REDUCING DISRUPTION DURING MEDICATION ADMINISTRATION

• US 20150057635A1
• Filed: 10/31/2014
• Published: 02/26/2015
• Est. Priority Date: 06/20/2011
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Inventors: BECHTEL, STEPHANIE PALMER, NOLTE, MARK
• Granted Patent: US 10,220,142 B2
• Time in Patent Office: Days
• US Class Current: 604/503
• CPC Class Codes: A61B 2562/0252 Load cells
• CPC Class Codes: A61B 2562/029 Humidity sensors
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/1113 Local tracking of patients, e.g. in a hospital or private home
• CPC Class Codes: A61B 5/1115 Monitoring leaving of a patient support, e.g. a bed or a wheelchair
• CPC Class Codes: A61B 5/1128 using image analysis A61B5/1127 takes precedence
• CPC Class Codes: A61B 5/4824 Touch or pain perception evaluation A61B5/4821 takes precedence
• CPC Class Codes: A61B 5/6889 Rooms
• CPC Class Codes: A61B 5/6891 Furniture
• CPC Class Codes: A61B 5/7275 Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
• CPC Class Codes: A61B 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
• CPC Class Codes: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: A61B 7/00 Instruments for auscultation
• CPC Class Codes: A61B 90/30 Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
• CPC Class Codes: A61G 7/00 Beds specially adapted for nursing; Devices for lifting patients or disabled persons stretchers with facilities for picking up patients or disabled persons A61G1/003
• CPC Class Codes: A61G 7/002 having adjustable mattress frame
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 2005/14208 with a programmable infusion control system, characterised by the infusion program
• CPC Class Codes: A61M 2021/0016 by the smell sense
• CPC Class Codes: A61M 2021/0027 : by the hearing sense
• CPC Class Codes: A61M 2021/0044 : by the sight sense
• CPC Class Codes: A61M 2021/005 : images, e.g. video
• CPC Class Codes: A61M 21/02 : for inducing sleep or relaxation, e.g. by direct nerve stimulation, hypnosis, analgesia for massage A61H; electrotherapy A61N, e.g. applying alternating or intermittent electric currents for producing anaesthesia A61N1/36021
• CPC Class Codes: A61M 2202/0241 : Anaesthetics; Analgesics
• CPC Class Codes: A61M 2205/18 : with alarm
• CPC Class Codes: A61M 2205/3306 : Optical measuring means
• CPC Class Codes: A61M 2205/3334 : Measuring or controlling the flow rate
• CPC Class Codes: A61M 2205/3368 : Temperature
• CPC Class Codes: A61M 2205/3375 : Acoustical, e.g. ultrasonic, measuring means
• CPC Class Codes: A61M 2205/3553 : remote, e.g. between patient's home and doctor's office
• CPC Class Codes: A61M 2205/3561 : local, e.g. within room or hospital
• CPC Class Codes: A61M 2205/3584 : using modem, internet or bluetooth
• CPC Class Codes: A61M 2205/3592 : using telemetric means, e.g. radio or optical transmission
• CPC Class Codes: A61M 2205/505 : Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
• CPC Class Codes: A61M 2205/52 : with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 2205/581 : by audible feedback
• CPC Class Codes: A61M 2205/582 : by tactile feedback
• CPC Class Codes: A61M 2205/583 : by visual feedback
• CPC Class Codes: A61M 2205/6018 : providing set-up signals for the apparatus configuration
• CPC Class Codes: A61M 2205/6054 : Magnetic identification systems
• CPC Class Codes: A61M 2205/6072 : Bar codes
• CPC Class Codes: A61M 2205/80 : voice-operated command
• CPC Class Codes: A61M 2210/12 : Blood circulatory system
• CPC Class Codes: A61M 2230/06 : Heartbeat rate only
• CPC Class Codes: A61M 2230/42 : Rate
• CPC Class Codes: A61M 2230/62 : Posture
• CPC Class Codes: A61M 2230/63 : Motion, e.g. physical activity
• CPC Class Codes: A61M 5/142 : Pressure infusion, e.g. using pumps
• CPC Class Codes: A61M 5/172 : electrical or electronic A61M5/16804, A61M5/16831 take precedence
• CPC Class Codes: A61M 5/1723 : using feedback of body parameters, e.g. blood-sugar, pressure measurement of body parameters A61B5/00
• CPC Class Codes: G06Q 10/00 : Administration; Management
• CPC Class Codes: G06Q 50/22 : Social work or social welfare, e.g. community support activities or counselling services
• CPC Class Codes: G06V 40/174 : Facial expression recognition
• CPC Class Codes: G08B 21/02 : Alarms for ensuring the safety of persons
• CPC Class Codes: G08B 21/043 : detecting an emergency event, e.g. a fall
• CPC Class Codes: G08B 21/0476 : Cameras to detect unsafe condition, e.g. video cameras
• CPC Class Codes: G08B 21/0492 : Sensor dual technology, i.e. two or more technologies collaborate to extract unsafe condition, e.g. video tracking and RFID tracking
• CPC Class Codes: G09B 5/02 : with visual presentation of the material to be studied, e.g. using film strip
• 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 20/17 : delivered via infusion or injection
• CPC Class Codes: G16H 40/63 : for local operation
• CPC Class Codes: G16H 40/67 : for remote operation
• CPC Class Codes: G16H 50/50 : for simulation or modelling of medical disorders
• CPC Class Codes: G16H 50/70 : for mining of medical data, e.g. analysing previous cases of other patients
• CPC Class Codes: G16H 70/00 : ICT specially adapted for the handling or processing of medical references

Abstract

Methods, computer systems, and computer readable media are provided for transitioning a clinical care room from a first scene to a second scene in order to facilitate completion of a medication-administration process. The first scene in the clinical care room is presented where the clinical care room has one or more zones. The first scene is associated with a first group of setting for components within the one or more zones. An input indicating that the medication-administration process has been initiated is received. Incident to receiving the input, the second scene is provided. The second scene is associated with a second group of settings for the components. The second group of settings is optimized to facilitate completion medication-administration process.

Claims

1. One or more computer-readable media having embodied thereon computer-executable instructions that, when executed by a computing device, cause the computing device to perform a method for automatically and without human intervention transitioning a patient'"'"'s clinical care room from a first scene to a second scene in order to facilitate completion of a medication-administration process, the method comprising:

automatically and without human intervention receiving an input from a medication dispensing station indicating that a clinician has initiated the medication-administration process for the patient in the clinical care room, wherein the input is received upon the clinician retrieving medication(s) associated with the patient from the medication dispensing station;

determining that at least one of the medications comprises a first medication administered by an intravenous (IV) infusion; and

automatically and without human intervention powering on an IV infusion pump located in the patient'"'"'s clinical care room.

2. The media of claim 1, further comprising:

accessing an electronic medical record (EMR) associated with the patient and determining a dosage associated with the first medication; and

automatically and without human intervention programming the IV infusion pump with dosage information and an infusion rate for the first medication.

3. The media of claim 2, further comprising automatically and without human intervention adjusting one or more other components in the clinical care room.

4. The media of claim 3, wherein the one or more other components comprise a lighting system, and wherein adjusting the lighting system comprises illuminating an area over the patient'"'"'s bed.

5. The media of claim 3, wherein the one or more other components comprise a patient bed, and wherein adjusting the patient bed comprises changing an elevation of a head of the patient bed.

6. The media of claim 3, wherein the one or more other components comprise one or more display devices.

7. The media of claim 6, wherein adjusting the one or more display devices comprises displaying education materials related to the first medication to the patient.

8. The media of claim 6, wherein adjusting the one or more display devices comprises displaying an informed consent form to the patient.

9. The media of claim 6, wherein adjusting the one or more display devices comprises displaying a notification that the clinician will be shortly arriving in the clinical care room.

10. A system for automatically and without human intervention transitioning a patient'"'"'s clinical care room from a first scene to a second scene in order to facilitate completion of a medication-administration process, the system comprising:

a computing device associated with the clinical care room, the computing device having one or more processors and one or more computer-readable media; and

a data store coupled with the computing device,

wherein the computing device;

presents the first scene in the clinical care room, the clinical care room having one or more zones comprising a clinician zone, a patient zone, and a family zone, and the first scene being associated with a first group of settings for components within the one or more zones, the components comprising at least an intravenous (IV) infusion pump in the patient zone;

automatically and without human intervention receives an input from a medication administration dispensing station indicating that a clinician has initiated the medication-administration process for the patient in the clinical care room, wherein the input is received upon the clinician retrieving medication(s) associated with the patient from the medication dispensing station; and

incident to receiving the input that the medication-administration process has been initiated, automatically and without human intervention transitions to the second scene in the patient zone to facilitate the completion of the medication-administration process, wherein transitioning to the second scene in the patient zone comprises implementing a second group of settings for the components within the one or more zones including implementing a second group of settings for the IV infusion pump.

11. The system of claim 10, wherein the second group of settings is dependent upon an identity of the medication(s) retrieved from the medication dispensing station.

12. The system of claim 11, wherein the second group of settings comprises at least a power-on setting for the IV infusion pump.

13. The system of claim 12, wherein the second group of settings further comprises a dosage setting and a rate of infusion setting for the IV infusion pump.

14. The system of claim 11, wherein the computing device further:

receives an indication that the medication-administration process has been completed; and

incident to receiving the indication that the medication-administration process has been completed, automatically and without human intervention transitions to the first scene in the clinical care room, wherein transitioning to the first scene in the clinical care room comprises implementing the first group of settings for the components within the one or more zones.

15. A computerized method carried out by one or more computing devices having one or more processors that performs a method of automatically and without human intervention monitoring an intravenous (IV) infusion of a medication to a patient in a clinical care room, the method comprising:

automatically and without human intervention monitoring, via one or more monitoring devices in the clinical care room, one or more patient parameters associated with the patient in the clinical care room while the medication is being infused into the patient by an IV infusion pump;

determining, using the one or more processors, that there is a change in at least one of the one or more patient parameters that exceeds a predefined threshold; and

automatically and without human intervention adjusting settings associated with the IV infusion pump.

16. The method of claim 15, wherein the one or more monitoring devices comprises at least a vital signs monitor.

17. The method of claim 16, wherein the one or more patient parameters comprises the patient'"'"'s heart rate and the patient'"'"'s blood pressure.

18. The method of claim 16, wherein adjusting the settings associated with the IV infusion pump comprises slowing the rate of infusion.

19. The method of claim 15, further comprising communicating an alert to one or more of the patient'"'"'s caregivers.

20. The method of claim 15, wherein the one or more monitoring devices comprise at least a moisture sensor on the patient'"'"'s bed, and wherein the one or more patient parameters comprise the patient sweating, and wherein altering the settings associated with the IV infusion pump comprises slowing the rate of infusion.