Reducing disruption during medication administration

• US 10,220,142 B2
• Filed: 10/31/2014
• Issued: 03/05/2019
• Est. Priority Date: 06/20/2011
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Inventors: Bechtel, Stephanie Palmer, Nolte, Mark
• Primary Examiner(s): Nganga, Boniface
• Application Number:
  US14/529,432
• Publication Number:
  US 20150057635A1
• Time in Patent Office: 1,586 Days
• Field of Search: 604 65- 67
• CPC Class Codes: A61B 2562/0252 Load cells
• CPC Class Codes: A61B 2562/029 Humidity sensors
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/1113 Local tracking of patients, e.g. in a hospital or private home
• CPC Class Codes: A61B 5/1115 Monitoring leaving of a patient support, e.g. a bed or a wheelchair
• CPC Class Codes: A61B 5/1128 using image analysis A61B5/1127 takes precedence
• CPC Class Codes: A61B 5/4824 Touch or pain perception evaluation A61B5/4821 takes precedence
• CPC Class Codes: A61B 5/6889 Rooms
• CPC Class Codes: A61B 5/6891 Furniture
• CPC Class Codes: A61B 5/7275 Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
• CPC Class Codes: A61B 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
• CPC Class Codes: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: A61B 7/00 Instruments for auscultation
• CPC Class Codes: A61B 90/30 Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
• CPC Class Codes: A61G 7/00 Beds specially adapted for nursing; Devices for lifting patients or disabled persons stretchers with facilities for picking up patients or disabled persons A61G1/003
• CPC Class Codes: A61G 7/002 having adjustable mattress frame
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 2005/14208 with a programmable infusion control system, characterised by the infusion program
• CPC Class Codes: A61M 2021/0016 by the smell sense
• CPC Class Codes: A61M 2021/0027 : by the hearing sense
• CPC Class Codes: A61M 2021/0044 : by the sight sense
• CPC Class Codes: A61M 2021/005 : images, e.g. video
• CPC Class Codes: A61M 21/02 : for inducing sleep or relaxation, e.g. by direct nerve stimulation, hypnosis, analgesia for massage A61H; electrotherapy A61N, e.g. applying alternating or intermittent electric currents for producing anaesthesia A61N1/36021
• CPC Class Codes: A61M 2202/0241 : Anaesthetics; Analgesics
• CPC Class Codes: A61M 2205/18 : with alarm
• CPC Class Codes: A61M 2205/3306 : Optical measuring means
• CPC Class Codes: A61M 2205/3334 : Measuring or controlling the flow rate
• CPC Class Codes: A61M 2205/3368 : Temperature
• CPC Class Codes: A61M 2205/3375 : Acoustical, e.g. ultrasonic, measuring means
• CPC Class Codes: A61M 2205/3553 : remote, e.g. between patient's home and doctor's office
• CPC Class Codes: A61M 2205/3561 : local, e.g. within room or hospital
• CPC Class Codes: A61M 2205/3584 : using modem, internet or bluetooth
• CPC Class Codes: A61M 2205/3592 : using telemetric means, e.g. radio or optical transmission
• CPC Class Codes: A61M 2205/505 : Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
• CPC Class Codes: A61M 2205/52 : with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 2205/581 : by audible feedback
• CPC Class Codes: A61M 2205/582 : by tactile feedback
• CPC Class Codes: A61M 2205/583 : by visual feedback
• CPC Class Codes: A61M 2205/6018 : providing set-up signals for the apparatus configuration
• CPC Class Codes: A61M 2205/6054 : Magnetic identification systems
• CPC Class Codes: A61M 2205/6072 : Bar codes
• CPC Class Codes: A61M 2205/80 : voice-operated command
• CPC Class Codes: A61M 2210/12 : Blood circulatory system
• CPC Class Codes: A61M 2230/06 : Heartbeat rate only
• CPC Class Codes: A61M 2230/42 : Rate
• CPC Class Codes: A61M 2230/62 : Posture
• CPC Class Codes: A61M 2230/63 : Motion, e.g. physical activity
• CPC Class Codes: A61M 5/142 : Pressure infusion, e.g. using pumps
• CPC Class Codes: A61M 5/172 : electrical or electronic A61M5/16804, A61M5/16831 take precedence
• CPC Class Codes: A61M 5/1723 : using feedback of body parameters, e.g. blood-sugar, pressure measurement of body parameters A61B5/00
• CPC Class Codes: G06Q 10/00 : Administration; Management
• CPC Class Codes: G06Q 50/22 : Social work or social welfare, e.g. community support activities or counselling services
• CPC Class Codes: G06V 40/174 : Facial expression recognition
• CPC Class Codes: G08B 21/02 : Alarms for ensuring the safety of persons
• CPC Class Codes: G08B 21/043 : detecting an emergency event, e.g. a fall
• CPC Class Codes: G08B 21/0476 : Cameras to detect unsafe condition, e.g. video cameras
• CPC Class Codes: G08B 21/0492 : Sensor dual technology, i.e. two or more technologies collaborate to extract unsafe condition, e.g. video tracking and RFID tracking
• CPC Class Codes: G09B 5/02 : with visual presentation of the material to be studied, e.g. using film strip
• 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 20/17 : delivered via infusion or injection
• CPC Class Codes: G16H 40/63 : for local operation
• CPC Class Codes: G16H 40/67 : for remote operation
• CPC Class Codes: G16H 50/50 : for simulation or modelling of medical disorders
• CPC Class Codes: G16H 50/70 : for mining of medical data, e.g. analysing previous cases of other patients
• CPC Class Codes: G16H 70/00 : ICT specially adapted for the handling or processing of medical references

Abstract

Methods, computer systems, and computer readable media are provided for transitioning a clinical care room from a first scene to a second scene in order to facilitate completion of a medication-administration process. The first scene in the clinical care room is presented where the clinical care room has one or more zones. The first scene is associated with a first group of setting for components within the one or more zones. An input indicating that the medication-administration process has been initiated is received. Incident to receiving the input, the second scene is provided. The second scene is associated with a second group of settings for the components. The second group of settings is optimized to facilitate completion medication-administration process.

Claims

1. A computerized method carried out by one or more computing devices having one or more processors that performs a method of automatically and without human intervention monitoring an intravenous (IV) infusion of a medication to a patient in a clinical care room, the method comprising:

identifying an order for the medication to be administrated to the patient by an IV infusion pump;

automatically modifying at least two physical components within the clinical care room assigned to the patient based on the order for the medication, each of the at least two physical components being modified from a first setting to a second setting;

automatically and without human intervention monitoring, via one or more monitoring devices in the clinical care room, one or more patient parameters associated with the patient in the clinical care room while the medication is being administered via the IV infusion pump;

determining, using the one or more processors, that there is a change in at least one of the one or more patient parameters that exceeds a predefined threshold; and

automatically and without human intervention adjusting settings associated with the IV infusion pump.

2. The method of claim 1, wherein the one or more monitoring devices comprises at least a vital signs monitor.

3. The method of claim 2, wherein the one or more patient parameters comprises the patient'"'"'s heart rate and the patient'"'"'s blood pressure.

4. The method of claim 2, wherein adjusting the settings associated with the IV infusion pump comprises slowing an infusion rate of the IV infusion pump.

5. The method of claim 1, further comprising communicating an alert to one or more of the patient'"'"'s caregivers.

6. The method of claim 1, wherein the one or more monitoring devices comprise at least a moisture sensor on a bed associated with the patient in the clinical care room, and wherein the one or more patient parameters comprise the patient sweating, and wherein altering the settings associated with the IV infusion pump comprise slowing an infusion rate of the IV infusion pump.

7. The method of claim 1, wherein automatically adjusting settings associated with the IV infusion pump comprises automatically stopping administration of the medication to the patient, and wherein the method further comprise, automatically modifying the at least two physical component within the clinical care room to return each physical component to the first setting.

8. One or more non-transitory computer-readable media having embodied thereon computer-executable instructions that, when executed by a computing device, cause the computing device to perform a method of automatically and without human intervention monitoring an intravenous (IV) infusion of a medication to a patient in a clinical care room, the method comprising:

identifying an order for the medication to be administrated to the patient by an IV infusion pump;

automatically modifying at least two physical components within the clinical care room assigned to the patient based on the order for the medication, each of the at least two physical components being modified from a first setting to a second setting;

automatically and without human intervention monitoring, via one or more monitoring devices in the clinical care room, one or more patient parameters associated with the patient in the clinical care room while the medication is being administered via the IV infusion pump;

determining, using the one or more processors, that there is a change in at least one of the one or more patient parameters that exceeds a predefined threshold; and

automatically and without human intervention adjusting settings associated with the IV infusion pump.

9. The computer-readable media of claim 8, wherein the one or more monitoring devices comprises at least a vital signs monitor.

10. The computer-readable media of claim 9, wherein the one or more patient parameters comprises the patient'"'"'s heart rate and the patient'"'"'s blood pressure.

11. The computer-readable media of claim 9, wherein adjusting the settings associated with the IV infusion pump comprises slowing an infusion rate of the IV infusion pump.

12. The computer-readable media of claim 8, wherein the method further comprises communicating an alert to one or more of the patient'"'"'s caregivers.

13. The computer-readable medium of claim 8, wherein the one or more monitoring devices comprise at least a moisture sensor on a bed associated with the patient in the clinical care room, and wherein the one or more patient parameters comprise the patient sweating, and wherein altering the settings associated with the IV infusion pump comprise slowing an infusion rate of the IV infusion pump.

14. A system for automatically and without human intervention monitoring an intravenous (IV) infusion of a medication to a patient in a clinical care rooms, the system comprising:

a computing device associated with the clinical care room, the computing device having one or more processors and one or more computer-readable media;

one or more monitoring devices in the clinical care room communicatively coupled to the computing device; and

a data store communicatively coupled with the computing device;

wherein the computing device;

identifies an order for the medication to be administrated to the patient by an IV infusion pump;

automatically modifies at least two physical components within the clinical care room assigned to the patient based on the order for the medication, each of the at least two physical components being modified from a first setting to a second setting;

automatically and without human intervention monitors, receives one or more patient parameters associated with the patient in the clinical care room via the one or more monitoring devices, the one or more patient parameters being received while the medication is being administered via the IV infusion pump;

determines that there is a change in at least one of the one or more patient parameters that exceeds a predefined threshold; and

automatically and without human intervention adjusts settings associated with the IV infusion pump.

15. The system of claim 14, wherein the one or more monitoring devices comprises at least a vital signs monitor.

16. The system of claim 15, wherein the one or more patient parameters comprises the patient'"'"'s heart rate and the patient'"'"'s blood pressure.

17. The system of claim 15, wherein adjusting the settings associated with the IV infusion pump comprises slowing an infusion rate of the IV infusion pump.

18. The system of claim 14, wherein the computing device further communicates an alert to one or more of the patient'"'"'s caregivers.

19. The system of claim 14, wherein the one or more monitoring devices comprise at least a moisture sensor on a bed associated with the patient in the clinical care room, and wherein the one or more patient parameters comprise the patient sweating, and wherein altering the settings associated with the IV infusion pump comprise slowing an infusion rate of the IV infusion pump.