SYSTEM AND METHOD FOR PREEMPTIVE DETERMINATION OF THE POTENTIAL FOR AN ATYPICAL CLINICAL EVENT RELATED TO THE ADMINISTERING OF MEDICATION

• US 20130006651A1
• Filed: 01/04/2012
• Published: 01/03/2013
• Est. Priority Date: 12/30/2003
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Inventors: SAUS, DOUGLAS MICHAEL, VANZANT, CARRIE JEANNE, WEBB, RUSSELL WILLIAM, WINKEL, KEVIN JOHN
• Granted Patent: US 8,478,609 B2
• 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
• CPC Class Codes: G16H 70/40 relating to drugs, e.g. their side effects or intended usage

Abstract

Systems and methods provide for the preemptive determination of the potential of atypical clinical event occurrence related to administering of medications to a person. One method involves receiving a list of possible medications that may be administered to the person during a medical procedure. Subsequently, the medication list is compared to information in the person'"'"'s medical record. Based on this comparison, a determination is made as to whether one or more matches exist between any of the medications included in the list and the medical record information, the match relating to the potential of an atypical clinical event occurring if the associated medication were to be administered to the person. If a match in fact exists, a response is outputted relating to each match.

Claims

1. A method in a computing system for preemptive determination of the potential for atypical clinical event occurrence related to the administering of at least one medication to a person having an electronic medical record (EMR), the method comprising the steps of:

receiving a selection of the person;

comparing a medical procedure scheduled for the selected person against one or more pre-built medication-procedure tables;

based on the comparison, accessing a list of possible medications, and dosages thereof, that are to be administered to the person for the medical procedure;

evaluating information in the person'"'"'s electronic medical record (EMR) with respect to the medication list, wherein the EMR maintains dosage amounts of the medications the person is taking, foods the person is consuming, and allergies to medications the person is known to have;

determining that at least one match exists between any of the medications included in the medication list and the EMR information, wherein the match indicates the potential of an atypical clinical event occurring upon the associated medication being administered to the person; and

outputting a response relating to each match, respectively, wherein the response indicates at least one of a specific medication involved in the match, a category of the specific medication, a type of match, or a severity of an associated atypical clinical event.

2. The method of claim 1, wherein the type of match is comprises at least one of drug-drug, drug-allergy, or drug-food.

3. The method of claim 1, wherein receiving a selection of the person comprises receiving a selection of the person from a list of patients displayed at a user interface window, wherein the list of patients is extracted from patient-procedure entries stored in a unified healthcare network, and wherein the patient-procedure entries associate the person with the medical procedure.

4. The method of claim 1, wherein the atypical clinical event is one selected from the group consisting of a drug-drug interaction, drug-food interaction, a drug-allergy interaction, and a drug-gene interaction.

5. The method of claim 1, wherein the medical procedure includes any medical procedure requiring the use of anesthesia.

6. The method of claim 1, wherein the list of possible medications includes medications used in a medical procedure involving anesthesia.

7. The method of claim 1, wherein the list of possible medications includes medications used in a radiologic medical procedure.

8. The method of claim 1, wherein the list of possible medications includes medications used in an oncologic medical procedure.

9. The method of claim 1, wherein the response includes a listing of the match and the associated atypical clinical event.

10. The method of claim 9, wherein the list of possible medications includes the dosage amount for each medication in the medication list, and wherein the response further includes an indication of the predicted severity of the atypical clinical event.

11. The method of claim 10, further comprising displaying information about at least one medication of the medication list that is involved in the match upon selection of the medication at the response.

12. The method of claim 1, further comprising:

selecting the person from the list of patients scheduled for a medical procedure; and

accessing the person'"'"'s EMR prior to comparing the medication list to information in the person'"'"'s EMR.

13. The method of claim 1, wherein the step of determining whether at least one match exists comprises:

querying a data structure containing information selected from one of the groups consisting of drug-drug interactions and drug-food interactions; and

determining that at least one match correlates with one of the drug-drug interactions and drug-food interactions.

14. A method in a computing system for preemptive determination of the potential for atypical clinical event occurrence related to the administering of at least one medication to a person having an electronic medical record, the method comprising the steps of:

accessing medication-procedure tables that maintain specific sets of medications and dosages thereof that are administered for each of a plurality of medical procedures, wherein the medication-procedure tables include a universal set of medications that are particularly dangerous when administered in a variety of medical procedures;

selecting a list of medications from the medication-procedure tables that are to be administered to the person for a medical procedure scheduled for the person, wherein the medication list includes a specific set of medications and dosages thereof that correspond to the medical procedure and the universal set of medications;

employing a control server to compare the medication list directly against information extracted from the person'"'"'s electronic medical record (EMR);

determining that at least one match exists between any of the selected medications included in the medication list and the EMR information, wherein the at least one match indicates the potential of drug-allergy reactions occurring when the matching medication is administered to the person;

employing the control server to compare the medication list against the information in the person'"'"'s EMR a drug-drug association table and a drug-food association table, wherein the drug-drug association table includes information regarding adverse affects caused by medications interacting with each other, and wherein the drug-food association table includes information regarding adverse affects caused by a medication and a food interacting with each other;

determining that at least one match exists between any of the selected medications included in the medication list and the EMR information upon employing the drug-drug and the drug-food association tables, wherein the match indicates the potential of drug-drug or drug-food reactions occurring upon the selected medication being administered to the person; and

outputting a response relating to each match.

15. The method of claim 14, wherein the medical procedure includes any medical procedure requiring the use of anesthesia.

16. The method of claim 14, wherein the information in the person'"'"'s EMR includes a list selected from one of the groups consisting of medications the person is currently taking or has recently taken, foods the person has consumed, the person'"'"'s allergies to medications and genetic test information for the person.

17. The method of claim 14, wherein the response includes a listing of the match and an associated atypical clinical event, and wherein the atypical clinical event is one selected from the group consisting of a drug-drug interaction, drug-food interaction, drug-allergy interaction and a drug-gene interaction.

18. The method of claim 14, further comprising modifying the medication list by adding or deleting medications from the list prior to comparing the medication list to information in the person'"'"'s EMR.

19. Computer storage media containing computer-executable instructions that, when executed, perform a method for controlling a computing system for preemptive determination of the potential for atypical clinical event occurrence related to the administering of at least one medication to a person having an electronic medical record (EMR), the method comprising the steps of:

accessing medication-procedure tables that maintain specific sets of medications and dosages thereof that are administered for each of a plurality of medical procedures;

selecting a list of medications from the medication-procedure tables that are to be administered to the person for a medical procedure scheduled for the person;

comparing the medication list directly against information extracted from the person'"'"'s EMR;

determining that at least one match exists between any of the selected medications included in the medication list and the EMR information, wherein the at least one match indicates the potential of drug-allergy reactions occurring when the matching medication is administered to the person;

comparing the medication list against the information in the person'"'"'s EMR a drug-drug association table and a drug-food association table, wherein the drug-drug association table includes information regarding adverse affects caused by medications interacting with each other, and wherein the drug-food association table includes information regarding adverse affects caused by a medication and a food interacting with each other;

determining that at least one match exists between any of the selected medications included in the medication list and the EMR information upon employing the drug-drug and the drug-food association tables, wherein the match indicates the potential of drug-drug or drug-food reactions occurring upon the selected medication being administered to the person; and

outputting a response relating to each match.

20. The computer storage media of claim 19, wherein the medication-procedure tables include a universal set of medications that are particularly dangerous when administered in a variety of medical procedures, and wherein the medication list includes a specific set of medications and dosages thereof that correspond to the medical procedure and the universal set of medications.