System and method that matches delayed infusion auto-programs with manually entered infusion programs and analyzes differences therein

• US 9,539,383 B2
• Filed: 09/14/2015
• Issued: 01/10/2017
• Est. Priority Date: 09/15/2014
• Status: Active Grant

• Current Assignee: ICU Medical Incorporated
• Original Assignee: Hospira Incorporated (Pfizer Inc.)
• Inventors: Kohlbrecher, Christopher E.
• Primary Examiner(s): HARTMAN JR, RONALD D
• Application Number:
  US14/853,198
• Publication Number:
  US 20160074573A1
• Time in Patent Office: 484 Days
• Field of Search: None
• US Class Current: 1/1
• 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 2205/3561 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 2205/50 with microprocessors or computers
• 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 2205/6054 Magnetic identification systems
• CPC Class Codes: A61M 2205/6072 Bar codes
• 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 20/17 delivered via infusion or injection
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

A system and method that identifies delayed infusion programs at an infusion pump or with a first computer and an infusion pump. The first computer receives an infusion auto-program from a remote source, transmits the infusion auto-program to the infusion pump, and sends a stale auto-program to the infusion pump. The infusion pump receives a manual infusion program, saves and executes the manual infusion program, and compares the stale auto-program to the manual infusion program to identify potential matches between the stale auto-program and the manual infusion program. The infusion pump evaluates the potential matches and determines if the potential matches are within a predefined tolerance, continues to execute the at least one manual infusion program on the infusion pump if the potential matches are within the predefined tolerance, and remotely saves differences in the manual infusion program and the at stale auto-program in a remote server for later analysis.

Claims

1. A system that identifies acceptable manual programs that correspond to delayed infusion auto-programs that arrive at an infusion pump comprising:

a first computer comprising a computer network interface; and

,

at least one infusion pump;

wherein said first computer communicates with said at least one infusion pump via said computer network interface;

wherein said first computer

receives at least one infusion auto-program from a remote source,

wherein said at least one infusion auto-program comprises IV drug container information, infusion pump information, and infusion program settings,

transmits said at least one infusion auto-program to said at least one infusion pump,

queues said at least one infusion auto-program when said first computer is unable to transmit said at least one infusion auto-program to said at least one infusion pump, and,

sends at least one stale auto-program to said at least one infusion pump when said at least one infusion pump communicates with said first computer; and

,

wherein said at least one infusion pump

receives at least one manual infusion program from a caregiver,

wherein said at least one manual infusion program comprises one or more of a completed manual infusion program or a running manual infusion program,

saves and executes said at least one manual infusion program received from said caregiver,

compares said at least one stale auto-program to said at least one manual infusion program,

wherein said comparison is based on one or more factors comprising an approximate time of infusion administration or parameter matching logic comprising infusion parameters,

compares the infusion parameters to identify potential matches between said at least one stale auto-program and said at least one manual infusion program,

evaluates the potential matches using one or more configurable rules and determines if said potential matches are within a predefined tolerance,

continues to execute said at least one manual infusion program on said at least one infusion pump if said potential matches are within said predefined tolerance,

saves differences in said at least one manual infusion program and said at least one stale auto-program,

saves a first event alert indicating the at least one manual infusion program as an acceptable potential match of said potential matches, and

saves a second event alert indicating the at least one auto-program as an un-executed program because the at least one manual infusion program is an acceptable potential match.

2. The system of claim 1, wherein said at least one manual infusion program is provided in a library stored at said at least one infusion pump.

3. The system of claim 1, wherein said differences in said at least one manual infusion program and said at least one stale auto-program are saved to a remote server.

4. The system of claim 1, wherein said at least one infusion pump saves identification data of said caregiver.

5. The system of claim 1, wherein said at least one infusion pump compares said at least one manual infusion program from said caregiver to said at least one stale auto-program to determine a scoring of accuracy comprising an acceptability level of said at least one manual infusion program from said caregiver.

6. The system of claim 4, wherein said at least one infusion pump generates at least one report from said comparison, and wherein said report comprises one or more of

a time differential between completion time of said at least one manual infusion program and completion time of said at least one stale auto-program,

a scoring of accuracy comprising an acceptability level between infusion administration parameters of said at least one manual infusion program and said at least one stale auto-program, and

a rating of said caregiver.

7. The system of claim 1, wherein said at least one infusion pump transmits said at least one manual infusion program from said caregiver to said first computer, and wherein said first computer saves said at least one manual infusion program from said caregiver and saves identification data of said caregiver.

8. The system of claim 6, wherein said first computer compares said at least one manual infusion program from said caregiver to said at least one stale auto-program to determine a scoring of accuracy comprising an acceptability level of said at least one manual infusion program from said caregiver.

9. The system of claim 7, wherein said first computer generates at least one report from said comparison, and wherein said report comprises one or more of

a time differential between completion time of said at least one manual infusion program and completion time of said at least one stale auto-program,

a scoring of accuracy comprising an acceptability level between infusion administration parameters of said at least one manual infusion program and said at least one stale auto-program, and

a rating of said caregiver.

10. A method for identifying delayed infusion programs at an infusion pump comprising:

providing a first computer comprising a computer network interface; and

,

providing at least one infusion pump;

communicating with said first computer and said at least one infusion pump via said computer network interface;

receiving via said first computer, at least one infusion auto-program from a remote source,

wherein said at least one infusion auto-program comprises IV drug container information, infusion pump information, and infusion program settings,

transmitting said at least one infusion auto-program to said at least one infusion pump,

queuing said at least one infusion auto-program when said first computer is unable to transmit said at least one infusion auto-program to said at least one infusion pump, and,

sending at least one stale auto-program to said at least one infusion pump when said at least one infusion pump communicates with said first computer; and

,

receiving via said at least one infusion pump, at least one manual infusion program from caregiver,

wherein said at least one manual infusion program comprises one or more of a completed manual infusion program or a running manual infusion program,

saving and executing said at least one manual infusion program received from said caregiver,

comparing said at least one stale auto-program to said at least one manual infusion program,

wherein said comparing is based on an approximate time of infusion administration and parameter matching logic comprising infusion administration parameters and infusion pump operating parameters,

comparing the infusion pump operating parameters and the infusion administration parameters to identify potential matches between said at least one stale auto-program and said at least one manual infusion program,

evaluating the potential matches using one or more configurable rules and determines if said potential matches are within a predefined tolerance,

continuing to execute said at least one manual infusion program on said at least one infusion pump if said potential matches are within said predefined tolerance,

saving differences in said at least one manual infusion program and said at least one stale auto-program,

saving a first event alert indicating the at least one manual infusion program as an acceptable potential match of said potential matches, and

saving a second event alert indicating the at least one auto-program as an un-executed program because the at least one manual infusion program is an acceptable potential match.

11. The method of claim 10, further comprising providing said at least one manual infusion program in a library stored at said at least one infusion pump.

12. The method of claim 10, further comprising saving said differences in said at least one manual infusion program and said at least one stale auto-program to a remote server.