Integrated point of care medication administration information system

• US 8,781,855 B2
• Filed: 02/14/2012
• Issued: 07/15/2014
• Est. Priority Date: 03/20/2009
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Siemens Medical Solutions USA Incorporated (Siemens AG)
• Inventors: Miller, Raymond F, Portnoy, Alan M, Saeger, Deborah A
• Primary Examiner(s): Phongsvirajati, Sind
• Assistant Examiner(s): Ng, Jonathan K
• Application Number:
  US13/372,564
• Publication Number:
  US 20120143628A1
• Time in Patent Office: 882 Days
• Field of Search: 705/2, 705/3
• US Class Current: 705/2
• CPC Class Codes: G16H 10/40 for data related to laboratory analysis, e.g. patient specimen analysis
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients

Abstract

An integrated point of care medication administration system comprises a point of care medication administration system including an interface for communicating with the at least one repository and information sources and including a processor. The processor uses the information and the interface in automatically acquiring for a particular patient, data representing particular patient parameters and laboratory test results associated with a particular individual medication in response to user initiation of an order for the particular individual medication to be administered to the particular patient. A display device presents at least one display image indicating acquired particular patient parameters and laboratory test results of the particular patient and identifying a particular patient parameter or laboratory test result needing to be acquired prior to administration of the particular individual medication to the particular patient.

Claims

1. An integrated point of care medication administration system, comprising:

at least one repository of information associating individual medications of a plurality of different medications with data identifying patient parameters and laboratory test results to be acquired and recorded prior to administration of an individual medication to a patient and identifying data sources and their associated communication data including at least one of, address, location, format, communication protocols, to provide corresponding particular patient parameters and laboratory test results, wherein the repository of information further associates one or more laboratory test result acquisition conditions with an individual medication;

a point of care medication administration system including,

an interface to communicate with said at least one repository and interrogating said sources comprising, a specimen collection system, a laboratory information system and a patient monitoring device,

a processor to use said information and said interface in automatically acquiring for a particular patient data representing particular patient parameters and laboratory test results, including a date and time that the laboratory test results were acquired, associated with a particular individual medication in response to user initiation of an order for said particular individual medication to be administered to said particular patient and

a display device to present at least one display image indicating automatically acquired particular patient parameters and laboratory test results of said particular patient and data identifying a particular patient parameter or laboratory test result needing to be acquired and recorded prior to administration of said particular individual medication to said particular patient, wherein said display image displays an alert message indicating at least one of the laboratory test results may be invalid pursuant to the determination that the laboratory test result is acquired at a date and time that exceeds a limit set by the acquisition conditions.

2. A system according to claim 1, wherein

said processor automatically provides documented results and vital signs in a format identifying a trend over time and in association with a specific dose and time of medication administration,

said point of care medication administration system is a mobile system for use at a patient bed side and

said at least one repository of information includes drug master files used by a pharmacy information system.

3. A system according to claim 2, including

a configuration processor enabling a user to enter configuration data determining patient parameters and laboratory test results to be acquired and recorded prior to administration of an individual medication.

4. A system according to claim 1, wherein

said processor automatically acquires said data representing particular patient parameters and laboratory test results in response to user initiation of an order for said particular individual medication via a computerized order entry system.

5. A system according to claim 1, wherein

said at least one display image presents an alert message identifying a particular patient parameter or laboratory test result needing to be acquired and was not automatically acquired.

6. A system according to claim 5, wherein

said at least one display image presents display elements enabling a user to override said alert message and including

an audit processor for automatically generating a record of an override.

7. A system according to claim 1, wherein

said sources for providing corresponding particular patient parameters and laboratory test results comprise at least two of, (a) patient monitoring devices, (b) a laboratory information system and (c) a specimen collection information system.

8. A system according to claim 7, wherein

said sources for providing corresponding particular patient parameters and laboratory test results comprise at least two of, (i) a healthcare information system, (ii) a patient medical record, (iii) a pharmacy information system and (iv) infusion pumps.

9. A system according to claim 1, wherein

said point of care medication administration system comprises a bar-code point of care system.

10. A system according to claim 1, wherein

said processor initiates auto-population of medical record data fields, for use by the point of care medication administration system, with the automatically acquired particular patient parameters and laboratory test results in response to user initiation of an order for said particular individual medication to be administered to said particular patient.

11. A system according to claim 1, wherein

said at least one repository of information associates a time and date with an individual patient parameter or laboratory test result indicating when said individual patient parameter or laboratory test result needs to be acquired and recorded prior to administration of said individual medication.

12. A system according to claim 11, wherein

said at least one repository of information associates a frequency with which said individual patient parameter or laboratory test result needs to be acquired and recorded prior to administration of said individual medication.

13. A system according to claim 1, wherein

said at least one repository of information associates a condition with an individual medication indicating a patient parameter or laboratory test result is acquired and recorded only if the individual medication is used for treating a particular medical condition.

14. A system according to claim 1, including

a laboratory information system providing data indicating status of a laboratory test and

said at least one display image presents display elements indicating status of the laboratory test.

17. The system according to claim 1, wherein the laboratory test result indicated by the alert message is acquired by collecting a specimen from the patient.

15. A method for documenting medication administration, comprising the activities:

employing at least one computer processing device for,

storing in at least one repository of information associating individual medications of a plurality of different medications with data identifying patient parameters and laboratory test results to be acquired and recorded prior to administration of an individual medication to a patient and identifying data sources and their associated communication data including at least one of, address, location, format, communication protocols, for providing corresponding particular patient parameters and laboratory test results, wherein the repository of information further associates one or more laboratory test result acquisition conditions with an individual medication;

communicating with said at least one repository and interrogating said sources comprising, a specimen collection system, a laboratory information system and a patient monitoring device,

using said information in automatically acquiring for a particular patient data representing particular patient parameters and laboratory test results, including a date and time that the laboratory test results were acquired, associated with a particular individual medication in response to user initiation of an order for said particular individual medication to be administered to said particular patient; and

presenting at least one display image indicating automatically acquired particular patient parameters and laboratory test results of said particular patient and data identifying a particular patient parameter or laboratory test result needing to be acquired and recorded prior to administration of said particular individual medication to said particular patient, wherein said display image displays an alert message indicating at least one of the laboratory test results may be invalid pursuant to the determination that the laboratory test result is acquired at a date and time that exceeds a limit set by the acquisition conditions.

16. The method according to claim 15, wherein the laboratory test result indicated by the alert message is acquired by collecting a specimen from the patient.