Patient-specific medication management system

• US 9,069,887 B2
• Filed: 03/13/2013
• Issued: 06/30/2015
• Est. Priority Date: 05/18/2000
• Status: Expired due to Term

• Current Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Original Assignee: Carefusion 303 Incorporated (Becton, Dickinson & Co)
• Inventors: Gupta, Vikas, Bollish, Stephen J., Berglund, Gail, Vanderveen, Timothy W., Davison, Alan, Halbert, Donald, Guerra, Jesse J.
• Primary Examiner(s): Zimmerman, Brian
• Assistant Examiner(s): Nguyen, An T
• Application Number:
  US13/802,679
• Publication Number:
  US 20130204433A1
• Time in Patent Office: 839 Days
• Field of Search: 604/31, 604 65- 67, 604245-247, 600/315, 600/316, 600/319, 600/320, 700/282, 700/283
• US Class Current: 1/1
• CPC Class Codes: G06Q 10/00 Administration; Management
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 70/40 relating to drugs, e.g. their side effects or intended usage

Abstract

Systems for use with a medical device for reducing medication errors are provided. In one aspect, a system includes a medical device that is configurable with operating limit parameters for providing medication to a patient, and a limiting system. The limiting system includes a memory that includes patient-specific information for the patient and a database includes acceptable operating parameters for providing the medication to the patient using the medical device, and a processor. The processor is configured to compare the acceptable operating parameters with the patient-specific information, and provide a modification of the operating limit parameters for providing the medication to the patient based on the comparison of the acceptable operating parameters with the patient-specific information. Methods and machine-readable media are also provided.

Claims

1. A system for use with a medical device for reducing medication errors, the system comprising:

a medical device that is configurable with operating limit parameters for providing medication to a patient; and

a limiting system comprising;

a memory comprising patient-specific information for the patient and a database comprising acceptable operating parameters for providing the medication to the patient using the medical device, the patient-specific information comprising laboratory data for the patient, the laboratory data comprising at least one of a blood coagulation measure, a vitamin level, a platelet count value, a thromboplastin time, or a serum level;

a processor configured to;

compare the acceptable operating parameters with the laboratory data for the patient before and during administration of the medication to the patient;

provide a modification of the operating limit parameters for providing the medication to the patient based on the comparison of the laboratory data for the patient with the acceptable operating parameters; and

provide a notification for display by the medical device indicating that the operating limit parameters for providing the medication to the patient have been modified based on the patient-specific information, the notification comprising information regarding the modified operating limit parameters.

2. The system of claim 1, wherein the patient-specific information is received over a network from a healthcare facility information system in a native message format of the healthcare facility information system and converted into an internal messaging format configured for use with the limiting system.

3. The system of claim 1,

wherein the medical device is configurable with operating limit parameters for providing a mixture comprising a plurality of medications to a patient, and

wherein the database comprises acceptable operating parameters for providing the mixture to the patient using the medical device.

4. The system of claim 1, wherein the patient-specific information comprises at least one of a medication ordered for the patient, a time at which the medication is ordered for the patient, a treatment plan for the patient, a medication resistance of the patient, a weight of the patient, a height of the patient, a body surface area of the patient, an age of the patient, a gender of the patient, a genetic makeup of the patient, or an ethnicity of the patient, and wherein the processor being configured to compare the acceptable operating parameters with the patient-specific information comprises the processor comparing a first weight of the patient provided to the medical device with a second weight of the patient provided to another medical device.

5. The system of claim 4, wherein the processor being configured to provide the modification of the operating limit parameters for providing the medication to the patient comprises the processor being configured to modify the operating limit parameters based on a determination of the acceptable operating parameters for a person having the patient'"'"'s body surface area.

6. The system of claim 1, wherein the acceptable operating parameters comprise a plurality of rules indicating whether the patient-specific information comprises a value that is within or exceeds a threshold define by at least one of the plurality of rules, and wherein at least one of the rules indicates a maximum total amount of the medication to provide to the patient, or a maximum total amount of the medication to provide to the patient over a period of time.

7. The system of claim 1, wherein the medical device comprises an infusion pump.

8. The system of claim 1, wherein the operating limit parameters comprise at least one of a rate at which to provide the medication, an amount of the medication to provide, and a length of time to provide the medication.

9. The system of claim 1, wherein the processor being configured to provide the modification of the operating limit parameters based on the patient-specific information comprises the processor being configured to define at least one of a pair of a soft maximum value that can be exceeded and a hard maximum value that cannot be exceeded, or a soft minimum value that can be exceeded and a hard minimum value that cannot be exceeded for at least one operating limit parameter associated with delivery of the medication to the patient based on the patient-specific information.

10. The system of claim 1, wherein the processor is further configured to receive an input from a caregiver to override the modification of the operating limit parameters.

11. The system of claim 10, wherein the input from the caregiver comprises an indication why the caregiver overrode the modification of the operating limit parameters, and wherein the processor is further configured to record when the caregiver overrides the modification of the operating limit parameters.

12. The system of claim 1, wherein the processor is further configured to receive configuration parameters for determining whether to provide the notification to the medical device based on at least one of an identity of a caregiver, identification of a location of the medical device, or an institutional preference.

13. The system of claim 1, wherein the comparison of the acceptable operating parameters with the patient-specific information is configured to occur before and during administration of the medication to the patient.

27. The system of claim 1, wherein the modification of the operating limit parameters is automatic, or presented to a clinician for validation.

14. A method for use with a medical device to reduce medication errors, the method comprising:

receiving patient-specific information for a patient, the patient-specific information comprising laboratory data for the patient, the laboratory data comprising at least one of a blood coagulation measure, a vitamin level, a platelet count value, a thromboplastin time, or a serum level;

comparing the laboratory data for the patient with a database comprising acceptable operating parameters for a medical device before and during administration of the medication to the patient;

providing a modification of operating limit parameters of the medical device for providing a medication to the patient based on the comparison of the laboratory data for the patient with the acceptable operating parameters; and

providing a notification for display by the medical device indicating that the operating limit parameters for providing the medication to the patient have been modified based on the patient-specific information, the notification comprising information regarding the modified operating limit parameters.

15. The method of claim 14, wherein the operating limit parameters of the medical device are modified by a limiting system, and wherein the patient-specific information is received over a network from a healthcare facility information system in a native message format of the healthcare facility information system and converted into an internal messaging format configured for use with the limiting system.

16. The method of claim 14,

wherein the medical device is configurable with operating limit parameters for providing a mixture comprising a plurality of medications to a patient,

wherein the database comprises acceptable operating parameters for providing the mixture to the patient using the medical device.

17. The method of claim 14, wherein the patient-specific information comprises at least one of a medication ordered for the patient, a time at which the medication is ordered for the patient, a treatment plan for the patient, a medication resistance of the patient, a weight of the patient, a height of the patient, a body surface area of the patient, an age of the patient, a gender of the patient, a genetic makeup of the patient, or an ethnicity of the patient, and wherein comparing the acceptable operating parameters with the patient-specific information comprises comparing a first weight of the patient provided to the medical device with a second weight of the patient provided to another medical device.

18. The method of claim 17, wherein providing the modification of the operating limit parameters for providing the medication to the patient comprises modifying the operating limit parameters based on a determination of the acceptable operating parameters for a person having the patient'"'"'s body surface area.

19. The method of claim 14, wherein the acceptable operating parameters comprise a plurality of rules indicating whether the patient-specific information comprises a value that is within or exceeds a threshold define by at least one of the plurality of rules, and wherein at least one of the rules indicates a maximum total amount of the medication to provide to the patient, or a maximum total amount of the medication to provide to the patient over a period of time.

20. The method of claim 14, wherein the medical device comprises an infusion pump.

21. The method of claim 14, wherein the operating limit parameters comprise at least one of a rate at which to provide the medication, an amount of the medication to provide, and a length of time to provide the medication.

22. The method of claim 14, wherein providing the modification of the operating limit parameters based on the patient-specific information comprises defining at least one of a pair of a soft maximum value that can be exceeded and a hard maximum value that cannot be exceeded, or a soft minimum value that can be exceeded and a hard minimum value that cannot be exceeded for at least one operating limit parameter associated with delivery of the medication to the patient based on the patient-specific information.

23. The method of claim 14, the method further comprising receiving an input from a caregiver to override the modification of the operating limit parameters.

24. The method of claim 23, wherein the input from the caregiver comprises an indication why the caregiver overrode the modification of the operating limit parameters, and the method further comprising recording when the caregiver overrides the modification of the operating limit parameters.

25. The method of claim 14, the method further comprising receiving configuration parameters for determining whether to provide the notification to the medical device based on at least one of an identity of a caregiver, identification of a location of the medical device, or an institutional preference.

26. A non-transitory machine-readable storage medium comprising machine-readable instructions for causing a processor to execute a method for use with a medical device to reduce medication errors, the method comprising:

receiving patient-specific information for a patient, the patient-specific information comprising laboratory data for the patient, the laboratory data comprising at least one of a blood coagulation measure, a vitamin level, a platelet count value, a thromboplastin time, or a serum level;

comparing the laboratory data for the patient with a database comprising acceptable operating parameters for a medical device before and during administration of the medication to the patient;

providing the modification of operating limit parameters of the medical device for providing a medication to the patient based on the comparison of the laboratory data for the patient with the acceptable operating parameters; and

providing a notification for display by the medical device indicating that the operating limit parameters for providing the medication to the patient have been modified based on the patient-specific information, the notification comprising information regarding the modified operating limit parameters.