GB2301685A - Patient database for hospital records - Google Patents

Patient database for hospital records Download PDF

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Publication number
GB2301685A
GB2301685A GB9511242A GB9511242A GB2301685A GB 2301685 A GB2301685 A GB 2301685A GB 9511242 A GB9511242 A GB 9511242A GB 9511242 A GB9511242 A GB 9511242A GB 2301685 A GB2301685 A GB 2301685A
Authority
GB
United Kingdom
Prior art keywords
information
entry
patient
processing
database
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
GB9511242A
Other versions
GB9511242D0 (en
Inventor
Simmon Hill
Original Assignee
Simmon Hill
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Simmon Hill filed Critical Simmon Hill
Priority to GB9511242A priority Critical patent/GB2301685A/en
Publication of GB9511242D0 publication Critical patent/GB9511242D0/en
Publication of GB2301685A publication Critical patent/GB2301685A/en
Withdrawn legal-status Critical Current

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Classifications

    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Abstract

A method of processing information relating to in-patients in hospital in which proposed drug treatment is entered into the system, validated for its suitability, and the entry used to monitor treatment. The entries are used to generate a history of the patient's progress, and the patient's history is added to a database which is analysed statistically to provide information useful in aiding future treatment of the patient and other patients.

Description

INFORMATION PROCESSING The invention relates to a method of processing information, and in particular, to a method of processing information relating to the medication of in-patients in hospitals, and to installations for such information processing.
The invention depends on the observation that substantially all in-patients in hospitals are prescribed drugs, either for specific medical conditions, or, in surgical cases, for sedation, anaesthesia, or the relief of pain and inflammation. The history of drug dosage, together with the indications therefor and the outcome of treatment, provide not only an objective record of the progress of each individual patient, but also a control or baseline prior to any change of condition or intervention.It also can provide information which can be collated and analysed and presented to a doctor to give a valuable guide as to the efficacy of various forms of treatment, individually or in combination It is an object of the invention, which is defined in the appended claims, to provide a system which will verify prescriptions for medication and will provide the records and information mentioned above The invention will be further described by way of example with reference to the accompanying drawings, in which Figure 1 shows the format of a data terminal display screen suitable for the entry of prescribing information, and Figure 2 shows the format of a drugs schedule, which may be displayed or printed, and which specifies the drugs to be dispensed to an individual patient.
When a patient is admitted to hospital he or she is allocated a patient number which acts as an identification code. The code will normally be recorded on a bracelet round the patient's wrist: and is preferably shown in the form of a bar code.
Normally the issuing of this bracelet will automatically generate a medication file for that patient on a specific computer within the hospital. The hospital uses this computer, with data terminals, preferably at least one for each ward, each connected to the computer by a link, which may be wired, or may be a radio link, or a combination of both. The terminals will comprise a display, a keyboard, and preferably a bar code reader.
When a clinician has examined the patient and has decided to prescribe some medication he accesses a data terminal and enters his own personal identity code, which may be an alpha-numeric code entered at the keyboard, or may be entered as a bar code, for example, from his identity badge. The patient's identification code is then entered, suitably by reading the bar code on his bracelet by using the bar code reader. The clinician then enters details of the proposed medication and the reason at the data terminal.
Refer now to Figure 1. This Figure shows one suitable entry form which could be displayed at this point. The current date and time, patient name, sex, age and identification code are supplied by the computer from information already held there. The clinician enters the drug to be prescribed, dosage, route of administration, and medical indication at the appropriate points in the display, and indicates whether the medication or dosage is new, altered, or to be discontinued.
The medical indication is entered in accordance with a standard classification of diseases and the medication is entered under its generic name. In the case where medication is stopped because the patient is discharged or dies, the fact is entered in the 'Indication or reason' column and the entry is noted that all medication is discontinued. On discharge or death the patient's file will be closed.
The information so entered is transmitted to the computer where it is compared with look-up tables recording recommended treatments, drug interventions, precautions, warnings and dosages for various medical indications, and the result is displayed at the data terminal. As will be described below, the clinician may also call up certain statistical information relating to the proposed treatment and its outcome. He may then decide either to confirm the proposed treatment, or he may return to the previous screen and enter an alternative proposal.
When the clinician has confirmed the entry it is added to a patient history database within the computer, and the computer also generates an updated drugs schedule for that patient.
When it is time for drugs to be administered to the patients, an authorised nurse enters her identification code and that of the patient at the data terminal, preferably by using bar codes from her identity badge and the patient's bracelet, and the data terminal then displays the drugs schedule for that patient, as shown in Figure 2. As before, date, time and patient details are supplied by the computer, as are particulars of the drug and dosage, and of the time of the preceding dose. The fact that the dose has been checked and administered (or any reason for non-administration) are entered and added to the patient's record in the computer.
The patients' records in the computer collectively constitute a database of medical indications, treatments and outcomes, related in time. The computer may contain programs permitting the statistical analysis of this material. The results of this analysis may be made available to clinicians at the data terminals, as mentioned above, to aid identification of disease processes at an earlier time and help select the most effective forms of treatment.
In a preferred arrangement, however, a number of separately located hospitals are connected to a common centrally-located computer. This computer contains the database assembled from data entered at the data terminals and whose analysis is to be made available to the clinicians. By this arrangement the data from the participating hospitals are pooled, providing a much wider database and so enabling more reliable conclusions to be drawn from their statistical analysis. Preferably in this case the patients identity codes are in a form unique to each hospital, so as to limit access to confidential patient records to that hospital. The patients' records may be held in the hospital computer so long as they are current, and be transferred to the central computer from time to time, or as they are closed. This permits rapid access to the latest information while the patient is under treatment, and allows the accumulation of a large database of information in the central computer for statistical analysis.

Claims (13)

ClAIMS
1. A method of processing information relating to in-patients in hospital, the method comprising the steps of: (a) receiving from a data terminal, in respect of a pa tient, an entry comprising a code representing the identity of the patient, a proposed drug dosage or a proposed varia tion or discontinuance of such dosage, and the indication therefor, or, in the case of discontinuance, the outcome of treatment, (b) validating the suitability, the proposed dosage and the liability to drug interactions of the drug by comparison of the entry with stored information, (c) extracting from a stored database of patient histories statistical information relating to the treatment and out come of cases in which the indications were similar, and (d) presenting the result of the validation and the sta- tistical information.
2. A method of processing information according to claim 1 further including the steps of: (e) recording confirmation or rejection of the entry by the originator, and further, in the case where the entry is confirmed, (f) adding the entry to the patient history in the stored database.
3. A method of processing information according to claim 2 further including the step of generating a dispensing schedule for the patient, the schedule including a record of the confirmed drug and dosage.
4. A method of processing information according to claim 2 or claim 3 further including the step of receiving and including in the patient's record an indication that the confirmed dose of the drug has been administered to the patient.
5. A method of processing information according to any preceding claim in which the stored database of patient histories is centrally held and receives entries from, and returns information to, a plurality of separately located hospitals.
6. A method of processing information according to claim 5 in which each patient is allocated an identification code of a form unique to the issuing hospital, the code is recorded as a bar code, and is read into the entry by a bar code reader.
7. A method of processing information according to any preceding claim in which the information entered at the data terminal includes a personal identification code of the originator of the entry, the personal identification code is compared with a stored list of valid codes, and the entry is rejected if the comparison fails.
8. A method of processing information according to claim 7 in which the personal identification code of the originator is included in the entry, together with a record of the date and time of confirmation.
9. An information-processing installation arranged to carry out a method according to any preceding claim, the installation comprising a computer, a plurality of data terminals, each located in or adjacent to a hospital ward, each being provided with input means, a display and a communication link to the computer, the installation including a comparator arranged to compare a personal identity code input at a terminal with a stored look-up table to validate the acceptance of an entry, and means, operative on validation of the entry, for accessing a database containing information relating to the prescribing of medication specified in the entry and for displaying such information on the display of the data terminal.
10. An information-processing installation according to claim 9 in which at least one input means includes a bar code reader.
11. An information-processing installation according to claim 9 or claim 10 in which at least one communication link is a radio link.
12. An information-processing installation according to claim 9, 10 or 11 in which a local computer is provided for the data terminals of each hospital of a plurality of hospitals, the local computers communicating with a central computer holding the database containing the information relating to the prescribing of medication.
13. An information-processing installation according to claim 12 in which the central computer contains a database assembled from data entered at the data terminals together with a cata-processing program arranged to operate on the database to derive statistical information to be transmitted in response to a valid enquiry at a data terminal.
13. An information-processing installation according to claim 12 in which the central computer contains a database assembled from data entered at the data terminals together with a data-processing program arranged to operate on the database to derive statistical information to be transmitted in response to a valid enquiry at a data terminal.
Amendments to the claims have been filed as follows ClAIMS 1. An information-processing installation comprising a computer, a plurality of data terminals, each located in or adjacent to a hospital ward, each being provided with input means, a display and a communication link to the computer, the installation including a comparator arranged to compare a personal identity code input at a terminal with a stored look-up table to validate the acceptance of an entry, and means, operative on validation of the entry, for accessing a database containing information relating to the prescribing of medication specified in the entry and for displaying such information on the display of the data terminal.
2. A method of processing information relating to in-patients in hospital, the method comprising the steps of: (a) receiving from a data terminal, in respect of a pa tient, an entry comprising a code representing the identity of the patient, a proposed drug dosage or a proposed varia tion or discontinuance of such dosage, and the indication therefor, or, in the case of discontinuance, the outcome of treatment, (b) validating the suitability, the proposed dosage and the liability to drug interactions of the drug by comparison of the entry with stored information, (c) extracting from a stored database of patient histories statistical information relating to the treatment and out come of cases in which the indications were similar, and (d) presenting the result of the validation and the sta- tistical information.
3. A method of processing information according to claim 2 further including the steps of: (e) recording confirmation or rejection of the entry by the originator, and further, in the case where the entry is confirmed, (f) adding the entry to the patient history in the stored database.
4. A method of processing information according to claim 3 further including the step of generating a dispensing schedule for the patient, the schedule including a record of the confirmed drug and dosage.
5. A method of processing information according to claim 3 or claim 4 further including the step of receiving and including in the patient's record an indication that the confirmed dose of the drug has been administered to the patient.
6. A method of processing information according to any of claims 2 to5 in which the stored database of patient histories is centrally held and receives entries from, and returns information to, a plurality of separately located hospitals.
7. A method of processing information according to claim 6 in which each patient is allocated an identification code of a form unique to the issuing hospital, the code is recorded as a bar code, and is read into the entry by a bar code reader.
8. A method of processing information according to any of claims 2 to 7 in which the information entered at the data terminal includes a personal identification code of the originator cf the entry, the personal identification code is compared with a stored list of valid codes, and the entry is rejected if tha comparison fails.
9. A method of processing information according to claim S in which the personal identification code of the originator is included in the entry, together with a record of the date and time of confirmation.
10. An information-processing installation according to claim 1 in which at least one input means includes a bar code reader.
11. An information-processing installation according to claim 1 or claim 10 in which at least one communication link is a radio link.
12. An information-processing installation according to claim 1, 10 or 11 in which a local computer is provided for the data terminals of each hospital of a plurality of hospitals, the local computers communicating with a central computer holding the database containing the information relating to the prescribing of medication.
GB9511242A 1995-06-03 1995-06-03 Patient database for hospital records Withdrawn GB2301685A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
GB9511242A GB2301685A (en) 1995-06-03 1995-06-03 Patient database for hospital records

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
GB9511242A GB2301685A (en) 1995-06-03 1995-06-03 Patient database for hospital records

Publications (2)

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GB9511242D0 GB9511242D0 (en) 1995-07-26
GB2301685A true GB2301685A (en) 1996-12-11

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Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2803931A1 (en) * 2000-01-19 2001-07-20 Mediavet Creation and updating of medical records for a pet on a central server that can subsequently be accessed by other vets or later owners over the Internet, thus greatly increasing availability and ease of access to medical records
WO2001055949A1 (en) * 2000-01-28 2001-08-02 Medlook Nv System and method for on-line medical file administration
EP1158448A1 (en) * 2000-05-22 2001-11-28 Paul-Henri Descat Medical information server
WO2002021326A2 (en) * 2000-09-05 2002-03-14 Algoplus Consulting Limited Information system and method using analyses based on object-centric longitudinal data
WO2007002213A1 (en) * 2005-06-21 2007-01-04 Ashbec Llc Treatment management system
FR2926152A1 (en) * 2009-01-13 2009-07-10 Cie Des Animaux Sa Medical record constituting and updating system for treating e.g. cat, has comparison units comparing code of medical record contained in database with code of animal transmitted by carrier to provide access to database if codes are same
US7949545B1 (en) 2004-05-03 2011-05-24 The Medical RecordBank, Inc. Method and apparatus for providing a centralized medical record system
US9162020B2 (en) 2010-07-08 2015-10-20 Gambro Lundia Ab Method and apparatus for controlling an extra-corporeal blood treatment in a medical device

Citations (6)

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US3872448A (en) * 1972-12-11 1975-03-18 Community Health Computing Inc Hospital data processing system
US4893270A (en) * 1986-05-12 1990-01-09 American Telephone And Telegraph Company, At&T Bell Laboratories Medical information system
GB2249851A (en) * 1990-10-05 1992-05-20 John Paul Stuart Roney Point-of-care medical computer system
WO1994000817A1 (en) * 1992-06-22 1994-01-06 Health Risk Management, Inc. Health care management system
US5301105A (en) * 1991-04-08 1994-04-05 Desmond D. Cummings All care health management system
WO1994022098A1 (en) * 1993-03-16 1994-09-29 Executone Information Systems, Inc. Patient care and communication system

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3872448A (en) * 1972-12-11 1975-03-18 Community Health Computing Inc Hospital data processing system
US4893270A (en) * 1986-05-12 1990-01-09 American Telephone And Telegraph Company, At&T Bell Laboratories Medical information system
GB2249851A (en) * 1990-10-05 1992-05-20 John Paul Stuart Roney Point-of-care medical computer system
US5301105A (en) * 1991-04-08 1994-04-05 Desmond D. Cummings All care health management system
WO1994000817A1 (en) * 1992-06-22 1994-01-06 Health Risk Management, Inc. Health care management system
WO1994022098A1 (en) * 1993-03-16 1994-09-29 Executone Information Systems, Inc. Patient care and communication system

Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2803931A1 (en) * 2000-01-19 2001-07-20 Mediavet Creation and updating of medical records for a pet on a central server that can subsequently be accessed by other vets or later owners over the Internet, thus greatly increasing availability and ease of access to medical records
WO2001054042A1 (en) * 2000-01-19 2001-07-26 Mediavet Method and system for collecting and communicating medical data concerning pets
FR2942563A1 (en) * 2000-01-19 2010-08-27 Cie Des Animaux SYSTEM FOR COLLECTING AND DISSEMINATING MEDICAL DATA IN PETS
WO2001055949A1 (en) * 2000-01-28 2001-08-02 Medlook Nv System and method for on-line medical file administration
EP1158448A1 (en) * 2000-05-22 2001-11-28 Paul-Henri Descat Medical information server
US6631384B1 (en) 2000-09-05 2003-10-07 Algoplus Consulting Limited Information system and method using analysis based on object-centric longitudinal data
WO2002021326A3 (en) * 2000-09-05 2003-10-02 Algoplus Consulting Ltd Information system and method using analyses based on object-centric longitudinal data
WO2002021326A2 (en) * 2000-09-05 2002-03-14 Algoplus Consulting Limited Information system and method using analyses based on object-centric longitudinal data
US7949545B1 (en) 2004-05-03 2011-05-24 The Medical RecordBank, Inc. Method and apparatus for providing a centralized medical record system
US8239218B1 (en) 2004-05-03 2012-08-07 The Medical RecordBank, Inc. Method and apparatus for providing a centralized medical record system
WO2007002213A1 (en) * 2005-06-21 2007-01-04 Ashbec Llc Treatment management system
US7765114B2 (en) 2005-06-21 2010-07-27 Ashbec, Llc Patient treatment management method using treatment regimens
FR2926152A1 (en) * 2009-01-13 2009-07-10 Cie Des Animaux Sa Medical record constituting and updating system for treating e.g. cat, has comparison units comparing code of medical record contained in database with code of animal transmitted by carrier to provide access to database if codes are same
US9162020B2 (en) 2010-07-08 2015-10-20 Gambro Lundia Ab Method and apparatus for controlling an extra-corporeal blood treatment in a medical device

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Publication number Publication date
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