WO2018167225A1

WO2018167225A1 - System and method for creating a medication plan

Info

Publication number: WO2018167225A1
Application number: PCT/EP2018/056576
Authority: WO
Inventors: Jürgen OSTERBRINK; Daniel ZENZ; Maria FLAMM
Original assignee: Grünenthal GmbH
Priority date: 2017-03-17
Filing date: 2018-03-15
Publication date: 2018-09-20

Abstract

The invention relates to a system for creating a medication plan for a patient, comprising: a central unit (10), which has a memory (12); a first terminal (100), which is remote from the central unit (10) and which is connected to the central unit (10) by means of the Internet (50); a second terminal (200), which is remote from the central unit (10) and which is connected to the central unit (10) by means of the Internet (50); and a third terminal (300), which is remote from the central unit (10) and which is connected to the central unit (10) by means of the Internet (50).

Description

System and method for creating a medication plan

Field of the invention

The invention relates to a system and a method for creating a platform-based medication plan with targeted communication between carers, doctors and pharmacists for patients with chronic diseases.

State of the art

When administering medicines to, for example, residents or patients in retirement homes or at home care, there is often the challenge that different occupationally active occupational groups assume different tasks in the planning, execution and evaluation of the medication of these patients. Furthermore, it is known that, for example, undesirable drug interactions of various drugs that a patient takes may have adverse health effects. Another challenge is that chronically ill patients do not tolerate certain medications or certain combinations of medications as well as other patients do.

Even if different people prescribe medication to a single patient, it is important to avoid the occurrence of unwanted interactions between the medications prescribed by different people. This goal has hitherto been pursued for example by the creation of medication plans.

US 2002/0029223 A1 describes a system in which a "drug interaction engine" is switched on via the Internet, which information about Interactions of drugs in the sense of individual patient-based profiling provides.

Disclosure of the invention

The object of the invention is to provide an improved system for creating a medication plan for a patient, wherein in particular the disadvantages of the prior art should be remedied, for example, should negative health effects, which could arise due to the medication plan, be avoided as far as possible.

One aspect of the invention relates to a system for creating a medication plan for a patient with a central processing unit comprising a memory, a first terminal remote from the central unit, which is connected to the central unit via the Internet, a second terminal remote from the central unit connected to the central unit via the Internet, and a third terminal remote from the central unit, which is connected to the central unit via the Internet, the central unit being arranged to: receive and store unreflected data relating to a patient's medication plan to be created from the first one Terminal and / or from the third terminal, sending the unreflected data to the second terminal, receiving reflected data received from the unreflected data from the second terminal, storing the reflected data in the memory, and upon a request to send the unreflected data and / or the reflected data to the first terminal and / or to the second terminal and / or to the third terminal, the first terminal being arranged to receive an input of unreflected data from a first person, the second terminal is arranged to display the unreflected data of a second person and to receive an input of the reflected data from the second person, and wherein the third terminal is adapted to retrieve the reflected data from the central unit and display the reflected data as a third person's medication regimen so that the third person can obtain information about which medications to administer to the patient.

Another aspect of the invention relates to a method of creating a medication plan for a patient receiving unreflected data regarding a patient's medication regimen to be made from a first terminal and / or a third terminal, storing the unreflected data in a memory of a central processing unit; Sending the unreflected data to a second terminal by the central unit, displaying the unreflected data on the second terminal, receiving an input of a second person at the second terminal to obtain data reflected from the unreflected data, receiving by the central unit the unreflected one Data received reflected data from the second terminal, storing the reflected data in the memory of the central processing unit, and wherein the third terminal retrieves the reflected data from the central processing unit and displays the reflected data as a third person's medication plan.

In typical systems of the invention, the third terminal is arranged to allow the input of unreflected data and is further adapted to transmit this unreflected data to the central processing unit.

Typically, the first terminal may be located in a doctor's office. In embodiments, the first terminal interfaces with a data processing system of a medical office. In further embodiments, the first terminal is formed by an operating unit of a data processing system of a doctor's office.

Typically, the second terminal may be located in a pharmacy. In embodiments, the second terminal interfaces with a pharmacy data processing system. In further embodiments, the second terminal is formed by an operating unit of a data processing system of a pharmacy. Typically, the third terminal may be housed in a care facility. In embodiments, the third terminal interfaces with a data processing system of a care facility. In further embodiments, the third terminal is formed by an operating unit of a data processing system of a care facility. Typical nursing homes can be used by nursing homes, hospitals,

Rehabilitation facilities, hospices, nursing homes or the home environment.

In typical embodiments, the following actions are performed by nursing staff at the third terminal: collecting and assembling all relevant information and / or indications of possible difficulties and obstacles in the prescribed therapy, for example according to the medication plan. Such hints and information are encompassed by the term "data." Typically, at the third terminal, caregivers may be informed of the medication regimen so as to reliably facilitate treatment of the patient.

In typical embodiments, at the first terminal, the following actions are performed by a physician: Deciding on medical prescriptions taking into account all relevant information; Give hints to possible difficulties and observation needs. Such hints and decisions are encompassed by the term "data".

In typical embodiments, at the second terminal, the following actions are performed by a pharmacist: review the medical prescriptions and make annotations thereto. Such comments are included within the term "data".

By "creating" a medication plan is typically understood at least one of the following activities: planning, implementation and evaluation of the medication of a typically chronically ill patient. Typically, the memory is configured to store the unreflected data and / or the reflected data in encrypted form. In this way, for example, in the event of theft, the data can be prevented from entering unauthorized hands.

Typically, at least one of the terminals is arranged to transfer the unreflected data and / or the reflected data into a respective local database system which is locally connected to the respective terminal. This may be, for example, a data processing system of a practice or the data processing system of a pharmacy or the data processing system of a care facility. In this way, data can be automatically taken over and reconciled so that work concerning the input or transmission of data by a user becomes easier or redundant.

Typical central units of inventions include a conflict manager for the unreflected data and / or the reflected data which, in the event of data conflicts, sends conflict notices to at least one of the terminals. Conflicts can occur, for example, when individual terminals are not connected to the Internet. Typical terminals may also be mobile connected to the Internet as mobile terminals. This makes it possible, for example, for a doctor to enter data directly into a carried mobile terminal when visiting a patient in a care facility, which can be used as a first terminal or which functions as a mobile terminal of the first terminal. In typical embodiments, a data-based plausibility check in the sense of the indication is possible.

Typical methods of creating a medication plan for a patient include sending unreflected data to a second terminal by the central processing unit. By displaying the data relating to the medication plan and receiving an input from a second person serving the second terminal, the data can be checked to become reflected data. Thus, an interaction check of the medication by eg. A pharmacist is specifically possible. Advantages of the invention are, in particular, easier coordination among skilled personnel with regard to a medication plan. Furthermore, unwanted drug effects are avoided more reliably. Compared to automated medication verification algorithms, methods and devices of the invention have the advantage of human control according to the four-eye principle and also allow deeper collaboration, for example, communication optimization, indication check or interaction check, of the persons involved, such as doctors, nurses and pharmacists.

Brief description of the figures

The invention will be explained with reference to the following figures, but the invention is not limited to the embodiment shown in the figures.

Figure 1 shows a schematic view of an embodiment of a system according to the invention; and

Figure 2 shows a schematic view of typical features of a

Procedure for which the system of Figure 1 is established.

Description of embodiments

FIG. 1 shows a system 1 with which a medication plan can be created and maintained. The medication plan is typically part of a treatment of a patient, in particular a patient, who is housed in a retirement home or nursing home or in the home. The system 1 comprises a central unit 10, which in turn comprises a memory 12. The central processing unit 10 is connected to a plurality of terminals 100, 200, and 300 via the Internet (Wide Area Network, WAN) 50.

The central processing unit is configured to receive un-reflected data regarding the medication of a patient from the first terminal 100. For this purpose, the first terminal 100 is adapted to receive input from a doctor.

In embodiments, inputs from a third terminal can first be included in a care facility, which are then reviewed by the doctor at the first terminal 100 after being transmitted via the central unit 10. The doctor can then, for example, make an adjustment of the medication plan at the terminal 100.

Typically, a doctor at the first terminal checks the indication, ie whether the right drug has been given in the correct dose. The pharmacist typically checks the pharmacological interaction of the prescribed drug at the second terminal. In this way, the nursing staff at the third terminal is able to act reliably.

Typically, the first terminal is located in a doctor's office, for example, in a family practice or in a medical practice or in a practice of another specialty, or in a medical care center with various medical specialists. In embodiments, the first terminal may also be mobile, or the first terminal may be operated via a mobile terminal connected to the first terminal. In embodiments, further terminals, ie fourth, fifth or even more terminals are present, which may be present, for example, in a specialized practice or in a hospital to receive input from a specialist or from clinical staff or to display a medication plan for information or for revision.

The physician can send a medication plan for the patient via the first terminal 100 to the central unit 10. Since such a medication plan is after a re-creation by the doctor or after a change by the doctor, even without verification by another person, the underlying the medication plan at this time data are also referred to as unreflected data. Likewise, changes to a medication plan by a specialist referred to as unreflected, as long as, for example, the family doctor, for example, the indication or a pharmacist, for example, the interaction of the medication plan have checked.

The unreflected data received by the first terminal 100 is stored by the central processing unit 10 in the memory 12 and then sent to the second terminal 200. The second terminal 200 is typically located in a pharmacy or other clinically-trained pharmaceutical expert. In further embodiments, the second terminal may also be arranged in a second doctor's office or at another doctor of a medical care center. The effect of a review of the medication plan by a second person at a second terminal so that data reflected from the unreflected data is generated can thus be achieved by various concrete embodiments.

A pharmacist or other second person operating the second terminal 200 receives the unreflected data from the second terminal 200 and can check whether the medication plan resulting from the unreflected data has a negative impact from patient data also transmitted by the central processing unit Drug interactions or similar can be expected. If this is the case, the pharmacist at the second terminal with the received unreflected data, a corresponding note, for example, after medication check type 1, enter and then return this data as reflected data, that is, together with the note to the central unit 10 where they in turn are stored in the memory 12 as reflected data. The second terminal is operated by a pharmacist as a second person in the described embodiment. Likewise, the unreflected data can also be confirmed unchanged at the second terminal by the second person, so that they remain unchanged as reflected data, which are likewise sent back to the central unit 10 and stored there in the memory 12 as reflected data.

Should the reflected data stored in the memory 12 have received a note at the second terminal, then corresponding information is typically sent to the first terminal 100. There, the doctor operating the first terminal 100, which is also referred to as the first person, can change the medication plan based on the note entered in the second terminal 200.

Typical central processing units are set up to transmit this reflected data to the first terminal 100 for further processing upon receipt of reflected data containing a note.

Likewise, it is also possible in embodiments that the pharmacist at the second terminal 200 instead of a memorandum directly changes the data regarding the medication plan, so that an interaction with the doctor via the first terminal 100 is no longer mandatory.

The system is typically configured to transmit the reflected data to the respective polling terminal 100, 300 upon a poll from the first terminal 100 or upon a poll from the third terminal 300. An analogous function can also be set up for the second terminal 200.

The third terminal 300 is typically located in a nursing home or home or home in which the patient for whom the medication plan has been created is being cared for. A third person may operate the third terminal 300 and, for example, retrieve the medication plan from the memory 12 based on the reflected data from the central processing unit 10. Typically, the third is Person a caregiver, such as a nurse or a nurse.

Typical embodiments of systems according to the present invention may include means 400 adapted to automatically retrieve medication or a medication regimen for a patient from the unreflected data stored in the memory 12 of the central unit 10 and based on databases or based on artificial intelligence and possibly based to identify or indicate on the patient data of the respective patient possible interactions between drugs or between drugs and known diseases of the patient.

Typically, the interactions detected by the device 400 are again sent by the device 400 together with the unreflected data to the central processing unit 10 and stored in the memory 12. In a retrieval of the unreflected data by, for example, the second terminal 200 in this way, the interaction hints determined by the device 400 can already be displayed together with the unreflected data regarding the medication plan. In this way, the work of the second person, for example, the pharmacist who operates the second terminal, can be simplified.

Typically, the central processing unit 10 or memory 12 is adapted to store the data in encrypted form. In typical embodiments, the data may be encrypted from the central processing unit to terminals 100, 200, and 300, as well as sent in encrypted form as well.

Terminals 100, 200, and 300 are typically configured to temporarily cache data only. In further embodiments, some or all of the terminals 100, 200 and 300 may have an interface, for example to a database system of a medical practice, which is connectable to the terminal 100. In the terminal 200, one or more interfaces, also implemented by software, may be provided to interact with a database system, for example a pharmacy.

When connecting terminals with database systems, data from the terminals can each be transferred to a respective local database system which is locally connected to the respective terminal. This facilitates the work of the persons who operate the system.

Central processing unit 10, in typical embodiments, includes a conflict manager 16 which, in the event of conflicts of unreflected data or reflected data, sends appropriate instructions to terminals 100, 200 or 300.

Conflicts may arise, for example, in that a terminal 100, 200 or 300 is temporarily disconnected from the Internet 50, but still accepts inputs which will be sent back to the central unit 10 at a later time. If, in the meantime, another of the terminals 100, 200 or 300 has made a corresponding entry or change of data, the conflict manager 16 sends a message to all terminals 100, 200 and 300. Conflict management systems known in the art may be implemented to handle such situations.

A typical method according to one embodiment of the invention for creating a medication regimen for a patient begins with a block 500. The method may be performed with one of the typical embodiments of devices described herein.

At block 510, unreflected data regarding a patient's medication plan to be created or maintained is received by a first terminal. The first terminal is typically operated by a physician or fed with information from a data processing facility of a medical office. Additionally or alternatively, in block 510, unreflected data may also be received from a third terminal, for example, if a physician makes a prescription in the care facility in which the patient resides during a nightly emergency service operation.

At subsequent block 520, the unreflected data is stored in a memory of a central processing unit. The central unit sends the unreflected data to a second terminal in a subsequent block 530.

At block 540, the unreflected data is then displayed on the second terminal. A second person, for example, a pharmacist, may make an entry to the second terminal in a block 550. In this way, the second terminal receives inputs to obtain data reflected from the unreflected data.

In a block 560, the central processing unit receives the reflected data received from the unreflected data from the second terminal and stores the reflected data in the memory of the central processing unit (block 570).

The third terminal retrieves in a block 580 the reflected data from the central processing unit.

Subsequently, the reflected data is displayed as a medication plan of a third person, such as a nurse (block 590). The third person is thus enabled to implement the medication based on the reflected data on the patient to be treated.

Once a change is entered by a person into the first or second terminal (block 600), the process returns to block 510.

If it is decided in block 600 that a patient is to be removed from a database, the method jumps to block 610, in which the patient or the data associated with him is deleted or archived, and then ends in block 620.

Claims

claims

System for creating a medication plan for a patient with

a central processing unit (10) comprising a memory (12),

a first terminal (100) remote from the central unit (10) and connected to the central unit (10) via the Internet (50),

- A second of the central unit (10) remote terminal (200) which is connected via the Internet (50) to the central unit (10), and

a third terminal (300) remote from the central unit (10) and connected to the central unit (10) via the Internet (50),

- wherein the central unit (10) is set up for:

Receiving and storing unreflected data relating to a patient's medication plan to be prepared by the first terminal (100) and / or the third terminal (300),

Sending the unreflected data to the second terminal (200),

Receiving reflected data obtained from the unreflected data from the second terminal (200),

Storing the reflected data in the memory (12), and on a call, sending the unreflected data and / or the reflected data to the first terminal (100) and / or to the second terminal (200) and / or to the third terminal (300),

wherein the first terminal (100) is arranged to receive an input of unreflected data from a first person,

- wherein the second terminal (200) is arranged to display the unrefiektierten data of a second person and to receive an input of the reflected data from the second person, and

wherein the third terminal (300) is arranged to retrieve the reflected data from the central processing unit (10) and to display the reflected data as a third person's medication regimen so that the third person can obtain information about which medications to administer to the patient.

The system of claim 1, wherein the third terminal (300) is adapted to allow the input of unreflected data and is further adapted to transmit it to the central processing unit (10).

A system according to any one of the preceding claims, wherein the first terminal (100) is housed in a doctor's office.

4. System according to one of the preceding claims, wherein the second terminal (200) is housed in a pharmacy.

A system according to any one of the preceding claims, wherein the third terminal (300) is housed in a care facility.

6. System according to one of the preceding claims, wherein the memory (12) is adapted to store the unrefiectierten data and / or the reflected data encrypted.

7. System according to one of the preceding claims, wherein at least one of the terminals (00, 200, 300) are adapted to transfer the unreflected data and / or the reflected data in a respective local database system, which to the respective terminal (100, 200, 300) is locally connected.

A system according to any one of the preceding claims, wherein the central processing unit (10) comprises a conflict manager for the unreflected data and / or the reflected data which, in conflicts within that data, sends conflict notifications to at least one of the terminals (100, 200, 300).

9. A method for creating a medication plan for a patient with

Receiving unreflected data relating to a patient's medication plan to be created from a first terminal and / or from a third terminal (510),

- storing the unreflected data in a memory of a central processing unit (520);

Sending the unreflected data to a second terminal by the central unit, (530)

Displaying the unreflected data on the second terminal (540),

Receiving a second person input at the second terminal to obtain data reflected from the unreflected data (550),

Receiving, by the central processing unit, the reflected data obtained from the unreflected data from the second terminal (560),

Storing the reflected data in the memory of the central processing unit (570), and - wherein the third terminal retrieves the reflected data from the central processing unit (580) and displays the reflected data as a third person's medication plan (590).