JP2008529670A - 未決投薬指令の管理方法 - Google Patents
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Abstract
【解決手段】全ての未決投薬指令は、コントローラのスクリーンに表示され、かつ臨床医により選択される。患者への注入を行うコントローラの未決指令は、該指令に従って注入ポンプの自動的なプログラミングを生じさせる。他の指令の経口選択としての、コントローラにおける経口投与は、指令が管理される医療施設のサーバへ通知される。このような通知は、未解決の規制品目のトランズアクションを解決しかつ患者のeMARに適した情報を提供する。未決指令の選択は、投薬識別により、手動又は自動的に行われる。
【選択図】図2
Description
1)「正しい」患者であることを保証するために、走査されたラベルが、コントローラと連携している同じ患者IDを有しているかをチェックし、
2)「正しい」薬剤及び濃度であることを保証するために、走査された投薬用の薬剤ライブラリ入力を自動的に選択し、かつ
3)「正しい」投薬量であることを保証するために、連携している注入ポンプに、薬剤投与量パラメータを自動的に入力する。
22 患者
24 容器
28 注入ポンプ
30 コントローラ
32 自動識別モジュール
34 バーコードリーダ
35 サーバ
36 ソース
37 自動調剤機(ADM)
38 患者ID
39 臨床医識別データ
40 バーコードリーダ
42 ディスプレイ
44 ソフトキー、薬剤ライブラリ
46 ラベル、コントローラプロセッサ
48 患者EMAR、プロセッサ
50 プロセッサ
Claims (26)
- 医療施設における患者に対する未決投薬指令の管理システムであって、
患者の近くに配置されている注入ポンプと、
注入ポンプの近くに配置され、前記注入ポンプの操作をコントロールしうるようになっているコントローラと、かつコントローラプロセッサを備え、
コントローラの近傍に位置し、このコントローラにより演算操作されるディスプレイ、
患者から患者識別データを取得し、この患者識別データを、コントローラへ提供するように構成された識別デバイスとを備え、
前記コントローラプロセッサは、
前記識別デバイスから前記患者識別データを受け取り、
前記患者識別データに基づいて、患者識別用に受け取るシグナルを提供し、
識別された患者に関する未決投薬指令を受け取り、かつ
前記識別された患者用として受け取った未決投薬指令を、ディスプレイに表示するようになっていることを特徴とするシステム。 - 識別デバイスは、臨床医から、臨床医識別データを取得し、この臨床医識別データを、前記コントローラに提供するようにも構成され、かつ
臨床医識別データを受け取った後にのみ、前記コントローラプロセッサは、患者識別用に受け取ったシグナルを提供するように構成されていることを特徴とする請求項1に記載のシステム。 - 識別デバイスは、臨床医から、臨床医識別データを取得し、この臨床医識別データを、前記コントローラに提供するようにも構成され、
前記コントローラは、ディスプレイ上に表示された未決投薬指令の選択を可能にするように構成された選択デバイスを含み、かつ
前記コントローラプロセッサは、臨床医識別データを受け取り、この臨床医識別データを受け取った後にのみ、選択デバイスの使用を可能にするように構成されていることを特徴とする請求項1に記載のシステム。 - 識別デバイスは、臨床医から、臨床医識別データを取得し、この臨床医識別データを、前記コントローラに提供するようにも構成され、
前記コントローラプロセッサは、臨床医識別データを受け取り、識別された臨床医が、識別された患者を補助する権限を与えられている場合にのみ、識別された患者のための未決投薬指令を表示するように構成されていることを特徴とする請求項1に記載のシステム。 - 識別デバイスは、臨床医から、臨床医識別データを取得し、この臨床医識別データを、前記コントローラに提供するようにも構成され、
前記コントローラプロセッサは、臨床医識別データを受け取り、識別された臨床医が、選択された未決投薬指令を実行する権限を与えられている場合にのみ、臨床医に、表示された複数の未決投薬指令から、1つの未決投薬指令を選択することを許容するように構成されていることを特徴とする請求項1に記載のシステム。 - コントローラプロセッサは、表示された未決投薬指令の選択後に、医療施設の第2のプロセッサに、未決投薬指令を実行した旨のシグナルを提供するように構成されていることを特徴とする請求項1に記載のシステム。
- コントローラプロセッサは、表示された未決投薬指令を手で選択した後に、医療施設の第2のプロセッサに、前記未決投薬指令を実行した旨のシグナルを提供するよう構成されていることを特徴とする請求項6に記載のシステム。
- 識別デバイスは、薬剤から、薬剤識別データを取得し、この薬剤識別データを、前記コントローラに提供するようにも構成され、
前記コントローラプロセッサは、表示された未決投薬指令のデータに対応する薬剤識別データを受け取った後に、表示された前記未決投薬指令を自動的に選択するように構成されていることを特徴とする請求項6に記載のシステム。 - コントローラプロセッサは、注入ポンプをモニタし、かつ
表示された未決投薬指令に従って、注入ポンプによる注入が行われていることを確認した後に、医療施設の第2のプロセッサに、未決投薬指令を実行した旨のシグナルを提供するように構成されていることを特徴とする請求項1に記載のシステム。 - コントローラプロセッサは、
選択された未決投薬指令に従って、薬剤が患者に投与されたことに関する手動の指示を受け取り、かつ
この手動の投薬指示を受け取った後に、医療施設の第2のプロセッサに、未決投薬指令を実行した旨のシグナルを提供するように構成されていることを特徴とする請求項1に記載のシステム。 - 規制品目を含む、表示された未決投薬指令の選択後に、コントローラプロセッサは、規制品目の管理シグナルを、医療施設の第2のプロセッサに提供するように構成されていることを特徴とする請求項1に記載のシステム。
- 第2のプロセッサは、規制品目の管理シグナルを、ログに書き込み、これにより規制品目の取り出しのためのトランズアクションを決定するように構成されていることを特徴とする請求項11に記載のシステム。
- 更に調剤サイトの調剤プロセッサを備え、
この調剤サイトプロセッサは、規制品目が調剤されたときに、規制品目取り出しシグナルを、医療施設の第2のプロセッサに提供し、
規制品目取り出しシグナルの提供からの経過時間を第2のプロセッサが追跡し、第2のプロセッサが、予め設定した時間内に、規制品目取り出しシグナルを受け取らなかったときに、第2のプロセッサは、アラートシグナルを発生させるようになっていることを特徴とする請求項1に記載のシステム。 - 調剤プロセッサは、取り出された規制品目に関連する未決指令を識別したこと、及び未決指令用の患者を識別したことを、第2のプロセッサに送るように構成され、
第2のプロセッサは、調剤プロセッサにより識別された未決指令の患者用の患者識別受け取りシグナルを受け取ったか否かを決定し、
患者識別シグナルをコントローラから受け取った場合に、第2のプロセッサは、患者識別受け取りシグナルを提供したコントローラに、アラートを伝えるようになっていることを特徴とする請求項13に記載のシステム。 - コントローラプロセッサは、表示された未決指令の手動選択の後に、規制品目投与シグナルを第2のプロセッサに提供するようになっていることを特徴とする請求項11に記載のシステム。
- 識別デバイスは、投薬の内容から投薬識別データを取得し、かつ該投薬識別データをコントローラに提供するように構成され、かつ
表示された未決指令と一致する、識別デバイスからの投薬識別データを受け取った後に、コントローラプロセッサは、自動的に、規制品目投与シグナルを、第2のプロセッサに提供するように構成されていることを特徴とする請求項11に記載のシステム。 - 識別デバイスは、投薬の内容から投薬識別データを取得し、かつ該投薬識別データをコントローラに提供するように構成され、かつ投薬識別データは、薬剤識別と薬剤投与情報を含み、さらに、
前記薬剤識別と薬剤投与情報と、未決投薬指令とを比較し、未決投薬指令と一致していると決定されると、コントローラプロセッサは、一致した未決指令の選択ができるようになっていることを特徴とする請求項1に記載のシステム。 - 一致した指令が選択されたときに、コントローラプロセッサは、一致した未決指令用のポンピングパラメータで、注入ポンプを自動的にプログラムするようになっていることを特徴とする請求項17に記載のシステム。
- 識別デバイスは、投薬の内容から投薬識別データを取得し、この識別データをコントローラに提供するよう構成され、かつ投薬識別データは、薬剤識別と薬剤投与情報を含み、さらに
コントローラプロセッサは、薬剤ライブラリにアクセスし、投薬識別データを薬剤ライブラリのデータと比較し、かつ投薬識別データが薬剤ライブラリと一致していないときに、警報を発生するように構成されていることを特徴とする請求項1に記載のシステム。 - 未決投薬指令の選択後に、コントローラプロセッサは、医療施設の第2のプロセッサと連携し、選択された未決投薬指令に関する更新された情報を得るようになっていることを特徴とする請求項1に記載のシステム。
- 注入ポンプに位置し、かつこの注入ポンプの操作をコントロールしているコントローラを、患者からの識別データを読み取ることにより、患者と連携させ、
識別された患者用の未決投薬指令を受け取り、
受け取った識別された患者用の未決投薬指令を、コントローラに位置するディスプレイスクリーンに表示し、かつ
コントローラの複数の表示された未決投薬指令から、1つの未投与投薬指令を選択することを含んでいることを特徴とする未決投薬指令を提供する方法。 - 更に、薬剤の内容から薬剤識別データを読み取り、
読み取った投薬データを、表示された未決指令と比較し、かつ
読み取った投薬データと一致する未決指令を選択することを含んでいることを特徴とする請求項21に記載の方法。 - 更に、読み取った投薬データを、表示された複数の未決投薬指令からの特定の未投与投薬指令と一致させた後に、注入ポンプのプログラムを行うことを含んでいることを特徴とする請求項22に記載の方法。
- 医療施設の患者に対する未決投薬指令の管理システムであって、
患者近傍の注入ポンプと、
注入ポンプ近傍に配置され、該注入ポンプの操作をコントロールし、かつコントローラプロセッサを備えるコントローラと、
コントローラの近傍に位置し、このコントローラで演算操作されるディスプレイと、
患者から患者識別データを取得し、患者識別データをコントローラへ提供し、かつ薬剤の内容から薬剤識別データを取得し、薬剤識別データをコントローラへ提供するように構成された識別デバイスとを備え、
前記コントローラプロセッサは、
前記識別デバイスから前記患者識別データを受け取り、
前記患者識別データに基づいて、患者識別用に受け取るシグナルを提供し、
識別された患者に関する未決投薬指令を受け取り、
前記識別された患者用として受け取った未決投薬指令を、ディスプレイに表示し、
表示された未決指令のデータに対応する投薬識別データを受け取った後に、自動的に表示された未決指令を選択し、かつ
一致した指令が選択されたときに、一致した未決指令用のポンピングパラメータをもって、注入ポンプを自動的にプログラムするようになっていることを特徴とするシステム。 - 規制品目を含む表示された未決投薬指令の選択後に、コントローラプロセッサは、規制品目の投与シグナルを、医療施設の第2のプロセッサに提供するように構成されていることを特徴とする請求項24に記載のシステム。
- 更に調剤サイトの調剤プロセッサを備え、
該調剤サイトプロセッサは、規制品目が調剤されたときに、規制品目取り出しシグナルを、医療施設の第2のプロセッサに提供し、
規制品目取り出しシグナルの提供からの経過時間を第2のプロセッサが追跡し、第2のプロセッサが、予め設定した時間内に、規制品目取り出しシグナルを受け取らなかったときに、第2のプロセッサは、アラートシグナルを発生させるようになっていることを特徴とする請求項25に記載のシステム。
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PCT/US2006/004864 WO2006086701A1 (en) | 2005-02-11 | 2006-02-10 | Management of pending medication orders |
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US20180272061A1 (en) | 2018-09-27 |
CY1111040T1 (el) | 2013-09-04 |
EP1846065B1 (en) | 2010-06-16 |
US11590281B2 (en) | 2023-02-28 |
AU2006213718A1 (en) | 2006-08-17 |
CA2596881A1 (en) | 2006-08-17 |
US20060200369A1 (en) | 2006-09-07 |
AU2006213718B2 (en) | 2011-11-03 |
PL1846065T3 (pl) | 2010-11-30 |
US9427520B2 (en) | 2016-08-30 |
US10668211B2 (en) | 2020-06-02 |
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