Pharmacy management and administration with bedside real-time medical event data collection
View Patent ↗Methods and systems for automatically establishing an enhanced electronic health record (EHR) for a patient include an automatic data collection facility that collects data of a medically related event in proximity to a patient upon occurrence of the event. The collected data may include medication administration data such as medication, time of administration, administration of a dosage of medication, reaction data, and the like. The collected data is communicated to a real-time data integration facility that automatically integrates the data with a patient's electronic health record to establish an enhanced electronic health record.
1. A system to manage the prescribing and administration of medication, comprising:
a medication management facility comprising an electronic order entry facility configured to receive electronic medication orders, the medication management facility configured to perform at least one of:
a) a verification of formulary compliance;
b) a determination of drug allergy information associated with the electronic medication orders; and
c) a determination of drug interaction information associated with the electronic medication orders;
a medication validation and billing facility in electronic communication with the medication management facility, the medication validation and billing facility configured to receive the electronic medication orders, provide information regarding formulary compliance, the drug allergy information, and the drug interaction information, and further comprising an interface for receiving input from a pharmacist to approve the electronic medication orders;
a medication dispensing machine in electronic communication with the medication validation and billing facility, and configured to receive the approved electronic medication orders and dispense a plurality of dosages of medications based on the approved electronic medication orders, wherein dosages of the plurality of dosages of medications are packaged by the medication dispensing machine in packaging comprising electronically readable information regarding the corresponding dosage of medication and including information regarding the expected location of the recipient of the corresponding dosage of medication in a healthcare facility;
a medication cart configured to store and distribute the packaged dosages of medications for administration to a plurality of patients in the healthcare facility;
a workstation having an output facility, the workstation in electronic communication with the medication management facility; and
a reader device with a GPS facility in electronic communication with the workstation and capable of reading the electronically readable information regarding at least one packaged dosage of medication of the plurality of dosages of medications loaded on the medication cart during an administration attempt of the at least one dosage of medication to a respective recipient of the plurality of patients in the healthcare facility and also providing location data of the medication at the time of the administration attempt, wherein the workstation transmits the electronically readable information regarding the at least one packaged dosage of medication and the location data from the reader device to the medication management facility, and
wherein the medication management facility generates a warning if the electronically readable information or the location data transmitted from the reader device differs from a current electronic medication order corresponding to the at least one dosage of medication.
2. The system of claim 1 , wherein the workstation is mobile.
3. The system of claim 1 , wherein the medication validation and billing facility associates data with corresponding approved medication orders, wherein the data is at least one of patient insurance information, facility personnel associated/responsible for the patient, and administration frequency.
4. The system of claim 1 , wherein medication management facility further comprises a medication administration facility.
5. The system of claim 1 , wherein the medication administration facility prompts a caregiver administering the at least one dosage of medication to enter information associated with administration of the at least one dosage of medication at the time of administration.
6. The system of claim 5 , wherein the information associated with administration of the at least one dosage of medication is read by the reader device.
7. The system of claim 5 , wherein the information associated with administration of the at least one dosage of medication comprises at least one of time of administration, mode of administration, and identity of the caregiver that administered the medication.
8. The system of claim 1 , wherein the medication administration facility prompts a user to verify that a dosage has been administered to a patient.
9. The system of claim 1 , wherein the dosages are individually packaged.
10. The system of claim 1 , wherein the reader device is a bar code scanner.
11. The system of claim 1 , wherein the medication management facility further comprises a therapeutic equivalent facility.
12. The system of claim 11 , wherein the therapeutic equivalent facility determines a therapeutic equivalent for an electronically ordered medication.
13. The system of claim 12 , wherein the therapeutic equivalent facility gathers and stores information regarding therapeutic equivalents to respective medications.
14. The system of claim 1 , wherein at least one of the medication management facility and the medication validation and billing facility groups the electronic medication orders by at least one of institutional facility, patient, and facility dispensing time.
15. The system of claim 1 , wherein the medication management facility further comprises a utility configured to suggest medications based on at least one of a prescriber's pattern of ordering and a diagnosis.
16. The system of claim 1 , wherein the medication management facility is further configured to:
determine whether at least one of an ordered medication for a patient and a medication administered to a patient is covered by the patient's insurance;
aggregate covered and not covered medications into sets; and
generate reports, in real time, regarding the sets.
17. The system of claim 1 , wherein the packaged dosages of the plurality of dosages of medications are loaded on the medication cart based on reading the electronically readable information regarding the expected location of the recipient of the corresponding dosage of medication in the healthcare facility.