Predictive medication safety

A method, comprising:

• receiving, by a monitoring system, a first identifier for a medication, a second identifier for a first course of action for administering the medication with an infusion pump, and a third identifier for a caregiver;
• obtaining, by a processor in the monitoring system, medication orders from a medical entity database;
• reviewing, by the processor, the medication orders based on the received identifiers;
• determining, by the processor, the caregiver's history of hitting safe or therapeutic limits on doses;
• generating, by the processor, a second course of action based on the caregiver's history of hitting safe or therapeutic limits on doses;
• providing, by the processor via the communications module in the monitoring system, instructions to the infusion pump prior to implementation of the first course of action, the instructions comprising instructions for the infusion pump to take the second course of action in place of the first course of action;
• and
• performing, with the infusion pump responsive to the instructions, the second course of action by (a) restricting operation of the infusion pump to perform the first course of action until appropriate authorization for performing the first course of action is received by the infusion pump from the caregiver, and (b) providing, with the infusion pump to the caregiver, a notification including a purpose for taking the second course of action based on the caregiver's history of hitting safe or therapeutic limits on doses.