Source: https://patents.google.com/patent/US9158892B2/en
Timestamp: 2019-07-19 06:53:05
Document Index: 193228446

Matched Legal Cases: ['art 427', 'art 427', 'art 427', 'art 427', 'art 427', 'art 427', 'art 427', 'Application No. 2010', 'Application No. 200880103580']

US9158892B2 - Cabinet with remote integration - Google Patents
US9158892B2
US9158892B2 US13/595,850 US201213595850A US9158892B2 US 9158892 B2 US9158892 B2 US 9158892B2 US 201213595850 A US201213595850 A US 201213595850A US 9158892 B2 US9158892 B2 US 9158892B2
US13/595,850
US20130158705A1 (en
2007-06-19 Priority to US94499507P priority Critical
2007-11-30 Priority to US99154707P priority
2008-06-17 Priority to US12/140,964 priority patent/US8126590B2/en
2012-08-27 Application filed by Omnicell Inc filed Critical Omnicell Inc
2012-08-27 Priority to US13/595,850 priority patent/US9158892B2/en
2013-05-30 Assigned to OMNICELL, INC. reassignment OMNICELL, INC. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: VRABEL, RAY, BLACKWELL, BRAD, CALDWELL, RICHARD, CARTRIGHT, JENNIFER, LEVY, CYNTHIA, VAHLBERG, JOHN
2013-06-20 Publication of US20130158705A1 publication Critical patent/US20130158705A1/en
2015-10-13 Publication of US9158892B2 publication Critical patent/US9158892B2/en
This application is a continuation of U.S. patent application Ser. No. 12/502,172 filed on Jul. 13, 2009, entitled “CABINET WITH REMOTE INTEGRATION,” which is a continuation in part of U.S. patent application Ser. No. 12/140,964 filed on Jun. 17, 2008, entitled “PATIENT-SPECIFIC BIN SYSTEMS, METHODS, AND DEVICES.” This application hereby incorporates by reference herein the content of the aforementioned applications in their entirety and for all purposes.
The present invention relates in general to the remote managing, documenting distribution, and monitoring of items from a storage system. In particular, the present invention relates to remote-managing, distribution, documenting of distribution, and monitoring of items used in a health-care environment. In many cases, this involves the distribution, issuing, return, and wasting of medications, pharmaceuticals, and medical supplies to and from dispensing units.
Accordingly, a variety of situations arise where items may need to be removed from a dispensing device, discarded, destroyed, or returned to a dispensing device. The person responsible for the item may be required to provide information to document the action required. The required information may involve: a reason for the issuing/removing, returning, discarding, or destroying the item, the identity of a witness to the returning, discarding, or destroying of the item, patient information, time and date information, or any other related information. While such information may be documented via a dispensing device, this may lead to problems. For example, if a user is documenting her actions involving stored items at a dispensing device, it may delay another user from documenting her actions. Also, it may prevent another user from issuing/removing an item from the dispensing device. In some embodiments, the invention provides for documenting and information gathering at a device remote from the dispensing device. The dispensing device or a host computer system may communicate with the remote device, such as a computer terminal, handheld, electronic device, laptop computer, or a similar device. This may allow a user to provide some or all of the necessary information for documentation of the use of an item away from the dispensing device.
While a user or agent of the user may need to physically visit a dispensing device to return an item or a portion of an item, documenting the return of the item remotely may still present significant time savings for the user and other users. Documenting a return remotely may be more comfortable, such as at a desk or home as opposed to at a dispensing device, and more time-efficient, especially if other users are waiting to access the dispensing device. Documenting a return remotely may allow a user to provide the majority of necessary information remotely with minimal information provided at the dispensing device, such as only the user's username and password.
The dispensing device 120-a may be located at a nursing station serving a number of rooms, in an operating room, in an emergency room, in an intensive care unit, or in a number of other locations within or outside the medical field, as evident to those skilled in the art. The dispensing device may be profiled by patient, with certain patients having a certain area or areas within the dispensing device assigned to them. In some embodiments, the dispensing device is stocked with specific items or medications. In such embodiments, a request for a particular item or medication may be issued from the dispensing device no matter who the patient is. The dispensing device 120-a may be mobile. The dispensing device 120-a may include a computer and console configured to manage the storage and distribution, of items at the dispensing device, and networked to communicate continuously or occasionally with the server computer system 105. There may be different levels of security for particular sections or bins within the dispensing device 120-a. Sections of the dispensing device 120-a may be locked while other sections are not locked.
A request for issuing of an item may be made from any terminal 230, 240, 250 that can communicate with the central server computer system 105. This may be in place of, independent of, or integrated with any bedside administration product as previously described, and allow a user to remotely request an item prior to the user physically going to a dispensing device. Depending on the user's access level, the item requested, the hospital's policy, and local law, varying requirements may be set as to the reporting requirements, the user must provide for issuing of the item from the dispensing device 220.
One use of the various input devices on the computer 330 is to permit the user to select one or more items that are to be removed. If information is entered by the user at a remote terminal, device, or computer, the amount of information that must be entered at the computer 330 may be reduced. A list of items generated by the computer 330 or received from the central server computer system 105, may be displayed on the display screen 334. Further, display screen 334 may be a touch screen display that permits various items to be selected simply by touching them on a display screen 334. Computer 330 may be coupled to any type of computer network to permit various information to be supplied to computer 330 (e.g., by the central server computer system 105 of FIG. 1A). For example, stock or restock lists may be transmitted from the central server computer system 105, as may lists for cleaning or other removal of items.
A cabinet 310 may further include a pharmacy section 336 with various drawers 338 for holding pharmaceutical items or other types of items that need additional security. When appropriate information has been entered into computer 330, the appropriate drawers 338 may be unlocked and lights 340 on the drawers lighted to guide the user to the appropriate doors. Drawers 338 may conveniently include various bins, shelves, or storage locations that may be assigned to different items, categories of items, or patients, which may optionally have bookable lids to provide additional security to the items. The lids corresponding to bins that have the selected items may be unlocked and users may be guided to the unlocked bins using lights in a manner similar to that described with shelves 320.
In one embodiment, pharmacy section 336 further includes a dispensing unit area 342. Briefly, dispensing unit area 342 includes a dispensing unit frame that is insertable into cabinet frame 312 of cabinet 310. Coupled to the dispensing unit frame is a door 346 that may be opened to provide access to dispenser frame. Although dispensing mechanisms may typically be associated with items for use by a number of patients, particular bins associated with dispensing mechanisms may be assigned to patients in some embodiments. Below dispenser frame is a dispense drawer 352 that receives items that fall from dispensing mechanisms after such items have been selected at computer 330. Bins within the dispense drawer 352 may be assigned as PSBs on a temporary or more permanent basis to specific patients. The dispense drawer 352 may include a light 354 to guide the user to the dispense drawer 352 during dispensing operations. A handle 356 may be provided on door 346 to meditate opening of door 346. The door 346 may include a light 357 to guide the user to the door 346 during dispensing operations.
The dispensing device 410 further includes an integrated computer (hidden within cabinet 412) and a keyboard 418 for entering various information into the computer. For example, keyboard 418 may be employed to enter patient identification information, user identification information requests for item stocking, issuing, and removal, and the like into the computer. Optionally, the dispensing device 410 may further include a second entry device 420 which is connected to the computer and includes a screen 422 which allows the user to scroll through various lists of information in order to select a highlighted item. For example, a caregiver may scroll through a list of patient names or item names in order to select a certain patient or to enter an item removal, issuance, or stoking request. In one embodiment, the screen may be a color touch screen. The touch screen may be configured to allow a user to interact with the dispensing cabinet, with or without having to use the keyboard, mouse, or other traditional methods, as the touch screen functionality allows a user to touch their selection directly. The touch screen may be a color touch screen, and color distinctions may inform and guide the user (e.g., alerts or warnings in yellow, item unavailability in grey, next steps in green).
To retrieve or remove items of a particular patient, a user (e.g., a nurse user or other caregiver, patient, automated system, etc.) may enter user identification (e.g., a password, PIN, smart card, RFID, combination thereof, etc.) using keyboard 418, reader 425, or entry device 420. The user (or the computer 330) may then identify the patient. The patient identification may be entered by the user using keyboard 418, reader 425, or entry device 420. The user may select the desired medication or other supplies, or the computer (or a central server computer system 105) may direct the user (via lights or a listing, for example). The user may also enter the number of items of the selected type that are to be removed or retrieved for the patient. The user may then retract the proper drawer and will be led to the correct bin. There may be also a step of verifying the count of specific items taken, by prompting the user to enter via keyboard 418 or entry device 420 the number of items of the specific type that were removed or supplied and the number remaining. A record of this event may also be maintained within the computer, or may be transmitted to the central server computer system 105 of FIG. 1, or elsewhere. A variety of other removal alternatives may be used, as well.
To stock or restock a cart with items, the user may enter user, patient, and/or packages/container identification (e.g., a password, PIN, label, serial number, barcode, identification device, smart card, RFID, etc.) using keyboard 418, reader 425, or entry device 420. Thus, the entry of user, patient, or packages/container identification information (or any combination thereof) may trigger the restocking process. The computer for the cabinet 410 (perhaps controlled by the central server computer system 105 of FIG. 1), may direct the user (e.g., via lights or screen information) to place the packages/container in the appropriate locations or PSBs. The action may be logged, and perhaps transmitted to the central server computer system 105.
The computer/monitor 430 may be a terminal capable of connecting to a network, either wirelessly or via a cable. Such a terminal may allow for communication with the central server computer system and interaction with the dispensing system with remote integration. The computer/monitor 430 may serve as any other terminal capable of interacting with a dispensing system. The drawers 450 may be specific to particular drugs or particular patients. A user or nurse may have the ability, through the dispensing system with remote integration, to retrieve a list of medicines, supplies, or patients that he or she needs or will be responsible for. This listing may be automatically generated by the dispensing system with remote integration. Alternatively, the user may create a listing of his other patients via the dispensing system with remote integration. The dispensing system with remote integration may then produce a listing of medicines or supplies that the user must load from a dispensing device, a pharmacy, or some other centralized location to the cart 427. This may include an automatic assignment process where a patient is assigned a particular drawer on the cart 427 by the dispensing system with remote integration. The generation of the listing for stocking the cart 427 may automatically grant the user access to a dispensing device. The stocking process may result in the user being granted access to some or all of the drawers 450 of the cart. The dispensing system with remote integration may transmit to the cart 427 a listing of patients, medicines, or supplies that the cart 427 or the user is associated with. The user may then be able to remove medicines or supplies from the cart to administer to a patient, to waste, or to return to a dispensing cabinet or other storage center. The transmission of instructions to the cart 427 may be done with alternatively configured mobile carts. In some embodiments, a patient is assigned one drawer on the cart 427. In other embodiments, multiple patients may be assigned to a drawer, or one patient may be assigned with multiple drawers.
At a terminal 230, 240 or 250 a user may be required to log in and provide a password or other identifier to verify her identity. FIG. 5 illustrates an embodiment of a login window 500 for a remote terminal such as 230, 240, or 250 of FIG. 2. A user may be required to enter a user identification 510. The identification number may be a number, a username or screen-name. A user may also be required to enter a password 520. In some embodiments, the user identification 510 and the password 520 are replaced with a biometric device, such as a fingerprint scanner or a retina scanner, capable of identifying and verifying the identity of the user. Further, in some embodiments, a user identification 510 may be input from a identification card with a magnetic stripe or from a barcode. Verification of the users identity then may be completed using a password or a form of biometric identification.
The menu screen 600 may include a menu item such as “Wastes and Returns” 640. In some embodiments, selecting “Wastes and Returns” 640 results in a display of a window of information and options relating to the wasting and return of items to a dispensing device. “Wasting” may mean the physical destruction of the item or the portion of the item, or the discarding of the item, or the portion of the item. Returning an item refers to an item than has been removed from a dispensing device or other depository, and is to be placed back in the same dispensing device or a different dispensing device. This may refer to the/entire item or a portion of the item.
The issued 731 heading may represent the amount and/or strength of an item or medication issued to the patient 730. The quantity and unit of issue may be displayed. A separate heading also titled “issued” may be present. This field may provide additional information related to issue, such as the date and time issued. The “Doc'ed” 732 header may list the amount of the medication 736 administered to the patient 730, minus the amount of canceled administrations. The “Intended” 733 heading may list the amount of the medication 736 specified as the intended dose when the medication 736 was issued. This amount may clear when an amount of the medication 736 is wasted. The “Undoc” 734 heading may list the amounts of the medication 736 that has not yet been documented.
The “Waste” 738 heading may allow a user to check (and uncheck) a box, and enter a numerical amount. In some embodiments, the user may be given a list of values to select from. If a witness is required for the wasting process, an icon 737 or other indication may alert the user that a witness is necessary for the wasting procedure. Selecting the icon 73 may provide the user or witness with additional information, options, or a separate menu. When the box is unchecked, the user may be prevented from entered an amount to waste. After providing an amount under the “Waste” 738 heading, the user may select the “Document Medications” button 770 to save and update the display with the new information. Selecting “Close” 775 may also save and update the waste medications 710 and may return the user to a menu, such as menu screen 600 of FIG. 6. A separate heading, entitled “Wasted” 750 may be displayed showing the time, date, and amount 760 wasted.
When a user selects an option related to waste, such, as “Waste” 738, “Document Medications” 770, or “Close” 775, a pop-up window, or other display may appear requiring witness information. If a witness icon 737 is present, such a display may also appear.
FIG. 8 illustrates an embodiment of a witness window 800 that may appear when a user attempts to waste a medication or item that requires a witness. The display 890 may be associated with the waste and return screen 700 of FIG. 7, or it may be associated with some other waste or return system. A witness may be required to specify a user identification 810 and a password 820. The user may not be permitted to continue with the wasting process until the witness' login information has been validated at the remote terminal, the dispensing device or the central server computer system. Alternatively, the witness may only have to input her name. In some embodiments the patient's name 840 and amount 860 and name 850 of an item to be wasted is displayed. In some embodiments, the witness pop-up window may list more than one item or medicine requiring wasting. A check may be performed at the remote terminal, the central server computer system, or the dispensing device that the witness is a different person than the user. This prevents a user from acting as both the person wasting the item or medicine and the witness.
The return window may provide several categories of information regarding the patient and item or medicine to be returned, including categories entitled: Medication 1220, Issued 1230, Doc'ed 1240, Intended 1250, Returned 1260, Wasted 1270, Undoc 1280 and Return Qty 1290. Each of these categories of information may be information similar to those categories described in relation to the “Wastes and Returns” window of FIG. 7. As those with skill in the art will understand, information displayed may vary considerably depending on the industry or type of item being documented. The “Return Qty” 1290 may allow the user to specify the amount of an item to be returned. The “Return Qty” 1290 may be listed by package quantity. The “Return Qty” 1290 may be a plus/minus control, forcing the user to enter a whole package number of items to be returned. A witness may be required to execute a valid return. An icon 1285 may be used to identify that a witness is necessary for the return. The requirement of a witness may result in windows and prompts similar to those presented in FIG. 8. In some embodiments, because a return must physically be conducted at a dispensing unit, the witness may not provide identification information or confirmation information until the witness is present at the dispensing device. Despite the need for the witness to be physically present at the dispensing device, a significant time savings for the nurse may still occur. For example, if the nurse is aware ahead of time that a witness is required, he may be saved from traveling to the dispensing device, being prompted for witness information, and then setting out to search for a viable witness. Rather, the nurse may find a viable witness on his initial trip to the dispensing device.
An icon 217 or other alert may be displayed if the patient 1215 has no active or future orders for a medication 1220. After entering a return quantity, the user may create the return request 1291 or cancel the return request by selecting close 1292. The list of items to be returned may be blocked from editing if information required to proceed has not been provided. The list may also be uneditable if the network connection of the remote device or dispensing device is not functioning properly.
FIG. 14 illustrates an embodiment of a method 1400 of wasting a portion of an item removed from a dispensing device. First, the user may be required to log in. This may require transmitting from a remote device to the central computer server system the user name 1405 and/or password 1410 of the user. Alternatively or additionally, biometric information may be used to confirm the identity of the user. Once the user name and password are received by the central computer server system, the user's permission to access the central computer server system, dispensing devices, or dispensing devices in the user's vicinity is verified. Once it is confirmed the user has the right to access the central computer server system, menu options are transmitted 1413 to the remote terminal. Alternatively, the user's identity may be verified at the remote terminal with no transmissions to the central computer server system.
The central computer server system may then receive 1414 a selection from a menu. The selection made by the user at the remote terminal may include specifying that an item is to be wasted. The central computer server system may transmit patient information 1435 to the remote device. This patient information may include a listing of items removed from a dispensing device for use with the patient, the dosing of the item, the patient's name, and the patient's room number. The patient information may be include all patients associated with the user or may be only patients associated with an item that requires wasting. The central computer server system may transmit 1420 a listing of items that are required to be wasted.
Finally, a confirmation may be transmitted 1470 fern the central computer server system to the remote device confirming the wasting. The confirmation may display in the form of a window, such as window 1000 in FIG. 10. The user may then proceed or cancel. If the user proceeds, the central computer server system receives 1475 confirmation of the wasting. Updated patient information may then be transmitted 1480 to the remote device.
FIG. 15 illustrates an embodiment of a method 1400 of retuning an item or a portion of an item previously removed from a dispensing device, or otherwise issued or checked out to a user. First, the user may be required to log in. This may require transmitting from a remote device to the central computer server system the user name 1505 and/or password 1510 of the user. Alternatively or additionally, biometric information may be used to confirm the identity of the user. Once the user name and password are received by the central computer server system, the user's permission to access the central computer server system, dispensing devices, or dispensing devices in the user's vicinity is verified. Once it is confirmed that the user has the right to access the central computer server system, menu options are transmitted 1513 to the remote terminal. Alternatively, the user's identity may be verified at the remote terminal, with no transmissions to the central computer server system.
The central computer server system may then receive 1514 a selection from a menu. The selection made by the user at the remote terminal may include specifying that an item is to be wasted. The central computer server system may transmit patient information 1515 to the remote device. This patient information may include a listing of items removed from a dispensing device for use with the patient, the dosing of the item, the patients name, and the patient's room number. The patient information may include all patients associated with the user or may only be patients associated with an item that requires wasting. The central computer server system may transmit 1520 a listing of items that are required to be returned or require that a portion of the item be returned.
In some embodiments, the central computer server system may transmit 1550 a request for a reason for returning the item may be requested from the user or witness. The request for a reason for wasting the item may be in the form of a window, such as window 900 in FIG. 9, or in some other form. The central computer server system may then receive 1555 the reason for return. The central computer server system may then transmit 1500 an additional question or questions, and subsequently receive 1565 the answers to those questions.
Moreover, as disclosed herein, the term “data stores”, “central server computer system” and “administrative records computer server system” may represent one or more devices for storing data, including read-only memory (ROM), random access memory (RAM), magnetic RAM, core memory, magnetic disk storage mediums, optical storage mediums, flash, memory devices, or other computer-readable mediums for storing information. The term “computer-readable medium” includes, but is not limited to, portable or fixed storage devices, optical storage devices, wireless channels, a sim card, other smart cards, and various other mediums capable of storing, containing, or carrying instructions or data.
1. A method for managing items dispensed from a dispensing device, the method comprising:
receiving, by a computer system from a remote computer system, login information from a user, wherein the remote computer system is remotely located from the dispensing device from which the items were dispensed;
verifying, by the computer system, the login information from the user;
after verifying the login information from the user, transmitting, by the computer system to the remote computer system, a web-based wasting interface for presentation in a web browser at the remote computer system, the web-based wasting interface comprising indications of multiple items dispensed from the dispensing device for multiple patients associated with the user that are required to be wasted, wherein:
the web-based wasting interface is provided to receive inputs of amounts of the multiple items that were administered to the multiple patients; and
the web-based wasting interface is provided as a single webpage; and
receiving, by the computer system from the web browser presenting the web-based wasting interface at remote device computer system, information from the user about wasting at least a portion of an item of the multiple items removed from the dispensing device that are required to be wasted, wherein:
the information comprises the amount of item administered to each of the multiple patients; and
wasting at least the portion of the item comprises physically destroying or discarding the portion of the item.
2. The method for managing items dispensed from the dispensing device of claim 1, the method further comprising:
presenting, by the remote computer system, an interface that indicates the multiple items removed from the dispensing device for multiple patients associated with the user that are required to be wasted.
3. The method for managing items dispensed from the dispensing device of claim 1, the method further comprising:
transmitting, by the computer system to the remote computer system, a request for an indication of an identity of a witness to the wasting of the at least the portion of the item.
4. The method for managing items dispensed from the dispensing device of claim 1, the method further comprising:
transmitting, by the computer system to the remote computer system, a request for a reason for the wasting of the at least the portion of the item.
5. The method for managing items dispensed from the dispensing device of claim 1, wherein transmitting indications of multiple items removed from the dispensing device for multiple patients associated with the user that are required to be wasted comprises transmitting indications of amounts of the multiple items that are expected to be wasted.
6. The method for managing items dispensed from the dispensing device of claim 1, further comprising:
receiving, by the computer system, a request for an item from the user;
receiving, by the computer system, an authorization override from the user; and
in response to the authorization override, authorizing dispensing of the item by the dispensing device to the user.
7. The method for managing items dispensed from the dispensing device of claim 6, further comprising:
after dispensing the item by the dispensing device to the user, receiving, by the computer system from the remote computer system, information about an emergency situation related to the authorization override.
8. The method for managing items dispensed from the dispensing device of claim 1, further comprising:
dispensing, by the dispensing device, the multiple items to the user prior to the computer system transmitting the indications of the multiple items dispensed from the dispensing device for the multiple patients associated with the user that are required to be wasted.
9. The method for managing items dispensed from the dispensing device of claim 1, wherein the multiple items are controlled medical substances.
10. A system for managing items, the system comprising:
a dispensing device configured to dispense a plurality of items to multiple users;
a remote computer system configured to communicate with the host computer system via a network by presenting a wasting web-based interface in a web browser, wherein the remote computer system is remotely located from the dispensing device; and
receive, from a remote computer system, login information from a user;
verify the login information from the user;
after verifying the login information from the user, transmit, to a remote computer system, a wasting web-based interface for presentation in a web browser at the remote computer system, the wasting web-based interface comprising indications of multiple items dispensed from the dispensing device for multiple patients associated with the user that are required to be wasted, wherein:
the web-based interface is provided to receive inputs of amounts of the multiple items that were administered to the multiple patients; and
the web-based wasting interface is presented as a single webpage; and
receive, from the web browser presenting the wasting web-based interface at remote computer system, information from the user about wasting at least a portion of an item of the multiple items removed from the dispensing device that are required to be wasted, wherein:
wasting at least the portion of the item comprises physically destroying or discarding the portion of the item remote from the dispensing device.
11. The system for managing items of claim 10, wherein the remote computer system is further configured to:
present an interface that indicates the multiple items removed from the dispensing device for multiple patients associated with the user that are required to be wasted.
12. The system for managing items of claim 10, wherein the host computer system is further configured to:
transmit, to the remote computer system, a request for an indication of an identity of a witness to the wasting of the at least the portion of the item.
13. The system for managing items of claim 10, wherein the host computer system is further configured to:
transmit, to the remote computer system, a request for a reason for the wasting of the at least the portion of the item.
14. The system for managing items of claim 10, wherein the host computer system is further configured to transmit indications of amounts of the multiple items that are expected to be wasted.
15. The system for managing items of claim 10, wherein the host computer system is further configured to:
receive a request for an item from the user;
receive an authorization override from the user;
in response to the authorization override, authorize dispensing of the item by the dispensing device to the user; and
wherein the dispensing device is further configured to:
dispense the item to the user in response to the host computer system authorizing dispensing of the item.
16. The system for managing items of claim 15, wherein the host computer system is further configured to:
receive, from the remote computer system, information about an emergency situation related to the authorization override after the dispensing device dispensed the item to the user.
17. The system for managing items of claim 10, wherein the dispensing device is further configured to:
dispense the multiple items to the user prior to the host computer system transmitting the indications of the multiple items dispensed from the dispensing device for the multiple patients associated with the user that are required to be wasted.
18. The system for managing items of claim 10, wherein the multiple items are controlled medical substances.
19. A computer program product residing on a non-transitory processor-readable medium for managing items dispensed from a dispensing device, the computer program product comprising processor-readable instructions configured to cause a processor to:
after verifying the login information from the user, cause a web-based wasting interface for presentation in a web browser at the remote computer system, the web-based wasting interface comprising indications of multiple items dispensed from the dispensing device for multiple patients associated with the user that are required to be wasted to be transmitted to a remote computer system, wherein the remote computer system is remotely located from the dispensing device from which the multiple items were dispensed, wherein:
the web-based wasting interface is provided to receive input of an amount of an item that was administered to each patient of the multiple patients; and
receive, via the web browser presenting the web-based wasting interface, information from the user about wasting at least a portion of an item of the multiple items removed from the dispensing device that are required to be wasted from the web browser presenting the web-based interface at the remote computer system, wherein:
the information comprises the amount of the item administered; and
20. The computer program product for managing items dispensed from a dispensing device of claim 19, wherein the instructions are further configured to cause the processor to:
receive an authorization override from the user; and
in response to the authorization override, authorize dispensing of the item by the dispensing device to the user.
US13/595,850 2007-06-19 2012-08-27 Cabinet with remote integration Active 2029-07-12 US9158892B2 (en)
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US12/502,172 Continuation US8280550B2 (en) 2007-06-19 2009-07-13 Cabinet with remote integration
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Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:LEVY, CYNTHIA;CALDWELL, RICHARD;CARTRIGHT, JENNIFER;AND OTHERS;SIGNING DATES FROM 20091027 TO 20091028;REEL/FRAME:030512/0554