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

• US 8,478,609 B2
• Filed: 01/04/2012
• Issued: 07/02/2013
• 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): BURGESS, JOSEPH D
• Application Number:
  US13/343,509
• Publication Number:
  US 20130006651A1
• Time in Patent Office: 545 Days
• Field of Search: 705 2- 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, wherein the medication-procedure tables include a universal set of medications that are particularly dangerous when administered in a variety 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 and the universal set of medications;

employing a control server to compare the medication list directly against information extracted from the person'"'"'s electronic medical record (EMR);

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

employing the control server to compare the medication list against the information in the person'"'"'s EMR a drug-drug association table and a drug-food association table, wherein the drug-drug association table includes information regarding adverse affects caused by medications interacting with each other, and wherein the drug-food association table includes information regarding adverse affects caused by a medication and a food interacting with each other;

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

outputting a response relating to each match.

2. The method of claim 1, wherein the medical procedure includes any medical procedure requiring the use of anesthesia.

3. 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.

4. The method of claim 1, wherein the response includes a listing of the match and an associated atypical clinical event, and wherein the atypical clinical event is one selected from the group consisting of a drug-drug interaction, drug-food interaction, drug-allergy interaction and a drug-gene interaction.

5. The method of claim 1, further comprising modifying the medication list by adding or deleting medications from the list prior to comparing the medication list to information in the person'"'"'s EMR.

6. 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;

comparing the medication list directly against information extracted from the person'"'"'s EMR;

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

comparing the medication list against the information in the person'"'"'s EMR a drug-drug association table and a drug-food association table, wherein the drug-drug association table includes information regarding adverse affects caused by medications interacting with each other, and wherein the drug-food association table includes information regarding adverse affects caused by a medication and a food interacting with each other;

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

outputting a response relating to each match.

7. The computer storage media of claim 6, wherein the medication-procedure tables include a universal set of medications that are particularly dangerous when administered in a variety of medical procedures, and wherein the medication list includes a specific set of medications and dosages thereof that correspond to the medical procedure and the universal set of medications.