Medication adherence system for recording contents of medication packages vended from a plurality of vending machines in an electronic record that stores records for a plurality of patients associated with respective vending machines
A medication adherence system is provided for recording contents of medication packages vended from a plurality of vending machines in electronic records, such as an electronic medication administration record (eMAR), that store records for a plurality of patients who are associated with respective vending machines. A vending event causes the electronic record to be populated.
1. A medication adherence system that records in electronic records contents of vended medication packages which contain medications that were previously dispensed, the electronic records storing records for a plurality of patients, the system comprising:
(a) a plurality of vending medication devices, each vending medication device being associated with only one patient, each vending medication device configured to generate an electronic message whenever a vending event occurs at the vending medication device, the electronic message including at least a unique identifier of the patient, each vending medication device further configured to prompt the patient to initiate a vending event without receiving any instructions to do so from any external source at the time of the vending event; and
(b) a medication administration computer remotely located from the plurality of vending medication devices that maintains an electronic record for a plurality of patients, each electronic record having an associated patient identifier, the medication administration computer configured to:
(i) receive from the vending medication devices the electronic messages generated at the vending medication devices whenever a vending event occurs at one of the vending medication devices,
(ii) detect for each received electronic message whether an electronic record exists in the medication administration computer for a patient identifier that matches the unique identifier of the patient in the electronic message, and
(iii) record in a vended medications indicator field of the electronic record that the dispensed medications were vended if it is detected that an electronic record exists in the medication administration computer for a patient identifier that matches the unique identifier of the patient, and wherein all of the medication packages vended from a particular vending machine are for the same patient.
2. The system of claim 1 wherein the electronic messages generated at the vending medication devices do not include patient names or vended medications.
3. The system of claim 1 wherein the unique identifier of the patient is the patient identifier.
4. The system of claim 1 wherein the vending machine has an assigned unique number, and the unique identifier of the patient is the assigned unique number of the vending machine, the medication administration computer being further configured to:
(iv) translate the assigned unique number of the vending machine to the patient identifier using a database table that stores assigned unique numbers of the vending machines to patient identifiers.
5. The system of claim 1 wherein the electronic records include scheduled dose times for the dispensed medication packages of the patients, and the electronic message further includes a time of vending, and wherein for each vending event, the medication administration computer infers from the time of vending and the scheduled dose time which dispensed medication package was vended and uses this information to make the record in the vended medications indicator field.
6. The system of claim 1 wherein the electronic records are records in an eMAR.
7. The system of claim 1 wherein the medications are vended in multi-unit dose packages (MUDPs), and the electronic records include for each patient the contents of each MUDP to be vended at an appropriate dose time in a dose schedule, and wherein a single vending event causes the electronic record to record that a plurality of medications that make up the contents of the MUDP were vended.
8. The system of claim 1 wherein each vending medication device includes:
(i) a plurality of vending locations, each vending location holding a medication package to be vended, and
(ii) a vending machine controller configured to vend the medication packages from a predefined vending location without receiving any instructions regarding the predefined vending location from any external source at the time of the vending event.
9. The system of claim 8 wherein the plurality of vending locations are in vending slots or columns.