CN109961835A - A kind of closed-loop control system and method for controlled drug - Google Patents
A kind of closed-loop control system and method for controlled drug Download PDFInfo
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- CN109961835A CN109961835A CN201711430038.2A CN201711430038A CN109961835A CN 109961835 A CN109961835 A CN 109961835A CN 201711430038 A CN201711430038 A CN 201711430038A CN 109961835 A CN109961835 A CN 109961835A
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- drug
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- A—HUMAN NECESSITIES
- A47—FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
- A47B—TABLES; DESKS; OFFICE FURNITURE; CABINETS; DRAWERS; GENERAL DETAILS OF FURNITURE
- A47B67/00—Chests; Dressing-tables; Medicine cabinets or the like; Cabinets characterised by the arrangement of drawers
- A47B67/02—Cabinets for shaving tackle, medicines, or the like
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06K—GRAPHICAL DATA READING; PRESENTATION OF DATA; RECORD CARRIERS; HANDLING RECORD CARRIERS
- G06K17/00—Methods or arrangements for effecting co-operative working between equipments covered by two or more of main groups G06K1/00 - G06K15/00, e.g. automatic card files incorporating conveying and reading operations
- G06K17/0022—Methods or arrangements for effecting co-operative working between equipments covered by two or more of main groups G06K1/00 - G06K15/00, e.g. automatic card files incorporating conveying and reading operations arrangements or provisious for transferring data to distant stations, e.g. from a sensing device
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- A—HUMAN NECESSITIES
- A47—FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
- A47B—TABLES; DESKS; OFFICE FURNITURE; CABINETS; DRAWERS; GENERAL DETAILS OF FURNITURE
- A47B67/00—Chests; Dressing-tables; Medicine cabinets or the like; Cabinets characterised by the arrangement of drawers
- A47B67/02—Cabinets for shaving tackle, medicines, or the like
- A47B2067/025—Cabinets for shaving tackle, medicines, or the like having safety means
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- A—HUMAN NECESSITIES
- A47—FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
- A47B—TABLES; DESKS; OFFICE FURNITURE; CABINETS; DRAWERS; GENERAL DETAILS OF FURNITURE
- A47B2220/00—General furniture construction, e.g. fittings
- A47B2220/0091—Electronic or electric devices
- A47B2220/0097—Remote control for furniture, e.g. tables or shelves
Abstract
Controlled drug closed-loop control system and control method proposed by the present invention realize to controlled drug take medicine, medication, recycling whole-course automation management, in entire closed loop control process, system is by taking medicine, medication, the monitoring for putting back to links, ensure the safety of controlled drug, if the discrepancy of quantity of any of the above links, it can find the problem at once and search relevant information, find related personnel.And the drug that the closed-loop control system records each link takes information, alleviates the labor burden of medical worker, and reduces controlled drug and lose or a possibility that information misregistration.
Description
Technical field
The present invention relates to the drug control technical field of hospital more particularly to a kind of drug closed-loop control systems and method.
Background technique
With advances in technology, the medicine management system of automation, such as this public affairs has been widely used in hospital at present
Department before submit application No. is the earlier applications of CN201110211704, just propose such a drug automatic access system
System.Existing medicine storage system generally has central control unit and input-output equipment, such as many drug control systems
System carries out drug control using a computer.Medicine management system has several drug memory spaces, such as drawer, drug
Cabinet, or be controllable medicine box, these memory spaces usually have the retaining mechanism that can be controlled by electric signal, drug control
System further includes the power supply powered to central control unit, input-output equipment and lockset.When taking medicine, medical staff can lead to
The unlock that management software realizes retaining mechanism is crossed, to open the memory space where required drug, to realize the automation of drug
Management.The applying for background technique of the invention of above-mentioned our company and among the content that is incorporated herein.Existing drug control
System can be effectively prevented the loss of drug to the control of drug storage unit retaining mechanism, and realize the function of drug control
Can, a possibility that dramatically reducing the operating pressure of medical staff, reduce error.
The management and use of drug need selection by multiple links, including drug, buy, stock up, and are curing to drug
Restocking in institute, storage, and allot from pharmacy drug to ward, writing a prescription including doctor, the careful side of pharmacist, nurse to
Medicine, last residue drug recycling and the recycling of drug container etc..Due to the particularity of controlled drug, need to manage ring at each
Section carries out verification and the record of drug, and the drug automated management system of Hospitals at Present is unable to satisfy the management to controlled drug and needs
It asks, therefore the domestic management to controlled drug is also in manual record, the mode of artificial nucleus couple, the medium or paper of record,
Prevent drug from haveing the accidents such as active, missing, stolen or misregistration in some part.In the drug flow of hospital, for
Often there is the case where dead space capacity in the links of patient's medication, particularly with narcotics, the first kind of spiritual drugs etc.,
Its residual solution still has anesthesia function, if the control drug in container, not using finishing, and these remaining medicines are using flowing
If do not managed effectively in journey, offender may be by the remaining drug in container in some part of drug flow
Collect the dosage for reaching dangerous, or even take container out of hospital by the modes such as stealing, exchanging, cause it is extremely serious after
Fruit.
It is more than after the shelf lives, not only drug effect obtains in addition, having certain shelf lives after drug opens packaging
Less than guarantee, the life security of patient also will affect when serious, Hospitals at Present is for the quality guarantee period of medicament time after packaging unlatching
Supervision all hand-kept opening time when needing the medical worker to open Key works Drug packing every time, is not used there is no realizing automation
Whether complete remaining medicine needs medical worker to check drug when reusing expired.Further, in existing drug process for using
In, the practical drug dosage of patient is usually embodied in medical history record, to facilitate the therapeutic effect of assessment therapeutic scheme and drug,
But if single branch drug needs are used for multiple times, the record of each dosage of drug needs medical worker to be manually generated.?
It is existing to rely on artificial working method not only inefficiency in these processes, but also it is easy error, the management of this inefficiency
Mode manages stringenter controlled drug to expiration date of drug and more increases potential dangerous.
Summary of the invention
The present invention proposes a kind of controlled drug closed-loop control system comprising central processing unit, the central processing list
Member takes information for managing drug, and the management selectively takes including generating, updating, editing, storing, deleting the drug
Use information.It includes taking medicine information and medication information that the drug, which takes information, and described to take medicine information selectively include drug name
Title, patient information, takes medicine time, quality guarantee period of medicament phase or expired time, at least one for taking the information such as medicine quantity at prescription information,
The medication information includes nomenclature of drug, prescription information, patient information, administration time, quality guarantee period of medicament phase or expired time, medication
At least one of the information such as quantity.
Further, the central processing unit has visual operation interface, and user is by visually operating boundary
It is managed in face of system, user can send unlocking signal to the control circuit of drug storage unit by the operation interface.
The controlled drug closed-loop control system includes that user logs in unit, provides authentication for user, certification is logical
There is provided identity therewith corresponding administration authority for user, ability after logging in the user that drug storage unit opens permission later
Unlocking signal is sent to the control circuit of drug storage unit by the central processing unit；The controlled drug closed-loop control
System includes drug storage unit, has memory space, control circuit and retaining mechanism, and the control circuit receives control signal
So that retaining mechanism locking or unlock, to realize the locking or unlatching of the drug storage unit.Medicine management system includes
Several drug storage units can be drawer, medicine-chest, or single medicine box.The drug storage unit has control
Circuit and retaining mechanism processed, the control circuit receives the locking instruction that central processing unit is sent or unlock instruction to lock
Mechanism is in locking or unlocked state, to realize the drug storage unit locking or open.In the drug storage unit
Including drug sensor, the drug sensor can perceive the drug and be put from the memory space of the drug storage unit
Enter or take out, and the drug is sent to by the status information for being put into or taking out from the memory space of the drug storage unit
Central processing unit.
The controlled drug closed-loop control system includes medicine mark generation unit, for generating for being attached to drug container
On medicine mark, the medicine mark can be label, the RFID label tag of bar code or two dimensional code, or for can be read
Number and/or alphabetic string label, the medicine mark is used to be attached to the container of the drug taken, and the drug container refers to
The minimum single-item packing container of drug.The medicine mark is unique, and a mark is pasted on each drug container, therefore
Each drug container posts a unique mark, that is to say, that the drug mark for the drug container patch that any two are taken
Knowledge is all different.
The controlled drug closed-loop control system further includes medicine mark reading unit, for reading the drug container
Medicine mark, and the information of the medicine mark of reading is sent to central processing unit.Specifically, the medicine mark
Reading unit is barcode scanning unit, for reading two dimensional code or bar code on drug container；The medicine mark reading unit
It can also be RFID reading unit, for reading the RFID label tag on drug container；The medicine mark reading unit can be with
For image identification unit, two dimensional code/bar code, number and/or the alphabetic string on drug container for identification.
It is corresponding with medicine mark that the drug can also be taken information by the central processing unit, establish mapping and close
System, it includes that at least one drug takes information that the drug, which takes information,.After mark reads the medicine mark, the center
Processing unit transfers drug corresponding with the medicine mark and takes information.When user reads drug using medicine mark reading unit
When mark, user can transfer drug associated with the medicine mark and take information and edit to it.
The central processing unit obtains total dosage of total medicine taking amount ∑ T of the controlled drug, the controlled drug
∑ U, the unused amount R of the controlled drug, the amount of the putting back to F of the controlled drug, the controlled drug empty container quantity E,
And judge whether total medicine taking amount ∑ T of the controlled drug is equal to total dosage ∑ U of the controlled drug plus unused amount
R, whether the unused amount R of the controlled drug is equal to total dosage of the amount of the putting back to F of the controlled drug, the controlled drug
Whether ∑ U is equal to empty container quantity E.Specifically, the central processing unit is according to the memory space of the drug storage unit
Status information know the medicine taking amount Tn of the controlled drug each time, and total medicine taking amount ∑ of the controlled drug is calculated
T；The central processing unit takes information by the drug and knows the dosage Un of the controlled drug each time, and calculates
Obtain total dosage ∑ U of the controlled drug；The central processing unit by total medicine taking amount ∑ T of the controlled drug and
The unused amount R of the controlled drug is calculated in total dosage ∑ U；The central processing unit stores single according to the drug
The status information of the memory space of member knows the amount of the putting back to F of the controlled drug；The central processing unit passes through the drug
Take the empty container quantity E that information knows the controlled drug.
The present invention proposes a kind of closed loop control method of controlled drug, is based on above-mentioned closed-loop control system, central processing
Unit carries out closed-loop control to controlled drug by following formula:
∑ T=∑ U+R (1)；
R=F (2)；
∑ U=E (3)；
In formula (1), total medicine taking amount ∑ T is equal to total dosage ∑ U not to be made in formula (2) plus amount of medicament R is not used
It is equal to pharmacist with amount of medicament R and puts back to amount of medicament F, in formula (3), total medication quantity ∑ U is equal to the empty bottle quantity that pharmacist puts back to
E, specific control method the following steps are included:
Step 1, the total medicine taking amount ∑ T for obtaining the controlled drug, obtain total dosage ∑ U of the controlled drug, obtain institute
The unused amount R for stating controlled drug, obtains the amount of the putting back to F of the controlled drug, obtains the empty container quantity of the controlled drug
E；
Step 2 judges whether total medicine taking amount ∑ T of the controlled drug is equal to total dosage ∑ U of the controlled drug and adds
Amount R is not used, judges whether the unused amount R of the controlled drug is equal to the amount of the putting back to F of the controlled drug, judges the pipe
Whether total dosage ∑ U of pharmacy product is equal to empty container quantity E；
If at least one of judging in step 3, the step 2 judging result be it is no, carry out warning note.
It is described that information is taken for drug, it, can also be by other systems, such as intelligent pump system other than operator's typing
System, anesthesia information system etc. are transmitted to central processing unit, eliminate the workload of manual entry, and reduce the possibility of mistake
Property；Meanwhile the drug of central processing unit takes information can also be transmitted to other systems, such as HIS system, medical records system, makees
For the course of disease medical history record of Case treatment.Further, the central processing unit, medicine mark generation unit, medicine mark
Reading unit can be in the same equipment, such as on same medicine management system.In other embodiments, the central processing
Unit, medicine mark generation unit, medicine mark reading unit can also be physically isolated between the equipment on different devices
And it can be communicated by wired or wireless mode, and share information and drug on the medicine mark and take information.
Controlled drug closed-loop control system and control method proposed by the present invention, which are realized, takes medicine, use to controlled drug
Medicine, recycling whole-course automation management, in entire closed loop control process, system is by taking medicine, medication, put back to links
Monitoring, ensure the safety of controlled drug, if the discrepancy of quantity of any of the above links, can find the problem at once simultaneously
Relevant information is searched, related personnel is found.And the drug that the closed-loop control system records each link takes information, mitigates
The labor burden of medical worker, and reduce controlled drug and lose or a possibility that information misregistration.
Detailed description of the invention
Fig. 1 is drug closed-loop control system front view of the present invention；
Fig. 2 is the medicine mark (two-dimension code label) that drug closed-loop control system of the present invention generates；
Fig. 3 is another medicine mark (two-dimension code label) that drug closed-loop control system of the present invention generates；
Fig. 4 is drug closed-loop control system flow chart of the present invention；
Wherein, host 1, display 2, drawer 3.
Specific embodiment
Invention is further explained with specific embodiment with reference to the accompanying drawings of the specification.
In one embodiment, controlled drug closed-loop control system of the invention includes central processing unit, the center
Processing unit takes information for managing drug, and the management is selectively including described in generation, update, editor, storage, deletion
Drug takes information.It includes taking medicine information and medication information that the drug, which takes information, described to take the medicine information selectively to include
Nomenclature of drug, patient information, takes medicine time, quality guarantee period of medicament phase or expired time, takes the information such as medicine quantity at least prescription information
One kind, the medication information include nomenclature of drug, prescription information, patient information, administration time, the quality guarantee period of medicament phase or it is expired when
Between, at least one of the information such as medication quantity.
In one embodiment, the central processing unit is the host computer with display 2, as shown in Fig. 1, user
The control of whole system is realized by the visualized operation interface of the management software that runs on host computer on a display 2.Place
In the cost the considerations of, in relatively simple embodiment, central control unit may be single-chip microcontroller or MCU (microcontroller
Device) system that is constituted, using lesser display screen (operation interface of similar duplicator), user can by touch or
Button operation realizes the control to whole system at the visualized operation interface that display screen is shown.The host, which can receive, to be come
The prescription of self diagnosis room terminal or user create prescription on the host, and the prescription includes patient information and drug letter
Breath, for user by choosing the existing prescription, the drug storage unit where the drug into prescription sends unlock instruction, with
Realize taking for ethical goods.
In further embodiment, the central processing unit has visual operation interface, and user passes through visualization
Operation interface system is managed, user can by the operation interface to the control circuit of drug storage unit send solve
Lock signal.
In one embodiment, controlled drug closed-loop control system of the invention includes that user logs in unit, is user
Authentication is provided, authenticates and provides identity therewith corresponding administration authority for user after passing through, taken with drug or drug is filled out
The user for filling permission could send unlock letter to the control circuit of drug storage unit by the central processing unit after logging in
Number.Controlled drug closed-loop control system of the invention includes drug storage unit, has control circuit and retaining mechanism, the control
Circuit processed receives control signal and retaining mechanism is made to lock or unlock, to realize the locking of the drug storage unit or open
It opens.Medicine management system includes several drug storage units, can be drawer, medicine-chest, as shown in Figure 1, the drug stores
Unit is drawer 3；In another embodiment, the drug storage unit may be single medicine box.The drug storage
Unit has control circuit and retaining mechanism, and the control circuit receives the locking instruction that central control unit is sent or unlock refers to
It enables so that retaining mechanism is in locking or unlocked state, to realize the drug storage unit locking or open.Such lock
Tight mechanism and control mode belong to the mature prior art, can refer to the application before our company, details are not described herein.The medicine
It include drug sensor in product storage unit, the drug sensor can perceive the drug by from the drug storage unit
The memory space shape that is put into or takes out, and the drug is put into or is taken out from the memory space of the drug storage unit
State information is sent to central processing unit.Therefore, central processing unit can know the inventories of each drug storage unit,
And know the specific location of the memory space where drug.
In one embodiment, controlled drug closed-loop control system of the invention includes medicine mark generation unit, is used for
The medicine mark for being attached on drug container is generated, the medicine mark can be bar code or label, the RFID of two dimensional code
Label, or be the label with the number and/or alphabetic string that can be read, the medicine mark is for being attached to the drug taken
On container, the drug container refers to the minimum single-item packing container of drug.The medicine mark is unique, and each drug
A mark is pasted on container, therefore each drug container posts a unique mark, that is to say, that any two are taken
Drug container patch medicine mark be all different.It should be noted that usually thering is producer to print on existing Key works Drug packing
Or patch bar code perhaps two dimensional code but original bar code or two dimensional code cannot ensure any two in this product packaging
The medicine mark of a drug container patch taken all is different, such as the code on same a batch of same medicine of same producer
Text may be consistent, and for another example the code text of the ampoule of same box is also consistent, therefore it cannot ensure its uniqueness, so this
A little original bar codes or two dimensional code can not need to be specifically generated absolutely unique medicine as medicine mark of the invention
Product mark, also, can also formulate what mark generated according to the different situations of drug container according to the needs of user oneself in this way
Rule, to be capable of the essential information of quick obtaining drug container when convenient reading.
In specific implementation, in order to ensure the uniqueness of the number and/or alphabetic string that can be read, number and/or
Letter needs long enough, and in a preferred embodiment, the generation of number and/or letter can follow certain rule, such as
EX20160723091003GS, wherein EX represents nomenclature of drug, and 20160723 represent the date of manufacture, and 09 represents batch, 1003GS
Represent drug container number.In actual application, can prescribed coding create-rule according to specific needs, and guarantee any medicine
The number and/or alphabetic string of product container are unique.The number that the bar code or two dimensional code can be generated according to above-mentioned rule
And/or alphabetic string is converted to.The generation of RFID mark belongs to the prior art, and details are not described herein.
In a preferred embodiment, on the medicine mark of generation in addition to two dimensional code or bar code, RFID label,
Number and/or alphabetic string except, further include text information, the text information selectively include nomenclature of drug, patient information,
Drug time (packaging opening time/dissolution/dilution time), shelf-life/expired time etc., can not for medical staff
It must use drug reading unit that can know the medication information of the drug simply by visual mode.Further, described
Medicine mark is distinguished with different colors, such as the label for the multiple color being attached on drug container, the selection symbol of color
Close ISO26825-2008 standard.
In a further preferred embodiment, the drug is injecting drug use, and the medicine mark generation unit generates two
A identical mark, described two identical marks are attached to respectively on drug container and in syringe/or infusion bag, described
Syringe/or infusion bag are used to inject the drug in the drug container, and the syringe/or infusion bag and the drug container
For only one-to-one correspondence, i.e., the drug in the described drug container is only by having identical medicine mark with the drug container
The syringe/or infusion bag injection.
The controlled drug closed-loop control system further includes medicine mark reading unit, for reading the drug container
Medicine mark.Specifically, the medicine mark reading unit is barcode scanning unit, for read two dimensional code on drug container or
Person's bar code；The medicine mark reading unit can also be RFID reading unit, for reading the mark of the RFID on drug container
Label；The medicine mark reading unit can also be image identification unit, for identification two dimensional code/bar shaped on drug container
Code, number and/or alphabetic string, described image recognition unit belong to the prior art, for example, by mobile phone camera identify two dimensional code/
The method of bar code, number and/or alphabetic string, details are not described herein.
The drug can also be taken information and carry out corresponding, foundation mapping pass with medicine mark by the central processing unit
System, it includes that at least one drug takes information that the drug, which takes information,.After mark reads the medicine mark, the center
Processing unit transfers drug corresponding with the medicine mark and takes information.
In one embodiment, a drug take information can be corresponding with a medicine mark.This one
To in a mapping relations, the mark of the minimum single-item packing container of each drug and a drug in central processing unit
It is corresponding to take information, therefore the minimum single-item packing container is from taking, store, take, scrap again etc. in whole process
Information can take in corresponding drug and be recorded or be updated in information.
In one embodiment, a drug take information can be corresponding with multiple medicine marks.For example, doctor
It include a variety of medicines in the prescription issued for some patient, the nomenclature of drug of a variety of medicines, patient information, takes medicine at prescription information
Time, quality guarantee period of medicament phase or expired time, drug dosage etc. take unpack record in the drug, i.e., the drug takes information
In every kind of medicine nomenclature of drug, prescription information, patient information, take medicine time, quality guarantee period of medicament phase or expired time, drug dosage
Etc. information record or update respectively.In other embodiments, a plurality of drug take information can be with a medicine mark phase
It is corresponding.
In one embodiment, doctor includes one or more controlled drugs, institute in the prescription to patient's prescription
Prescription is stated to be transmitted in medicine management system, after login authentication, the phase of the drug storage unit of the medicine management system
Memory space is answered to open, doctor takes corresponding controlled drug, and the medicine mark that the medicine mark generation unit generates is attached to
The vessel surface of controlled drug.In this operation, the medicine taking amount of doctor's n-th is Tn.
Specifically, all corresponding drug of each medicine in prescription that doctor issues for every patient takes information, and
The single-item packing container of each medicine has a medicine mark, and it includes that the drug is drawn that drug described in each, which takes information,
The case where, including nomenclature of drug, prescription information, patient information, take medicine time, quality guarantee period of medicament phase or expired time, drug dosage
Deng, the drug of different patients takes information and records or update respectively, the drug of each medicine in prescription take information all with reality
Border take in medicament packaging container medicine mark it is associated.
In one embodiment, the central processing unit can monitor that the drug takes at least one of information drug
Shelf-life or optimal use time.Specifically, be stored in the central processing unit different drugs open packaging or
Optimal after dissolution, dilution to use time or shelf-life, the shelf-life can manually be set by medical worker.Work as medical worker
After opening drug container packaging, drug corresponding with the drug container takes data input and opens drug in central processing unit
The time of container package, the central processing unit starts countdown according to the preset shelf-life durations length of the drug, with prison
Depending on the shelf-life of the drug.When the quality guarantee period of medicament phase time-out, if the drug is finished not yet, the central processing unit is mentioned
Show that user's drug is expired, carries out scrapping processing.The prompt can be the literal/pattern prompt on display screen,
Or voice/sound prompt or bright light prompt.
The work flow diagram of controlled drug closed-loop control system of the invention is as shown in figure 4, in one embodiment, king cures
Raw is patient Zhang San prescription A, includes 10 bottles of sufentanils in prescription A, and sufentanil is the medical fluid in cillin bottle, often
Capacity is 5ml in a cillin bottle, and total effective component is 50ug, and the dosage of patient's Zhang San's per injection is 100ug in prescription A, is relaxed
Optimal use time is 12 hours after the packaging of fentanyl is opened.After pharmacist verifies prescription information, taken from medicine management system
10 bottles of sufentanils give Wang doctor out, and take information to drug in system and record, including take the medicine time, take medicine
People, prescription information take pharmacopoeia class, take medicine quantity etc..After Wang doctor takes medicine, the medicine bottle of 2 sufentanils is first taken, is being operated
Information is taken to the drug on interface to edit, such as a medication information, the use are created in the case where the drug takes information
Medicine information may include the personal information such as patient information, such as patient name, patient, age, gender, weight, can also include place
Square information, such as drug is sufentanil, per injection dosage is 10ml, the effective dose of per injection is 100ug, injection interval
Time, points for attention etc. can also include medicine information, such as drug list branch dosage is 5ml, effective dose is 50ug, drug
Time is on 08 12nd, 2016 9:50, drug expired time is on 08 12nd, 2016 21:50, drug prepares people's surname
Name.Meanwhile medicine mark generation unit is respectively that 2 bottles of medicines respectively generate two identical two-dimension code labels, the medicine label referring to
Fig. 2, the label in left side are green, syringe for being attached to (therefore there are two labels for tool on the syringe, are belonging respectively to this
Two bottles of medicines), it include that two dimensional code, nomenclature of drug, patient's name, Gender, patient age, patient patient, drug are quasi- on label
Information, the labels on right side such as standby people's name, time, expired time only have two dimensional code, are used to be attached to cillin bottle, and two
The two dimensional code of a label is identical, and is different from the two dimensional code of other any drug containers.After Wang doctor will update
The drug take information and the medicine mark includes that the label of two dimensional code establishes corresponding relationship.Wang doctor can pass through
Medicine mark reading unit reads the label generated, such as the two dimension of one of described two labels is read by dimensional code scanner
Code, then taken in operation interface in drug and choose the two-dimensional barcode information of reading in information, the drug described in this way take information with
The label sets up corresponding relationship, next time again with dimensional code scanner read label two dimensional code when, central processing unit
Operation interface can occur this drug at once and take information, operator can take information to the drug again and edit
And update.After Wang doctor carries out injection preparation, the above-mentioned syringe for posting two dimensional code is used to take out on 08 12nd, 2016 10:30
The medical fluid in the above-mentioned sufentanil medicine bottle for posting two dimensional code is taken to inject to Zhang San, later, Wang doctor takes letter to the drug
Breath is updated, such as supplemented with medication information, including operator message, patient information, medication information, the medication information
Including injection time, injection dosage, injection rate, such as 1ml per minute, central processing unit is according to the supplemental information of Wang doctor
It takes information to the drug to be updated, the information including increasing this medication, after information update, Wang doctor remains this
8 bottles of medicines of remaininging are put back in drug cabinet and are kept in.After 4 hours, i.e., on 08 12nd, 2016 14:30 need to inject again to Zhang San
5ml, Zhang doctor take out 1 medicine bottle from drug cabinet again, first using before dimensional code scanner scanning used two
Two dimensional code on a medicine bottle, the drug that the operation interface of central processing unit can occur being associated at once take information (on i.e.
State drug and take information), Zhang doctor checks the quantity of empty medicine bottle and drug takes the drug dosage actually used in information, if
All be 2 bottles, illustrate that dose is errorless, if empty medicine bottle only one, but it is two that drug, which takes the drug dosage stored in information,
Bottle illustrates have an empty medicine bottle to lose；If there are two empty medicine bottles, but it is 1 that drug, which takes the drug dosage stored in information,
Bottle, this illustrates that someone has taken one bottle of drug in unregistered situation.These fortuitous events should be inquired and be investigated immediately
Relative recording, such as the information of image monitoring system record.After Wang doctor checks, medicine mark generation unit is second
One bottle of medicine taking generates two identical two-dimension code labels, and one of label is attached on the medicine bottle taken for the second time, and in addition one
A label is attached on the syringe of second of injection, and Wang doctor can read the label generated by medicine mark reading unit,
Such as read the two dimensional code of one of described two labels by dimensional code scanner, then will take for the second time in operation interface
The label of this bottle of medicine is taken the medication information in information with above-mentioned drug and is associated, and is read again with dimensional code scanner next time
When the two dimensional code of label, central processing unit is taken information to the drug according to the supplemental information of Wang doctor and is updated,
Information including increasing this medication.After entire treatment end, central processing unit takes information according to updated drug
Calculating this treatment experienced altogether medication twice, and one has shared 3 bottles of sufentanils, and the dosage that system treats this is remembered
For Un (Un=3 in the present embodiment).If central processing unit judges that the sufentanil in the medicine bottle is expired, therefore
Operation interface shows that the medicine in the medicine bottle is expired, and carries out scrapping processing to the medicine with voice prompt operation person.Due to pipe
Scrapping for pharmacy product needs double certification, therefore Wang doctor is when operation interface selection carries out scrapping processing to the drug, central
Processing unit prompts second people to log in, and whether verification medicine bottle residual drug and drug take more than the drug recorded in information dose
Meet, illustrates that the drug in the medicine bottle has been likely to occur loss if not being inconsistent, scrap process if meeting into drug.In above-mentioned implementation
In example, after Wang doctor terminates the treatment on the same day, Wang doctor is by unspent 7 bottles of sufentanils and 3 used Shu Fentai
Buddhist nun's empty bottle confirms, updates drug in systems and takes information, and the update, which is included in the drug, takes in information and fill in not
Using Quantity of drugs and empty bottle quantity, wherein Quantity of drugs, which is not used, is denoted as R, empty bottle quantity be denoted as E (R=7 in the present embodiment,
E=3), then unspent 7 bottles of sufentanils and 3 used sufentanil empty bottles are packed respectively, is put into specified area
Give pharmacist in domain.The quantity of unspent sufentanil and used sufentanil empty bottle that pharmacist's audit is put back to, will not have
There is the sufentanil medicine bottle being finished to put back to the memory space of drug storage unit, includes that drug senses in the drug storage unit
Device, the drug sensor can perceive the drug and be put into or taken out from the memory space of the drug storage unit, and
The drug is sent to central processing list by the status information for being put into or taking out from the memory space of the drug storage unit
Member, therefore, central processing unit can know that this puts back to the sufentanil quantity of drug storage unit, and record when putting back to
Between, put back to operator, put back to the information such as position, after this puts back to quantity and is denoted as F, also, pharmacist verifies empty bottle quantity, empty bottle is put
Designated storage location is returned, and updates above-mentioned drug and takes information, the quantity including verifying empty bottle, empty bottle quantity is denoted as E.If medicine
Teacher's confirmation puts back to that the unused Quantity of drugs R that quantity F takes in information with drug is not inconsistent or empty bottle quantity E takes with drug
With the empty bottle discrepancy of quantity in information, illustrate that the link for putting back to unused drug or empty bottle in doctor occurs losing or stolen
Situation.If the practical drug that the drug sensor of drug storage unit is sent, which puts back to quantity, takes putting back in information with drug
Quantity F is not inconsistent, then may occur the situation lost or be stolen during drug is put back to storage unit by doctor.
By aforesaid operations, control system of the invention realizes the closed-loop control of a complete controlled drug, centre
Reason unit is monitored controlled drug by formula:
∑ T=∑ U+R (1)；
R=F (2)；
∑ U=E (3)；
In formula (1), confirm that total medicine taking amount ∑ T is equal to total dosage ∑ U and adds unused amount of medicament R, in formula (2),
Confirm that amount of medicament R, which is not used, puts back to amount of medicament F equal to pharmacist, in formula (3), confirms that total medication quantity ∑ U is put equal to pharmacist
The empty bottle quantity E returned can find the problem at once if the discrepancy of quantity of any of the above links and search related letter
Breath, finds related personnel, in entire closed loop control process, system by taking medicine, medication, the monitoring for putting back to links,
To ensure the safety of controlled drug.Specific step is as follows:
Step 1, the total medicine taking amount ∑ T for obtaining the controlled drug, obtain total dosage ∑ U of the controlled drug, obtain institute
The unused amount R for stating controlled drug, obtains the amount of the putting back to F of the controlled drug, obtains the empty container quantity of the controlled drug
E；
Step 2 judges whether total medicine taking amount ∑ T of the controlled drug is equal to total dosage ∑ U of the controlled drug and adds
Amount R is not used, judges whether the unused amount R of the controlled drug is equal to the amount of the putting back to F of the controlled drug, judges the pipe
Whether total dosage ∑ U of pharmacy product is equal to empty container quantity E；
If at least one of judging in step 3, the step 2 judging result be it is no, carry out warning note.
In another embodiment, need to take multiple drug containers of same medicine if it is patient in the prescription issued
Dosage, the medicine mark generation unit can generate different marks for each drug container, and in each drug
Indicated in the label information of container the drug container be this kind of drug that this prescription takes medicine which, as shown in figure 3, in addition to
It except the label information of Fig. 2, also indicates this and the medicine drug is taken to have 2 altogether, which is the 1st.
It is described that information is taken for drug, it, can also be by other systems, such as intelligent pump system other than operator's typing
System, anesthesia information system etc. are transmitted to central processing unit, eliminate the workload of manual entry, and reduce the possibility of mistake
Property；Meanwhile the drug of central processing unit takes information can also be transmitted to other systems, such as HIS system, medical records system, makees
For the course of disease medical history record of Case treatment.
Further, the central processing unit, medicine mark generation unit, medicine mark reading unit can be same
In equipment, such as on same medicine management system.In other embodiments, the central processing unit, medicine mark generate
Unit, medicine mark reading unit can also on different devices, between the equipment physical isolation and can by wired or
It is wirelessly communicated, and shares information and drug on the medicine mark and take information.For example, operator can be
Medicine is taken on the medicine management system A in pharmacy and generates medicine label, when in the medicine management system B that drug is sent to operating room
Afterwards, medicine label is read out on medicine management system B, and information is taken to drug after using drug and is updated,
After patient is sent back to ward, drug is sent in the medicine management system C in ward, to drug mark on medicine management system C
Label are read out, and carry out scrapping process on medicine management system C after drug is expired.Lead between medicine management system ABC
It crosses information and drug that wired or wireless mode communicate on exchange medicine mark and takes information, and the drug is taken
Information is updated.
The above is only the preferred embodiments of the disclosure, but scope of protection of the present invention is not limited thereto, any
Those familiar with the art in the technical scope disclosed by the present invention, it is contemplated that change or replacement should all cover this
Within the protection scope of invention.
Claims (10)
1. a kind of controlled drug closed-loop control system, which is characterized in that the controlled drug closed-loop control system includes:
Central processing unit, the drug for generating taken drug take information, and it includes at least one that the drug, which takes information,
The taken drug of kind takes medicine information and medication information；
Drug storage unit, the drug storage unit have drug sensor, and the drug sensor can perceive the medicine
Product are put into or are taken out from the memory space of the drug storage unit, and by the drug by from the drug storage unit
The status information that memory space is put into or takes out is sent to central processing unit.
2. drug closed-loop control system as described in claim 1, which is characterized in that the controlled drug closed-loop control system is also
Unit is logged in including user, provides authentication for user, certification provides identity therewith after passing through for user and manages accordingly
Permission.
3. drug closed-loop control system as described in claim 1, which is characterized in that the controlled drug closed-loop control system is also
Including medicine mark generation unit, for generating unique medicine mark, the medicine mark is used to be attached to the medicine of the drug
On product container；
Medicine mark reading unit, for reading the medicine mark on the drug container；
The medicine mark that the drug of the drug takes information and the drug is established corresponding relationship by the central processing unit,
After medicine mark reading unit reads the medicine mark on the drug container, the central processing unit transfers the drug
The corresponding drug of mark takes information.
4. drug closed-loop control system as claimed in claim 3, which is characterized in that the medicine mark can for bar code or
The label of two dimensional code, RFID label tag, or be the label with the number and/or alphabetic string that can be read.
5. drug closed-loop control system as described in claim 1, which is characterized in that the central processing unit is according to the medicine
The status information of the memory space of product storage unit knows the medicine taking amount Tn of the controlled drug each time, and is calculated described
Total medicine taking amount ∑ T of controlled drug.
6. drug closed-loop control system as claimed in claim 5, which is characterized in that the central processing unit passes through the medicine
Product take information and know the dosage Un of the controlled drug each time, and total dosage ∑ of the controlled drug is calculated
U。
7. drug closed-loop control system as claimed in claim 6, which is characterized in that the central processing unit passes through the pipe
The unused amount R of the controlled drug is calculated in total medicine taking amount ∑ T of pharmacy product and total dosage ∑ U.
8. drug closed-loop control system as described in claim 1, which is characterized in that the central processing unit is according to the medicine
The status information of the memory space of product storage unit knows the amount of the putting back to F of the controlled drug.
9. drug closed-loop control system as described in claim 1, which is characterized in that the central processing unit passes through the medicine
Product take the empty container quantity E that information knows the controlled drug.
10. a kind of closed loop control method based on controlled drug closed-loop control system as claimed in one of claims 1 to 9, special
Sign is, the control method the following steps are included:
Step 1, the total medicine taking amount ∑ T for obtaining the controlled drug, obtain total dosage ∑ U of the controlled drug, obtain institute
The unused amount R for stating controlled drug, obtains the amount of the putting back to F of the controlled drug, obtains the empty container quantity of the controlled drug
E；
Step 2 judges whether total medicine taking amount ∑ T of the controlled drug is equal to total dosage ∑ U of the controlled drug and adds
Amount R is not used, judges whether the unused amount R of the controlled drug is equal to the amount of the putting back to F of the controlled drug, judges the pipe
Whether total dosage ∑ U of pharmacy product is equal to empty container quantity E.
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| CN201711430038.2A CN109961835A (en) | 2017-12-26 | 2017-12-26 | A kind of closed-loop control system and method for controlled drug |
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| CN201711430038.2A CN109961835A (en) | 2017-12-26 | 2017-12-26 | A kind of closed-loop control system and method for controlled drug |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111445985A (en) * | 2020-03-24 | 2020-07-24 | 东阳市人民医院 | Method for managing one needle and one code of anesthetic |
| CN112259207A (en) * | 2020-10-30 | 2021-01-22 | 上海市肺科医院 | Closed-loop ICU ward drug management system and management method thereof |
| CN115165777A (en) * | 2022-07-01 | 2022-10-11 | 首都医科大学宣武医院 | Fentanyl class management and control narcotic waste liquid recovery verification system |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1766917A (en) * | 2004-10-25 | 2006-05-03 | 凌昂资讯股份有限公司 | Medicine management system and method applying RFID and PKI technologies |
| JP2006230842A (en) * | 2005-02-28 | 2006-09-07 | Jun Imai | Medicine-taking supervising device |
| US20080077274A1 (en) * | 2006-09-22 | 2008-03-27 | Jun Ho Kim | Medicine storage cabinet |
| US20110054668A1 (en) * | 2007-12-19 | 2011-03-03 | Holmes William K | Pharmaceutical storage and retrieval system and methods of storing and retrieving pharmaceuticals |
| CN103020451A (en) * | 2012-12-13 | 2013-04-03 | 北京华兴长泰物联网技术研究院有限责任公司 | Ward medicine access system |
| CN203424591U (en) * | 2013-07-09 | 2014-02-12 | 上海理工大学 | Drug management cabinet |
-
2017
- 2017-12-26 CN CN201711430038.2A patent/CN109961835A/en active Pending
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1766917A (en) * | 2004-10-25 | 2006-05-03 | 凌昂资讯股份有限公司 | Medicine management system and method applying RFID and PKI technologies |
| JP2006230842A (en) * | 2005-02-28 | 2006-09-07 | Jun Imai | Medicine-taking supervising device |
| US20080077274A1 (en) * | 2006-09-22 | 2008-03-27 | Jun Ho Kim | Medicine storage cabinet |
| US20110054668A1 (en) * | 2007-12-19 | 2011-03-03 | Holmes William K | Pharmaceutical storage and retrieval system and methods of storing and retrieving pharmaceuticals |
| CN103020451A (en) * | 2012-12-13 | 2013-04-03 | 北京华兴长泰物联网技术研究院有限责任公司 | Ward medicine access system |
| CN203424591U (en) * | 2013-07-09 | 2014-02-12 | 上海理工大学 | Drug management cabinet |
Non-Patent Citations (3)
| Title |
|---|
| 吴占敖;茅建华;邵洪芳;陈太平;胡坤;: "基于RFID技术智能化战备药箱的研发", 解放军医院管理杂志, no. 08 * |
| 唐维维;吴飞;王虹;: "基于射频识别的住院病区药柜设计与实现", 医疗卫生装备, vol. 36, no. 04 * |
| 靳萍;: "智能药柜在医院手术室信息化建设中的应用", 中国医疗设备, vol. 32, no. 01 * |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111445985A (en) * | 2020-03-24 | 2020-07-24 | 东阳市人民医院 | Method for managing one needle and one code of anesthetic |
| CN112259207A (en) * | 2020-10-30 | 2021-01-22 | 上海市肺科医院 | Closed-loop ICU ward drug management system and management method thereof |
| CN115165777A (en) * | 2022-07-01 | 2022-10-11 | 首都医科大学宣武医院 | Fentanyl class management and control narcotic waste liquid recovery verification system |
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