IV Systems - Digital Ecosystem for the verification and documentation of infusion information

Abstract

The present disclosure relates to a method for verifying and documenting an infusion therapy process (S100) comprising the following steps: receiving a medication order, preferably from an IT system (8); converting the medication order into an instruction; first verification of the medication and / or its preparation by a scanner unit (1); second verification of at least one part of the infusion pump by the scanner unit (1); third verification of a patient by the scanner unit (1); monitoring of the infusion administration and fourth verification of the infusion; and documentation of the infusion therapy by transmitting all verifications and monitoring data to an IT system (8).Furthermore, the present disclosure relates to an electronic hardware arrangement (5) for verifying and documenting an infusion therapy process, comprising a user interface (6), a data connection (7), preferably wireless, to at least one IT system (8), a scanner unit (1) for reading data, software or control (10), and an integrated or separate sensor (2).

Description

Technical area

[0001] The present disclosure relates to a method and an electronic hardware arrangement for verifying and documenting an infusion therapy process. Background of the invention

[0002] Especially in the medical field, it is particularly important to minimize or eliminate errors in procedures and processes in order to increase the safety of every patient. In this regard, applications using a scanner / scanner unit are known, which makes it possible to establish the connection between prescription, medication, and patient. Furthermore, there are solutions that enable monitoring of infusion administration. Infusion monitoring systems exist that have the option of manually recording prescription and patient data via the user. However, these differ significantly from user-independent electronic verifications. State of the art

[0003] US 2010 / 280 486 A1 discloses a method for administering medication to a patient using a dispensable medication delivery system. A first medication to be delivered to the patient is provided. The patient's identity is verified, and the first medication is selected on a user interface to be administered to the patient. The amount of medication to be administered to the patient is entered. The first medication is injected into the patient through a flow-through arrangement. The flow rate and volume of the first medication delivered to the patient are monitored by a flow sensor arrangement during the injection. A visual indicator informs the user of the injection. The method updates the patient's electronic medical record to capture and document information regarding the injection of the first medication.

[0004] However, the current state of the art has the disadvantage that, on the one hand, no electronic verification of the medication, patient, etc. is permitted and / or, on the other hand, the infusion process is not verified and documented.

[0005] In view of the state of the art, the object of the present disclosure is to provide a method that eliminates or at least improves the disadvantages of the prior art. One goal of the present disclosure is to make all aspects of infusion therapy safer in order to prevent errors in the process as best as possible or to detect them when they occur, so that the user is informed of a corresponding error and given the opportunity to correct it.

[0006] The object of the present disclosure is achieved by a method for verifying and documenting an infusion therapy process that can be carried out by means of an infusion system according to the features of claim 1.

[0007] The procedure includes the following steps: - In a first step, a medication prescription for a patient is received, preferably from an IT system. - In a second step, the medication prescription is converted into an instruction for action. - In a third step, an initial verification based on the instructions for use of the medication and / or preparation is carried out by a scanner unit. - In a fourth step, a second verification is carried out by the scanner unit based on the instruction of at least one component of the infusion system, in particular an infusion pump, an infusion transfer system and / or a syringe. - In a fifth step, a third verification of the patient is carried out by the scanner unit. - In a sixth step, the infusion administration is monitored and a fourth verification is carried out based on the infusion / infusion administration instructions. - Finally, in a final step, the infusion therapy is documented by transmitting all verifications and monitor data to an IT system via a data connection.

[0008] In other words, information regarding a prescription is received from a first computer application of an IT system, such as a patient documentation system, and converted into an instruction by means of a controller / software. Based on the instruction, the controller / software can then verify whether the medication or preparation is correct. Furthermore, other components of the infusion system that serve as aids for infusion administration must be verified, such as an infusion pump, an infusion transfer system, syringes, etc. Furthermore, the method ensures that the correct patient receives the infusion therapy. During the infusion administration, the method provides monitoring of the infusion and enables verification of the infusion by at least one sensor, in particular a flow rate sensor.As a final step, the complete infusion therapy is documented by transmitting all verifications and monitor data to at least one application of the IT system.

[0009] Further aspects of the present disclosure are described in the subclaims.

[0010] It is preferred if the instruction contains at least one of the following information: - Drug name - Preparation - Flow rate - Patient, and / or - planned time of infusion.

[0011] It is advantageous if the scanner unit reads information in a barcode, QR code, RFID tag, or NFC tag, or takes a photo and compares this with stored information using image and / or pattern recognition. In other words, this means that the scanner unit scans and reads one of the above-mentioned codes or tags. The read information can then be further processed by the controller / software. This verifies the individual process steps mentioned above.

[0012] It is preferred if, during the first verification, the scanner unit captures the barcode, QR code, RFID tag, or NFC tag on a medication package and reads the information, or takes a photo of the medication package and compares it using image and / or pattern recognition. The read or received information can then be compared with stored information, such as the medication prescription, to ensure that the correct medication or preparation is involved. Verification can include comparing read or compared information with the instructions. Information can, for example, be stored in a patient database. Information can preferably be stored in an IT system.

[0013] It is advantageous if, during the second verification, the scanner unit captures the barcode, QR code, RFID tag, or NFC tag on at least part of a component of the infusion system, in particular part of the infusion pump, and reads the information, or takes a photo of at least part of the component of the infusion system, in particular at least part of the infusion pump, and compares it with stored information using image and / or pattern recognition. In this way, components of the infusion system, such as infusion pumps, infusion transfer systems, and / or syringes, can be verified. The verification can include comparing read or compared information with the instruction. Information can, for example, be stored in a patient database. Information can preferably be stored in an IT system.

[0014] During the third verification, it is preferred that the scanner unit captures a patient's barcode, QR code, RFID tag, or NFC tag and reads the information, or takes a photo of the patient and compares it with stored information using image and / or pattern recognition. This verification ensures that the prepared infusion therapy is administered to the correct patient.

[0015] It is advantageous if incorrect medication and / or incorrect preparation can be detected by means of the first verification, and / or if an incorrect connection of components of the infusion system and / or an occlusion in a component of the infusion system, in particular in at least one part of the infusion pump, can be detected by means of the second verification, and / or if a patient-specific therapy problem can be detected by means of the third verification and / or an incorrect allocation of medication and patient can be detected, and / or if an inaccurate flow rate, an incorrect time or an interruption and / or a delay in the flow can be detected by means of the fourth verification.

[0016] In summary, the verifications are performed using a scanner unit, which detects a marking on, for example, a packaging, a patient (e.g., applied to a wristband), or at least one pump part or the packaging of at least one pump part, and reads the information contained therein. Alternatively or additionally, the scanner unit can be designed as a camera, in particular a CCD camera. Verifications can also be performed using this and in combination with image or pattern recognition.

[0017] Furthermore, the present disclosure relates to an electronic hardware arrangement for verifying and documenting an infusion therapy process with a user interface, a preferably wireless data connection to at least one IT system or EDP system or an application of an IT system, in particular a patient documentation system, a scanner unit for reading in data, a software or controller, and an integrated or separate sensor, preferably a flow rate sensor, wherein the electronic hardware arrangement is designed and provided to carry out the steps according to one of the preceding aspects.

[0018] In other words, this means that the electronic hardware arrangement is an arrangement whose connection to one or more applications on an IT system or computer system is intended and designed to carry out the above method steps.

[0019] Advantageously, the user interface is a display, a keyboard and / or a mouse.

[0020] Accordingly, the electronic hardware arrangement is provided and designed such that the scanner unit can read out or read in data / information according to the above first to fourth verifications, so that the software or the controller is provided and designed to output corresponding data to the user via, for example, the user interface.

[0021] The sensor can be designed as a flow rate sensor, for example in the form of a drop counter or an infusion pump, and is intended and designed to detect, for example, the start and end of the infusion. The sensor can be part of the remaining hardware consisting of the user interface and the scanner unit, or alternatively, it can be designed separately from the remaining hardware. This means that the components of the user interface, the scanner unit, and the wireless data connection can be installed in one system. The sensor can be designed as a separate electronic device, which then has a data connection to the remaining components or to at least one application of the EDP / IT system, which then establishes the logical connection.

[0022] It is preferred if the sensor is designed to be connectable to the user interface and the scanner unit or at least an IT system via the data connection. This ensures data transmission and thus documentation with both the integrated sensor and the separate sensor.

[0023] It is advantageous if the scanner unit is provided and designed to read a barcode, a QR code, an RFID tag or an NFC tag or if the scanner unit is designed as a camera, in particular a CCD camera. Short description of the characters Fig. 1 is a diagram illustrating an infusion therapy process according to the present disclosure; Fig. 2 is a diagram illustrating the electronic hardware arrangement according to the present disclosure; and Fig. Figure 3 is a diagram illustrating various flow rate sensors that can be used.

[0024] Hereinafter, embodiments of the present disclosure will be described based on the accompanying figures.

[0025] Fig. 1 is a diagram illustrating an infusion therapy process S100 according to the present disclosure. The infusion therapy process S100 includes a first prescription step S1, a second medication preparation step S2, a third patient access step S3, a fourth application / infusion administration step S4, and a final disposal step S5.

[0026] During the first step S1 and the second step S2, a medication order / prescription is received by an IT system 8, in particular a data documentation system. The information contained therein is converted into an instruction, and the medication is prepared according to the received information. These two steps S1 and S2 are ensured by an initial verification. Thus, the use of an incorrect medication or incorrect preparation of the medication can be detected at this stage, and there is an opportunity for correction.

[0027] In a third step (S3), it is ensured that the prepared medication corresponds to the correct patient's prescription. If verification is successful, the patient is given access for their infusion therapy.

[0028] In the fourth step (S4), the infusion therapy / infusion administration is performed. First, it is ensured that the medication or drug has been assigned to the correct patient (S41). If this is correct, the procedure continues. If the assignment is incorrect, an indication of incorrect medication is displayed. Subsequently, the infusion is administered with a prescribed flow rate and control / monitoring (S42). Components of the infusion system, such as the infusion pump, infusion transfer system, and / or syringes, are verified. If verification is not performed, the following errors may be documented: faulty connection, occlusion / blockage / closure, inaccurate flow rate, or incorrect infusion time.In a further step S43, identifying incompatibilities, therapy-related problems, as well as interruptions and delays, can be detected and documented. Subsequently, in a further step S44, the infusion therapy S100 is documented. Documentation is performed by transmitting all previous verifications and data output during the infusion therapy process S100 to a first or subsequent application of an IT system. If the documentation is incorrect or missing in step S44, the user is notified accordingly.

[0029] In a final step S5, the infusion is stopped and the corresponding disposable components of the infusion therapy process S100 are disposed of.

[0030] Fig. Figure 2 is a diagram illustrating the electronic hardware arrangement 5 for verifying and documenting an infusion therapy process S100 according to the present disclosure. The electronic hardware arrangement 5 has a user interface 6, a preferably wireless data connection 7 to at least one IT system 8, a scanner unit 1 for reading data, a software or controller 10, and an integrated or separate sensor 2, preferably a flow rate sensor. The dashed line in Fig. 2 indicates the possibility of a separate sensor 2. In this case, a further transmission 9 of data is shown for communication between sensor 2 and the remaining hardware. Alternatively, a direct transmission of the data from sensor 2 to the IT system 8 is also conceivable / envisaged.

[0031] The scanner unit 1 is capable of reading a barcode 3, QR code 3, RFID tag 3, or NFC tag 3. Furthermore, the scanner unit 1 can be configured as a camera. In this case, the scanner unit 1 captures a photo / image, which can be compared using image or pattern recognition 4, and the object or medication or drug or at least a part of the infusion pump or the patient can be identified. The comparison can be performed using stored information. This information can be stored, for example, in the IT system 8.

[0032] Fig. Figure 3 is a diagram illustrating various usable flow rate sensors. In the present disclosure, the flow rate sensors depicted serve to monitor 11 the infusion administration according to step S4. Reference symbol 1 scanner unit 2 sensors 3 Code, Day 4 Image / pattern recognition 5 Electronic hardware arrangement 6 User interface 7 Data connection 8 IT system 9 Transmission 10 Control / Software 11 Monitoring QUOTES CONTAINED IN THE DESCRIPTION

[0000] This list of documents submitted by the applicant was generated automatically and is included solely for the convenience of the reader. This list is not part of the German patent or utility model application. The DPMA assumes no liability for any errors or omissions. Cited patent literature

[0000] US 2010 / 280 486 A1

[0003]

Claims

[1] Method for verifying and documenting an infusion therapy process (S100) using an infusion system, comprising the following steps: - Receiving a medication prescription for a patient, preferably from an IT system; - Converting the medication prescription into an instruction for action; - first verification based on the instructions for use of the medicament and / or the preparation by a scanner unit (1) (S1, S2); - second verification based on the instruction of at least one component of the infusion system, in particular an infusion pump, an infusion transfer system and / or a syringe, by the scanner unit (1) (S4); - third verification of the patient by the scanner unit (1) (S41); - monitoring the infusion administration and fourth verification based on the infusion action instruction (S42, S43) by a sensor (2); and - Documentation of infusion therapy by transmitting all verifications and data to an IT system (8) via a data connection (9) (S44). [2] Method according to claim 1, characterized by that the instruction contains at least one of the following information: - Drug name - Preparation - Flow rate - Patient, and - planned time of administration. [3] Method according to one of the preceding claims, characterized by that information in a barcode (3), QR code (3), RFID tag (3) or NFC tag (3) is read out by the scanner unit (1) or a photo is taken and this is compared with stored information by means of image and / or pattern recognition (4). [4] Method according to one of the preceding claims, characterized bythat during the first verification, the scanner unit (1) captures the barcode (3), QR code (3), RFID tag (3) or NFC tag (3) on a packaging of the medication and reads out the information or takes a photo of a packaging of the medication and compares it with stored information by means of image and / or pattern recognition (4), wherein the read out or compared information is compared with the instruction during the verification. [5] Method according to one of the preceding claims, characterized bythat during the second verification the scanner unit (1) detects the barcode (3), QR code (3), RFID tag (3) or NFC tag (3) on at least part of a component of the infusion system, in particular the infusion pump, and reads out the information or takes a photo of the at least part of a component of the infusion system, in particular the infusion pump, and compares it with stored information by means of image and / or pattern recognition (4), wherein the read out or compared information is compared with the instruction during the verification. [6] Method according to one of the preceding claims, characterized by that during the third verification, the scanner unit (1) captures the barcode (3), QR code (3), RFID tag (3) or NFC tag (3) of a patient and reads out the information or takes a photo of the patient and compares it with stored information by means of image and / or pattern recognition (4). [7] Method according to one of the preceding claims, characterized by that by means of the first verification reveals incorrect medication and / or incorrect preparation, and / or the second verification reveals a faulty connection of components of the infusion system and / or an occlusion in at least part of the infusion pump, and / or the third verification reveals a patient-specific therapy problem and / or an incorrect allocation of medication and patient, and / or the fourth verification detects an inaccurate flow rate, incorrect timing, or interruption and / or delay in the flow. [8] Electronic hardware arrangement (5) for verifying and documenting an infusion therapy process (S100) with a user interface (6), a preferably wireless data connection (7) to at least one IT system (8), a scanner unit (1) for reading data, a software or control (10), and an integrated or separate sensor (2), preferably a flow rate sensor, characterized by that the electronic hardware arrangement (5) is designed and provided to carry out the steps according to one of claims 1 to 7. [9] Electronic hardware arrangement (5) according to claim 8, characterized by that the sensor (2) is designed to be connectable to the user interface (6) and the scanner unit (1) or at least one IT system (8) via the data connection (9). [10] Electronic hardware arrangement (5) according to one of claims 8 or 9, characterized bythat the scanner unit (1) is provided and designed to read a barcode (3), a QR code (3), an RFID tag (3) or an NFC tag (3) or the scanner unit (1) is designed as a camera, in particular as a CCD camera.

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