System and method for preemptive determination of the potential for an atypical clinical event related to the administering of medication

• US 8,095,379 B2
• Filed: 12/30/2003
• Issued: 01/10/2012
• 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
• Primary Examiner(s): Gilligan, Luke
• Assistant Examiner(s): BURGESS, JOSEPH D
• Application Number:
  US10/748,046
• Publication Number:
  US 20050149361A1
• Time in Patent Office: 2,933 Days
• Field of Search: 705 1- 3
• 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, 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, wherein the medication list includes a specific set of medications and dosages thereof that correspond to the medical procedure, wherein the medical procedure includes any medical procedure requiring the use of anesthesia;

employing a control server to compare the medication list directly against information extracted from the person'"'"'s electronic medical record (EMR), wherein the extracted information includes a weight and an age of the person;

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

generating an alert box for each match, wherein the alert box includes an indication of the selected medication from the medication list that is involved in the match and a predicted severity of adverse affects that result from administering the matching selected medication, wherein the predicted severity is based on the dosage of the selected matching medication, and the age and the weight of the person receiving the medical procedure; and

outputting a response to a window on a display device, wherein the response includes presenting the alert box for each match within the window, and wherein the predicted severity for each match is presented as a graphical symbol that represents at least one of mild severity, moderate severity, or severe severity.

2. The method of claim 1, wherein the at least one medication is to be administered to the person prior to or during a medical procedure, and wherein the medication list includes a universal set of medications that may be administered regardless of the type of medical procedure.

3. The method of claim 1, further comprising, based on the determinations, selecting an atypical clinical event from the group consisting of a drug-drug interaction, drug-food interaction, a drug-allergy interaction, and a drug-gene interaction.

4. The method of claim 1, 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.

5. The method of claim 3, wherein the response includes a listing of the match and the associated atypical clinical event.

6. A computing system for preemptively determining the potential for atypical clinical event occurrence related to the administering of a medication to a person having an electronic medical record (EMR), the computer system comprising a processing device coupled to a computer storage medium, the computer storage medium having stored thereon a plurality of program components executable by the processing device, the program components comprising:

an accessing component that accesses medication-procedure tables that maintain specific sets of medications and dosages thereof that are administered for each of a plurality of medical procedures, and that selects 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, wherein the medical procedure includes any medical procedure requiring the use of anesthesia;

a comparing component for comparing the medication list directly against information extracted from the person'"'"'s electronic medical record (EMR), wherein the extracted information includes a weight and an age of the person;

a determining component that determines that a match exists between any of the selected medications included in the medication list and the EMR information, wherein the match indicates the potential of drug-allergy reactions occurring upon the selected medication being administered to the person;

an outputting component that performs the operations comprising;

(a) generating an alert box for each match, wherein the alert box includes an indication of the selected medication from the medication list that is involved in the match and a predicted severity of adverse affects that result from administering the matching selected medication, wherein the predicted severity is based on the dosage of the selected matching medication, and the age and the weight of the person receiving the medical procedure; and

(b) outputting a response to a window on a display device, wherein the response includes presenting the alert box for each match within the window, and wherein the predicted severity for each match is presented as a graphical symbol that represents at least one of mild severity, moderate severity, or severe severity.

7. The computing system of claim 6, wherein the determining component is further configured to select an atypical clinical event from the group consisting of a drug-drug interaction, drug-food interaction, drug-allergy interaction and a drug-gene interaction.

8. The computing system of claim 6, wherein the list of possible medications received includes medications used in a medical procedure involving anesthesia.

9. The computing system of claim 6, further comprising a retrieving component that retrieves a specific person'"'"'s EMR from a unified healthcare system, and wherein information in the 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.

10. The computing system of claim 7, wherein the outputting component includes a display component that displays the outputted response as a listing of at least one of the matches and the associated atypical clinical event.

11. The computing system of claim 10, wherein the list of possible medications received includes a dosage amount for each medication in the list, and wherein the outputted response further includes an indication of the predicted severity of the atypical clinical event.

12. The computing system of claim 10, further comprising a selecting component for selecting a medication of the list of possible medications that is involved in the match, and wherein the display component displays information about the selected medication.

13. The computing system of claim 6, wherein the receiving component receives the list of possible medications to be administered over a communication network from a remote computing device.

14. Non-transitory 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, wherein the medication list includes a specific set of medications and dosages thereof that correspond to the medical procedure, wherein the medical procedure includes any medical procedure requiring the use of anesthesia;

comparing the medication list directly against information extracted from the person'"'"'s electronic medical record (EMR), wherein the extracted information includes a weight and an age of the person;

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

generating an alert box for each match, wherein the alert box includes an indication of the selected medication from the medication list that is involved in the match and a predicted severity of adverse affects that result from administering the matching selected medication, wherein the predicted severity is based on the dosage of the selected matching medication, and the age and the weight of the person receiving the medical procedure; and

outputting a response to a window on a display device, wherein the response includes presenting the alert box for each match within the window, and wherein the predicted severity for each match is presented as a graphical symbol that represents at least one of mild severity, moderate severity, or severe severity.