Management of pending medication orders
First Claim
1. A system for managing pending medication orders pertaining to a patient located in a healthcare facility, the system comprising a server configured to:
- receive controlled-item-removed signals from an Automated Dispensing Machine (ADM) that stores a controlled medication, wherein the controlled-item-removed signals are provided by the ADM when controlled medications are removed from the ADM, each controlled-item-removed signal comprising a first medication identifier for the removed controlled medication;
start a controlled-item-removed transaction upon receipt of the controlled-item-removed signal;
receive infusion data from an infusion pump, wherein infusion data is provided by the infusion pump when an infusion has been started, the infusion data comprising a second medication identifiers for one or more medications being administered by the infusion pump;
monitor an elapsed time since receipt of each controlled-item-removed signal;
stop monitoring the elapsed time and resolve the controlled-item-removed transaction when a controlled-item-administration signal is received;
generate an alert signal when the controlled-item-administration signal is not received within a preselected amount of the elapsed time; and
update a medical transaction log to reflect a resolution of the alert when at least one of the following occurs;
the controlled medication is returned to the ADM, or a wasted controlled medication is reported, wherein the medical transaction log comprises;
a correction to an error in the infusion data.
3 Assignments
0 Petitions
Accused Products
Abstract
Pending medication orders are presented on the controller of an infusion pump to which a patient has been identified. All pending medication orders are displayed on the screen of the controller and any may be selected by the clinician. Selecting a pending order at the controller that involves an infusion to the patient also results in automatic programming of the infusion pump in accordance with that order. Selection of an oral medication at the controller results, as does selection of any other order, in notification to the healthcare facility server that the order is being administered. Such notification resolves open controlled item transactions as well as provides information that may be relevant to a patient'"'"'s EMAR. Selection of a pending order may occur manually or automatically through identification of a medication.
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Citations
21 Claims
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1. A system for managing pending medication orders pertaining to a patient located in a healthcare facility, the system comprising a server configured to:
- receive controlled-item-removed signals from an Automated Dispensing Machine (ADM) that stores a controlled medication, wherein the controlled-item-removed signals are provided by the ADM when controlled medications are removed from the ADM, each controlled-item-removed signal comprising a first medication identifier for the removed controlled medication;
start a controlled-item-removed transaction upon receipt of the controlled-item-removed signal;
receive infusion data from an infusion pump, wherein infusion data is provided by the infusion pump when an infusion has been started, the infusion data comprising a second medication identifiers for one or more medications being administered by the infusion pump;
monitor an elapsed time since receipt of each controlled-item-removed signal;
stop monitoring the elapsed time and resolve the controlled-item-removed transaction when a controlled-item-administration signal is received;
generate an alert signal when the controlled-item-administration signal is not received within a preselected amount of the elapsed time; and
update a medical transaction log to reflect a resolution of the alert when at least one of the following occurs;
the controlled medication is returned to the ADM, or a wasted controlled medication is reported, wherein the medical transaction log comprises;
a correction to an error in the infusion data. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11)
- receive controlled-item-removed signals from an Automated Dispensing Machine (ADM) that stores a controlled medication, wherein the controlled-item-removed signals are provided by the ADM when controlled medications are removed from the ADM, each controlled-item-removed signal comprising a first medication identifier for the removed controlled medication;
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12. A method of detecting diversion of controlled medications, the method comprising the steps of;
- receiving a controlled-item-removed signal indicating that a controlled medication was removed from storage in an Automated Dispensing Machine (ADM), the controlled-item-removed signal comprising a medication identifier of the removed controlled medication;
starting a controlled-item-removed transaction upon receipt of the controlled-item-removed signal;
tracking an elapsed time since the receipt of the controlled-item-removed signal;
stop tracking the elapsed time and resolving the controlled-item-removed transaction when a controlled-item-administration signal is received;
issuing an alert signal when the elapsed time exceeds a predetermined threshold without receiving the controlled-item-administration signal indicating that the controlled medication identified in the controlled-item-removed signal was administered to a patient; and
updating a medical transaction log to reflect a resolution of the alert when at least one of the following occurs;
the controlled medication is returned to the ADM, or a wasted controlled medication is reported, wherein the medical transaction log comprises;
a correction to an error in a medication administration data. - View Dependent Claims (13, 14, 15, 16, 17)
- receiving a controlled-item-removed signal indicating that a controlled medication was removed from storage in an Automated Dispensing Machine (ADM), the controlled-item-removed signal comprising a medication identifier of the removed controlled medication;
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18. A system for managing pending medication orders pertaining to a patient located in a healthcare facility;
- the system comprising;
an Automated Dispensing Machine (ADM) configured to store controlled medications and provide a controlled-item-removed signal when controlled medications are removed from the ADM, each controlled-item-removed signal comprising a medication identifier for the respective removed controlled medication;
a server communicatively coupled to the ADM, the server configured to receive the controlled-item-removed signal from the ADM, and to start a controlled-item-removed transaction upon receipt of the controlled-item-removed signal; and
an infusion pump communicatively coupled to the server, the infusion pump configured to acquire the medication identifier from a medication container and provide infusion data to the server when an infusion has been started;
the infusion data comprising the medication identifier for the medication being administered by the infusion pump;
wherein the server is further configured to monitor an elapsed time since receipt of the controlled-item-removed signal;
stop monitoring the elapsed time and resolving the controlled-item-removed transaction when a controlled-item-administration signal is received and generate an alert signal when the controlled-item-administration signal is not received within a preselected amount of elapsed time, wherein the server is configured to update a medical transaction log to reflect a resolution of the alert when at least one of the following occurs;
the controlled medication is returned to the ADM, or a wasted controlled medication is reported, and further wherein the medical transaction log comprises a correction to an error in the infusion data. - View Dependent Claims (19, 20, 21)
- the system comprising;
Specification