Analytics regarding patient care

Patent metadata

Field	Value
Publication number	US-11183287-B2
Application number	US-201314099773-A
Country	US
Kind code	B2
Filing date	Dec 6, 2013
Priority date	Jun 13, 2013
Publication date	Nov 23, 2021
Grant date	Nov 23, 2021

Abstract

A method, system and computer-readable medium are provided for determining compliance with patient care protocols, comprising an infusion pump providing infusion information pertaining to one or more drugs administered to a patient, the one or more drugs including sedatives and analgesics, and a processor communicably coupled to the infusion pump and configured to determine information regarding the one or more drugs being administered to the patient based on the infusion information by determining a baseline threshold for the one or more drugs being administered to the patient according to the actual dosage of the one or more drugs administered to the patient prior to a current time, determining a dosage amount of the one or more drugs currently being administered to the patient and comparing the dosage amount of the one or more drugs currently being administered to the baseline threshold to determine a deviation from the baseline threshold.

First claim

What is claimed is:

1. A machine-implemented method, comprising:
administering, by one or more infusion pumps, one or more medications to one or more ventilated patients;
reducing, during a plurality of time segments, a dosage of at least one of the one or more medications administered to a patient of the one or more ventilated patients;
receiving, by a processor, infusion information from the one or more infusion pumps and ventilation information from one or more ventilators associated with providing ventilation to the one or more ventilated patients, the infusion information indicating at least one infusion interruption experienced by the patient based on the reducing of the dosage during the plurality of time segments;
determining, by the processor, a pattern of a consecutive amount of time without interruption or with a fixed dosage within a predefined threshold for the time segments from the infusion information;
determining, by the processor, an optimal time segment based on the pattern;
calculating, by the processor, one or more baseline thresholds for the one or more medications for the patient, the one or more medications including sedatives and pain therapy drugs, the one or more baseline thresholds being calculated from one or more dosages of medications when previously administered to the patient or the one or more ventilated patients during one or more previous time segments corresponding to the determined optimal time segment;
periodically determining, in real time by the processor, a current dosage amount of the one or more medications currently being administered to the current-patient during a respective time segment by an infusion pump;
performing a periodic comparison, in real time by the processor while the patient is being administered the one or more medications by the infusion pump and while the patient is being ventilated by the ventilator, of the current dosage amount to the one or more baseline thresholds, the periodic comparison being performed at a predetermined frequency;
determining, by the processor based on the periodic comparing, a deviation in the current dosage amount that meets a threshold deviation from the one or more baseline thresholds;
in real time by the processor in response to the deviation:
generating a marker regarding administration of the one or more medications to the patient and relating to a ventilator weaning process for the patient,
providing, to a client device associated with a care giver and remote from the processor, a notification indicating the current dosage amount deviates from a normal or acceptable dosage of medication administered to the patient and indicating that an event should be performed, and
increasing the frequency of the periodic comparison or decreasing the respective time segment for future determining of dosage amounts being administered to the patient;

determining, based on the generated marker and the infusion information and the ventilation information for the patient, to initiate termination of ventilation to the patient;
terminating the ventilation of the patient; and
providing, to the client device, a notification regarding the terminating of the ventilation.

2. The method of claim 1 , further comprising:
identifying a set of rules and protocols for monitoring patient care, the set of rules including an algorithm for determining the baseline thresholds and for determining a timing for terminating the ventilation,
wherein the notification regarding the terminating the ventilation indicates whether the ventilation of the patient or terminating the ventilation was performed according to the set of rules and protocols.

3. The method of claim 2 , further comprising:
updating patient outcome information associated with the one or more ventilated patients based on the marker; and
updating the set of rules and protocols based on the updated patient outcome information.

4. The method of claim 2 , further comprising:
identifying one or more characteristics of the patient; and
identifying a patient category of the patient according to the characteristics,
wherein the identifying the set of rules is based on the identified patient characteristics and patient category.

5. The method of claim 2 , wherein the set of rules and protocols include a list of preferred medications for the patient.

6. The method of claim 5 , further comprising:
comparing the medications currently being administered to the patient to the list of preferred medications to determine if each of the medications currently being administered to the patient is a preferred medication.

7. The method of claim 1 , further comprising determining whether a preferred medication is being administered to the patient.

8. The method of claim 1 , wherein each baseline threshold is one or more of a maximum, minimum or a rolling average of a dosage amount of the medications administered to the patient over the previous time segment corresponding to the determined optimal time segment.

9. The method of claim 8 , wherein each baseline threshold is the rolling average of the dosage amount of the medications administered to the patient over the previous time segment corresponding to the determined optimal time segment.

10. The method of claim 1 , wherein determining the current dosage amount of the medications comprises calculating a weight based dosage of each of the medications currently being administered to the patient based at least in part on infusion information and a weight of the patient.

11. The method of claim 10 , wherein the current dosage amount of the medications comprises one or more of a continuous dosage and bolus dosage of each of the medications over the respective time segment.

12. The method of claim 1 , wherein the current dosage amount of the medications is received from the one or more infusion pumps.

13. A system, comprising:
an infusion pump administering one or more medications to a patient and providing infusion information pertaining to the one or more medications being provided to the patient, wherein the one or more medications include a sedative or a pain therapy drug, the infusion pump reducing a dosage of at least one of the on or more medications administered to the patient during a plurality of time segments; and
a processor communicably coupled to the infusion pump and configured to:
receive the infusion information from infusion pump and ventilation information from a ventilator associated with providing ventilation to the patient, the infusion information indicating at least one infusion interruption experienced by the patient based on the reducing of the dosage during the plurality of time segments;
determine a pattern of a consecutive amount of time without interruption or with a fixed dosage within a predefined threshold for the time segments from the infusion information;
determine an optimal time segment based on the pattern;
calculate one or more baseline thresholds for the one or more medications for the patient, the baseline thresholds being calculated from one or more dosages of the one or more medications when previously administered to the patient or one or more additional patients during one or more previous time segments corresponding to the determined optimal time segment;
periodically determine, in real time, a current dosage amount of the one or more medications currently being administered by the infusion pump to the patient during a respective time segment by an, infusion pump;
perform a periodic comparison, in real time while the patient is being administered the one or more medications by the infusion pump and while the patient is being currently

Assignees

• Carefusion 303 Inc

Inventors

• Steinhauer Tom
• Blansfield Terry Lee
• Mulkowsky Leonard
• Calderon Iii Andres Jesus

Classifications

• A61B5/4848

  Monitoring or testing the effects of treatment, e.g. of medication · CPC title

• A61M5/142

  Pressure infusion, e.g. using pumps · CPC title

• A61M16/021

  operated by electrical means (A61M16/202 – A61M16/205 take precedence) · CPC title

• A61B2505/03

  Intensive care · CPC title

• G16H20/17 Primary

  delivered via infusion or injection · CPC title