MEDICATION ORDER PROCESSING AND RECONCILIATION

• US 20140180716A1
• Filed: 03/03/2014
• Published: 06/26/2014
• Est. Priority Date: 12/30/2005
• Status: Active Grant

• Current Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Original Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Inventors: BATCH, Richard M.
• Granted Patent: US 10,387,619 B2
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• 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 40/67 for remote operation
• CPC Class Codes: G16H 70/40 relating to drugs, e.g. their side effects or intended usage

Abstract

A system and method for managing medication orders, including verbal orders and changes to those orders, is described. A server receives mediation orders from a pharmacy and communicates those orders to an infusion pump. The infusion pump communicates status messages to the server and the server compares the status messages to the medication orders to determine if the there were any changes to the order, or if a medication was administered absent a medication order. The server assigns a new order identification number to the status message if needed. The system may also reconcile original medication orders with information associated with a new order identification number and stores the information in the eMAR of a patient.

Claims

1-14. -14. (canceled)

15. A method for managing medication orders, the method comprising:

receiving, at a processor, a medication order comprising a first order identification number and medication delivery instructions;

receiving, at the processor, medication administration status information by a medication administration device, the medication administration status information comprising the first order identification number and information regarding actual delivery of a delivered medication; and

assigning a second order identification number to the medication administration status information if the information regarding actual delivery does not match the medication order, or retaining the first order identification number if the information regarding actual delivery does match the medication order.

16. The method of claim 15, further comprising:

comparing the information regarding actual delivery of the delivered medication to the medication delivery instructions of the medication order.

17. The method of claim 15, wherein receiving, at a processor, a medication order comprises receiving, at a processor, a medication order by a medication order source.

18. The method of claim 15, wherein receiving, at a processor, a medication order comprises receiving, at a processor, a medication order stored in a medication administration record database.

19. The method of claim 15, wherein the medication delivery instructions of the medication order comprise instructions regarding how to deliver a medication corresponding to the medication order.

20. The method of claim 15, further comprising:

associating the second order identification number with the first order identification number.

21. The method of claim 15, further comprising:

transmitting, if a second order identification number is assigned, the second order identification number and the information regarding actual delivery of the delivered medication.

22. The method of claim 15, further comprising:

transmitting, if a second order identification number is not assigned, the first order identification number and the information regarding actual delivery of the delivered medication.

23. A system for managing medication orders, the system comprising:

a processor; and

a memory including executable instructions that, when executed by the processor, cause the processor to;

receive a medication order comprising a first order identification number and medication delivery instructions,

receive medication administration status information by a medication administration device, the medication administration status information comprising the first order identification number and information regarding actual delivery of a delivered medication, and

assign a second order identification number to the medication administration status information if the information regarding actual delivery does not match the medication order, or retain the first order identification number if the information regarding actual delivery does match the medication order.

24. The system of claim 23, wherein the executable instructions that, when executed by the processor, cause the processor to:

compare the information regarding actual delivery of the delivered medication to the medication delivery instructions of the medication order.

25. The system of claim 23, wherein the medication delivery instructions of the medication order comprise instructions regarding how to deliver a medication corresponding to the medication order.

26. The system of claim 23, wherein the executable instructions that, when executed by the processor, cause the processor to:

associate the second order identification number with the first order identification number.

27. The system of claim 23, wherein the executable instructions that, when executed by the processor, cause the processor to:

transmit, if a second order identification number is assigned, the second order identification number and the information regarding actual delivery of the delivered medication.

28. The system of claim 23, the executable instructions that, when executed by the processor, cause the processor to:

transmit, if a second order identification number is not assigned, the first order identification number and the information regarding actual delivery of the delivered medication.

29. A machine-readable medium comprising instructions stored therein, which when executed by a machine, cause the machine to perform operations, the machine-readable medium comprising:

instructions for receiving a medication order comprising a first order identification number and medication delivery instructions;

instructions for receiving medication administration status information by a medication administration device, the medication administration status information comprising the first order identification number and information regarding actual delivery of a delivered medication; and

instructions for assigning a second order identification number to the medication administration status information if the information regarding actual delivery does not match the medication order, or instructions for retaining the first order identification number if the information regarding actual delivery does match the medication order.

30. The machine-readable medium of claim 29, further comprising:

instructions for comparing the information regarding actual delivery of the delivered medication to the medication delivery instructions of the medication order.

31. The machine-readable medium of claim 29, wherein the medication delivery instructions of the medication order comprise instructions regarding how to deliver a medication corresponding to the medication order.

32. The machine-readable medium of claim 29, further comprising:

instructions for associating the second order identification number with the first order identification number.

33. The machine-readable medium of claim 29, further comprising:

instructions for transmitting, if a second order identification number is assigned, the second order identification number and the information regarding actual delivery of the delivered medication.

34. The machine-readable medium of claim 29, further comprising:

instructions for transmitting, if a second order identification number is not assigned, the first order identification number and the information regarding actual delivery of the delivered medication.