System and method for monitoring medication delivery to a patient

• US 7,103,419 B2
• Filed: 12/28/2004
• Issued: 09/05/2006
• Est. Priority Date: 05/15/1995
• Status: Expired due to Fees

• Current Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Original Assignee: Cardinal Health 303 Incorporated (Cardinal Health, Inc.)
• Inventors: Engleson, Joseph J., Chamberlain, Craig
• Primary Examiner(s): Knight, Anthony
• Assistant Examiner(s): Hartman, Jr., Ronald D.
• Application Number:
  US11/025,762
• Publication Number:
  US 20050107913A1
• Time in Patent Office: 616 Days
• Field of Search: 700/2, 700 18- 20, 700/9, 604 66- 67, 604 30- 31, 604/890.1, 702188-189, 705 2- 3, 709220-224, 600/300
• US Class Current: 700/2
• CPC Class Codes: A61J 2205/10 Bar codes
• CPC Class Codes: A61J 2205/30 Printed labels
• CPC Class Codes: A61M 2005/14208 with a programmable infusion control system, characterised by the infusion program
• CPC Class Codes: A61M 2205/18 with alarm
• CPC Class Codes: A61M 2205/502 User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient
• 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: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 10/65 stored on portable record carriers, e.g. on smartcards, RFID tags or CD
• CPC Class Codes: G16H 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 40/40 for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

A care management system in which the management of the administration of care for patients is automated. Hospital information systems are monitored and the information from those systems is used in verifying the administrations of care to patients. The care management system monitors ongoing administrations for progress and automatically updates records and provides alarms when necessary. The care management system is modular in nature but is fully integrated among its modules. Particular lists of data, such as the termination times of all ongoing infusions, provide hospital staff current information for increased accuracy and efficiency in planning. Features include the automatic provision of infusion parameters to pumps for accurate and efficient configuration of the pump, and providing an alarm when an unscheduled suspension of an infusion exceeds a predetermined length of time. A passive recognition system for identifying patients and care givers is provided.

Claims

1. A system for monitoring the delivery of medication to a patient by a clinical device, comprising:

a first processor in operable communication with the clinical device;

input means operatively connected to the first processor for input of information related to the delivery of medication to the first processor;

a second processor having a memory in which is stored a record associated with the patient containing patient information, including patient condition information, and information related to the delivery of medication to the patient;

means for generating patient condition information;

means for communicating information related to the delivery of medication to the patient between the first and second processors, the information including identification data, clinical device operating parameters and medication delivery information, the means for communicating also for communicating the patient condition information to the second processor for storage in the record associated with the patient;

wherein identification data input into the first processor is compared to the stored identification data by either the first or second processor and the second processor downloads clinical device operating parameters to the first processor to program and operate the clinical device in accordance with the downloaded operating parameters if the comparison of the identification data satisfies a predetermined condition.

2. The system of claim 1, wherein the means for generating patient condition information is a vital sign monitor.

3. The system of claim 1, wherein the means for generating patient condition information is a laboratory test.

4. The system of claim 2, wherein the second processor monitors the patient condition information and indicates a discrepancy condition if a value of a vital sign parameter is outside of a range of predetermined acceptable values for the vital sign parameter.

5. The system of claim 3, wherein the second processor monitors the patient condition information and indicates a discrepancy condition if a value of a laboratory test is outside of a range of predetermined acceptable values for the laboratory test.

6. A method for monitoring the delivery of medication to a patient by a clinical device, comprising:

storing information related to the delivery of medication to a patient in a record associated with the patient in a memory;

sensing information related to the delivery of medication to a patient from an identification device associated with a patient;

comparing the sensed information with the stored information;

communicating clinical operating parameters to the clinical device to program the clinical device if the comparison of the sensed information with the stored information satisfies a predetermined condition;

operating the clinical device in accordance with clinical operating parameters;

monitoring a condition of the patient;

storing information related to the condition of the patient in the record associated with the patient.

7. The method of claim 6, wherein monitoring the condition of the patient includes monitoring values generated by a vital sign monitor.

8. The method of claim 7, wherein monitoring the values generated by the vital sign monitor includes comparing the monitored values to a predetermined range of acceptable vital sign values and indicating a discrepancy if an out of range vital sign value is detected.

9. The method of claim 6, wherein monitoring the condition of the patient includes monitoring values of laboratory tests, comparing the monitored values to a predetermined range of acceptable laboratory test values and indicating a discrepancy if an out of range laboratory test value is detected.

10. A method for adjusting the delivery of medication to a patient by a clinical device, comprising:

programming a processor to operate a clinical device in accordance with selected clinical operating parameters;

monitoring a condition of the patient;

communicating the condition of the patient to the processor;

analyzing the communicated condition of the patient using the processor to detect whether the condition of the patient is within a range of predetermined acceptable values of the condition of the patient;

determining, with the processor, at least one of the selected clinical operating parameters to adjust to attempt to bring the monitored condition of the patient within the range of acceptable values and determining an adjusted at least one of the selection clinical operating parameters; and

operating the clinical device in accordance with the adjusted at least one of the selected clinical operating parameters.