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WO2018167225A1 - Système et procédé de création d'un plan de médication - Google Patents

Système et procédé de création d'un plan de médication Download PDF

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Publication number
WO2018167225A1
WO2018167225A1 PCT/EP2018/056576 EP2018056576W WO2018167225A1 WO 2018167225 A1 WO2018167225 A1 WO 2018167225A1 EP 2018056576 W EP2018056576 W EP 2018056576W WO 2018167225 A1 WO2018167225 A1 WO 2018167225A1
Authority
WO
WIPO (PCT)
Prior art keywords
terminal
data
unreflected
reflected
person
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.)
Ceased
Application number
PCT/EP2018/056576
Other languages
German (de)
English (en)
Inventor
Jürgen OSTERBRINK
Daniel ZENZ
Maria FLAMM
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Gruenenthal GmbH
Original Assignee
Gruenenthal GmbH
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 Gruenenthal GmbH filed Critical Gruenenthal GmbH
Publication of WO2018167225A1 publication Critical patent/WO2018167225A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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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
    • 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
    • G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Definitions

  • 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.
  • 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.
  • 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
  • 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.
  • 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.
  • the first terminal may be located in a doctor's office.
  • the first terminal interfaces with a data processing system of a medical office.
  • the first terminal is formed by an operating unit of a data processing system of a doctor's office.
  • 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.
  • 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,
  • 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.”
  • caregivers may be informed of the medication regimen so as to reliably facilitate treatment of the patient.
  • 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”.
  • the following actions are performed by a pharmacist: review the medical prescriptions and make annotations thereto. Such comments are included within the term "data”.
  • 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.
  • 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.
  • 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.
  • 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.
  • Figure 1 shows a schematic view of an embodiment of a system according to the invention.
  • Figure 2 shows a schematic view of typical features of a
  • 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.
  • WAN Wide Area Network
  • the central processing unit is configured to receive un-reflected data regarding the medication of a patient from the first terminal 100.
  • the first terminal 100 is adapted to receive input from a doctor.
  • 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.
  • 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.
  • 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.
  • the first terminal may also be mobile, or the first terminal may be operated via a mobile terminal connected to the first terminal.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • the central processing unit 10 or memory 12 is adapted to store the data in encrypted form.
  • 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.
  • 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.
  • one or more interfaces, also implemented by software, may be provided to interact with a database system, for example a pharmacy.
  • 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 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
  • block 600 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.

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  • Engineering & Computer Science (AREA)
  • Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Primary Health Care (AREA)
  • Public Health (AREA)
  • Pathology (AREA)
  • Biomedical Technology (AREA)
  • Chemical & Material Sciences (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Medicinal Chemistry (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

L'invention concerne un système servant à créer un plan de médication pour un patient. Le système comprend une unité centrale (10) qui comprend une mémoire (12), un premier terminal (100) éloigné de l'unité centrale (10), lequel est raccordé à l'unité centrale (10) par Internet, un deuxième terminal (200) éloigné de l'unité centrale (10), lequel est raccordé à l'unité centrale (10) par Internet (50), et un troisième terminal (300) éloigné de l'unité centrale (10), lequel est raccordé à l'unité centrale (10) par Internet (50).
PCT/EP2018/056576 2017-03-17 2018-03-15 Système et procédé de création d'un plan de médication Ceased WO2018167225A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102017105824.9 2017-03-17
DE102017105824 2017-03-17

Publications (1)

Publication Number Publication Date
WO2018167225A1 true WO2018167225A1 (fr) 2018-09-20

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PCT/EP2018/056576 Ceased WO2018167225A1 (fr) 2017-03-17 2018-03-15 Système et procédé de création d'un plan de médication

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WO (1) WO2018167225A1 (fr)

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020029223A1 (en) 2000-03-08 2002-03-07 Rice Marion R. Prescription network supporting doctors, care givers and online drug store interaction
US20060149416A1 (en) * 2004-12-03 2006-07-06 Saudi Arabian Oil Company System and software of enhanced pharmacy services and related methods

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020029223A1 (en) 2000-03-08 2002-03-07 Rice Marion R. Prescription network supporting doctors, care givers and online drug store interaction
US20060149416A1 (en) * 2004-12-03 2006-07-06 Saudi Arabian Oil Company System and software of enhanced pharmacy services and related methods

Non-Patent Citations (6)

* Cited by examiner, † Cited by third party
Title
ANONYMOUS: "Apotheker prüfen Heim-Medikationspläne", APOTHEKE ADHOC, 29 January 2016 (2016-01-29), XP055478258, Retrieved from the Internet <URL:https://www.apotheke-adhoc.de/nachrichten/detail/politik/arzneimittelsicherheit-intherakt-apotheker-pruefen-heim-medikationsplaene/print.html> [retrieved on 20180524] *
ANONYMOUS: "InTherAKT", 5 February 2017 (2017-02-05), XP055478022, Retrieved from the Internet <URL:http://web.archive.org/web/20170205103653/https://www.grunenthal.de/grt-web/Grunenthal_GmbH_Deutschland/Engagement/Gesundheitsmanagement/inTherAKT/de_DE/322400049.jsp> [retrieved on 20180524] *
ANOYMOUS: "Pro Dialog", 3 June 2016 (2016-06-03), XP055478091, Retrieved from the Internet <URL:https://www.aok-gesundheitspartner.de/imperia/md/gpp/bund/arztundpraxis/prodialog/2016/prodialog_030616.pdf> [retrieved on 20180524] *
HEIKE E. KRÜGER-BRAND: "Medikationsplan für mehr Sicherheit", DEUTSCHES ÄRZTEBLATT, vol. 112, no. 36-36, 31 August 2015 (2015-08-31), pages A1410 - A7, XP055477944 *
M. BHOSLE: "Computerized Physician Order Entry Systems: Is the Pharmacist's Role Justified?", JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, vol. 11, no. 2, 21 November 2003 (2003-11-21), AMSTERDAM, NL, pages 125 - 126, XP055478096, ISSN: 1067-5027, DOI: 10.1197/jamia.M1469 *
MEDIENHAUS MÜNSTER: "InTherAKT - Therapieren heißt kooperieren", YOU TUBE, 22 April 2016 (2016-04-22), pages 1, XP054978370, Retrieved from the Internet <URL:https://www.youtube.com/watch?v=5Nlp77vviiY> [retrieved on 20180524] *

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