System and method for managing patient care through automated messaging

• US 8,036,911 B2
• Filed: 11/11/2005
• Issued: 10/11/2011
• Est. Priority Date: 11/11/2005
• Status: Active Grant

• Current Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Original Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Inventors: Bellon, Lauren L., Nguyen, Thuy T., Brown, Barry A.
• Primary Examiner(s): O'Connor; Gerald J.
• Assistant Examiner(s): WINSTON III, EDWARD B
• Application Number:
  US11/270,990
• Publication Number:
  US 20070112602A1
• Time in Patent Office: 2,160 Days
• Field of Search: 705/2, 705/3, 705/4
• US Class Current: 705/2
• CPC Class Codes: G16H 20/13 delivered from dispensers
• 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

Abstract

A system and method in accordance with the invention allow a user to select when messages relating to medication events are sent and to select the content parameters of those messages. In one aspect, a user selects certain event types, the occurrence of which will cause a message to be sent to the user. For example, the user may select a message type that pertains to the availability of a medication in an automated dispensing machine for that user'"'"'s patient. In another aspect, the user may customize the contents of the message to include or exclude certain information. For example, the user may desire the message to indicate only the patient'"'"'s name and not the patient'"'"'s gender or age. In yet another aspect, the user may filter messages so that only certain messages are sent. For example, the user may select a filter that permits only messages pertaining to his or her patients to be sent. The system further comprise a user interface disposed on an automated dispensing machine that enables a user to configure the messaging system as he or she desires. A method in accordance with the invention comprises selecting medication event types about which a message will be sent to the user, the content of the message, and filters for messages.

Claims

1. A system for notifying users of the occurrence of medication supply events, the system comprising:

a medication dispenser configured to securely store a plurality of medications and to allow access to the medications upon entry of an authorized access code, the medication dispenser further configured to generate a medication supply event signal indicative of the occurrence at the dispenser of one of a set of medication supply events relating to a medication prescribed to a patient, wherein the set of medication supply events includes at least one of;

issuance of a new medical order;

modification of a medical order; and

discontinuation of a medical order;

wherein a medical order is an order issued by a caregiver;

a memory configured to store user-selected event types;

a messaging processor adapted to;

receive medication supply event signals from the medication dispenser;

compare the received medication supply event signals to any user-selected event types in the memory; and

send a message to a user of the medication dispenser via a communication link that the medical supply event has occurred based upon a determination that the comparison indicates that the medication supply event signals received by the messaging processor correspond to a user-selected event type in the memory; and

a messaging device carried by the user that is adapted to receive the message from the messaging processor and to communicate the received message to the user;

wherein the system is configured such that authorized access codes are provided to caregivers who administer the medication to the patient but not to the patient receiving the medication.

2. The system of claim 1 wherein:

the memory is further configured to store user-selected message parameters; and

the messaging processor is further adapted to;

access the memory for any user-selected message parameters; and

send the message to a user that the event has occurred, the message being provided in accordance with user-selected message parameters located in the memory.

3. The system of claim 2 wherein a user-selected message parameter comprises an identification of a patient'"'"'s name.

4. The system of claim 2 wherein user-selected message parameter types comprise:

name of a patient, location of a patient, age of a patient, gender of a patient, name of a physician or description of a drug to be administered to the patient.

5. The system of claim 1 wherein a user-selected event type comprises an identification of an item available in the medication dispenser.

6. The system of claim 5 wherein the item comprises a medication that has just recently become available in the medication dispenser.

7. The system of claim 1 wherein the user-selected event types comprise discharge of a patient, issuance of a medical order for a patient, modification of a medical order for a patient, discontinuation of a medical order for a patient, identification of an item removed from the medication dispenser, identification of a discrepancy between items stored in a dispensing machine and items expected to be stored in the dispensing machine, resolution of a discrepancy at a dispensing machine, or identification of a log-in failure at a dispensing machine.

8. The system of claim 1, wherein:

the memory may also store a user-selected message filter;

the messaging processor is adapted to;

compare the received medication supply event signals to any user-selected message filters in the memory; and

send a message to a user that the event has occurred if the comparison indicates that the medication supply event signals received by the messaging processor satisfy any stored user-selected message filter in the memory.

9. The system of claim 8, wherein the user-selected message filter comprises sending only events to the user that are related to that user'"'"'s patient.

10. The system of claim 1 wherein the messaging processor is integral with the dispenser.

11. The system of claim 1 wherein the messaging processor is located remotely from the medication dispenser and further comprising a second processor located at the medication dispenser adapted to detect medication supply events and provide medication supply event signals from the medication dispenser to the messaging processor.

12. The system of claim 1 wherein the messaging processor is further adapted to:

require a response to a sent message; and

send another message to a user that the event has occurred if a response is not received within a predetermined time.

13. The system of claim 12 wherein the response comprises an event generated by the medication dispenser.

14. The system of claim 1 wherein the set of medication supply events further includes an identification of a medication that is newly available in the medication dispenser.

15. A method of notifying users of the occurrence of medication supply events, the method comprising the steps of:

providing authorized access codes to caregivers who administer medications to a patient but not to the patient receiving the medication;

a medication dispenser generating a medication supply event signal indicative of the occurrence of one of a set of medication supply events at a medication dispenser configured to securely store a plurality of medications and to allow access to the medications upon entry of an authorized access code, the medication supply event relating to a medication prescribed to a patient, wherein the set of medication supply events includes at least one of;

issuance of a new medical order;

modification of a medical order; and

discontinuation of a medical order;

wherein a medical order is an order issued by a caregiver;

storing user-selected event types in a memory;

receiving medication supply event signals from the medication dispenser;

comparing the received medication supply event signals to stored user-selected event types;

sending a message to a user of the medication dispenser via a communication link that the event has occurred based upon a determination that the comparison indicates that the medication supply event signals received by the messaging processor correspond to a user-selected event type in the memory;

receiving the message from the messaging processor by means of a messaging device carried by the user; and

communicating the received message to the user.

16. The method of claim 15, wherein:

the step of storing user-selected event types also comprises storing user-selected message parameters in the memory and accessing the memory for any user-selected message parameters;

and the step of sending a message to a user that the event has occurred comprises providing the message in accordance with user-selected message parameters.

17. The method of claim 16, wherein the step of storing a user-selected event type comprises storing an identification of a patient'"'"'s name.

18. The method of claim 16, wherein the step of storing a user-selected event type comprises storing an identification of a room in which a patient is located.

19. The method of claim 16, wherein the step of providing the message in accordance with user-selected message parameters comprises providing an identification of an item available in the medication dispenser in the message.

20. The method of claim 19, wherein the step of providing the message in accordance with user-selected message parameters comprises providing an identification of a medication just recently made available in the medication dispenser in the message.

21. The method of claim 15, wherein the step of sending a message in accordance with a user-selected event type comprises providing an identification of an item removed from the medication dispenser.

22. The method of claim 15, wherein the step of storing user-selected event types in memory also comprises:

storing user-selected message filters;

comparing the received medication supply event signals to any stored user-selected message filters; and

sending a message to a user that the medical supply event has occurred if the comparison indicates that the received medication supply event signals satisfy any stored user-selected message filter in the memory.

23. The method of claim 22, wherein the step of sending a message when a user-selected message filter is satisfied comprises only sending a message about events to a user that are related to that user'"'"'s patient.

24. The method of claim 15, wherein the step of comparing the received medication supply event signals to stored user-selected event types occurs at the medication dispenser.

25. The method of claim 15, wherein the step of comparing the received medication supply event signals to stored user-selected event types occurs remotely from the medication dispenser.

26. The method of claim 15, further comprising the steps of:

requiring a response to a sent message from a user; and

sending another message to a user that the event has occurred if a response is not received from a user within a predetermined time.

27. The system of claim 15 wherein the set of medication supply events further includes an identification of a medication that is newly available in the medication dispenser.

28. A system for notifying users of the occurrence of medication supply events, the system comprising:

an automated medication dispenser (ADM) coupled to a communication network, the ADM configured to securely store a plurality of medications and to allow access to the medications upon entry of an authorized access code, the ADM dispenser further configured to generate a medication supply event signal indicative of the occurrence at the dispenser of one of a set of medication supply events relating to a medication prescribed to a patient, wherein the set of medication supply events includes at least one of;

issuance of a new medical order;

modification of a medical order; and

discontinuation of a medical order, wherein a medical order is an order issued by a caregiver;

a memory configured to store user-selected event types, user-selected message parameters, and user-selected message filters;

a messaging processor adapted to;

receive the medication supply event signals from the medication dispenser;

compare the received medication supply event signals to user-selected event types in the memory; and

based upon a determination that the comparison indicates that the medication supply event signals received by the messaging processor correspond to a user-selected event type in the memory and that the event satisfies a message filter stored in memory, send a message to a user of the medication dispenser via a communication link that the event has occurred in accordance with user-selected message parameters contained in memory; and

a messaging device carried by the user that is adapted to receive the message from the messaging processor and to communicate the received message to the user wherein the system is configured such that authorized access codes are provided to caregivers who administer the medication to the patient but not to the patient receiving the medication.

29. The system of claim 28 wherein a user-selected event type comprises an identification of an item available in the medication dispenser.

30. The system of claim 28 wherein the messaging processor is integral with the dispenser.

31. The system of claim 28 wherein the messaging processor is located remotely from the medication dispenser and the system further comprises a second processor located at the medication dispenser adapted to detect medication supply event and provide medication supply event signals from the medication dispenser to the network to the messaging processor.

32. The system of claim 28 wherein the set of medication supply events further includes an identification of a medication that is newly available in the medication dispenser.