Closed loop medication use system and method
First Claim
1. A method comprising:
- receiving a prescription order for prescribing medication to a patient from a prescribing computing apparatus at a first computing apparatus;
placing, by the first computing apparatus, the prescription order in a queue including one or more other prescription orders using a scheduling technique, wherein placing the prescription order in a queue comprises (1) prioritizing the queue based on one or more scheduled follow-up medication interventions, (2) receiving selection of a prescription order from the queue, (3) receiving input at the first computing apparatus to indicate verification of an appropriateness of the selected prescription order, and (4) generating a verified prescription order by the first computing apparatus in response thereto;
sending the verified prescription order to one or more other computing apparatuses to facilitate (1) dispensing the medication, (2) providing a medication administration task to direct administering the medication to the patient, and (3) monitoring status reports submitted, electronically by medical personnel, regarding the patient after administering the medication, wherein sending the verified prescription comprises sending the verified prescription to a dispensing location selected based on an availability of a medication inventory of a medication identified by the verified prescription at one or more dispensing locations associated with the one or more other computer apparatuses, wherein information related to the dispensing, administering and monitoring is recorded and made available for a subsequent verification of the appropriateness of a prescription order for a subsequent prescribing of medication to the patient, andreceiving and presenting by the first computing apparatus clinical information related to one or more of the dispensing, administering or monitoring for a previous prescribing of medication to the patient before receiving input to indicate verification to thereby facilitate the verification, said clinical information including real-time patient information, medication information that includes possible adverse medication interactions, or administering guidelines, the clinical information being presented to thereby facilitate a comparison of the prescription order and the clinical information;
receiving in at least one instance an indication of an error based upon the comparison of the prescription order and the clinical information; and
in response thereto,receiving input at the computing apparatus modifying the prescription order; and
sending a message including the modified prescription order to the prescribing computing apparatus.
16 Assignments
0 Petitions
Accused Products
Abstract
A closed loop medication use system and method includes selecting a medication to prescribe to a patient based on patient information, such as laboratory results, radiology results, and patient allergies, healthcare industry practices, patient-care site specific guidelines, and medication information. The selected medication is prescribed on an unverified prescription order that is then transcribed. Transcribing includes performing multiple crosschecks of the prescription order to real-time patient information, healthcare industry practices, and medication information to generate a verified prescription order. After transcribing, the appropriate dispensing method is determined for the prescription order and dispensed. The dispensed medication is administered after confirmation by the administering clinician of the right patient, right medication, right dosage, right route, and right time. The whole process of medication use described above is monitored continuously in real-time. The monitored information is communicated to the prescribing, transcribing, dispensing and administering parts of the system.
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Citations
73 Claims
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1. A method comprising:
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receiving a prescription order for prescribing medication to a patient from a prescribing computing apparatus at a first computing apparatus; placing, by the first computing apparatus, the prescription order in a queue including one or more other prescription orders using a scheduling technique, wherein placing the prescription order in a queue comprises (1) prioritizing the queue based on one or more scheduled follow-up medication interventions, (2) receiving selection of a prescription order from the queue, (3) receiving input at the first computing apparatus to indicate verification of an appropriateness of the selected prescription order, and (4) generating a verified prescription order by the first computing apparatus in response thereto; sending the verified prescription order to one or more other computing apparatuses to facilitate (1) dispensing the medication, (2) providing a medication administration task to direct administering the medication to the patient, and (3) monitoring status reports submitted, electronically by medical personnel, regarding the patient after administering the medication, wherein sending the verified prescription comprises sending the verified prescription to a dispensing location selected based on an availability of a medication inventory of a medication identified by the verified prescription at one or more dispensing locations associated with the one or more other computer apparatuses, wherein information related to the dispensing, administering and monitoring is recorded and made available for a subsequent verification of the appropriateness of a prescription order for a subsequent prescribing of medication to the patient, and receiving and presenting by the first computing apparatus clinical information related to one or more of the dispensing, administering or monitoring for a previous prescribing of medication to the patient before receiving input to indicate verification to thereby facilitate the verification, said clinical information including real-time patient information, medication information that includes possible adverse medication interactions, or administering guidelines, the clinical information being presented to thereby facilitate a comparison of the prescription order and the clinical information; receiving in at least one instance an indication of an error based upon the comparison of the prescription order and the clinical information; and
in response thereto,receiving input at the computing apparatus modifying the prescription order; and sending a message including the modified prescription order to the prescribing computing apparatus. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 72, 73)
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29. A medication use apparatus comprising:
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a processor configured to receive a prescription order for prescribing medication to a patient from a prescribing computing apparatus, the processor being further configured to place the prescription order in a queue including one or more other prescription orders using a scheduling technique, wherein the processor being configured to place the prescription order in a queue comprises the processor being configured to prioritize the queue based on one or more scheduled follow-up medication interventions, wherein the processor is configured to receive selection of a prescription order from the queue, receive input to indicate verification of an appropriateness of the selected prescription order, and generate a verified prescription order in response thereto, wherein the processor is configured to send the verified prescription order to one or more other apparatuses to facilitate dispensing the medication, providing a medication administration task to direct administering the medication to the patient, and monitoring status reports submitted, electronically by medical personnel, regarding the patient after administering the medication, wherein information related to the dispensing, administering and monitoring is recorded and made available for a subsequent verification of the appropriateness of a prescription order for a subsequent prescribing of medication to the patient, wherein the processor is configured to send the verified prescription order by sending the verified prescription order to a dispensing location selected based on an availability of a medication inventory of a medication identified by the verified prescription order at one or more dispensing locations associated with the one or more other apparatuses, and wherein the processor is further configured to receive and present information related to one or more of the dispensing, administering or monitoring for a previous prescribing of medication to the patient before receiving input to indicate verification to thereby facilitate the verification, wherein the processor being configured to receive and present information includes being configured to receive and present clinical information including real-time patient information, medication information that includes possible adverse medication interactions, or administering guidelines, the clinical information being presented to thereby facilitate a comparison of the prescription order and the clinical information, and wherein the processor is configured to receive in at least one instance an indication of an error based upon the comparison of the prescription order and the clinical information; and
in response thereto,the processor is configured to receive input modifying the prescription order; and the processor is configured to send a message including the modified prescription order to the prescribing computing apparatus. - View Dependent Claims (30, 31, 32, 33, 34, 35, 36)
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37. A closed loop medication use system for patient care, comprising:
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one or more centralized servers coupled to a plurality of databases, the databases stored on one or more storage devices; a prescribing module coupled to the centralized servers, wherein the prescribing module is configured to generate a prescription order for prescribing medication to a patient; a transcribing module coupled to the centralized servers, wherein the prescribing module is configured to place the prescription order in a queue including one or more other prescription orders using a scheduling technique, receive selection of a prescription order from the queue, receive input to indicate verification of an appropriateness of the selected prescription order, and generate a verified prescription order in response thereto, wherein the transcribing module is configured to prioritize the queue based on one or more scheduled follow-up medication interventions; a dispensing module coupled to the centralized servers, wherein the dispensing module is configured to dispense or facilitate dispensing of one or more medications prescribed on the prescription order; an administering module coupled to the centralized servers; and a monitoring module coupled to the centralized servers, wherein the monitoring module is configured to monitor information generated by the closed loop medication use system, wherein the transcribing module is configured to send the verified prescription order to the dispensing module, administering module and monitoring module to facilitate dispensing the medication, providing a medication administration task to direct administering the medication to the patient, and monitoring status reports submitted, electronically by medical personnel, regarding the patient after administering the medication, wherein the transcribing module is configured to send the verified prescription order to a dispensing location selected based on a determination as to a quantity of a medication identified by the verified prescription order in inventory at one or more dispensing locations associated with the dispensing module, the selected dispensing location comprising a selected type of dispenser from among a plurality of different types of dispensers, and wherein information related to the dispensing, administering and monitoring is recorded and made available for a subsequent verification of the appropriateness of a prescription order for a subsequent prescribing of medication to the patient wherein making the information available for the subsequent verification includes receiving and presenting clinical information including real-time patient information, medication information that includes possible adverse medication interactions, or administering guidelines, the clinical information being presented to thereby facilitate a comparison of the prescription order and the clinical information, and wherein receiving a prescription order includes receiving the prescription order from the prescribing module, and wherein the transcribing module is further configured for; receiving in at least one instance an indication of an error based upon the comparison of the prescription order and the clinical information; and
in response thereto,receiving input at the transcribing module modifying the prescription order; and sending a message including the modified prescription order to the prescribing module. - View Dependent Claims (38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52)
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53. A system for use of medication, the system comprising:
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means for generating a prescription order for prescribing medication to a patient; means for transcribing the prescription order including placing in a queue including one or more other prescription orders using a scheduling technique, receiving selection of a prescription order from the queue, receiving input to indicate verification of an appropriateness of the selected prescription order, and generating a verified prescription order in response thereto, wherein placing in a queue comprises prioritizing the queue based on one or more scheduled follow-up medication interventions; means for dispensing the medication from the verified prescription order, wherein dispensing the medication comprises sending the verified prescription order to a dispensing location associated with a selected one of one or more computer apparatuses based on an availability of a medication inventory of a medication identified by the verified prescription order at one or more dispensing locations associated with the one or more computer apparatuses; means for providing a medication administration task to direct administering the medication to the patient, wherein the administration of the medication is recorded; and means for monitoring status reports submitted, electronically by medical personnel, regarding the patient, wherein verification of the prescription order in the means for transcribing comprises;
means for comparing the prescription order to clinical information, wherein clinical information is real-time patient information, medication information that includes possible adverse medication interactions, or administering guidelines,wherein comparison of the prescription order in at least one instance produces an error, the system further comprising; means for modifying the prescription order when comparison of the prescription order produces error; and means for sending a message including the modified prescription order to the means for prescribing. - View Dependent Claims (54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71)
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Specification