ID and the select medication message includes the clinician ID, order ID, medication ID and medical device identifier.

3. A system for programming a medical device having a drug library including drug library rule sets, comprising:

an input means for capturing at least a medical device identifier associated with the medical device and additional identification information including a medication container identifier associated with a container containing a medication, the medication container identifier including at least one of an order ID and a medication ID;

a hospital information system computer;

a medication management computer in communication with the medical device and the hospital information system computer;

wherein the input means transmits a message including at least the medical device identifier and the additional identification information to the medication management computer;

wherein the medication management computer optionally acquires the order ID from the hospital information system computer if the order ID was missing from the message transmitted by the input means;

wherein the medication management computer acquires the medication ID from the hospital information system based on the order ID if the medication ID was missing from the message transmitted by the input means;

wherein the medication management computer acquires a medication name and a concentration that correspond the medication ID from the hospital information system and transmits a select medication message that includes the medication name and the concentration to the medical device;

wherein the medical device automatically selects a drug library rule set from the drug library based upon the medication name and the concentration included in the select medication message;

wherein the medical device receives manually entered program settings, compares the manually entered program settings to the selected drug library rule set, and generates an alert if a violation occurs;

wherein a user of the medical device can take one of the following actions to resolve the alert before confirming the program settings;

1) adjust the program settings on the medical device; and

2) override the alert.

4. The system of claim 3, wherein the additional identification information includes a clinician ID and the select medication message includes the clinician ID, the order ID, the medication ID and the medical device identifier.

5. The system of claim 4, wherein the additional identification information includes patient identification information and the system further comprises a POC system computer in communication with the medication management computer for comparing any of the additional identification information to identification information stored in a memory associated with the POC system computer and generating an alert if there is a mismatch.

6. The system of claim 5, wherein the medical device reports the program settings to the POC system computer after manual entry and the POC system computer compares the program settings to medication safety guidelines stored in the memory of the POC computer.

7. The system of claim 6, wherein the medical device reports the program settings to the POC system computer via the medication management computer.