GB2301685A - Patient database for hospital records - Google Patents
Patient database for hospital records Download PDFInfo
- 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- Withdrawn
Links
Classifications
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/10—ICT 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
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT 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
- G16H40/20—ICT 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
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Epidemiology (AREA)
- General Health & Medical Sciences (AREA)
- Medical Informatics (AREA)
- Primary Health Care (AREA)
- Public Health (AREA)
- Chemical & Material Sciences (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Medicinal Chemistry (AREA)
- Medical Treatment And Welfare Office Work (AREA)
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)
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.
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)
| Publication Number | Publication Date |
|---|---|
| GB9511242D0 GB9511242D0 (en) | 1995-07-26 |
| GB2301685A true GB2301685A (en) | 1996-12-11 |
Family
ID=10775455
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| GB9511242A Withdrawn GB2301685A (en) | 1995-06-03 | 1995-06-03 | Patient database for hospital records |
Country Status (1)
| Country | Link |
|---|---|
| GB (1) | GB2301685A (en) |
Cited By (8)
| 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)
| 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 |
| 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 |
-
1995
- 1995-06-03 GB GB9511242A patent/GB2301685A/en not_active Withdrawn
Patent Citations (6)
| 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)
| 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 |
Also Published As
| Publication number | Publication date |
|---|---|
| GB9511242D0 (en) | 1995-07-26 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US8150713B2 (en) | Pharmaceutical treatment effectiveness analysis computer system and methods | |
| US5299121A (en) | Non-prescription drug medication screening system | |
| CN110853723A (en) | Intelligent medicine guidance method, system and equipment | |
| US20050027560A1 (en) | Interactive multi-user medication and medical history management method | |
| CA2465774C (en) | Prescription fulfillment system and method | |
| US20070055550A1 (en) | Personal transportable healthcare data base | |
| DE102006035653A1 (en) | System and user interface for monitoring patient treatment regulations | |
| AU2002331659A1 (en) | Prescription fulfillment system and method | |
| GB2301685A (en) | Patient database for hospital records | |
| JP2006508435A (en) | Clinical trial implementation system | |
| US20040215489A1 (en) | Pharmaceutical patient information system | |
| WO2018044878A1 (en) | Treatment management system and method | |
| Knox et al. | Barriers to utilizing Medicaid smoking cessation benefits | |
| US20040153339A1 (en) | Method and system for handling medical information | |
| US20220405680A1 (en) | Automated Healthcare Provider Quality Reporting System (PQRS) | |
| CA3016299C (en) | Medical information providing system, server, medical information providing device, medical information providing medium, medical information providing method and program | |
| Blok et al. | Provider and clinical setting characteristics associated with tobacco pharmacotherapy dispensed in the Veterans Health Administration | |
| WO2022202359A1 (en) | Information processing device, information processing method, and program | |
| JP2002149818A (en) | Outside prescription system | |
| US20180232496A1 (en) | Method and system for personalizing drug dosages | |
| WO2002027999A2 (en) | Method and device for a health management system | |
| AU2021102556A4 (en) | Investigation of adverse drug reaction through smart detection of drugs interaction | |
| Franzoso | An effective tool to manage the distribution of medicines and monitor the treatment in hospital pharmacies. | |
| CA2306674A1 (en) | Medication tracking system | |
| Geller et al. | The Impact of Florida Law HB21 on Opioid Prescribing Patterns After Outpatient Hand Surgery |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| WAP | Application withdrawn, taken to be withdrawn or refused ** after publication under section 16(1) |