Medication order processing and reconciliation

Patent metadata

Field	Value
Publication number	US-10387619-B2
Application number	US-201414195750-A
Country	US
Kind code	B2
Filing date	Mar 3, 2014
Priority date	Dec 30, 2005
Publication date	Aug 20, 2019
Grant date	Aug 20, 2019

Abstract

A system and method for managing medication orders, including verbal orders and changes to those orders, is described. A server receives mediation orders from a pharmacy and communicates those orders to an infusion pump. The infusion pump communicates status messages to the server and the server compares the status messages to the medication orders to determine if the there were any changes to the order, or if a medication was administered absent a medication order. The server assigns a new order identification number to the status message if needed. The system may also reconcile original medication orders with information associated with a new order identification number and stores the information in the eMAR of a patient.

First claim

I claim:

1. A method comprising:
receiving, at a processor, medication administration parameters entered into a medication administration delivery device remote from the processor, the medication administration parameters being associated with a delivery of a medication to a patient by the medication administration delivery device, the medication being associated with a first order identification number;
electronically preventing, by the processor, without user interaction, the medication administration delivery device from delivering the medication responsive to determining, by the processor, that the medication administration parameters do not satisfy predetermined criteria for delivery of the medication to the patient;
automatically programming, by processor responsive to the medication administration parameters satisfying the predetermined criteria, the medication administration device to deliver the medication associated with the first order identification number, the programming comprising providing operating parameters of the medication administration delivery device;
receiving, over a network, an indication that the medication administration device initiated delivery of the medication according to the provided operating parameters;
receiving, at the processor from the medication administration device and without user interaction, medication administration status information comprising the first order identification number;
detecting, with the processor, from the received medication administration status information, a medication delivery change action indicating a change in the delivery of the medication for the first order identification number;
determining, with the processor, responsive to the detected medication delivery change action and without user interaction, to assign a second order identification number to the delivery of the medication based on information provided with the detected medication delivery change action; and
updating, responsive to determining to assign the second order identification number, a medication administration record for a patient associated with the delivered medication, the medication administration record being updated with the second order identification number.

2. The method of claim 1 , further comprising:
comparing information regarding actual delivery of the medication to medication delivery instructions of a medication order to detect the medication delivery change action.

3. The method of claim 1 , further comprising receiving a medication order by a medication order source, wherein the operating parameters are based on the medication order.

4. The method of claim 3 , wherein the medication order is stored in a medication administration record database.

5. The method of claim 1 , wherein the operating parameters comprise instructions regarding how to deliver a medication corresponding to a medication order.

6. The method of claim 1 , further comprising:
associating the second order identification number with the first order identification number.

7. The method of claim 1 , further comprising:
transmitting, if the second order identification number is assigned, the second order identification number and information regarding the detected medication delivery change action.

8. The method of claim 1 , further comprising:
transmitting, if the second order identification number is not assigned, the first order identification number and information regarding the detected medication delivery change action.

9. A system comprising:
a processor; and
a memory including executable instructions that, when executed by the processor, cause the processor to:
receive medication administration parameters entered into a medication administration device remote from the processor, the medication administration parameters being associated with a delivery of a medication to a patient by the medication administration device, the medication being associated with a first order identification number;
electronically prevent without user interaction, the medication administration device from delivering the medication responsive to determining that the medication administration parameters do not satisfy predetermined criteria for delivery of the medication to the patient;
automatically program, responsive to the medication administration parameters satisfying the predetermined criteria, the medication administration to deliver the medication associated with the first order identification number, including providing operating parameters of the medication administration device;
receive an indication that the medication administration device initiated delivery of the medication according to the provided operating parameters;
receive medication administration status information from the medication administration device, the medication administration status information comprising the first order identification number;
detect, from the received medication administration status information, a medication delivery change action indicating a change in the delivery of the medication for the first order identification number;
determine, based on the detected medication delivery status information, to assign a second order identification number to the delivery of the medication based on information provided with the detected medication delivery change action, and
update, responsive to determining to assign the second order identification number, a medication administration record for a patient associated with the delivered medication, the medication administration record being updated with the second order identification number.

10. The system of claim 9 , wherein the medication administration device is further configured to:
compare information regarding actual delivery of the medication to medication delivery instructions of a medication order to detect the medication delivery change action.

11. The system of claim 9 , wherein the operating parameters comprise instructions regarding how to deliver a medication corresponding to a medication order.

12. The system of claim 9 , wherein the executable instructions that, when executed by the processor, cause the processor to:
associate the second order identification number with the first order identification number.

13. The system of claim 9 , wherein the executable instructions that, when executed by the processor, cause the processor to:
transmit, if the second order identification number is assigned, the second order identification number and information regarding the detected medication delivery change action.

14. The system of claim 9 , the executable instructions that, when executed by the processor, cause the processor to:
transmit, if a second order identification number is not assigned, the first order identification number and information regarding the detected medication delivery change action.

15. A non-transitory machine-readable medium comprising instructions stored therein, which when executed by a machine, cause the machine to perform operations, the non-transitory machine-readable medium comprising:
receiving, at a processor, medication administration parameters entered into a medication administration device remote from the processor, the medication administration parameters being associated with a delivery of a medication to a patient by the medication administration device, the medication being associated with a first order identification number;
electronically preventing, by the processor, without user interaction, the medication administration device from delivering the medication when the medication admin

Assignees

• Carefusion 303 Inc

Inventors

• Batch Richard M

Classifications

• G06F19/325

  Physics · mapped topic

• G06F19/3456 Primary

  Physics · mapped topic

• G06Q50/22

  Social work or social welfare, e.g. community support activities or counselling services · CPC title

• G16H40/67 Primary

  for remote operation · CPC title

• G16H20/10 Primary

  relating to drugs or medications, e.g. for ensuring correct administration to patients · CPC title