INPATIENT BLOOD MANAGEMENT

• US 20120016686A1
• Filed: 07/13/2010
• Published: 01/19/2012
• Est. Priority Date: 07/13/2010
• Status: Abandoned Application

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Inventors: RYAN, HUGH, HOWARD, JASON, SUTARIYA, BHARAT
• Application Number:
  US12/835,433
• Publication Number:
  US 20120016686A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G16H 10/40 for data related to laboratory analysis, e.g. patient specimen analysis
• CPC Class Codes: G16H 20/40 relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

Methods, systems, and computer storage media are provided for enabling management of a patient'"'"'s blood when the patient has been admitted to a healthcare facility but does not have a scheduled procedure. A patient who is admitted to the healthcare facility is identified and based on the patient'"'"'s red blood cell measurements, it is determined that the patient is anemic. It is determined that the patient requires blood treatment based on these red blood cell measurements. Blood treatment instructions are determined by way of algorithms, and these instructions are displayed in the patient'"'"'s electronic medical record such that a clinician can determine, based on the recommended instructions, which interventions to administer to the patient.

Claims

1. One or more computer storage media storing computer-useable instructions that, when used by one or more computing devices, cause the one or more computing devices to perform a method comprising:

identifying a patient who is currently admitted to a healthcare facility;

determining that the patient is anemic such that one or more red blood cell measurements associated with the patient are below a predetermined threshold;

determining that the patient requires blood treatment based on the one or more red blood cell measurements;

algorithmically determining blood treatment instructions for the patient; and

displaying the blood treatment instructions.

2. The one or more computer storage media of claim 1, wherein the patient is not currently scheduled for a procedure that is associated with a high risk of blood loss.

3. The one or more computer storage media of claim 1, wherein the one or more red blood cell measurements includes a hemoglobin concentration.

4. The one or more computer storage media of claim 1, wherein the one or more red blood cell measurements comprises one or more of a hematocrit measurement or a red blood cell count.

5. The one or more computer storage media of claim 1, wherein the blood treatment instructions include one or more of erythropoietin, intravenous or oral iron, folate, vitamin B12, vitamin C, or a nephrology consultation.

6. The one or more computer storage media of claim 1, further comprising tracking blood test results for a plurality of patients to identify those that are eligible for the blood treatment.

7. The one or more computer storage media of claim 6, wherein one of the plurality of patients is eligible for the blood treatment if the blood test results indicate anemia.

8. The one or more computer storage media of claim 1, wherein the blood treatment does not include a blood transfusion.

9. The one or more computer storage media of claim 1, further comprising ordering blood tests other than the red blood cell measurements to determine that the patient is anemic, wherein the blood tests include a vitamin B12 level, a reticulocyte count, reticulocyte hemoglobin content, iron binding capacity, ferritin, transferring saturation, or creatinine.

10. The one or more computer storage media of claim 3, wherein algorithmically determining the blood treatment instructions for the patient further comprises:

receiving an input of a target hemoglobin level; and

calculating a dosage of one or more blood treatment interventions that are included in the blood treatment instructions for the patient based on a current hemoglobin level and the target hemoglobin level.

11. One or more computer storage media storing computer-useable instructions that, when used by one or more computing devices, cause the one or more computing devices to perform a method comprising:

receiving a first set of blood test results that includes a hemoglobin count for a patient who has been admitted to a healthcare facility, wherein the patient is not scheduled for a procedure that is associated with a high risk of blood loss;

automatically populating an electronic medical record associated with the patient with the first set of blood test results;

determining that the hemoglobin count does not meet a predetermined lower threshold indicating that the patient is anemic;

ordering a second set of blood tests to determine a recommended blood treatment;

receiving a second set of blood test results;

determining the recommended blood treatment based on the first set of blood test results and the second set of blood test results; and

communicating for display on the electronic medical record blood treatment instructions.

12. The one or more computer storage media of claim 11, wherein the first set of blood test results are associated with a first set of blood tests that were previously performed within a predetermined quantity of days such that the first set of blood tests is still accurate.

13. The one or more computer storage media of claim 12, wherein the predetermined quantity of days is 45.

14. The one or more computer storage media of claim 11, further comprising identifying a plurality of patients from a database who meet criteria for receiving the blood treatment, wherein the blood treatment does not include a blood transfusion.

15. The one or more computer storage media of claim 11, further comprising:

upon completion of the blood treatment, receiving one or more post-treatment blood test results for the patient; and

based on the one or more post-treatment test results, determining that the patient is no longer anemic.

16. The one or more computer storage media of claim 11, wherein the blood treatment is performed to avoid a blood transfusion.

17. One or more computer storage media storing computer-useable instructions that, when used by one or more computing devices, cause the one or more computing devices to perform a method comprising:

receiving blood test results associated with a patient who has been admitted to a healthcare facility;

automatically populating an electronic medical record associated with the patient with the blood test results, wherein the blood tests results indicate levels of one or more of a hemoglobin concentration, hematocrit, or a red blood cell count;

based on the blood test results, determining that the patient is eligible for blood treatment such that the blood test results indicate that the patient is anemic;

algorithmically determining customized blood treatment instructions that are based on the blood test results for the patient; and

communicating for presentation the customized blood treatment instructions.

18. The one or more computer storage media of claim 17, wherein the customized blood treatment instructions include one or more blood treatment interventions and dosages for each of the one or more blood treatment interventions.

19. The one or more computer storage media of claim 17, further comprising ordering additional blood tests to determine the customized blood treatment instructions.

20. The one or more computer storage media of claim 17, wherein the patient is not currently scheduled to undergo a procedure that is associated with a high risk of blood loss.