Healthcare verification methods, apparatus and systems

• US 6,824,052 B2
• Filed: 11/08/2002
• Issued: 11/30/2004
• Est. Priority Date: 12/28/1999
• Status: Expired due to Fees

• Current Assignee: Christopher S. Walsh
• Original Assignee: Christopher S. Walsh
• Inventors: Walsh, Christopher S.
• Primary Examiner(s): Le, Thien M.
• Assistant Examiner(s): TRAIL, ALLYSON NEEL
• Application Number:
  US10/290,288
• Publication Number:
  US 20030074228A1
• Time in Patent Office: 753 Days
• Field of Search: 235/380, 235/385, 235/379, 235/383, 235/382, 705/64, 705/65, 705/67, 705/75, 705/3
• US Class Current: 235/380
• CPC Class Codes: A61N 2005/1074 Details of the control system, e.g. user interfaces
• CPC Class Codes: A61N 5/1048 Monitoring, verifying, controlling systems and methods
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 20/367 involving electronic purses or money safes
• CPC Class Codes: G06Q 20/3674 involving authentication
• CPC Class Codes: G06Q 20/382 insuring higher security of transaction
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 10/65 stored on portable record carriers, e.g. on smartcards, RFID tags or CD
• 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 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 80/00 ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Abstract

Methods, systems and apparatus are provided for, inter alia, verification of the identity of a patient undergoing healthcare administered by a healthcare practitioner. The methods include improved record and verify methods which provide for verification of healthcare data entered into a computer and for the use of a paper verification sheet or log into which selected data from the computer is entered. Methods are also provided which incorporate timing out of preselected periods to ensure that healthcare-related tasks or actions, including, e.g., those involving patient identification, are carried out promptly. In addition, improved check sheets or logs are provided which are specifically limited in the number of healthcare parameters to be monitored. Further, an improved document carrier is provided which helps ensure that the proper documents, arranged in a desired sequence, are brought to the treatment setting.

Claims

1. A record and verification method for use in monitoring healthcare administered to a patient, said method comprising the steps of:

(a) initially entering, into a computer monitor, data corresponding to the healthcare to be administered;

(b) verifying the patient healthcare data entered into the computer monitor against at least one source;

(c) entering data from the computer monitor onto a paper verification sheet;

(d) administering the healthcare to the patient; and

(a) updating a patient record after the healthcare has been administered.

2. A method according to claim 1 wherein the step of updating a patient record comprises making an entry into the computer that the healthcare has been administered.

3. A method according to claim 1 further comprising checking and signing the paper verification sheet.

4. A method according to claim 3 wherein the step of updating a patient record comprises making an entry into the computer that the healthcare has been administered and the step of checking and verifying the paper verification sheet is carried out after said entry.

5. A method according to claim 1 wherein the data corresponding to the healthcare to be administered that is entered into the computer monitor is previously stored and is automatically downloaded into the computer monitor at the request of an operator.

6. A method according to claim 1 wherein the data corresponding to the healthcare to be administered is entered into the computer monitor from a patient healthcare administration chart.

7. A method according to claim 1 wherein said method is used with a radiation therapy treatment system including a radiation treatment device for providing radiation treatment and said computer monitor comprises a radiation treatment monitor and an associated computer for monitoring the radiation treatment device, wherein the healthcare data comprises radiation treatment data and said radiation treatment data is entered into the treatment monitor from a patient treatment chart, and wherein the step of administering healthcare comprises using the radiation treatment device in treatment of the patient.

8. A method according to claim 7 wherein only selected treatment data, of the patient treatment data that is entered into the treatment monitor, is entered onto the paper verification sheet.

9. A method according to claim 7 wherein multiple radiation fields are delivered to the patient, and steps (a) through (e) are repeated for each field, and the method further comprises entering of a cumulative radiation dose into the patient treatment chart when all of the multiple treatment fields have been delivered.

10. A method according to claim 7 wherein using the radiation treatment device generates actual treatment data, wherein the step of updating a patient record comprises entering said actual treatment data onto the patient treatment chart, and wherein said method comprises a further step of:

(f) checking and signing the data entered into the patient treatment chart and into the paper verification sheet.

11. A method according to claim 10 wherein the selected treatment data consists of the (i) presence or absence of a wedge, (ii) the energy level used, and (iii) the monitor units used.

12. A method according to claim 10 wherein first and second radiation therapists carry out the method, and the first therapist is responsible for at least step (e), the second therapist is responsible for at least steps (b) and (c) and both therapists carry out, and are responsible for, step (f).

13. A method according to claim 12 wherein both the first and second therapists initially view, on a monitor screen associated with the treatment monitor, treatment data entered into the treatment monitor, the first therapist then recites aloud selected treatment data from the monitor screen, the second therapist, white still viewing the monitor screen, verifies the selected treatment data, in real time, as recited by the first therapist, the second therapist, while still viewing the monitor, recites aloud the preselected treatment data from the monitor screen, the first therapist, when still viewing the monitor screen, verifies the preselected treatment data, in real time, as recited by the second therapist, and the second therapist then enters the preselected treatment data into the paper verification sheet.

14. A method according to claim 12 wherein, after treatment data is entered into the treatment monitor and the data entered is displayed on a monitor screen associated with the treatment monitor, the first therapist recites aloud selected treatment data from the patient treatment chart and the second therapist verifies the recited treatment data against the data entered into treatment monitor as displayed on said monitor screen.

15. A method according to claim 14 wherein the second therapist verbally recites the treatment data displayed on said monitor screen.

16. A method for use in carrying out a medical treatment wherein a computer and a computer monitor including a monitor screen are used at least in setting up of the medical treatment, said method comprising:

setting a time period in which at least one action requiring interfacing with the monitor must be carried out;

monitoring whether the at least one action has been carried out during said time period; and

if the at least one action is not carried out within said time period, at least temporarily providing that the medical treatment is not to proceed.

17. A method according to claim 16 wherein at least temporarily providing that the medical treatment is not to proceed comprises blanking out the monitoring screen.

18. A method according to claim 16 wherein at least temporarily providing that the medical treatment is not to proceed comprises providing a prompt on the monitor screen which requires a predetermined reply before the medical treatment is to proceed.

19. A method according to claim 16 wherein the at least one action comprises at least two separate actions, each with a separate time period for completion.

20. A method according to claim 16 wherein the at least one action comprises providing identification of one of (i) a patient to be treated and (ii) at least one treatment practitioner, and wherein said identification is provided by reading of an identifier by an optical reader associated with said control monitor.

21. A method according to claim 16 wherein said at least one action comprises scanning of an identifier by an optical reader associated with said computer monitor.

22. A method according to claim 21 wherein said identifier comprises a patient photograph.

23. A method according to claim 21 wherein said identifier is associated with identifying member for one of (i) a patient undergoing the medical procedure and (ii) at least one treatment practitioner.

24. A method according to claim 21 wherein said identifier is carried by a medical instrument.

25. A method according to claim 24 wherein the medical treatment comprises delivery of a drug and said medical instrument is a syringe.

26. A method according to claim 16 wherein at least temporarily providing that the medical treatment is not to proceed comprises providing that the at least one action must be carried out within a new time period before the medical treatment can proceed.

27. A method according to claim 26 wherein said at least one action comprises at least two actions both of which must be completed within said period.

28. A method according to claim 26 wherein the medical treatment includes the use of a treatment unit controlled by the computer and monitor and wherein at least temporarily providing that the medical treatment is not to proceed if the at least one action is not completed during said time period comprises prohibiting use of the treatment unit.

29. A method according to claim 28 wherein use of the treatment unit is prohibited by disabling the monitor.

30. A method according to claim 28 wherein the at least one action comprises (i) scanning of an identifier member, including a patient identifier, using an optical scanner associated with the computer monitor, and (ii) scanning of a patient treatment sheet, including said patient identifier, using said optical scanner, and wherein use of said treatment unit is prohibited if either said scanning is not carried out during said time period.

31. A method according to claim 30 wherein a characteristic audio signal, previously assigned to the patient undergoing the medical treatment and unique to the patient, is generated for each said scanning wherein the patient identifier matches an identifier for the patient stored by said computer.

32. A method according to claim 30 wherein the at least one action further comprises scanning of an identifier by at least one treatment practitioner within a predetermined time period prior to said scanning of the identifier member and the patient treatment sheet.

33. A method according to claim 30 wherein, when each said scanning is successfully completed, a further predetermined time period is started for use of said treatment unit, and wherein use of said treatment unit is prohibited at the end of said further period.

34. A method according to claim 33 wherein, after use of said unit is prohibited, said computer monitor displays a query on the monitor screen as to whether treatment is continuing and, in response to entry of a positive reply, enables the treatment unit.

35. A method according to claim 33 wherein when use of said unit is prohibited, said monitor displays on the monitor screen a query requesting confirmation that the patient treatment sheet has been updated.

36. A method for use in carrying out a medical procedure, using a treatment unit and a computer and monitor for controlling the treatment unit, so as to ensure that at least one action, requiring interfacing with the monitor, is completed in a timely manner, said method comprising:

initiating at the monitor, a start time for the at least one action to be carried out;

determining whether the at least one action has been carried out within a predetermined time period after said start time; and

at least temporarily preventing access to the treatment unit if the at least one action has not been carried out within said predetermined period.

37. A check sheet for use in administration of patient healthcare, said check sheet containing (i) entry spaces for entry by a healthcare caregiver of healthcare parameters for verification, and (ii) headings for the entry spaces each identifying a corresponding healthcare parameter, said healthcare parameters consisting of no more than three parameters excluding parameters relating to the time of administration of the healthcare.

38. A check sheet according to claim 37 wherein the check sheet further include a heading for the time of day at which the patient healthcare is ad ministered.

39. A check sheet according to claim 37 wherein said check sheet comprises a treatment check sheet for a patient undergoing radiation treatments, said treatment check sheet listing a plurality of treatment parameters for entry of data for verification by at least one radiation treatment practitioner prior to administration of a radiation treatment, said treatment parameters consisting solely of three patient specific parameters.

40. A check sheet according to claim 39 wherein said three parameters consist of wedge presence, radiation energy level and monitor units.

41. A treatment check sheet as claimed in claim 39 wherein said treatment check sheet includes four rows or columns thereon, said rows or columns including headings and, following each of said headings, a plurality of empty spaces for entries by the treatment practitioner, said headings including wording indicating that the corresponding column is designated for entries with respect (i) the current date, (ii) the radiation energy level, (iii) the presence or absence of a wedge and (iv) monitor units.

42. A check sheet according to claim 41 wherein the treatment check sheet includes at least one place thereon designated for checking off by a treatment practitioner using the treatment check sheet.

43. A method of assisting in full completion of a medical procedure for an individual patient undergoing the medical procedure, said method comprising:

assigning an audio signal to a patient and ensuring that the patient recognizes the assigned audio signal when said audio signal is generated;

generating said audio signal at a treatment site during the medical procedure so that the signal is heard by the patient;

providing for terminating of the audio signal only after treating personnel performs at least preselected action necessary to properly conclude the medical procedure; and

instructing the patient to remain at the treatment site until the audio signal is terminated.

44. A method as claimed in claim 43 wherein the audio signal comprises a piece of music, wherein said piece of music is played while the patient is on a treatment table, and wherein the at least one action comprises updating of a treatment record for the patient.

45. A record and verification method for use with a radiation therapy system including a radiation treatment device for providing radiation treatment and a treatment monitor, including a computer, for monitoring the treatment provided by the radiation treatment device, said method comprising the steps of:

(a) initially entering, into the treatment monitor, patient treatment data corresponding to that contained in a patient treatment chart;

(b) verifying patient treatment data entered into the treatment monitor against at least one source;

(c) entering treatment data from the treatment monitor onto a paper verification sheet;

(d) cross checking the treatment data entered onto said paper verification sheet;

(e) using the radiation treatment device in treating of the patient; and

(f) updating the patient treatment chart after said treating of the patient.

46. A record and verification method in monitoring the administration of a patient care intervention, said method comprising the steps of:

(a) initially entering, into a computer including an associated monitor screen, data corresponding to the patient care intervention that is to be administered to a patient;

(b) accessing the computer by presenting to an optical detector associated with the computer an identifier corresponding to an identifier stored by the computer so that when there is a match between the presented identifier and the stored identifier, at least some of said entered data is displayed;

(c) administering a patient care intervention to the patient corresponding to the entered data displayed on the monitor screen;

(d) entering onto a paper verification sheet selected data related to the patient care intervention administered to the patient; and

(e) making an entry into the computer that the patient care intervention has been administered.

47. A record and verification method for use in monitoring a medical treatment administered to a patient, said method comprising the steps of

(a) initially entering patient treatment data corresponding to that contained in a patient treatment chart into a computer including an associated monitor screen;

(b) verifying patient treatment data entered into the computer and appearing on the monitor screen against at least one source;

(c) entering selected treatment data from that appearing on the monitor screen of the treatment monitor onto a paper verification sheet;

(d) cross checking the treatment data entered into the paper verification sheet;

(a) carrying out the treatment; and

(f) entering into the patient treatment chart (i) an indication that the treatment has been carried out and (ii) an indication of any differences between the treatment data entered into the paper verification sheet and any actual treatment data.

48. A method according to claim 47 wherein said computer includes an associated optical detector and wherein access to said computer is effected by presenting to the optical detector an identifier member carrying an identifier matching an identifier stored by the computer.

49. A record and verification method for monitoring a patient care intervention administered to a patient, said method comprising the steps of:

entering critical data received relating to a patient care intervention, along with the name of the patient and the time and date, into a pre-prepared paper tog sheet;

verifying the critical data entered with at least one source;

carrying out the patient care intervention;

entering data relating to the patient care intervention into a computer monitor; and

checking off on the paper log sheet that the data has been entered into the computer monitor.

50. A method according to claim 49 wherein, if the patient care intervention is not carried out or is riot fully carried out, the method further comprises marking the log sheet to indicate if the patient care is not carried out or is not fully carried out.

51. A monitoring method for monitoring a caregiver intervention, said method comprising:

providing an electronic presentation of an inquiry as to whether a particular patient intervention administered by a caregiver is best characterized as full, partial or none;

prompting the caregiver to provide a simple response to the inquiry; and

recording the response of the caregiver to the inquiry for future use.

52. A method according to claim 51 wherein the inquiry is presented in a dialog box on touch sensitive computer screen and the caregiver responds by touching an appropriate screen location.

53. A method of verification of an identity of a patient to be treated, said method comprising:

scanning a patient identifier which identifies the patient to be treated and which is carried by a first item associated with treating of the patient;

scanning a further said patient identifier which is carried by at least one further item associated with treating of the patient; and

generating a characteristic audio signal only if, after scanning of both said patient identifier carried by said first item and said further said patient identifier carried by said at least one further item, there is a match between each patient identifier scanned and a stored identifier.

54. A method according to claim 53 wherein said characteristic audio signal is generated only when said patient identifiers are scanned in a predetermined sequence.

55. A method according to claim 53 wherein one of said items associated with treating of the patient comprises a patient wristband and a further one of said items comprises a patient chart.

56. A method according to claim 53 wherein one of said items comprises a patient wristband and a further one of said items comprises a medication container for medication for the patient.

57. A method for verification that necessary actions have been taken in connection with a treatment of a patient at a treatment site, said method comprising:

scanning a patient identifier which identifies the patient to be treated and which is carried by a first item associated with one action in treating of the patient;

scanning at least one further patient identifier which is carried by at least one

further item carried by a second item associated with a further action in treating of the patient;

determining whether there is match between the scanned patient identifier and a stored identifier in response to scanning of both said first patient identifier and said at least one further patient identifier; and

generating a characteristic audio signal only if a match is indicated for both said first and said at least one further identifier so as to thereby indicate that said one action and said further action have taken place.

58. A method according to claim 57 wherein said first and further items are associated with actions that each must take place to complete a treatment task in connection with treatment of the patient.

59. A method according to claim 58 wherein said task comprises bringing the treatment site each of a plurality of items which are to be used in said treatment.

60. A method according to claim 57 wherein said characteristic audio signal is generated only when said patient identifiers are scanned in a predetermined sequence.

61. A method according to claim 57 wherein said first item associated with treating of the patient comprises a patient wristband and said one action is ensuring that the patient has said wristband and said at least further item comprises a patient chart and said at least one further action is ensuring that the patient chart is present at the treatment.

62. A method according to claim 57 wherein said one item comprises a patient chart and said further item comprises a medical instrument for use in treatment for the patient and wherein generation of said characteristic audio signal indicates that the patient chart and medical instrument are present at the treatment site.

63. A method of verification of an identity of a patient to be treated, said method comprising:

scanning a machine-readable patient identifier which identifies the patient to be treated and which is carried by a first item associated with treating of the patient;

scanning a further said machine-readable patient identifier which is carried by at least one further item associated with treating of the patient; and

permitting carrying out of an action associated with treating of the patient only if, after scanning of both said patient identifier carried by said first item and said further said patient identifier carried by said at least one further item in a predetermined sequence, there is a match between each patient identifier scanned and a stored identifier.

64. A method according to claim 63 wherein the patient identifier carried by the first item further includes a first human readable identification symbol and the patient identifier carried by the second item includes a second human readable identification symbol different from the first human readable identification symbol.