Integrated medication and infusion monitoring system

• US 9,501,619 B2
• Filed: 07/22/2009
• Issued: 11/22/2016
• Est. Priority Date: 11/13/2008
• Status: Active Grant

• Current Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Original Assignee: Cerner Innovation, Inc. (Oracle Corporation)
• Inventors: Portnoy, Alan M., Saeger, Deborah A.
• Primary Examiner(s): LONG, FONYA M
• Application Number:
  US12/507,113
• Publication Number:
  US 20100121654A1
• Time in Patent Office: 2,680 Days
• Field of Search: 705/2, 705/3
• US Class Current: 1/1
• CPC Class Codes: A61M 2205/3576 with non implanted data transmission devices, e.g. using external transmitter or receiver
• 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 2205/6072 Bar codes
• CPC Class Codes: A61M 5/14 Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
• CPC Class Codes: G06Q 10/1093 Calendar-based scheduling for persons or groups
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• 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 70/20 relating to practices or guidelines
• CPC Class Codes: G16H 70/40 relating to drugs, e.g. their side effects or intended usage

Abstract

A System manages IV pumps so that clinicians automatically receive alerts, decisions, and actions required to maintain a patient IV medication therapy according to a prescribed treatment protocol. An infusion pump monitoring system, includes an acquisition processor for acquiring fluid infusion parameters comprising a patient identifier, infusion fluid identifier and a rate of fluid infusion, for administration of an infusion fluid to a patient at a point of care using an infusion pump. The system also includes a repository of patient medical record information. A fluid infusion monitor uses acquired fluid infusion parameters for automatically searching a patient medical record in the repository for information concerning rate of fluid infusion of a particular infusion fluid and determining if a rate of a previously administered dose of the particular infusion fluid was lower than a rate indicated in the fluid infusion parameters. An interface processor automatically initiates generation of a message indicating a potential adverse reaction to the particular infusion fluid in response to a determination of a lower rate being employed for previously administering the particular infusion fluid.

Claims

1. An infusion pump monitoring system, comprising:

an acquisition processor for acquiring fluid infusion parameters comprising a patient identifier, infusion fluid identifier and a rate of fluid infusion to be used for a patient, for administration of an infusion fluid to a patient at a point of care using an infusion pump;

a repository of patient medical record information;

a fluid infusion monitor for using acquired fluid infusion parameters for automatically searching a patient medical record in said repository for information concerning rate of fluid infusion of a particular infusion fluid and determining if a rate of a previously administered dose of said particular infusion fluid was lower than a rate indicated in said fluid infusion parameters; and

an interface processor for automatically initiating generation of a message indicating a potential adverse reaction to said particular infusion fluid in response to a determination of a lower rate being employed for previously administering said particular infusion fluid to said patient, wherein said interface processor initiates generation of a message for communication to an infusion pump to at least one of, (a) reduce rate of fluid infusion and (b) inhibit operation of an infusion pump until a healthcare worker enters a command to acknowledge said message indicating said potential adverse reaction in response to said determination.

2. A system according to claim 1, wherein said medical record identifies the fluid infusion medication and the infusion rate that resulted in the adverse reaction and the lower infusion rate that resulted in a reaction-free infusion administration and said message prompts a healthcare worker to lower said rate indicated in said fluid infusion parameters.

3. A system according to claim 1, wherein said message indicating a potential adverse reaction to said particular infusion fluid comprises a displayed alert message to a healthcare worker.

4. A system according to claim 1, wherein said message indicating a potential adverse reaction to said particular infusion fluid comprises an indication of said lower rate employed for previously administering said particular infusion fluid.

5. A system according to claim 1, wherein said acquisition processor acquires said fluid infusion parameters from a Bar-code Point of Care system.

6. A system according to claim 1, wherein said acquisition processor acquires said fluid infusion parameters from an infusion pump.

7. A system according to claim 1, wherein said interface processor automatically initiates generation of a message indicating a potential adverse reaction to said particular infusion fluid for communication to a pharmacy information system.

8. A method of monitoring a plurality of medical infusion pumps, comprising the steps of:

acquiring fluid infusion parameters comprising a patient identifier, infusion fluid identifier and a rate of fluid infusion to be used for a patient, for administration of an infusion fluid to a patient at a point of care using an infusion pump;

storing in at least one repository, patient medical record information;

using acquired fluid infusion parameters for automatically searching a patient medical record in said repository for information concerning rate of fluid infusion of a particular infusion fluid and determining if a rate of a previously administered dose of said particular infusion fluid was lower than a rate indicated in said fluid infusion parameters;

automatically initiating generation of a message indicating a potential adverse reaction to said particular infusion fluid in response to a determination of a lower rate being employed for previously administering said particular infusion to said patient; and

automatically initiating generation of a message for communication to an infusion pump to at least one of, (a) reduce rate of fluid infusion and (b) inhibit operation of an infusion pump until a healthcare worker enters a command to acknowledge said message indicating said potential adverse reaction in response to said determination.