Integrated Medication and Infusion Monitoring System

• US 20100121654A1
• Filed: 07/22/2009
• Published: 05/13/2010
• Est. Priority Date: 11/13/2008
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Siemens Medical Solutions USA Incorporated (Siemens AG)
• Inventors: Portnoy, Alan M., Saeger, Deborah A.
• Granted Patent: US 9,501,619 B2
• Time in Patent Office: Days
• US Class Current: 705/3
• 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 comprising a patient identifier, infusion fluid identifier and a rate of fluid infusion, for administration of an infusion fluid to a patient at a point of care using an infusion pump. The system also includes a repository of patient medical record information. A fluid infusion monitor uses acquired fluid infusion parameters for automatically searching a patient medical record in the repository 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 lower than a rate 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:

an acquisition processor for acquiring fluid infusion parameters comprising a patient identifier, infusion fluid identifier and a rate of fluid infusion, for administration of an infusion fluid to a patient at a point of care using an infusion pump;

a repository of patient medical record information;

a fluid infusion monitor for using acquired fluid infusion parameters for automatically searching a patient medical record in said repository for information concerning 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 said fluid infusion parameters; and

an interface processor for automatically initiating generation of a message indicating a potential adverse reaction to said particular infusion fluid in response to a determination of a lower rate being employed for previously administering said particular infusion fluid.

2. A system according to claim 1, wherein

said message prompts a healthcare worker to lower said rate indicated in said fluid infusion parameters.

3. A system according to claim 1, wherein

said message indicating a potential adverse reaction to said particular infusion fluid comprise a displayed alert message to a healthcare worker.

4. A system according to claim 1, wherein

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

5. A system according to claim 1, wherein

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

6. A system according to claim 1, wherein

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

7. A system according to claim 1, wherein

said interface processor automatically initiates generation of a message for communication to an infusion pump to at least one of, (a) reduce rate of fluid infusion and (b) inhibit operation of an infusion pump until a healthcare worker enters a command to acknowledge said message indicating said potential adverse reaction in response to said determination.

8. A system according to claim 1, wherein

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

9. A pharmacy information system supporting infusion discontinuation activity, comprising:

an acquisition processor for acquiring weaning data identifying a fluid infusion medication is being discontinued over a time period to wean a patient from said fluid infusion medication; and

a user interface for automatically initiating generation of a data element for incorporation into a pharmacy information system display image for alerting a pharmacist said fluid infusion medication is being discontinued over a time period to end at some future time and enabling a pharmacist to discontinue supplying said fluid infusion medication.

10. A system according to claim 9, wherein

said acquisition processor acquires said weaning data from a Bar-code Point of Care system.

11. A system according to claim 9, wherein

said acquisition processor acquires said weaning data from an infusion pump.

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;

a data processor for automatically predicting a time a patient receiving an administered infusion will be ready for a treatment procedure in response to said start time of infusion administration or said end time of infusion administration; and

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

13. A system according to claim 12, wherein

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

14. A system according to claim 12, wherein

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

15. A system according to claim 12, wherein

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