US20060089859A1 - Information management and material distribution for sterilization facilities - Google Patents

Abstract

An automated system for management of information and distribution of materials associated with sterilization procedures includes a network server and client computers that communicate via a computer network. The client computers are distributed among sterilization facilities that require sterilization services. The network server exchanges a variety of information with the sterilization facilities. In response to information from client computers, the network server may trigger distribution of materials to sterilization facilities, and generates reports for record-keeping or cost-accounting purposes. The information distributed by the network server may pertain to the operation, maintenance and control of sterilization equipment, characteristics and capabilities of sterilization materials, and expert technical advice. The information received from sterilization facilities includes requests for information, orders for purchase and delivery of materials, and sterilization process information documenting sterilization procedures performed within a sterilization facility.

Description

TECHNICAL FIELD
• The invention relates to the health care industry and, more particularly, to administration of sterilization procedures in a health care facility.
BACKGROUND
• In a health care facility, sterilization generally refers to the process of eliminating bacteria and other microorganisms from the surfaces of instruments, medical devices, implants and other articles used in surgical procedures. A traditional sterilization process uses steam under pressure. Alternative sterilization processes use ethylene oxide, hydrogen peroxide, hydrogen peroxide/plasma, or peracetic acid in vapor form as the sterilant, as well as gamma irradiation and electron beam sterilization. In each process, the sterilizer is designed to kill all viable living organisms within a sterilization chamber. To achieve this objective, health care personnel must select the appropriate sterilization process and carefully monitor its parameters.
• To verify successful sterilization, health care facilities typically use sterilization indicators of either the chemical or biological variety. A chemical sterilization indicator responds to one or more conditions necessary for proper sterilization, such as temperature, time, and sterilant concentration or exposure. A biological indicator carries a biological agent, and indicates successful sterilization when the biological agent has been killed. The indicator is placed on or within a pack containing articles to be sterilized.
• Following the sterilization process, the sterilization indicator aids health care personnel in identifying packs that have been exposed to the conditions necessary for sterilization. The pack may carry other information, often within the indicator, that identifies the pack for record-keeping purposes. For example, the indicator may carry text or bar code information that uniquely identifies the pack, and indicates sterilization status. In some cases, the information can be scanned in an automated manner to assist in automated record-keeping via a computer system.
• To achieve effective sterilization workflow, record-keeping, and safety, a health care facility must devote substantial personnel, training and administrative resources to the sterilization process. For example, it is necessary to maintain a sufficient inventory of sterilant, pack lists, and indicators, and properly maintain sterilization equipment. Comprehensive knowledge of sterilization procedures and control of associated parameters are necessary for proper sterilization. In addition, efficient workflow requires effective tracking of packs to ensure that sterilized articles are available when needed. Cost accounting also is desirable to allocate the costs of sterilization to appropriate departments or entities. In addition, regulatory agencies and independent audit organizations may require access to sterilization records for verification of regulatory compliance or accreditation. Access to information concerning best practices also is important in maintaining and refining sterilization processes within a sterilization facility.
SUMMARY
• In general, the invention is directed to an automated system for management of information and distribution of materials associated with sterilization procedures. The invention may be implemented via a computer network having at least one network server and client computers distributed among a number of sterilization facilities. In particular, the network server exchanges information with sterilization facilities via the client computers. For example, the network server may provide the sterilization facilities with information relating to sterilization products or processes. In response to information received from the sterilization facilities, the network server may trigger distribution of sterilization materials to the sterilization facilities, and generate reports for record-keeping or cost-accounting purposes.
• The information distributed by the network server may include information pertaining to the operation, maintenance and control of sterilization equipment and processes, the characteristics and capabilities of commercially available sterilization materials such as particular sterilants, pack lists, and indicators, and expert advice delivered in real-time, e.g., via an online chat room facility, or by email or other communication media. The information received from the sterilization facilities may include requests for information, orders for purchase and shipment of materials, and cost accounting and record-keeping information pertaining to the sterilization procedures performed by the sterilization facilities in the course of their operations.
• The network server may trigger the distribution of materials by communicating orders to automated product ordering systems or individuals responsible for order fulfillment. The network server may trigger distribution of materials based on direct requests communicated from sterilization facilities. Alternatively, the network server may be equipped to monitor sterilization process information communicated by the sterilization facilities to determine when a need for additional materials exits. In this case, the network server delivers materials on a predictive basis to maintain sterilization product inventory and keep the operations of a sterilization facility running smoothly.
• The materials distributed according to requests generated by the network server may include consumable materials such as sterilants, pack lists, and indicators, as well as software executed by sterilization facility computers to prepare and process indicators. For example, a sterilization facility may provide the network server with information concerning consumption of sterilants, pack lists, indicators and the like, either directly or as part of other information pertaining to sterilization processes within the sterilization facility. In addition, a client computer may directly request the download of software that, for example, drives the printing of identification codes, such as bar codes, on a pack or indicator, defines an indicator image to be printed, or prints a pack list for central service employees. In some cases, the identification code may be printed with self-indicating ink, i.e., ink that changes appearance to indicate the sterilization status of a pack.
• In addition, the network server can be configured to generate reports based on information communicated by the sterilization facilities. For example, a client interface can be incorporated in the sterilization facility to permit communication of sterilization process monitoring information to the network server. The sterilization process monitoring information may indicate the status of sterilization equipment, sterilization loads and particular packs within a load. On this basis, the network server can generate reports, for real-time access or archival, that track operations within a sterilization facility. In some cases, the reports can be made accessible by the sterilization facilities as well as regulatory agencies or independent audit organizations to verify compliance with applicable standards. In other cases, the reports may contain cost-accounting information for the charge-back of sterilization costs to particular departments within a health care facility.
• In one embodiment, the invention provides a method comprising receiving sterilization process information from a sterilization facility via a computer network, generating a report based on the received information, and providing a network client with access to the report via the computer network.
• In another embodiment, the invention provides a system comprising a client computer and a network server. The client computer, associated with a sterilization facility, transmits sterilization process information via a computer network. The network server receives the sterilization process information from the client computer via the computer network, generates a report based on the received information, and provides a network client with access to the report via the computer network.
• In an added embodiment, the invention provides a method comprising receiving sterilization process information from a sterilization facility via a computer network, determining consumption of a quantity of a sterilization material by the sterilization facility based on the sterilization process information, and processing an order for delivery of an additional quantity of the sterilization material to the sterilization facility based on the determination.
• In a further embodiment, the invention provides a system comprising a client computer associated with a sterilization facility. The client computer transmits sterilization process information via a computer network to a network server. The network server determines consumption of a quantity of a sterilization material by the sterilization facility based on the sterilization process information, and processes an order for delivery of an additional quantity of the sterilization material to the sterilization facility based on the determination.
• In another embodiment, the invention provides a method comprising receiving sterilization process information from a sterilization facility via a computer network. The method further comprises determining consumption of a quantity of a sterilization material by the sterilization facility based on the sterilization process information, and processes an order for delivery of an additional quantity of the sterilization material to the sterilization facility based on the determination. In addition, the method involves scheduling maintenance for sterilization equipment associated with the sterilization facility based on the sterilization process information, and generating a report that indicates compliance with sterilization process standards based on the sterilization process information. A network client may be given access to the report via the computer network.
• In an added embodiment, the invention provides a system comprising a client computer, associated with a sterilization facility, that transmits sterilization process information via a computer network to a network server. The network server determines consumption of a quantity of a sterilization material by the sterilization facility based on the sterilization process information, and processes an order for delivery of an additional quantity of the sterilization material to the sterilization facility based on the determination. The network server also schedules maintenance for sterilization equipment associated with the sterilization facility based on the sterilization process information. Further, the network server generates a report that indicates compliance with sterilization process standards based on the sterilization process information, and provides a reviewer with access to the report via the computer network.
• In another embodiment, the invention provides a method comprising receiving sterilization process information from a sterilization facility via a computer network, generating a cost report based on the received information, and providing a network client with access to the report via the computer network.
• In a further embodiment, the invention provides a system comprising a client computer and a network server. The client computer, associated with a sterilization facility, transmits sterilization process information via a computer network. The network server receives the sterilization process information from the client computer via the computer network, generates a cost report based on the received information, and provides a network client with access to the report via the computer network.
• The invention is capable of providing one or more advantages. In general, the invention can promote the delivery of effective sterilization services. In some embodiments, the invention can improve workflow, inventory control, accounting, record-keeping, and/or compliance with applicable standards. With the invention, sterilization personnel can obtain ready access to information concerning sterilization procedures and control of parameters necessary for proper sterilization.
• Automated distribution of materials used in sterilization procedures can provide more efficient inventory management and ensure availability of vital materials, including consumable materials and electronic information used in sterilization processes. Also, use of automated purchasing systems can simplify the ordering of materials by sterilization facility personnel. In addition, with the invention, a sterilization facility can benefit from automation and centralization of process tracking and cost accounting. The invention also can facilitate reporting to regulatory agencies and independent audit organizations.
• As a further advantage, the network server may use the same sterilization process information provided by a sterilization facility for multiple purposes in some embodiments. For example, the network server may prepare sterilization process reports based on the sterilization process information, and extract information to determine usage levels for materials and equipment. In this manner, the network server can also estimate inventory levels, order additional materials based on the inventory levels, and schedule maintenance of sterilization equipment.
• The details of one or more embodiments of the invention are set forth in the accompanying drawings and the description below. Other features, objects, and advantages of the invention will be apparent from the description and drawings, and from the claims.
BRIEF DESCRIPTION OF DRAWINGS
• FIG. 1 is a block diagram illustrating an example system for managing information and material distribution for sterilization facilities via a computer network.
• FIG. 2 is a block diagram illustrating the system ofFIG. 1 in greater detail.
• FIG. 3 is a block diagram illustrating an example file archive associated with a network server ofFIG. 1.
• FIG. 4 is a flow chart illustrating generation of reports and distribution of sterilization materials in the system ofFIG. 1.
• FIG. 5 is a flow chart further illustrating distribution of sterilization materials in the system ofFIG. 1.
DETAILED DESCRIPTION
• FIG. 1 is a block diagram illustrating asystem10 for management of information and distribution of materials for sterilization facilities.System10 is implemented via acomputer network12, which may take the form of a local area network, wide area network, or a global computer network such as the World Wide Web. As shown inFIG. 1,system10 may include anetwork server14 coupled vianetwork12 to a number of client computers associated withsterilization facilities16A,16B,16C,reviewer18 andsupplier20.Network server14 provides sterilization facilities16 with access to information relating to sterilization processing. In addition,network server14 receives sterilization process information from sterilization facilities16.
• In general,network server14 operates as a central management server for one or more of sterilization facilities16.Network server14 may include one or more computers that cooperate to provide the functionality described herein. In addition,network server14 may execute a variety of software applications that interact with software processes running on different machines to provide the functionality described herein. As will be described,network server14 can be used to promote delivery of effective sterilization services by sterilization facilities16. In particular,network server14 can improve workflow, inventory control, record-keeping and compliance with applicable standards. For example, sterilization facilities16 can accessnetwork server14 to obtain detailed technical information concerning sterilization procedures, products and equipment. Based on information provided by sterilization facilities16,network server14 can trigger distribution of sterilization materials fromsupplier20 to the sterilization facilities, promoting efficient inventory management and availability of materials. In addition,network server14 can provide sterilization process tracking and automatically generate compliance reports for inspection byreviewer18.
• Sterilization facilities16 andreviewer18 are network clients withinsystem10. Each sterilization facility16 may take the form of a health care facility, such as a hospital or clinic, or a department within a health care facility such as central services, infection control, an operating room, a laboratory, or an accounting department that perform, manage or make use of sterilization services.Reviewer18 may take the form of a regulatory agency or an independent audit organization responsible for verifying compliance of sterilization facilities16 with applicable standards. In addition,reviewer18 may be part of an organization internal to a health care facility.Supplier20 may take the form of a manufacturer or distributor of sterilization materials, such as sterilizer equipment, sterilants, pack lists, indicators and the like.System10 may have numerous sterilization facilities16,reviewers18 andsuppliers20, each of which may interact withnetwork server14 vianetwork12.
• The client computers associated with sterilization facilities16,reviewer18 andsupplier20 may take the form of a variety of devices that permit a user to access resources onnetwork12. Examples of suitable client computers include desktop or portable computers operating in a Windows, Macintosh, Unix, or Linux environment, personal digital assistants (PDA's), based on the Palm, Windows CE, or similar operating system environments, Internet-equipped wireless telephones, and other Internet appliances. Each client computer may execute a graphical viewing application, such as a web browser, to access resources residing onnetwork server14 or other network resources.
• Network server14 may generate web pages, e.g., encoded with Hypertext Markup Language (HTML), Extensible Markup Language (XML), or the like, and may incorporate tags that point to objects or files stored on other network resources. When product information is requested, for example,network server14 may embed tags for objects or files stored atsupplier20, or simply redirect sterilization facility16 to a web site maintained bysupplier20. Thus, the content of web pages assembled for sterilization facilities16 may include objects obtained from a variety of resources withinnetwork12. In some embodiments,network server14 andsupplier20 may be integrated with one another. In the example ofFIG. 1, however,network server14 andsupplier20 are separate entities and maintain separate servers onnetwork12.
• FIG. 2 is a blockdiagram illustrating system10 ofFIG. 1 in greater detail. As shown inFIG. 2,network12 may be implemented via the World Wide Web. Also,network server14 may include a collection of computers, including aweb server22,database server24, andfile server28, that interact withdatabase26 andfile archive30.Web server22 interacts withdatabase server24 to identify objects and files to be served with web pages. The locations of the objects and files are indicated withindatabase26.Web server22 interacts withfile server28 to access the objects and files identified bydatabase26 withinfile archive30.Web server22 also may interact with anorder system32 and a chat interface34.Order system32permits web server22 to generate orders for delivery of sterilization materials to particular sterilization facilities16.
• Chat interface34 manages interactive communications between personnel associated with sterilization facilities16 and technical experts in the field of sterilization, as well as other sterilization personnel associated with different sterilization facilities. In this manner, sterilization personnel can submit questions to experts and share experiences with both experts and other sterilization personnel across a broad geographic community. This form of interactive communication may relate to use of sterilization products already purchased by sterilization facilities16, or prospective products that a sterilization facility is considering for use in its operations. In addition, in some embodiments,supplier20 may use the chat interface34, email or other communication media to provide sterilization facilities16 with notices concerning new products, documentation for existing products, and advice about the suitability of new materials for sterilization processes used by a particular sterilization facility. In this sense, the communication from experts or manufacturers may be personalized.
• As further shown inFIG. 2,sterilization facility16B may provide aninterface36 to network12 for access by personnel associated with a number of departments within a health care facility. For example,sterilization facility16B may include independent sterilization facilities associated withaccounting37,central services38,operating room40,intensive care42, and variousmedical laboratories44, as well as other departments such as receiving, maintenance and procedure scheduling. Eachindependent sterilization facility37,38,40,42,44 may have one or more client computers that communicate withinterface36 via an intranet or other local area network. In this case,interface36 acts as an intranet server that submits and receives information viaweb12 on behalf of theindependent sterilization facilities37,38,40,42,44.Other sterilization facilities16A,16C may be associated with only a single department that communicates directly vianetwork12.
• A firewall preferably is provided as a security measure. The firewall separatesdatabase server24 andfile server28 fromnetwork server14 to avoid unauthorized intrusions into the information maintained for particular sterilization facilities16. Due to its nature as a repository of information concerning sterilization processing of individual sterilization facilities16 and health care organizations, the security and confidentiality ofdatabase26 andfile archive30 is a serious concern. To promote increased security and confidentiality of the information, web pages generated bynetwork server14 can be communicated using public key encryption mechanisms such as SSL. Other security measures, such as the use of login accounts for network clients, can provide added benefits.
• FIG. 3 is a block diagram illustrating afile archive30 associated withnetwork server14. As shown inFIG. 3,file archive30 may store a variety of personalized information about particular sterilization facilities16. In this manner,network server14 can process and deliver information on a customized basis for an individual sterilization facility16. To that end,file archive30 may include files containingproduct information46 that pertains to a particular sterilization facility16.
• The files may contain catalog information identifying products, product capabilities and characteristics, pricing, and the like. In some cases, the files may define links to other network resources or objects or files stored on other resources. For example, a product information file served bynetwork server14 may be a web page with tagged objects obtained from a server associated withsupplier20. Alternatively, a sterilization facility16 may be redirected to a server associated withsupplier20 to obtain detailed product information.
• Database server24 may identify the product information files or other files pertaining to the sterilization facility16 by reference to a profile indatabase26. The profile can be built for a sterilization facility16 based on the individual characteristics of its operations, such as the particular types of equipment, sterilants, pack lists and indicators the facility uses in sterilization processing, the size of the facility, and the throughput and product consumption of the facility. Different sterilization facilities16 may have different profiles, reflected indatabase26, which identify different sets ofproduct information46.
• Hence, different sets of files may be organized withinfile archive30 for particular sterilization facilities16 by directory mapping. More preferably, however, a profile indatabase26 maps various files withinfile archive30 to particular sterilization facilities16. In other words, the profile can be used byweb server22 to select, for individual sterilization facilities16, subsets of the information provided infile archive30. Based on the profile, a sterilization facility16 is permitted to gain network access to selected subsets of the larger body of information. In this manner, information for oneindividual sterilization facility16A can be protected from view by theother sterilization facilities16B,16C. The profile may be built initially based on an online or offline survey taken by the sterilization facility16, and refined over time by interaction with the sterilization facility.
• File archive30 may have other types of information that can be arranged for or mapped to a particular sterilization facility16 on a customized basis. For example,file archive30 may storeservice information48, which indicates the type of maintenance services required by a sterilization facility16 based on the installed based of sterilization equipment.Service information48 may indicate a schedule for maintenance of such equipment, and may be accessed by not only sterilization facility16 but also by service personnel who contract with sterilization facility for maintenance services. In this case,service information48 may be formatted for automated use with scheduling software used by service personnel.
• Service information48 may be based on a static, time-based metric for scheduling maintenance of sterilizer equipment. For example, maintenance can be scheduled on a monthly or quarterly basis. Alternatively,network server14 may schedule maintenance based onsterilization process information50 received from sterilization facilities16 that indicates actual usage of equipment.Sterilization process information50 can be stored infile archive30 and used to dispatch service personnel, trigger distribution of sterilization materials, and prepare sterilization process reports, as will be described. Maintenance services may be integrated with the services provided bynetwork server14 and the operations ofsupplier20.Sterilization process information50 may include specific data concerning sterilization processes and loads run through sterilization equipment at a sterilization facility over a period of time. Sterilization facility16 may upload data representative of actual usage toweb server22 on a periodic basis, e.g., once per day.
• Based on the data provided by sterilization facility16,network server14 can determine not only a maintenance schedule, but also an estimate of consumption of sterilization materials in the course of performance of the sterilization processes. By estimating consumption,network server14 can anticipate a need for additional sterilization materials by the particular sterilization facility16.Network server14 can track history and usage patterns of particular types of sterilization materials. On this basis,network server14 can trigger distribution of additional sterilization materials to sterilization facility16 on a predictive basis, ensuring ready availability of the sterilization materials on an automated basis without the need for significant human intervention.
• Network server14 may generate a request for particular sterilization materials, for example, and communicate the request to anorder system32, as shown inFIG. 2, or directly to asupplier20 vianetwork12.Order system32 passes the request along to asupplier20. In each case,supplier20 responds by shipping the sterilization materials to the particular sterilization facility16. Electronic payment can be readily arranged between sterilization facility16 andsupplier20. In some embodiments,network server14 may be operated by asupplier20 such that the services offered by the network server are integrated with the operations of the supplier.
• In some embodiments,network server14 may communicate an email, page or other message to personnel associated with a sterilization facility16 prior to requesting distribution of materials. The message may take the form of a simple reminder that the inventory of particular sterilization materials may require replenishment. In this, case, the sterilization facility personnel may contact the supplier to order additional sterilization materials. Alternatively, the message may provide an interactive medium such as a hypertext link that can be used to acknowledge approval of a proposed order of sterilization materials. For example, the message may list the details of a purchase order and an “approval” button. When a sterilization facility personnel clicks on the button,web server22 receives notification of approval and proceeds with the order on an automated basis, as described above. In any event, sterilization facility16 benefits from automated monitoring of its inventory based on analysis ofsterilization process information50 uploaded toweb server22 from the sterilization facility.
• Network server14 may usesterilization process information50 to prepare not only orders for sterilization material, but also reports52 that track the sterilization operations of a sterilization facility16 over a period of time.Reports52 may contain information relating to the use of particular sterilization equipment, process parameters, particular loads processed, and particular packs within a load. This type ofreport52 can be used to record the precise conditions and characteristics associated with the actual sterilization processing operations performed by a sterilization facility. In this manner, areviewer18, e.g., a regulatory agency or independent audit organization, can use the report to verify compliance with applicable standards. In some cases, areport52 may integrate sterilization processing information received from two or more sterilization facilities16, e.g., if the sterilization facilities are controlled by a common entity such as a hospital, clinic, or health maintenance organization.Report52 also can be made accessible to personnel within a health care facility, e.g., for internal auditing or analysis.
• In each case,report52 provides automated, centralized record-keeping that eases the administrative burden on individual sterilization facilities16. In addition,reviewer18 can readily accessreports52 online, either by accessingnetwork server14 or receiving emails with attachment documents containing report content. In some embodiments,reviewer18 may download a plug-in fromnetwork server14 that permits viewing of information embodied inreports52, e.g., graphically. In other embodiments,network server14 may be configured to assemble areport52 forreviewer18 only upon request. In this case,network server14 may assemble items stored insterilization process information50 for a particular sterilization facility16. Also, a sterilization facility16 may be permitted to control access toreports52 byreviewers18, including the scope of access and the time at which the reviewer can access the reports. For example, in some embodiments, sterilization facility16 may limit access byreviewers18 to only those portions of anoverall report52 necessary for evaluation of compliance.
• As an example,reviewer18 may be an independent audit organization such as the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). The audit organization, asreviewer18, retrieves sterilization process reports fromnetwork server14, and reviews the reports for compliance with applicable standards. The online availability of the reports can greatly reduce the administrative overhead required by a sterilization facility16 when an audit takes place. In addition, in the event of a recall, the necessary data concerning which instruments were affected and the sterilization processing status of each pack can be readily retrieved for tracking purposes.
• To facilitate preparation of areport52,sterilization process information50 uploaded by sterilization facility16 should include sufficient data concerning sterilization processes carried out by the sterilization facility. For a sterilization load using biological indicators, for example, a sterilization facility16 may provide a sterilization summary including the date a load is processed, the particular sterilizer used, e.g., by number or name, the type of sterilizer, the start and end times for a load, a load identification, an indication of indicator growth, i.e., positive or negative, and a status indication, i.e., whether the load was released or is in process. For a chemical indicator, the sterilization facility would include similar information plus a simple indication of whether the chemical indication exhibited a pass or fail status. The sterilization summary also may include process parameters such as cycle time, sterilization time, temperature, pressure, humidity, sterilant concentration and the like.
• Network server14 also may usesterilization process information50 to assemble cost-accounting data54 for a sterilization facility.Sterilization process information50 may identify sterilization processing operations associated with departments or other entities within a health care facility. Usingsterilization process information50 and a cost database prepared for a sterilization facility16,network server14 can preparecost accounting data54, which then facilitates cost management and charge-backs to appropriate departments. The cost account data can be made available for online access and downloading by accounting personnel associated with a sterilization facility16. Alternatively,network server14 may forward the cost account data to sterilization facility16 on a periodic basis, e.g. monthly.
• With further reference toFIG. 3,file archive30 also may store indicator software files56 that are used to drive a printer to produce chemical indicators. As one option, a downloadable catalog of standardized sterilization pack software can be displayed in a web page delivered to a sterilization facility16 bynetwork server14. The sterilization facility personnel can then choose the desired sterilization pack, and download the associated software. Eachindicator software file56 may define a bar code, alphanumeric code, or other code that carries information sufficient to identify a particular sterilization pack and the sterilization conditions under which it is processed. Thus,indicator software file56 could be an executable file that functions as a custom print driver to produce an indicator, or simply a graphic file that defines a bar code or other code for printing via standard print drivers.
• In some cases, the indicators may be printed with self-indicating ink that changes appearance to indicate exposure to sufficient sterilization conditions. If self-indicating ink is used, it may be shipped to sterilization facility16 in response to a request bynetwork server14 for “print-on-demand” applications. The bar codes, in turn, can be used within a sterilization facility16 to track individual sterilization packs and sterilization conditions. The information contained in the bar code, upon scanning, could form part of the sterilization process information uploaded from a sterilization facility16 tonetwork server14 for other purposes as described above.
• Chemical indicators may be pre-printed by a manufacturer according to sterilization process information uploaded tonetwork server14 by a sterilization facility16, and then shipped to the sterilization facility. In addition, sterilization facilities16 can order settings for specific types and cycles of sterilization as they install new equipment or begin to use new types of sterilization cycles, e.g., longer steam cycles and the like. Similar techniques, relying on information uploaded by sterilization facilities16, could be used to obtain biological indicators, sterilization tape and other types of sterilization indicators.
• File archive30 also may include a set of files that form aknowledge base58.Knowledge base58 may store technical reports, advisories, user documentation and other information associated with sterilizer equipment, processes, and materials. In addition,knowledge base58 may store protocols and process parameter tables useful to personnel associated with sterilization facilities16 in processing particular types of sterilization loads. Case histories, trouble-shooting tips, problem fixes, and transcripts from interactive chat sessions with sterilization experts and online education seminars can also be provided inknowledge base58.
• If desired, profiles can be applied to filter portions offile archive30 from view by sterilization facilities16. If a sterilization facility16 uses only steam-based sterilizers, for example, there may be no need to access information inknowledge base58 pertaining to ethylene oxide sterilization. Accordingly,database26 may map particular files inknowledge base58 for access by particular sterilization facilities16. Alternatively,database26 may flag particular files to prohibit access by particular sterilization facilities16. This type of access scheme also can be made applicable toreviewers18 to limit the scope of access.
• In some embodiments,system10 may be used to accumulate information concerning best practices and trends in sterilization processing from multiple network clients. This feature may be particularly useful for organizations responsible for management of multiple sterilization facilities16. For example, a health maintenance organization that manages several different hospitals may be given access to sterilization process information collected from those hospitals. The information, which may include types of sterilization processes used, consumption of sterilization materials, throughput, process control settings and the like within the individual hospitals, can be used to develop overall trends and establish best practices for sterilization processing.
• The larger management organization can use the information to make purchasing decisions, schedule preventative maintenance, perform trouble shooting of problems, develop training programs, improve process quality and throughput, and minimize recalls. Thus,network server14 can be configured to accumulate information for trend analysis and establishment of best practices guidelines and provide network clients with access to such information.Network server14 also may provide more general best practices information obtained from industry organizations such as the Association for the Advancement of Medical Instrumentation (AAMI), the Association of Perioperative Registered Nurses (AORN), the American Society for Healthcare Central Service Professionals (ASHCSP), and others, and provide frequent updates.
• The trend analysis and best practices guidelines may be processed by the network client based on the informationform network server14, and then uploaded, if desired, to the network server for access by other network clients. Alternatively,network server14 may simply store the raw information used by individual network clients in trend analysis and establishment of best practices. Typically, access to information pertaining to a group of sterilization facilities16 will be limited to network clients affiliated with those facilities rather than shared with others.
• If information is gathered from a relatively large number of health care facilities, the trend information can be used to compare any given hospital to a standard or “norm.” Health care facilities, such as hospitals, typically are quite competitive, with each hospital seeking to distinguish itself in the quality and level of service it provides. Trend information could be used to provide a relative ranking of a hospital in the field of sterilization services, and reveal areas for improvement.
• FIG. 4 is a flow chart illustrating generation of reports and distribution of sterilization materials insystem10 ofFIG. 1. As shown inFIG. 4, upon receipt of sterilization process information (60) from a sterilization facility16 vianetwork12,network server14 prepares a sterilization process report (62) for access by the sterilization facilities andreviewer18. In some embodiments,network server14 may apply an checking process (64) to identify errors within the sterilization process information. Errors may arise due to human error in entry of the sterilization process information. If errors exist,network server14 may generate an error list and send it to the pertinent sterilization facility (66). If not,network server14 makes the report available to authorizedreviewers18 via network12 (68).
• Network server14 also may analyze the sterilization process information to determine inventory levels of sterilization materials (70) for the pertinent sterilization facility16. If the inventory level drops below a predetermined threshold (72),network server14 may generate an order for distribution of additional sterilization materials to the sterilization facility (74). If the inventory level is satisfactory (no branch from72), or upon generation of an order for additional sterilization materials,network server14 may further analyze sterilization process information to determine a maintenance schedule for the sterilization equipment used by the sterilization facility16 (76). In particular, based on the number and types of sterilization loads processed by sterilization facility16,network server14 determines whether equipment maintenance is due (78). If maintenance is due,network server14 issues an order for scheduling of maintenance (80). In some cases, the order may be directed to a particular individual for immediate sterilizer maintenance. If no maintenance is due,network server14 waits for the next set of sterilization process information to be uploaded (no branch of80).
• As discussed above,network server14 may analyze the sterilization process information to estimate consumption of sterilization materials, as well as usage of sterilization equipment. Thus, in some embodiments,network server14 may use the same sterilization process information for multiple purposes, e.g., to prepare sterilization process reports, estimate inventory levels, and schedule sterilizer equipment maintenance.
• FIG. 5 is a flow chart further illustrating distribution of sterilization materials in the system ofFIG. 1. In particular,FIG. 5 illustrates the distribution of indicator materials. As shown inFIG. 5, upon receipt of sterilization process information (82),network server14 may determine the characteristics of indicators (84) used in one or more of the sterilization processes performed by sterilization facility16. Based on this determination, if inventories of the indicator are running for a print on demand application,network server14 prepares indicator information and formats it appropriately (86).Network server14 then transmits the indicator information and format to sterilization facility16 (88).
• If self-indicating ink is required (90) by sterilization facility16, rather than ordinary ink,network server14 may assess the inventory of self-indicating ink maintained by the sterilization facility (92). If self-indicating ink is not required, the indicator is simply printed at sterilization facility16 (91). If the inventory of ink is greater than a predetermined threshold (94), sterilization facility16 may proceed to print the indicator (96) defined by the indicator information and format sent bynetwork server14. If the inventory is less than the predetermined threshold (94), indicating insufficient supply,network server14 prepares an order to send an additional supply of ink to the sterilization facility (98).
• Various embodiments of the invention have been described. These and other embodiments are within the scope of the following claims.

Claims (31)

1. A method comprising:

receiving sterilization process information from a sterilization facility via a computer network;

arranging the sterilization process information received from the facility to illustrate compliance with a sterilization process standard;

generating a report that includes the arranged information; and

providing a network client with access to the report via the computer network, wherein the network client is associated with a reviewer that analyzes the report to evaluate compliance with the sterilization process standard.

2. The method ofclaim 1, wherein providing access to the report includes transmitting the report to the network client via the computer network.

3. The method ofclaim 1, wherein providing access to the report includes serving a document containing the report upon request by the network client.

4. The method ofclaim 3, wherein the document is a web page.

5. The method ofclaim 1, wherein arranging sterilization process information and generating a report includes archiving the sterilization process information, and arranging the sterilization process information and generating the report upon request by the network client.

6. The method ofclaim 1, wherein the network client is a regulatory agency or an audit organization.

7. The method ofclaim 1, wherein the report identifies individual sterilization loads and load contents.

8. The method ofclaim 7, wherein the report includes sterilization processing characteristics for the individual sterilization loads, the sterilization processing characteristics for each load including at least one of type of sterilizer, sterilizer identification, cycle time, sterilization time, temperature, pressure, humidity and sterilant concentration.

9. The method ofclaim 1, wherein receiving sterilization process information includes receiving sterilization process information from multiple sterilization facilities, and generating a report includes generating reports for the multiple sterilization facilities.

10. The method ofclaim 9, wherein generating the report includes generating the report to integrate sterilization process information received from two or more of the sterilization facilities.

11. The method ofclaim 1, further comprising:

determining consumption of a quantity of a sterilization material by the sterilization facility based on the sterilization process information received from the sterilization facility; and

processing an order for delivery of an additional quantity of the sterilization material to the sterilization facility based on the determination.

12. The method ofclaim 11, wherein the sterilization material includes at least one of sterilant, pack material, and indicators.

13. The method ofclaim 1, further comprising:

receiving an order for sterilization material from the sterilization facility; and

processing the order to direct delivery of the sterilization material to the sterilization facility.

14. The method ofclaim 1, further comprising:

providing access to information relating to sterilization materials;

providing access to information relating to sterilization processes; and

providing interactive communication between technical personnel knowledgeable in sterilization processes and sterilization facility personnel.

15. The method ofclaim 1, further comprising:

accumulating information concerning best practices and trends in sterilization processing from multiple network clients; and

providing access to the best practices and trends information via the network.

16. A system comprising:

a client computer, associated with a sterilization facility, that transmits sterilization process information via a computer network; and

a network server that receives the sterilization process information from the client computer via the computer network, arranges the sterilization process information received from the client computer to illustrate compliance with a sterilization process standard, generates a report that includes the arranged, and provides a network client with access to the report via the computer network, wherein the network client is associated with a reviewer that analyzes the report to evaluate compliance with the sterilization process standard.

17. The system ofclaim 16, wherein the network server provides access to the report by transmitting the report to the network client via the computer network.

18. The system ofclaim 16, wherein the network server provides access to the report by serving a document containing the report upon request by the network client.

19. The system ofclaim 18, wherein the document is a web page.

20. The system ofclaim 16, wherein the network server archives the sterilization process information, and generates the reports upon request by the network client.

21. The system ofclaim 16, wherein generating the report includes arranging the sterilization process information to illustrate compliance with sterilization process standards.

22. The system ofclaim 16, wherein the network client is a regulatory agency or an audit organization.

23. The system ofclaim 16, wherein the report identifies individual sterilization loads and load contents.

24. The system ofclaim 23, wherein the report includes sterilization processing characteristics for the individual sterilization loads, the sterilization processing characteristics for each load including at least one of type of sterilizer, sterilizer identification, cycle time, sterilization time, temperature, pressure, humidity and sterilant concentration.

25. The system ofclaim 16, wherein the system includes multiple client computers that transmit sterilization process information for multiple sterilization facilities, and the network server generates multiple reports for the multiple sterilization facilities.

26. The system ofclaim 25, wherein the network server generates a report that integrates sterilization process information received from client computers associated with two or more of the sterilization facilities.

27. The system ofclaim 16, wherein the network server determines consumption of a quantity of a sterilization material by the sterilization facility based on the sterilization process information received from the sterilization facility, and processes an order for delivery of an additional quantity of the sterilization material to the sterilization facility based on the determination.

28. The system ofclaim 27, wherein the sterilization material includes at least one of sterilant, pack material, and indicators.

29. The system ofclaim 27, wherein the network server receives an order for sterilization material from the sterilization facility, and processes the order to direct delivery of the sterilization material to the sterilization facility.

30. The system ofclaim 27, wherein the network server provides access to information relating to sterilization materials, access to information relating to sterilization processes, and interactive communication between technical personnel knowledgeable in sterilization processes and sterilization facility personnel.

31. The system ofclaim 16, wherein the network server accumulates information concerning best practices and trends in sterilization processing from multiple network clients, and provides access to the best practices and trends information via the network.

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