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WO1998050840A2 - Systeme de distribution de stupefiants - Google Patents

Systeme de distribution de stupefiants Download PDF

Info

Publication number
WO1998050840A2
WO1998050840A2 PCT/US1998/009490 US9809490W WO9850840A2 WO 1998050840 A2 WO1998050840 A2 WO 1998050840A2 US 9809490 W US9809490 W US 9809490W WO 9850840 A2 WO9850840 A2 WO 9850840A2
Authority
WO
WIPO (PCT)
Prior art keywords
drug
inventory
computer
vault
pharmacy
Prior art date
Application number
PCT/US1998/009490
Other languages
English (en)
Other versions
WO1998050840A3 (fr
Inventor
James H. King
George T. Saloom
Original Assignee
Pinnacle Intellectual Property Services-International, Inc.
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 Pinnacle Intellectual Property Services-International, Inc. filed Critical Pinnacle Intellectual Property Services-International, Inc.
Priority to AU72951/98A priority Critical patent/AU7295198A/en
Publication of WO1998050840A2 publication Critical patent/WO1998050840A2/fr
Publication of WO1998050840A3 publication Critical patent/WO1998050840A3/fr

Links

Classifications

    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/06—Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
    • 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
    • G16H20/13—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 delivered from dispensers
    • 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

Definitions

  • the present invention relates generally to a system for the distribution of
  • narcotics by health care providers and more particularly, is related to an electronic
  • the CSA provided for the following:
  • Class Schedule 4 (CIV) meet the following criteria:
  • Class Schedule 5 (CV) meet the following criteria:
  • the software of the present invention is named C Safe. This name comes from
  • Class CII has the highest abuse potential and is
  • Another component of the present invention is a
  • narcotic vault Hospital pharmacies have traditionally included a locked narcotics vault
  • the present invention is adapted to
  • invention may also be adapted to electronically communicate with a free standing
  • an eight door narcotics vault is electronically connected to the C ⁇ Safe
  • the present invention works in communication with a computer console that
  • the hospital pharmacy console processor may be arranged in a network configuration to communicate with one or
  • a further component may be needed for communication to be established
  • Procar has been referred to by the present inventors as Procar. Finally, Procar may be
  • the system components including the locked vault, C ⁇ Safe, Procar, the
  • Figure 1 is a diagrammatical view of a preferred embodiment of the system of
  • Figure 2 is a flow chart of a preferred embodiment of the system of the present
  • Figure 3 is a diagrammatical view of a communications link between the C
  • Figure 4 shows an example of a Controlled Drug Administration Record
  • Figure 5 shows an example of a 24 Hour Controlled Substance Record
  • Figure 6 shows an example of an Anesthesia Controlled Substance Sheet
  • Figure 7A shows an example of an Expire Waste or Recall Transaction Record
  • Figure 7B shows an example of the packaging is association with the record of
  • Figure 8A shows an example of barcode labels on various medications
  • Figure 8B shows an example of a label for a particular medication
  • Figure 9 shows a diagrammatical representation showing audit, intervention and
  • the system 10 includes a
  • narcotics vault 12 in communication with a data processor 14 which is adapted to run
  • a pharmacy console data processor 16 is in electronic
  • a vendor 24 may have a computer in
  • the vendor computer 24 may receive
  • the vendor may ship the requested quantities of drugs to the vendor
  • the drugs are received by the health care provider making the purchase order.
  • the drugs are received by the health care provider making the purchase order.
  • the doors may have multiple compartments 28 accessible through individual doors 30.
  • the doors may have multiple compartments 28 accessible through individual doors 30.
  • the C Safe computer 30 may be equipped with electronic latches controlled by the C Safe computer 14.
  • the C Safe computer 14 may be equipped with electronic latches controlled by the C Safe computer 14.
  • C Safe computer may be configured to prevent access by individuals who do not enter
  • the user may be prompted to enter a count of the
  • medstation may refuse access to the nurse unless proper identification is entered into
  • the medstation may prompt the user to enter the nursing station
  • a predetermined threshold quantity of a particular drug supply is
  • C Safe will prompt the user if and when the
  • invention may be configured in a number of ways to automatically place purchase
  • bar codes they may be bar coded by the drug supplier prior to shipment. In either event, bar
  • coding of drug packaging may be useful to hospital technicians in entering drugs at the
  • a commercially available bar code scanning device 23 may be used to gather the needed drug information (i.e., drug type, quantity, expiration date,
  • One such stand alone vault is
  • identification number may be entered into the C Safe computer memory so that the
  • C Safe will provide a data trail tracking each person who accesses
  • Drug tracking with the present invention occurs at each of the following steps:
  • the system of the present invention operates in real time and stores data for an
  • the system may also be used to flag drug
  • the system of the present invention closes the loop of drug distribution
  • the present invention enables users to track a drug from the
  • Figure 2 shows a flow chart and Figure 3 shows a diagram of a communications
  • Figure 4 shows an example of a printing of controlled drug administration
  • CDAR's are generated for non-MedStation areas. These unit-specific records can also be generated.
  • Each sheet is serialized and barcoded to prevent counterfeiting.
  • Figure 5 is another form of CDAR that C ⁇ Safe is capable of printing.
  • Some example names are: CDAR, CSAR, Day Sheet, 24 hour sheet, Single Sheet,
  • Figure 6 shows a form for controlled substances documentation for each kit for
  • Kits can
  • Figure 7A may be used when a pharmacy encounters broken, outdated or
  • FIG. 7B shows an example of a
  • Figure 8 A shows an example of barcode labels on medication. Manufacturer's
  • barcodes can be scanned to identify medications in C ⁇ Safe.
  • C Safe can generate its
  • Figure 8B is an example of a label for a particular medication.
  • Figure 9 represents a diagrammatical view of the forms used during the
  • a line item is one medication, i.e., Morphine 15 mg tablet. If
  • routine reviews The routine audits do not usually result in the imposition of fines.
  • the D.E.A. performs many of its monitoring functions via various forms and
  • Table 2A represents data that can be generated for batch pick lists which
  • Table 3 depicts a chart that will indicate transactions that must be manually
  • C Safe will automatically track medications that have been removed from
  • SICU PCA-IV MORPHINE SULP 10 11151 LOADED
  • C Safe can provide
  • Table 5 shows a proactive diversion tracking report which allows comparison of
  • Table 6 shows that, in urgent situations, pharmacies may loan to or borrow
  • transactions may involve an actual sale or purchase of the item and exchange of a DEA-
  • Table 7 shows a Prescription Pick-Up Receipt in which C Safe generates labels
  • PATIENT NAME FEENEY, ROBERT
  • Medications may be easily transferred between stocks as a separate
  • VARIANCE DUE TO OVER or UNDER FILL (Do not return variance to stock)
  • C Safe can store cost information for each
  • NDC National Drug Code
  • Form 222 to the D.E.A.
  • the D.E.A. reviews these forms in order to detect excessive
  • C ⁇ Safe-NV eliminates the need for the pharmacist to look up the NDC
  • This form requesting authorization to destroy a controlled substance medication in the pharmacy.
  • the D.E.A. reviews the Form 41 and sends notification of its approval to
  • Form 106 must be submitted to the D.E.A. when a hospital experiences theft or
  • each dose of each controlled substance can be tracked from the
  • Counts include inventory in the pharmacy, on the nursing
  • Performing a Biennial Inventory using manual methods can take several days.
  • Accessible Stock Working inventory staff utilizes (may be entire inventory)
  • Analogs This similarity may also lead to a therapeutic similarity as well. Analogs can be modified chemically to produce the original chemical or substance.
  • Asynchronous Communication Type of communication used with interfaces Transmission in which time intervals between transmitted characters may be of unequal length. Transmission is controlled by start and stop bits at the beginning and end of each character.
  • Batched Signature Sheet Receipt listing all medications that were issued to an individual location. Used to show proof of receipt and or delivery Biennial Inventory Hospital wide inventory of all controlled substances completed every other year and filed with the DEA.
  • C.D.A.R. Controlled Drug Administration Record A form used by non-automated nursing units for the purpose of recording patient administered doses of controlled substances. This form is either medication, unit or patient specific and may remain at the nursing unit until all doses dispensed with the form have been administered.
  • Compounding ratio The ratio set for compounding/add-mixtures function. Usually set to the smallest ratio available using whole numbers. Controlled Substance Medication in schedule C 1 , C , C m , C IV or C v . Any substance determined by the D.E.A. to have addictive or abuse potential. Substances in this category can cause severe to moderate psychological or physical dependence or are addictive in nature
  • Day Sheet A form used by non-automated nursing units for the purpose of recording patient administered doses of controlled substances. Usually preprinted, the form lists the controlled substances which may be used by the unit. This sheet is replaced daily, primarily for billing purposes.
  • D.E.A. Form 41 A mandatory form to be completed and filed with the D.E.A. listing all controlled substances which have expired or are otherwise unusuable. Permission to destroy is granted by the D.E.A. after receipt.
  • Form 106 A mandatory form to be completed and filed with the D.E.A. listing any missing doses of controlled substances.
  • Form 222 A triplicate order form to be completed and filed with the wholesaler for replenishment of CII controlled substances. Wholesaler forwards third copy to D.E.A.
  • Delivery Signature Sheet Receipt listing all medications that were issued to an individual location. Used to show proof of receipt and or delivery.
  • Perpetual Inventory Running total of inventory. Pharmacy Review Report summarizing suggested medication refill quantities for ADMs. Allows user to verify quantities on hand prior to editing. Pick list Report summarizing medication refill quantities for ADMs. Used to pick medications from inventory by medication not transaction.
  • Example: Substance A + Substance B Substance C.
  • Substances A and B are precursors to Substance C.
  • Controlled substance records must be filed and stored on-site in such a manner as to be easily distinguishable from other non-controlled substance records. Many states mandate that CII records be filed separately from all other records. There must also be methods in place to accurately track each dose of each controlled substance during its life cycle in the hospital. Federal law mandates that controlled substance records be readily retrievable for a period of two (2) years. Most states have increased this requirement to 5 years.
  • RS232 Port A standard serial communications port found on most PC's.
  • Shingle Sheet A form used by non-automated nursing units for the purpose of recording patient administered doses of controlled substances. Easily recognizable by the multiple sub forms attached (shingles). This form is medication and/or patient specific and may remain at the nursing unit until all doses dispensed with the form have been administered. Shingles are used for billing purposes. Shingle-less Sheet Form generated by C ⁇ Safe-NV resembling the layout of a shingle sheet. Used by non-automated nursing units for the purpose of recording patient administered doses of controlled substances.
  • State Board of Pharmacy Each state has a Board of Pharmacy which governs the licensing of Pharmacists practicing in that state.
  • the State Board can revoke a pharmacist's privileges to handle controlled substances or in situations where abuse of these privileges is proven, can revoke the pharmacist's license.
  • Wedge Decoder Device used between a laser scanner and the PC that converts scanned bar codes to key strokes.

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  • Engineering & Computer Science (AREA)
  • Business, Economics & Management (AREA)
  • Health & Medical Sciences (AREA)
  • General Business, Economics & Management (AREA)
  • Economics (AREA)
  • Entrepreneurship & Innovation (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Public Health (AREA)
  • Strategic Management (AREA)
  • Human Resources & Organizations (AREA)
  • Epidemiology (AREA)
  • Game Theory and Decision Science (AREA)
  • Quality & Reliability (AREA)
  • Educational Administration (AREA)
  • Development Economics (AREA)
  • Biomedical Technology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Medicinal Chemistry (AREA)
  • Marketing (AREA)
  • Operations Research (AREA)
  • Chemical & Material Sciences (AREA)
  • Tourism & Hospitality (AREA)
  • Physics & Mathematics (AREA)
  • General Physics & Mathematics (AREA)
  • Theoretical Computer Science (AREA)
  • Medical Treatment And Welfare Office Work (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)
  • Warehouses Or Storage Devices (AREA)

Abstract

L'invention concerne un système de distribution de médicaments dans lequel il est possible de contrôler des stupéfiants à partir du moment où ils sont livrés à un établissement de santé jusqu'au moment où ils sont administrés à des patients. Un coffre-fort fermé, accessible seulement par l'accès à un système logiciel informatique, permet l'enregistrement de retraits de médicaments et des personnes effectuant ces retraits. L'invention prévoit un système d'inventaire et de commande.
PCT/US1998/009490 1997-05-08 1998-05-08 Systeme de distribution de stupefiants WO1998050840A2 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU72951/98A AU7295198A (en) 1997-05-08 1998-05-08 System for the distribution of narcotics

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US85295897A 1997-05-08 1997-05-08
US08/852,958 1997-05-08

Publications (2)

Publication Number Publication Date
WO1998050840A2 true WO1998050840A2 (fr) 1998-11-12
WO1998050840A3 WO1998050840A3 (fr) 1999-03-04

Family

ID=25314652

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1998/009490 WO1998050840A2 (fr) 1997-05-08 1998-05-08 Systeme de distribution de stupefiants

Country Status (2)

Country Link
AU (1) AU7295198A (fr)
WO (1) WO1998050840A2 (fr)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2002096339A1 (fr) * 2001-05-25 2002-12-05 Hill-Rom Services, Inc. Ensemble et procede de soin de patient
US6611806B1 (en) * 1999-04-13 2003-08-26 Fff Enterprises, Inc. Lot tracking system for pharmaceuticals
US6637049B2 (en) 2001-05-25 2003-10-28 Hill-Rom Services, Inc. Personal care module
US6978499B2 (en) 2001-05-25 2005-12-27 Hill-Rom Services, Inc. Architectural bed docking apparatus
US7685026B1 (en) * 2000-05-05 2010-03-23 Automed Technologies, Inc. Method of tracking and dispensing medical items
US10796256B2 (en) 2015-01-02 2020-10-06 Paragon Health Process validation and electronic supervision system

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7174678B2 (en) 1999-04-22 2007-02-13 Hill-Rom Services, Inc. Modular patient room

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4847764C1 (en) * 1987-05-21 2001-09-11 Meditrol Inc System for dispensing drugs in health care instituions
US5713485A (en) * 1995-10-18 1998-02-03 Adds, Inc. Drug dispensing system
US5797515A (en) * 1995-10-18 1998-08-25 Adds, Inc. Method for controlling a drug dispensing system

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6611806B1 (en) * 1999-04-13 2003-08-26 Fff Enterprises, Inc. Lot tracking system for pharmaceuticals
US7685026B1 (en) * 2000-05-05 2010-03-23 Automed Technologies, Inc. Method of tracking and dispensing medical items
WO2002096339A1 (fr) * 2001-05-25 2002-12-05 Hill-Rom Services, Inc. Ensemble et procede de soin de patient
US6637049B2 (en) 2001-05-25 2003-10-28 Hill-Rom Services, Inc. Personal care module
US6895715B2 (en) 2001-05-25 2005-05-24 Hill-Rom Services, Inc. Headwall
US6978499B2 (en) 2001-05-25 2005-12-27 Hill-Rom Services, Inc. Architectural bed docking apparatus
US7243386B2 (en) 2001-05-25 2007-07-17 Hill-Rom Services, Inc. Docking station for patient support
US7865982B2 (en) 2001-05-25 2011-01-11 Hill-Rom Services, Inc. Hospital bed side rail with medical treatment control unit
US10796256B2 (en) 2015-01-02 2020-10-06 Paragon Health Process validation and electronic supervision system

Also Published As

Publication number Publication date
AU7295198A (en) 1998-11-27
WO1998050840A3 (fr) 1999-03-04

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