JP2002024391A - System and method for medication management - Google Patents

Abstract

PROBLEM TO BE SOLVED: To make easily and reliably eliminable medication errors. SOLUTION: A host computer 10 registers patient information and the information of medical examination results in a patient information database 11, manages the respective pieces of information according to a patient code allocated to each patient and also issues an electronic chart 12, a patient management center terminal 20 issues a label 22 for a patient for being stuck to the prescribed part of a wristband 23 the patient wears, a medicine room side terminal 30 issues a label 32 for medicine attachment, a nurse station side terminal 40 issues medication prescription 45, also collates the information of the chart 12 with the prescription 45 and the bar code information of the label 32 for medicine attachment to issue a patient collation label 46, and when the collation of the bar code of the label 46 with the bar code of the label 22 for a patient of the wristband 23 coincides, the medication of a medical drug 50 is judged to be acceptable.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

The present invention relates to a medication management system and a medication management method for checking medication to a patient by reading a bar code.

[0002]

2. Description of the Related Art Conventionally, medication to a patient is performed by a doctor or a nurse in accordance with a medical chart or a medication instruction transcribed from the medical chart.

[0003]

However, in the above-described conventional method of administering to a patient, the medicine is administered by a doctor or a nurse in accordance with a medical chart or an instruction for administration. There are many medication errors due to differences.

[0004] The present invention has been made in view of such circumstances, and it is an object of the present invention to provide a medication management system and a medication management method capable of easily and reliably eliminating medication errors. .

[0005]

According to a first aspect of the present invention, there is provided a medication management system which registers patient information and information on a medical examination result in a patient information database and manages each information by a patient code assigned to each patient. Along with the host computer that issues the electronic medical record, the patient information and the information on the medical examination result are notified, and a wristband attached to the patient is directly printed on a patient's label or a predetermined part for attaching to a predetermined part. At the request of the host computer, a terminal at the patient management center that issues print information for the patient, and at the request of the host computer, a bar code that encodes information indicating the prescription of the drug to be affixed to the prescribed drug is printed. At the request of the terminal in the medicine room that issues a label for applying medicine and the host computer, the electronic medical record and the medicine are attached. Collates the information of the bar code label, if the collation result matches, characterized in that it comprises a nurse station side terminal identifies that it is possible to dosage of the drug. Further, the host computer has a request notifying unit for notifying the prescription issuance request to the terminal on the medicine room side and notifying the terminal on the nurse station side of the medication order request. A first label issuing unit for issuing a patient label or printed information for a patient on which the converted barcode or patient name is printed, and the terminal on the medicine room side receives the medicine The terminal on the nurse station side has a second label issuing unit for issuing a label for sticking, and when notified of a medication instruction request, a bar code on which information indicating the content of medication is printed is printed. And a scanner for reading a label for attaching a medicine and a barcode of the medication instruction, and information and power of the barcode read by the scanner. A collation unit that collates with medical record information and a patient collation label that is affixed to a drug when the collation matches and that prints a bar code coded with a patient code and a patient name are printed And a barcode of the patient collation label and a barcode of the patient label of the wristband are read again by the scanner. Can be identified as being available for medication to a patient. Further, the third label issuing unit can pass the medication completion label or the medication completion information to the transaction when the collation by the collation unit matches. In addition, the label for drug affixation and the dosing instructions shall be printed with barcodes and characters that code the type of the prescribed drug, the distinction of the medication time indicating before, between and after meals, and the dosage. Can be. In the medication management method according to the fifth aspect, the host computer registers the patient information and the information of the examination result in a patient information database, manages each information by a patient code assigned to each patient, and stores the electronic medical record. The first step to be issued, and the terminal of the patient management center notifies the patient information and the information of the examination result, and a patient label or a predetermined portion for attaching a wristband attached to the patient to a predetermined portion. A second step of issuing patient print information to be printed directly to
Upon receiving a request from the host computer, the medicine room-side terminal issues a medicine sticking label on which a barcode coded with information indicating the prescription of the medicine to be stuck to the prescribed medicine is printed. In the third step, upon receiving a request from the host computer, the terminal at the nurse station checks the electronic medical record against the barcode information of the label for drug application, and when the check result matches, And a fourth step of identifying that drug administration is possible. Further, the first step includes a fifth step of notifying the prescription issuing request to the terminal on the medicine room side and notifying the terminal on the nurse station side of the medication instruction request by the request notifying section, and the second step. The process includes a sixth step of issuing, by the first label issuing unit, a patient label or patient print information on which a patient code is coded and a bar code or a patient name is printed,
The third step includes a seventh step of issuing a label for applying a medicine when notified of a prescription issuance request by the second label issuing unit, and the fourth step includes receiving a medication instruction request. When notified, the medication instruction issuing unit issues a medication instruction in which a barcode in which information indicating the content of the medication of the drug is printed is printed. A ninth step of reading a barcode of the medication instruction sheet, a tenth step of collating the information of the barcode read by the scanner with the information of the electronic medical record by the collating unit, and a third label issuing unit In the case where the collation matches, an eleventh step of issuing a patient collation label on which a bar code or a patient name in which a patient code is coded while being affixed to the medicine when the collation is matched, and , And a bar code of the patient bar code label and wristband patient matching label is read again, the result of the collation by the collation part, if they match,
A twelfth step of identifying that the medicament can be administered to the patient. Further, in the fourth or eleventh step, when the collation by the collating unit matches, the terminal on the nurse station side or the third label issuing unit passes the medication completion label or the medication completion information to the accounting. Thirteen steps can be included. In the third, seventh, and eighth steps, the type of the prescribed drug, the distinction of the dosage time indicating before, between and after meals, and the dosage are coded in the label for affixing the drug and the dosing instruction. A fourteenth step of printing barcodes and characters may be included. In the medication management system and the medication management method according to the present invention, the host computer registers patient information and information on examination results in a patient information database, and manages each information by a patient code assigned to each patient. An electronic medical record is issued and the terminal of the patient management center notifies the patient information and the information of the medical examination result, and the patient's label for attaching the wristband attached to the patient to the predetermined site or directly to the predetermined site. Issued print information for patients to be printed, and received a request from the host computer, the information indicating the prescription of the drug to be attached to the prescribed drug was coded by the terminal on the drug room side It issues a label for sticking a medicine on which a barcode is printed, and upon receiving a request from the host computer, a nurse station The down side of the terminal collates the information of the bar code of the electronic medical record and drug sticking labels, if the collation result matches, so as to identify that it is possible to dosage of the drug.

[0006]

Embodiments of the present invention will be described below.

FIG. 1 is a diagram showing an embodiment of a medication management system according to the present invention, and FIGS. 2 to 7 are flowcharts for explaining a medication management method in the medication management system of FIG.

[0010] The medication management system shown in FIG. 1 has a terminal 20 on the patient management center side via a host computer 10.
And a terminal 30 on the medicine room side and a terminal 40 on the nurse station side.

[0009] The host computer 10 registers the patient information notified from the terminal 20 of the patient management center in the patient information database 11. Here, the patient information is all information related to the patient, such as the name, gender, date of birth, blood type, address, health insurance book number, hospitalization, hospital room number, and the like. The patient information is managed by a patient code assigned to each patient.

When the host computer 10 receives the information of the diagnosis result by the doctor from the terminal 20 of the patient management center, the electronic medical record 12 which is the information of the diagnosis result is received.
Issue Here, the information of the examination result includes the disease name,
The information includes treatment means, medication information, medical history, presence / absence of allergy, information revealed by medical examination, and information of a doctor in charge. In addition, in the case where the hospitalization is followed by the hospitalization, the input items of the examination result information can be reduced by copying the hospitalization information.

Further, the host computer 10 notifies the terminal 30 in the medicine room of the prescription issuance request and the terminal 40 of the nurse station in the request notification section 10a through the request notification section 10a.

The terminal 20 on the patient management center side has a label issuing unit 21 as a first label issuing unit.
The label issuing section 21 issues a label 22 for a patient. A patient code for managing the patient information registered in the patient information database 11 is printed on the patient label 22 as a bar code or a patient name or the like. The issued patient label 22 is attached to a predetermined portion of the wristband 23.
Note that the label issuing unit 21 may issue patient print information indicating a barcode of a patient code, a patient name, or the like to a predetermined portion of the wristband 23 and directly print the patient print information.

The terminal 30 on the medicine room side has a label issuing section 31 as a second label issuing section. The label issuing section 31 issues a medicine sticking label 32 when receiving a prescription issuance request from the host computer 10 side. On the medicine sticking label 32, the type of the prescribed medicine, the distinction of the administration time such as before, between meals, after meals, the dosage, and the like are printed with characters and coded barcodes. The label 32 for sticking a medicine is stuck to the prescribed medicine 50. Then, the medicine 50 to which the medicine sticking label 32 has been stuck is delivered to the nurse station side.

The terminal 40 on the nurse station side includes a medication order issuing unit 41, a collating unit 42, a label issuing unit 43 as a third label issuing unit, and a scanner 44.

Upon receipt of a drug instruction request from the host computer 10, the medication instruction issuing unit 41 issues a medication instruction 45. In the medication instruction sheet 45, similarly to the above-mentioned prescription issuance request, the type of the prescribed medicine, the distinction of the medication time such as before meals, between meals, after meals, a bar code in which the dosage amount is coded, the patient name, etc. Is printed.

The collating unit 42 is for collating the bar code information of the electronic medical record 12, the label 32 for affixing the medicine affixed to the medicine 50, and the bar code of the medication instruction 45. In this case, the barcode printed on the medicine sticking label 32 stuck on the medicine 50 and the medication instruction sheet 45 is read by the scanner 44.

When the collation of the barcode information of the electronic medical chart 12, the label 32 for affixing the medicine affixed to the medicine 50, and the collation information of the bar code of the medication instruction sheet 45 match each other, the collation unit 42 Issue On this patient collation label 46, a bar code in which a patient code is encoded, a patient name, and the like are printed. The patient collation label 46 is, for example, the medicine sticking label 3 for the medicine 50.
2 is pasted.

Prior to dispensing the medicine 50 to the patient, the bar code of the patient verification label 46 and the bar code of the patient label 22 of the wristband 23 are read by the scanner 44 and verified by the verification unit 42.

If the collation by the collating unit 42 is the same, the medication is administered to the patient, and the label issuing unit 43 issues the medication completion label 47 and passes it to the transaction. In the case of the medication completion label 47, information indicating the completion of the medication may be directly notified to the terminal on the accounting side without issuing a label.

Next, a medication management method in the medication management system having such a configuration will be described.

First, the overall flow from patient registration to the completion of medication will be described with reference to FIG. 2. Patient registration (step 201), consultation information registration (step 202), and medication instruction (step 203) are performed. After performing the medication matching (step 204), the medication is completed (step 20).
5).

In the patient registration (step 201),
As shown in FIG. 3, when registering a patient in (Step 301), when the patient information is notified from the terminal 20 of the patient management center to the host computer 10, the host computer 10 stores the patient information in the patient information database 11. register. Here, as described above, the patient information is all information related to the patient, such as the name, gender, date of birth, blood type, address, health insurance book number, hospitalized disease, sickroom number, and the like. . The patient information is managed by a patient code assigned to each patient.

Next, the label for the patient 22 is issued by the label issuing unit 21 of the terminal 20 on the patient management center side (step 302). As described above, a patient code for managing the patient information registered in the patient information database 11 is printed on the patient label 22 as a barcode, and a patient name and the like are also printed.

Also, the issued patient label 22
Is attached to a predetermined portion of the wristband 23. The patient label 2 is attached to a predetermined portion of the wristband 23.
A bar code indicating a patient code, a patient name, or the like may be directly printed without attaching the number 2. Next, the wristband 23 to which the patient code, the patient name, and the like are attached is attached to the patient's hand, foot, or the like (step 303).

Next, the medical information registration shown in FIG. 2 (step 20)
In 2), as shown in FIG. 4, a doctor's consultation is received (step 401). Here, for example, a pre-examination required for hospitalization is performed.

When the information on the examination result is notified from the terminal 20 of the patient management center to the host computer 10, the host computer 10 registers the information on the examination result in the patient information database 11 (step 40).
2). In addition, the host computer 10 registers the information on the examination result in the patient information database 11 and issues an electronic medical record 12 which is information on the examination result.

Here, as described above, the information on the examination result includes the name of the disease, treatment means, medication information, medical history, presence / absence of allergy, information revealed by the examination, and information on the doctor in charge. In addition, in the case where the hospitalization is followed by the hospitalization, the input items of the consultation information can be reduced by copying the hospitalization information.

Next, the medication instruction shown in FIG. 2 (step 203).
In FIG. 5, as shown in FIG.
0, the automatic extraction of the medication instruction is performed (step 5).
01). In this medication instruction, as described above, the distinction of the medication time such as before meals, between meals, after meals, etc. is automatically extracted.

When the prescription time is automatically extracted, a prescription instruction is notified from the host computer 10 to the terminal 30 on the medicine room side and the terminal 40 on the nurse station side (step 502).

Here, a prescription issuance request is notified from the host computer 10 to the terminal 30 on the medicine room side, and a medication instruction request is notified to the terminal 40 on the nurse station side (steps 503 and 508).

Therefore, upon receiving a prescription issuance request from the host computer 10, the terminal 30 on the medicine room side issues a prescription and a medicine 50,
The label issuance label 31 issues the label 32 for applying a medicine (steps 504 to 506). As described above, the label 32 for sticking a medicine is printed with a bar code in which the type of the prescribed medicine, the distinction of the administration time such as before meals, between meals, after meals, etc., and the dosage are coded. The medicine 50 to which the medicine sticking label 32 is prescribed
And then passed to the nurse station (steps 506 and 507).

In the terminal 40 on the nurse station side, when the request for the medication instruction is notified, the medication instruction issuing unit 41 issues the medication instruction 45 (step 509). In the medication instruction sheet 45, similarly to the above-mentioned prescription issuance request, the type of prescribed medicine, before meals, between meals,
A bar code in which the dosage time, such as after a meal, and the dosage amount are coded is printed.

Next, the medication check in FIG. 2 (step 204)
In, as shown in FIG. 6, a medicine collation operation is performed by the collation unit 42 of the terminal 40 on the nurse station side (step 601). Here, the matching unit 42
The information of the electronic medical record 12, the label 32 for affixing the medicine affixed to the medicine 50, and the medication instruction 45 are collated. Further, the barcode printed on the medicine sticking label 32 attached to the medicine 50 and the medication instruction sheet 45 is read by the scanner 44.

If the collation results of the collation unit 42 (step 602), the electronic medical record 12, the drug affixing label 32 affixed to the drug 50, and the medication instruction 45 do not match, an error occurs. Processing is performed (step 603). In this error processing, it is possible to notify the nurse by displaying on the display of the terminal 40 on the nurse station side that there is no match, or by emitting an error sound from a speaker (not shown).

When such an error occurs,
The error is notified from the terminal 40 on the nurse station side to the terminal 20 on the patient management center side. Then, the patient management center confirms the error contents of the information of the electronic medical record 12, the medicine sticking label 32 affixed to the medicine 50, and the medication instruction 45, and notifies the host computer 10 of the indication of the error location. Then, a request for issuing a prescription and / or a request for a medication instruction are made from the host computer 10 again.

On the other hand, if the collation by the collating unit 42 matches, the patient issuing label 46 is issued by the label issuing unit 43 of the terminal 40 on the nurse station side (step 604). As described above, a bar code obtained by encoding the patient code, a patient name, and the like are printed on the patient verification label 46. Also, this patient collation label 46
Is affixed, for example, on the medicine sticking label 32 of the medicine 50 (step 605).

Next, a patient confirmation operation is performed (step 606). In this case, the scanner 44 reads the patient collation label 46 and the barcode of the patient label 22 of the wristband 23, and the collation unit 42 (Step 607). At this time, if the collation by the collation unit 42 does not match, error processing is performed in the same manner as described above (step 603). At this time, if medication to the patient is being performed, stop the medication and
In the same manner as described above, the error is notified from the terminal 40 on the nurse station side to the terminal 20 on the patient management center side, and the prescription issuance request and / or
Or, a request for a medication instruction is made.

On the other hand, if the collation by the collating unit 42 is the same, the medicine 50 to which the patient collation label 46 is attached is dispensed to the patient (step 608).
When the medication to the patient is completed, the medication issuing label 47 is issued again by the label issuing unit 43 and passed to the transaction (steps 609 and 610). In the case of the medication completion label 47, the information of the medication completion may be directly notified to the terminal on the accounting side without issuing the label.

Next, the administration is completed as shown in FIG. 2 (step 205).
In, as shown in FIG. 7, a medication check operation is performed (step 701). Here, the information of the medication completion directly notified to the medication completion label 47 or the terminal on the accounting side is collated with the electronic medical record 12 described above. Then, after the collation is completed, an accounting process regarding medication is performed (step 70).
2).

As described above, in the present embodiment, the host computer 10 registers the patient information and the information of the examination result in the patient information database 11 and manages each information by the patient code assigned to each patient. , Issues an electronic medical record 12 and sends a message to the terminal 20 of the patient management center.
In addition to notifying the patient information and the information of the medical examination result, the patient label 22 for attaching the wristband 23 attached to the patient to a predetermined portion or the patient print information to be printed directly on the predetermined portion is provided. And issues a request from the host computer 10 to the terminal 30 on the medicine room side.
Issues a label 32 on which a bar code coded with information indicating the prescription of the medicine to be applied to the prescribed medicine is printed, and upon receiving a request from the host computer, the nurse station side Issue the medication instruction 45 from the terminal 40, and collate the information of the electronic medical record 12 with the barcode information of the medication instruction 45 and the drug affixing label 32. If the collation results match, Issues a patient collation label 46, and when the collation between the patient collation label 46 and the barcode of the patient label 22 of the wristband 23 matches,
Since it is determined that the medication of the medicine 50 is possible, a medication error can be easily and reliably eliminated.

[0041]

As described above, according to the medication management system and the medication management method of the present invention, the host computer registers the patient information and the information of the examination result in the patient information database, and allocates each information to each patient. In addition to managing with the patient code provided, an electronic medical record is issued, and the terminal of the patient management center notifies the patient information and the information of the medical examination result, and for attaching the wristband attached to the patient to the predetermined part The patient's label or patient's print information to be printed directly on a predetermined site is issued, and upon receiving a request from the host computer, the prescription of the drug to be affixed to the prescribed drug by the terminal on the drug room side Issue a label for sticking a medicine on which a barcode coded with information indicating the content is printed, and receive a request from the host computer. Then, the terminal on the nurse station side compares the electronic medical record with the barcode information of the drug affixing label, and if the matching results match, identifies that the drug can be administered. Therefore, medication errors can be easily and reliably eliminated.

[Brief description of the drawings]

FIG. 1 is a diagram showing an embodiment of a medication management system according to the present invention.

FIG. 2 is a flowchart for explaining a medication management method in the medication management system of FIG. 1;

FIG. 3 is a flowchart for explaining a medication management method in the medication management system of FIG. 1;

FIG. 4 is a flowchart for explaining a medication management method in the medication management system of FIG. 1;

FIG. 5 is a flowchart for explaining a medication management method in the medication management system of FIG. 1;

FIG. 6 is a flowchart illustrating a medication management method in the medication management system of FIG. 1;

FIG. 7 is a flowchart for explaining a medication management method in the medication management system of FIG. 1;

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 10 Host computer 10a Request notification part 11 Patient information database 12 Electronic medical chart 20, 30, 40 Terminal 21, 31, 43 Label issuing part 22 Patient label 23 Wrist band 32 Medicine sticking label 41 Medication instruction issuing part 42 Collation part 44 Scanner 45 Medication Instruction 46 Patient Verification Label 47 Medication Complete Label 50 Drug

Claims (8)

[Claims] 1. A host computer for registering patient information and information on medical examination results in a patient information database, managing each of said information by a patient code assigned to each patient, and issuing an electronic medical record; And information on the examination results,
A terminal at the patient management center that issues a patient label for attaching a wristband attached to a patient to a predetermined site or print information for a patient to be printed directly on the predetermined site, and a request from the host computer By
A terminal in the medicine room that issues a medicine sticking label on which a barcode coded with information indicating the prescription of the medicine to be stuck to the prescribed medicine is printed, and at the request of the host computer. The electronic medical record is compared with the barcode information of the drug affixing label, and when the matching results match, a terminal on the nurse station side that identifies that the medicine can be administered is identified. A medication management system, comprising: 2. The host computer has a request notifying unit for notifying a prescription issuance request to a terminal on the medicine room side and notifying a request for a medication instruction to a terminal on the nurse station side. The terminal has a first label issuing unit for issuing the patient label or the patient print information on which a bar code or a patient name in which a patient code is encoded is printed, The terminal on the medicine room side includes: When the prescription issuance request is notified, the second label issuing unit that issues the drug affixing label is provided. A medication instruction issuing unit that issues a medication instruction on which a barcode in which information indicating the content of medication is printed is printed; a drug sticking label and a barcode of the medication instruction; A scanner that reads the bar code information, a collation unit that collates the information of the barcode read by the scanner with the information of the electronic medical record, and affixes to the medicine when the collation matches, and the patient A third label issuing unit for issuing a patient identification label on which a bar code or a patient name in which a code is encoded is printed, wherein the scanner uses the bar code of the patient identification label and the label of the patient for the wristband. 2. The medication according to claim 1, wherein the barcode is read again, and if the result of the collation by the collation unit is a match, the barcode is identified as being medicable to the patient. Management system. 3. The method according to claim 1, wherein the third label issuing unit transfers a medication completion label or medication completion information to a transaction when the collation by the collation unit matches. Medication management system. 4. A bar code and a character encoding the type of the prescribed medicine, the distinction of the medication time indicating before, between meals and after meals, and the dosage are printed on the medicine sticking label and the medication instruction sheet. 3. The method according to claim 1, wherein
3. The medication management system according to 1. 5. A first computer for registering patient information and medical examination result information in a patient information database by a host computer, managing each of the information by a patient code assigned to each patient, and issuing an electronic medical record. Steps, and by notifying the patient information and the information of the examination result by the terminal of the patient management center, and printing the label for the patient for attaching the wristband attached to the patient to a predetermined portion or directly to the predetermined portion. A second step of issuing print information for the patient to be performed, and upon receiving a request from the host computer, a terminal on the side of the medicine room shows the prescription contents of the medicine to be attached to the prescribed medicine. A third step of issuing a label for attaching a medicine on which a barcode in which information is encoded is printed, and a request from the host computer When there is, the terminal on the nurse station side checks the electronic medical record against the barcode information of the drug affixing label, and if the matching results match, it is possible to administer the drug. And a fourth step of identifying the medication management method. 6. A fifth step of notifying the terminal on the medicine room side of a request for issuing a prescription and notifying the terminal on the side of the nurse station of a medication instruction request by the request notifying section is provided in the first step. In the second step, a first label issuing unit issues a bar code coded with a patient code or a patient label or a patient print information on which a patient name is printed. The third step includes a seventh step of issuing the medicine affixing label when the second label issuing unit is notified of the prescription issuance request, and the third step includes: In the step (4), when the medication instruction request is notified, the medication instruction issuing unit issues a medication instruction in which a barcode in which information indicating the content regarding the medication of the medicine is printed is printed. 8 steps and scanner A ninth step of reading the bar code of the medicine sticking label and the medication instruction, and a collating unit for collating information of the bar code read by the scanner with information of the electronic medical record. In step 10 and the third label issuing unit, when the collation is coincident, a patient collation label to be affixed to the medicine and to be coded with a bar code coded with a patient code and a patient name is printed. An eleventh step of issuing, and the scanner reads the barcode of the patient collation label and the barcode of the patient label of the wristband again by the scanner. And a twelfth step of identifying that the medicine can be administered to the patient. 7. In the fourth or eleventh step, when the collation by the collating unit matches, the terminal on the nurse station side or the third label issuing unit causes the medication completion label or the medication completion label to be issued. The method according to claim 5 or 6, further comprising a thirteenth step of transferring information to a transaction. 8. In the third, seventh, and eighth steps, the type of the prescribed medicine and the time of administration indicating pre-meal, between-meal and after-meal can be distinguished in the medicated label and the dosing instruction. The method according to claim 5 or 6, further comprising a fourteenth step of printing a barcode and a character encoding the dosage.