JP2017084159A - Medication supporting system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medication supporting system that can surely serve to determine the appropriateness of medication records when an unscheduled medication record is accepted.SOLUTION: A medication supporting system 1 includes: a management server 5 that manages a medication history which correlates a medication schedule information for a medication subject and medication records information to each other; and a management terminal 3 that displays the medication history and can receive input of additional information on the medication history. In the management terminal 3, the presence or absence of confirmation of the medication history is displayed. A person who is authorized to confirm the medication history can input confirmation of the medication history into the management terminal 3. Once the confirmation has been input into the management terminal 3, it cannot receive input of additional information on the medication history.SELECTED DRAWING: Figure 1

Description

  The present invention relates to a medication support system for managing medication status.

  In a care facility or a medical facility, a care staff such as a caregiver may perform medication for a care recipient or a patient. Specifically, a caregiver or the like sets a medicine at the time of medication or assists in taking a medicine. Conventionally, for example, the technique of Patent Document 1 has been proposed in order to appropriately perform medication. In Patent Document 1, two-dimensional codes and RFID tags are attached to drugs, medications exclusive items, and medications exclusives, respectively, and the information is read with a code reader or RFID reader. A technique for determining the appropriateness of the above has been proposed.

JP 2013-142982 A

  Patent Document 1 is based on the premise that medication determined to be inappropriate (does not match the schedule) is not executed. However, from the actual situation of care facilities, etc., for example, it is necessary to change the schedule according to the convenience of the recipient, etc. May be allowed. Therefore, if it is a premise to completely eliminate medication results that do not match the schedule, the medication operation will be inflexible and may not be consistent with the actual situation of nursing care facilities. On the other hand, when a medication record that does not match the schedule is allowed, it is necessary to ensure that who determines how appropriate the record is when it actually occurs.

  Therefore, an object of the present invention is to provide a medication support system that can reliably ensure the judgment of the validity of the medication record even when the medication record that does not match the schedule is allowed.

  A medication support system according to a first aspect of the present invention is a management means for managing a medication history in which medication schedule information and medication performance information for a subject are associated with each other, displays the medication history, and provides additional information regarding the medication history. A management terminal capable of input, wherein the management terminal displays the additional information when the additional information is input, and displays whether or not to confirm the medication history, The confirmation person having confirmation authority can input the confirmation for the medication history, and when the confirmation for the medication history is entered, the additional information regarding the medication history cannot be entered. And

According to this configuration, the management terminal displays a medication history in which medication schedule information for medication subjects and medication performance information are associated with each other. The medication record information is information that medication has been executed or stopped. Therefore, by looking at the display of the medication history, it can be confirmed whether or not the medication performance is appropriate (as scheduled). Furthermore, since the management terminal can input additional information related to the medication history, it is possible to supplement the medication history information with information for evaluating the validity of the medication history. Since the situation regarding such additional information is considered to be best understood by the medication person, usually the medication person himself inputs such additional information.
On the other hand, when the additional information is input, the management terminal displays the additional information, and the confirmer having the confirmation authority can input confirmation regarding the medication history to the management terminal. Therefore, when the additional information is input, the confirmer can input the confirmation for the medication history while evaluating the validity of the medication performance based on the additional information. And a management terminal displays the presence or absence of the confirmation with respect to a medication history. Therefore, it is possible to prevent omission of confirmation of the medication history by the confirmer. Furthermore, after the confirmation for the medication history is input to the management terminal by the confirmer, the management terminal cannot input additional information. Therefore, it is possible to prevent the additional information from being input or changed after the confirmer performs confirmation. As described above, it is ensured as information that the confirmation history is confirmed by the confirmer and what additional information the confirmation by the confirmer is based on. Therefore, even when a medication record that does not match the schedule is allowed as an operation, the validity of the medication record can be reliably assured.

  In the medication support system of the second invention, in the first invention, the management terminal displays whether or not the medication history is approved, and before the confirmation for the medication history is inputted, The approval cannot be input, and after the confirmation for the medication history is input, the approval for the medication history can be input by an approver having an authorization authority.

According to this configuration, an approver having approval authority can input approval for the medication history to the management terminal. The management terminal displays whether or not the medication history is approved. Therefore, it is possible to prevent omission of confirmation of medication history (approval omission) by the approver.
Further, the management terminal cannot input approval for the medication history before confirmation for the medication history is input. When confirmation for the medication history is input, approval for the medication history can be input. Therefore, it is possible to prevent the approver from entering approval for a medication history that has not been confirmed by the confirmer. Therefore, it is possible to prevent the approver from checking and confirming whether or not the medication history is confirmed. In addition, since the order of approval after confirmation can be clarified, the order of authority between the confirmer and the approver can be clarified.

  A medication support system according to a third invention is characterized in that, in the first or second invention, the management terminal can input the cancellation of the confirmation for the medication history by the confirmer.

  According to this configuration, even if the confirmer inputs confirmation on the medication history to the management terminal, the confirmer then inputs cancellation of confirmation on the medication history, so that the medication person inputs additional information to the management terminal. Can do.

  A medication support system according to a fourth invention is characterized in that, in the third invention, when the approval for the medication history is input by the approver, the management terminal cannot input the cancellation of the confirmation. And

  According to this configuration, when the approver inputs approval for the medication history to the management terminal, it becomes impossible to input a confirmation cancellation for the medication history. Therefore, after the approver inputs the approval for the medication history, it is possible to prevent the confirmer from inputting the cancellation of the confirmation for the medication history and making it possible to input additional information. Therefore, it is ensured as information that the approval history has been approved by the approver and what additional information the approval by the approver is based on.

  A medication support system according to a fifth aspect of the present invention is the medication support system according to any one of the first to fourth aspects, wherein the management means is a management server connected to the management terminal via a network and is attached to the medicine. A drug information recording medium in which information on the subject is recorded, a subject information recording medium in which information on the subject is recorded and attached to the subject of the subject, and a subject in the subject of the subject A medicator information recording medium in which information about a medicator is recorded, and used by the medicator and connected to the management server via the network, and the medicinal information recording medium, the medicinal user information recording medium, and the medicinal product A medication use terminal capable of reading a person information recording medium, the medication information recording medium read by the medication use terminal, the subject information recording medium, and the medication information recording medium And a determination means for determining the appropriateness of the medication based on the information managed by the management server, and the use terminal at the time of medication displays the determination result of the appropriateness of the medication by the determination means When the determination result is inappropriate, the administration server transmits either a medication execution signal or a medication suspension signal selected by the medication person to the management server, and the management server includes the medication schedule information, The medication history is created on the basis of a determination result of appropriateness of medication by the judgment means and the medication execution signal or the medication suspension signal received from the medication use terminal.

According to this configuration, the medication person reads the medication information recording medium, the subject information recording medium, and the medication information recording medium by the use terminal at the time of medication before medication. The determination means determines the appropriateness of the medication based on the information on the medicine information recording medium, the subject information recording medium and the medication information recording medium read by the medication terminal and the information managed by the management server. . The medication use terminal displays this determination result. Therefore, the dosing person can perform dosing after confirming whether the dosing is appropriate, and can prevent a dosing error.
When the determination result of the appropriateness of the medication is inappropriate, the medication person selects either the medication execution signal or the medication stop signal and transmits it from the medication use terminal to the management server. When stopping the medication, a medication stop signal is selected, and when performing the medication, a medication execution signal is selected. For example, even if the scheduled dosing time recorded in the medicine information recording medium is different from the actual dosing time and the result of determining whether or not the medication is appropriate is appropriate, the medication may be administered depending on the situation. . In such a case, medication can be executed by transmitting a medication execution signal.
The medication history is created on the basis of the medication schedule information, the result of determination of appropriateness of medication, and the medication execution signal or medication suspension signal transmitted from the medication use terminal to the management server. Therefore, by browsing the medication history, detailed information regarding medication can be confirmed.

  The medication support system according to a sixth aspect of the present invention is the medication support system according to the fifth aspect, wherein the medication use terminal selects the medication execution signal selected by the medication person when the result of the judgment of the appropriateness of medication by the judgment means is appropriate. And any one of the medication stop signals is transmitted to the management server.

  According to this configuration, when the determination result of appropriateness of medication is appropriate and, for example, when the subject is not present and medication cannot be performed, a medication stop signal can be transmitted from the medication use terminal to the management server. Therefore, it is possible to create a medication history corresponding to various situations.

  The medication support system according to a seventh aspect is the medication support system according to the fifth or sixth invention, wherein the management terminal transmits the determination result of appropriateness of medication by the determination means and the management server transmitted from the use terminal during medication to the management server. The display color of the medication history is changed based on the relationship with the medication execution signal or the medication suspension signal.

  According to this configuration, the display color of the medication history displayed on the management terminal is changed based on the relationship between the determination result of appropriateness of medication and the medication execution signal or medication suspension signal. Therefore, it is possible to grasp a part of the information included in the medication history only by looking at the display color without reading the medication history characters displayed on the management terminal. Therefore, it becomes easy for the confirmer to check the medication history, and the omission of confirmation of information included in the medication history can be prevented more reliably.

  The medication support system according to an eighth aspect of the present invention is the medication support system according to the seventh aspect, wherein the management terminal is inadequate in the determination result of appropriateness of the medication by the determination means, and the medication execution signal is transmitted from the management terminal. When transmitted to the management server, the display color of the medication history is changed depending on whether or not the additional information has been input to the management terminal.

According to this configuration, when the determination result of appropriateness of medication is inappropriate and the medication execution signal is transmitted from the management terminal to the management server, the display color of the medication history displayed on the management terminal is the medication history It is changed depending on whether or not the additional information regarding is already input to the management terminal. Therefore, it is possible to quickly and easily grasp whether or not additional information has been input simply by looking at the display color without reading the text of the medication history displayed on the management terminal.
If the determination result of appropriateness of medication is inappropriate and a medication execution signal is transmitted from the management terminal to the management server, there is a possibility of a medication error. Therefore, it is preferable that the medication person inputs, as additional information, a reason that is not a medication error to the management terminal. Since it is possible to quickly and easily grasp whether or not additional information has been input based on the display color of the medication history, it is possible to prevent omission of entry of additional information by the medication person.
Further, since it is possible to quickly and easily grasp whether or not additional information has been input based on the display color of the medication history, the confirmer can quickly and easily confirm whether there is a medication error. Therefore, it is possible to prevent the omission of confirmation of the medication history more reliably.

  According to the medication support system of the present invention, the management terminal displays the presence or absence of confirmation for the medication history. The management terminal displays the additional information when the additional information is input, and after the confirmation for the medication history is input to the management terminal, the additional information cannot be input. Therefore, it is ensured as information that the confirmation history is confirmed by the confirmer and what additional information the confirmation by the confirmer is based on. Therefore, even when a medication record that does not match the schedule is allowed, the validity of the medication record can be reliably assured.

It is a figure showing a schematic structure of a medication support system concerning an embodiment. It is a figure which shows an example of the screen displayed on a management terminal. It is a block diagram which shows the function structure of a management server. It is a flowchart which shows the execution process of the small terminal and management server at the time of medication. It is a flowchart which shows the execution process of the management type | mold terminal and management server at the time of inputting additional information. It is a flowchart which shows the execution process of the management type terminal and management server at the time of inputting confirmation with respect to a medication history.

  Hereinafter, embodiments of the present invention will be described. FIG. 1 shows a configuration of a medication support system 1 according to an embodiment of the present invention. This embodiment is an example in which the medication support system of the present invention is applied to management of medication status in a nursing facility such as a nursing home.

<Schematic configuration of medication support system 1>
As shown in FIG. 1, the medication support system 1 includes a management terminal 3 and a plurality of small terminals 4 (use terminals for medication) arranged in a care facility 2 and a management server 5. In FIG. 1, only one care facility 2 included in one medication support system 1 is displayed, but a plurality of care facilities 2 may be provided. At least one management terminal 3 is arranged in one nursing care facility 2. In the present embodiment, the management server 5 is disposed in a place away from the care facility 2, but may be disposed in the care facility 2. The terminals 3 and 4 and the management server 5 can communicate with each other via a network 6 such as the Internet. Communication in the network 6 is preferably enhanced by encryption using AES (Advanced Encryption Standard), SSL (Secure Socket Layer), or the like.

  The terminals 3 and 4 and the management server 5 include hardware such as a CPU, a ROM, a RAM, a hard disk, and an interface device. Software such as programs and various types of data is stored in storage devices such as ROM, RAM, and hard disk. The various functions of the terminals 3 and 4 and the management server 5 described below are realized by causing the software to function hardware so as to exhibit such various functions. The terminals 3 and 4 and the management server 5 are provided with a time measuring device such as an RTC (Real Time Clock), and the terminals 3 and 4 and the management server 5 are based on time information timed by the time measuring device. Get (date, date, and time).

<Small terminal 4>
The small terminal 4 is used by a staff member (medicine) who performs medication. Doing medicine includes setting a medicine and assisting taking medicine as necessary. In addition, medication is not limited to internal medication. The medication may be a medication of an external medicine such as a paint. The small terminal 4 has a display unit such as a liquid crystal display device and an input unit such as a touch panel. The small terminal 4 is equipped with a camera and can read a two-dimensional code such as a QR code (registered trademark). Note that the small terminal 4 reading the information code means reading information recorded in the information code read by the camera. As the small terminal 4, for example, a portable terminal called a smartphone is used. An application of the medication support system 1 is installed in the small terminal 4.

  The staff reads the medicine information code 7, the resident information code 8, and the staff information code 9 by the small terminal 4 when trying to administer the resident. Hereinafter, the medicine information code 7, the resident information code 8, and the staff information code 9 will be described. The medicine information code 7, the resident information code 8, and the staff information code 9 correspond to the medicine information recording medium, the subject information recording medium, and the person administering information recording medium of the present invention, respectively.

  In the care facility 2, a medicine bag is created for each resident based on a medication schedule set for each resident. In the medicine bag, one kind or a plurality of kinds of medicines to be administered at the same timing are put. A predetermined part of the medicine bag is attached with a medicine information code 7 composed of a two-dimensional code such as a QR code (registered trademark). The drug information code 7 includes information related to a medication schedule such as a subject (resident), a medication date, a medication time category, and a medication time interval. The medication time category is, for example, a time category such as before breakfast, after breakfast, between morning and lunch, before lunch, after lunch, between lunch and dinner, before dinner, after dinner, and before going to bed. The medication time interval is the minimum value of the elapsed time since the previous medication. Only one of the medication time segment and the medication time interval needs to be recorded in the medication information code 7.

  A resident information code 8 consisting of a two-dimensional code such as a QR code (registered trademark) is attached to a dedicated item for each resident (for example, a billboard or a desk). The bill is a sheet on which information such as the type of meal and menu of each resident is written. The resident information code 8 includes resident information such as the resident ID.

  A staff information code 9 made up of a two-dimensional code such as a QR code (registered trademark) is attached to the staff's exclusive item (for example, a name plate). The staff information code 9 includes staff information such as staff ID.

  Returning to the description of the small terminal 4. When the small terminal 4 reads the information recorded in the three information codes 7, 8, 9, the small terminal 4 automatically transmits the read information to the management server 5. When the management server 5 receives the information read from the three information codes 7, 8, 9, the management server 5 determines the appropriateness of the medication and transmits the determination result to the small terminal 4. At this time, a resident's face photograph may be transmitted from the management server 5 to the small terminal 4 together with the determination result of appropriateness of medication. The small terminal 4 displays the received determination result (and a face photograph) on the display unit. A staff member who wants to administer medication confirms the displayed determination result (and a face photograph), and then selects and operates either the medication execution button or the medication suspension button of the small terminal 4. Thereby, either the medication execution signal or the medication stop signal is transmitted from the small terminal 4 to the management server 5. The staff selects a medication execution button when the medication is executed, and selects a medication stop button when the medication is stopped. In the following description, the medication execution signal and the medication stop signal are collectively referred to as a medication performance signal.

  When the small terminal 4 and the management server 5 cannot temporarily communicate for some reason, the staff members can check the determination result of the appropriate medication after reading the three information codes 7, 8, 9 by the small terminal 4. First, either the medication execution button or the medication suspension button is selected. Then, after the communication is restored, the information read from the three information codes 7, 8, 9 and the medication execution signal or medication stop signal are transmitted from the small terminal 4 to the management server 5.

<Management terminal 3>
The management terminal 3 is used by the staff of the care facility 2. The management terminal 3 includes a display unit such as a liquid crystal display device and an input unit such as a keyboard and a touch panel. As the management terminal 3, for example, a general-purpose personal computer (PC) or a tablet PC is used. An application is installed in the management terminal 3 in order to input and browse information managed by the management server 5.

  The staff inputs various information related to medication to the management terminal 3. Information input to the management terminal 3 is transmitted to the management server 5 and managed by the management server 5. A medication status list screen 10 shown in FIG. 2 is displayed on the display unit of the management terminal 3. On the medication status list screen 10, a medication history display 11 and a medication schedule display 12 are displayed. The medication history display 11 is a medication history display in which medication schedule information and medication performance information are associated with each other. The medication record information is information indicating which of the medication execution signal and the medication suspension signal is transmitted from the management terminal 3 to the management server 5. The medication history display 11 is displayed when information read from the three information codes 7, 8, 9 is transmitted from the small terminal 4 to the management server 5. The medication history display 11 is also displayed when a medication performance signal (medication execution signal or medication stop signal) is not transmitted from the small terminal 4 to the management server 5. The medication reservation display 12 is a display of medication reservation information and does not include medication performance information. The medication schedule display 12 is displayed when medication schedule information is registered in a medication schedule table 30 described later of the management server 5. In the following description, the medication history display 11 and the medication schedule display 12 are collectively referred to as a medication history display 11 and the like.

  The medication status list screen 10 includes a scheduled medication date, a medication actual date and time, a medication time category and a medication time interval, a resident name, a name of a staff member who has given or stopped taking a medication, whether or not a medication is scheduled, a medication result, It has columns for determining the appropriateness of medication, additional information, the name of the confirmer, the name of the approver, and the status. In addition to the above, it may have a column of the occupation type of the staff who has given or stopped the administration, and the facility name.

  In the medication schedule display 12, information is displayed in the columns of scheduled medication date, medication time category / medication time interval, presence / absence of medication schedule, and resident name. In the medication schedule display 12, the medication history date / time, staff name, medication history, and determination result are blank. The medication schedule display 12 may or may not be blank for additional information, the name of the confirmer, the name of the approver, and the status. In the medication history display 11, the medication history, additional information, the name of the confirmer, the name of the approver, and the status column may or may not be blank, and information is displayed in other columns.

  In the scheduled medication date column, a scheduled medication date registered in a later-described medication schedule table 30 of the management server 5 or a scheduled medication date read from the drug information code 7 is displayed. In the column of the dosing time section / dosing time interval, the dosing time section or dosing time interval registered in the dosing schedule table 30 described later of the management server 5 or the dosing time section or dosing time read from the medicine information code 7 is displayed. The interval is displayed. In the column of the resident name, the resident name registered in the medication schedule table 30 (to be described later) of the management server 5, the resident name read from the drug information code 7, and the resident information code 8 are read. One of the registered resident names is displayed.

  In the column of presence / absence of a dosing schedule, ○ or × is displayed. For a resident displayed in the column of the resident name, ○ is displayed when the medication reservation for the time displayed in the column of the medication time category / medication time interval is registered in the medication schedule table 30. . If it is not registered, x is displayed.

  In the column of medication result date and time, the medication result signal (medication execution signal or medication stop signal) is read from the small terminal 4 to the management server 5, or read from the three information codes 7, 8, 9 from the small terminal 4 to the management server 5. The time when the received information was sent is displayed. That is, even when the medication is stopped, the medication history date and time is displayed on the medication status list screen 10.

  In the column of the determination result of appropriateness of medication, the determination result by the proper medication determination unit 24 described later of the management server 5 is displayed. When the determination result is appropriate, it is displayed as appropriate, and when the determination result is inappropriate, a determination reason such as “out of time category” is displayed.

  The medication record information is displayed in the medication record column. That is, it is displayed whether the medication result signal sent from the small terminal 4 to the management server 5 is a medication execution signal or a medication stop signal. Furthermore, in the column of medication results, any one of “◯”, “Δ”, and “X” is displayed according to the relationship between the determination result of appropriateness of medication and the medication performance information. When the determination result of appropriateness of medication is appropriate and the medication execution signal is transmitted to the management server 5, “o” is displayed in the medication result column. That is, when medication is performed as scheduled, a circle is displayed. When the determination result of appropriateness of medication is inappropriate and a medication execution signal is transmitted to the management server 5, Δ is displayed in the medication result column. That is, Δ is displayed when medication is performed even though it is determined to be inappropriate. When the determination result of appropriateness of medication is inappropriate and the medication stop signal is transmitted to the management server 5, “◯” is displayed in the medication result column. In other words, if it is determined that the drug is inappropriate and no medication has been performed, a circle is displayed. When the determination result of appropriateness of medication is appropriate and a medication stop signal is transmitted to the management server 5, “X” is displayed in the medication result column. That is, x is displayed when it is determined that the medicine is appropriate but the medication is not performed as scheduled. In addition, when the determination result of appropriateness of medication is appropriate or inappropriate and no medication result signal is transmitted from the small terminal 4 to the management server 5, the medication history display 11 shows a medication result column. , X are displayed. Further, in the medication record column of the medication schedule display 12, x is displayed, but it may be blank.

  In the additional information column, additional information related to the medication history is displayed. The additional information related to the medication history includes, for example, the reason why the determination result of appropriateness of medication is inappropriate, the reason why medication is performed even if it is determined as inappropriate. Additional information regarding the medication history can be input by anyone from the medication status list screen 10. It is usually entered by a staff member who has given medication or has stopped trying to do it. The specific input method is as follows. An information input button 13 provided for each medication history display 11 is pressed. Thereby, a screen (not shown) for inputting additional information is displayed on the display unit of the management terminal 3. The staff enters additional information on this screen.

  The display color of the medication history display 11 varies depending on the relationship between the determination result of proper medication and the medication record information. When the determination result of appropriateness of medication is appropriate and the medication execution signal is transmitted to the management server 5, the display color of the medication history display 11 is the first color (for example, blue). When the determination result of appropriateness of medication is inappropriate and the medication execution signal is transmitted to the management server 5, the display color of the medication history display 11 is one of the following two colors. When additional information is registered in the management server 5, the display color of the medication history display 11 is the second color (for example, yellow). When additional information is not registered in the management server 5, the display color of the medication history display 11 is the third color (for example, red). That is, when the determination result of appropriateness of medication is inappropriate and the medication execution signal is transmitted to the management server 5, the medication history display 11 is displayed depending on whether additional information has been input to the management terminal 3 or not. The color is changed. Further, when the determination result of appropriateness of medication is inappropriate and the medication stop signal is transmitted to the management server 5, the display color of the medication history display 11 is the second color (for example, yellow). When the determination result of appropriateness of medication is appropriate and the medication stop signal is transmitted to the management server 5, the display color of the medication history display 11 is the third color (for example, red). Further, when the determination result of appropriateness of medication is appropriate or inappropriate, and the medication history signal is not transmitted from the small terminal 4 to the management server 5, the display color of the medication history display 11 is the third color. (For example, red). The display color of the medication schedule display 12 is the third color (for example, red).

  In the status column, the status such as the medication history display 11 is displayed. The status is information indicating the presence or absence of confirmation and approval for the medication history display 11 or the like. If neither confirmation nor approval is given to the medication history display 11 or the like, the status is “unconfirmed”. When there is confirmation on the medication history display 11 and the like, and there is no approval on the medication history display 11 and the like, the status is “confirmed”. When there is both confirmation and approval for the medication history display 11 or the like, the status is “approved”. When the status is “unconfirmed”, the status column is blank. When the status is “confirmed”, “confirmed” is displayed in the status column, and when the status is “approved”, “approved” is displayed in the status column.

  Confirmation for the medication history display 11 or the like is input to the management terminal 3 by a confirmer (staff) having confirmation authority. Approval for the medication history display 11 and the like is input to the management terminal 3 by an approver (staff) having approval authority. The confirmer is, for example, the boss of the medication person. The confirmer may be a care staff such as a caregiver. The approver is, for example, a medical staff member such as a nurse. Dosing actions such as assistance of medication do not fall under medical practice and can be performed by care staff such as caregivers. However, it is desirable to do this under the guidance and management of medical staff such as nurses. Therefore, in the medication support system 1 of the present embodiment, the confirmer who is the supervisor of the medication person confirms the medication history display 11 and the like, and thereafter, the approver who is a medical staff member such as a nurse approves it. It has become.

  The management terminal 3 can input confirmation and cancellation of confirmation for the medication history display 11 or the like by the confirmer, and input of approval for the medication history display 11 or the like by the approver. The management terminal 3 cannot input an approval cancellation for the medication history display 11 or the like. Information on confirmation, cancellation of confirmation, and approval for a medication history or the like input to the management terminal 3 is transmitted from the management terminal 3 to the management server 5. The management server 5 that has received the information updates the status managed by the management server 5. Hereinafter, specific examples of the confirmation method for the medication history display 11 and the like, the cancellation of the confirmation, and the input method of approval will be described.

  As shown in FIG. 2, a confirmation button 14, an approval button 15, and a confirmation cancellation button 16 are displayed above the medication status list screen 10. In the medication status list screen 10, a selection box 17 is displayed for each medication history display 11 or the like. Confirmation authority is given to the password distributed to the confirmer. Approval authority is given to the password distributed to the approver.

  First, a confirmation input procedure for the medication history display 11 and the like will be described. When one or a plurality of medication history displays 11 or the like are selected in the selection box 17 and the confirmation button 14 is pressed in this state, an identity confirmation screen is displayed on the display unit of the management terminal 3. By inputting the password of the confirmer on this person confirmation screen, the confirmation input for the medication history display 11 and the like is completed. Cancellation of confirmation for the medication history display 11 and the like, and input of approval are also performed in the same procedure as described above. In the state where one or a plurality of medication history displays 11 and the like are selected in the selection box 17, the confirmation cancel button 16 is pressed, and the password of the confirmer is input on the displayed identity confirmation screen. In a state where one or a plurality of medication history displays 11 and the like are selected in the selection box 17, the approval button 15 is pressed, and the password of the approver is input on the displayed identity confirmation screen.

  When confirmation for the medication history display 11 or the like is input to the management terminal 3 and the information is registered in the management server 5, the management terminal 3 cannot input additional information. That is, the management terminal 3 cannot input additional information when confirmation for the medication history display 11 or the like is input. The additional information cannot be input because, for example, the information input button 13 cannot be pressed or the additional information input screen is not displayed even if the button is pressed. Further, the approval input for the medication history display 11 or the like cannot be performed before the confirmation information for the medication history display 11 or the like is registered in the management server 5, and the confirmation information for the medication history display 11 or the like is stored in the management server. It becomes possible when registered in 5. In other words, the approval input for the medication history display 11 or the like cannot be performed before the confirmation for the medication history display 11 or the like is input, and the confirmation for the medication history display 11 or the like can be input. The input of approval becomes impossible when the approval button 15 cannot be pressed, for example. Further, when approval for the medication history display 11 or the like is registered in the management server 5, it becomes impossible to input confirmation cancellation for the medication history display 11 or the like. That is, when the approval for the medication history display 11 or the like is input to the management terminal 3, it becomes impossible to cancel the confirmation for the medication history display 11 or the like. For example, the confirmation cancellation can be input when the confirmation cancellation button 16 cannot be pressed.

  Although illustration is omitted, in addition to the medication status list screen 10, the management terminal 3 can browse the daily medication schedule information and medication history for each resident, and can view the daily medication schedule information and medication history. A screen etc. can be displayed.

<Management server 5>
FIG. 3 is a block diagram illustrating a functional configuration of the management server 5. As shown in FIG. 3, the management server 5 includes a reception unit 20, a transmission unit 21, a basic information management unit 22, a medication schedule management unit 23, a medication history management unit 25, a medication suitability determination unit 24, An additional information management unit 26, a status information management unit 27, and a database 28 are included. The database 28 stores a basic information table 29, a medication schedule table 30, a medication history table 31, an additional information table 32, and a status information table 33. The medication suitability determination unit 24 corresponds to the determination unit of the present invention.

(Receiver 20)
The receiving unit 20 receives information read from the three information codes 7, 8 and 9 transmitted from the small terminal 4. The receiving unit 20 receives the medication result signal (medication execution signal and medication stop signal) transmitted from the small terminal 4. The receiving unit 20 may receive from the small terminal 4 a photograph of the resident's face taken with the camera of the small terminal 4. The receiving unit 20 receives various types of information transmitted from the management terminal 3.

(Transmitter 21)
The transmission unit 21 transmits the determination result of the medication suitability determination unit 24 to the small terminal 4. The transmission unit 21 transmits information registered in the database 28 to the management terminal 3 and the small terminal 4 in response to requests from the management terminal 3 and the small terminal 4.

(Basic information management unit 22)
The basic information management unit 22 registers and manages the staff information and resident information transmitted from the management terminal 3 in the basic information table 29 of the database 28. The staff information registered in the basic information table 29 includes, for example, staff ID, name, job type (caregiver, nurse, etc.), checker authority, approver authority, password, facility ID Contains information such as name. The resident information registered in the basic information table 29 includes, for example, information such as the resident's ID, name, and ID and name of the facility to move in. In addition, the basic information management unit 22 registers and manages setting information regarding the medication time division and the medication time interval transmitted from the management terminal 3 in the basic information table 29 of the database 28. The setting information regarding the medication time segment and the medication time interval is, for example, the name of the medication time segment and the medication time interval, and information on the specific time zone and time interval.

(Medication schedule management unit 23)
The medication schedule management unit 23 registers and manages the medication schedule information transmitted from the management terminal 3 in the medication schedule table 30 of the database 28. The medication schedule information registered in the medication schedule table 30 includes information such as a subject (resident), a medication date, a medication time category, or a medication time interval set for each medicine package. The medication schedule display 12 on the medication status list screen 10 is a display based on the medication schedule information registered in the medication schedule table 30.

(Medication appropriateness determination unit 24)
The medication suitability determination unit 24 is based on the information of the three information codes 7, 8, and 9 read by the small terminal 4, the information registered in the medication schedule table 30 and the basic information table 29, and the current date and time information. To determine the appropriateness of medication. This will be specifically described below.

  The medication suitability determination unit 24 collates the staff information read from the staff information code 9 with the staff information registered in the basic information table 29. If the same information as the staff information read from the staff information code 9 is not registered in the basic information table 29, the medication suitability determination unit 24 determines that the medication is inappropriate. In this case, the medication appropriateness determination unit 24 determines that the medication is inappropriate due to the “staff information abnormality”. In this specification, the case where information is not registered in the database 28 includes a case where information is registered in the database 28 and then deleted.

  The medication suitability determination unit 24 collates the resident information read from the resident information code 8 with the resident information registered in the basic information table 29. If the same information as the resident information read from the resident information code 8 is not registered in the basic information table 29, the medication appropriateness determination unit 24 determines that the medication is inappropriate. In this case, the medication appropriateness determination unit 24 determines that the medication is inappropriate due to “abnormal resident information”.

  The medication suitability determination unit 24 collates the resident information read from the medicine information code 7 with the resident information read from the resident information code 8. When the resident information read from the medicine information code 7 and the resident information read from the resident information code 8 do not match, the medication appropriateness determination unit 24 determines that the medication is inappropriate. To do. In this case, the medication appropriateness determination unit 24 determines that the medication is inappropriate due to “difference”.

  The medication suitability determining unit 24 collates the information on the medication time segment or medication time interval read from the medicine information code 7 with the setting information on the medication time category or medication time interval registered in the basic information table 29. If the same information as the medication time segment or medication time interval read from the medication information code 7 is not registered in the basic information table 29, the medication suitability determining unit 24 determines that medication is inappropriate. In this case, the dosing appropriateness determination unit 24 determines that the dosing is inappropriate due to “abnormal time information”.

  The medication suitability determination unit 24 collates the medication schedule information read from the medication information code 7 with the medication schedule information registered in the medication schedule table 30. When the same information as the medication schedule information read from the medication information code 7 is not registered in the medication schedule table 30, the medication appropriateness determination unit 24 determines that the medication is inappropriate. In this case, the dosing appropriateness determination unit 24 determines that the dosing is inappropriate based on “no plan”.

  The medication suitability determination unit 24 collates the medication date read from the medication information code 7 with the current date. When the medication date read from the medicine information code 7 does not coincide with the current date, the medication suitability determination unit 24 determines that the medication is inappropriate. In this case, the medication suitability determination unit 24 determines that the medication is inappropriate due to “abnormal medication date”.

  The medication suitability determination unit 24 collates the medication time segment read from the medication information code 7 with the current time. When the current time is earlier or later than the medication time segment read from the medicine information code 7, the medication appropriateness determination unit 24 determines that the medication is inappropriate. In this case, the dosing appropriateness determination unit 24 determines that the dosing is inappropriate based on “out of time category”.

  Based on the medication schedule information read from the medication information code 7 (including information on the medication time category) and the medication history of the current day registered in the medication history table 31, the medication suitability determining unit 24 Determine the appropriateness of the. Specifically, the medication history of the current day registered in the medication history table 31 is read for the resident read from the medication information code 7. Then, it is determined whether the medication execution signal information has already been registered in the medication history registered in the medication history table 31 for the medication time segment read from the medication information code 7. When the information of the medication execution signal is registered, it is determined that the medication is inappropriate. In this case, the dosing appropriateness determination unit 24 determines that the dosing is inappropriate by “double dosing”.

  The medication appropriateness determination unit 24 determines the appropriateness of medication based on the medication time interval read from the medication information code 7, the medication history registered in the medication history table 31, and the current time. Specifically, the medication time interval read from the medicine information code 7 is collated with the elapsed time from the previous medication registered in the medication history table 31. When the elapsed time from the previous medication is shorter than the medication time interval read from the medication information code 7, the medication suitability determination unit 24 determines that the medication is inappropriate. In this case, the dosing appropriateness determination unit 24 determines that the dosing is inappropriate based on “time interval has not elapsed”.

  As a result of performing all the verifications described above, the medication appropriateness determination unit 24 determines that the medication is appropriate when there is no determination that the medication is inappropriate.

(Medication history management unit 25)
The medication history management unit 25 creates a medication history and registers and manages the created medication history in the medication history table 31 of the database 28. The medication history management unit 25 creates a medication history based on the information read from the three information codes 7, 8, 9, the determination result by the medication appropriateness determination unit 24, and the medication record information. More specifically, the medication history management unit 25 creates a medication history based on the information read from the three information codes 7, 8, 9 and the determination result by the medication appropriateness determination unit 24. Thereafter, when the management server 5 receives a medication record signal from the small terminal 4, the medication history management unit 25 adds the medication record information to the created medication history. The medication history management unit 25 may create a medication history based on the medication reservation information registered in the medication reservation table 30 in addition to the above information. The medication history display 11 on the medication status list screen 10 is a display based on the medication history registered in the medication history table 31. The medication history registered in the medication history table 31 includes information on the scheduled medication date and time (scheduled medication date, medication time category or medication time interval), information on residents, information on staff who have taken medication or have stopped trying to do so, It includes information on medication result information, the transmission date and time of the medication result signal, and the result of determination of appropriateness of medication.

  Further, the medication history includes any information of ○, Δ, and x displayed in the medication performance column of the medication status list screen 10. The medication history management unit 25 determines any one of ◯, Δ, and x according to the relationship between the medication record information and the determination result of appropriateness of medication.

  The medication history includes information on the display color of the medication history display 11 displayed on the medication status list screen 10. The medication history management unit 25 determines the display color of the medication history display 11 based on the medication history information, the determination result of appropriateness of medication, and the presence or absence of additional information. The presence or absence of additional information is determined by whether or not additional information is registered in the additional information table 32. When receiving the additional information from the management terminal 3, the medication history management unit 25 adds display color information to the medication history registered in the medication history table 31.

(Additional information management unit 26)
The additional information management unit 26 registers additional information related to the medication history display 11 and the like transmitted from the management terminal 3 in the additional information table 32 of the database 28. The additional information is managed in association with the medication history managed by the medication history management unit 25. The medication history display 11 of the medication status list screen 10 is a display based on the medication history registered in the medication history table 31 and the additional information registered in the additional information table 32. The medication schedule display 12 on the medication status list screen 10 is a display based on the medication schedule information registered in the medication schedule table 30 and the additional information registered in the additional information table 32.

(Status information management unit 27)
Based on the information transmitted from the management terminal 3, the status information management unit 27 registers and manages information related to the status such as the medication history display 11 in the status information table 33 of the database 28. The status information includes any status of “unconfirmed”, “confirmed”, and “approved”. When the status is “confirmed”, the status information includes information about the confirmer such as the ID and name of the confirmer. When the status is “approved”, the status information includes information related to the approver such as the ID and name of the approver in addition to the information related to the confirmer. The status information is managed in association with the medication history managed by the medication history management unit 25.

  When a medication history is created by the medication history management unit 25, the status information management unit 27 registers status information whose status is “unconfirmed” in the status information table 33 in association with this medication history. When confirmation for the medication history display 11 or the like is input to the management terminal 3, the status information management unit 27 adds the confirmer information to the status information registered in the status information table 33 and sets the status to “unconfirmed”. Change from to confirmed. When cancellation of confirmation for the medication history display 11 or the like is input to the management terminal 3, the status information management unit 27 deletes the information of the confirmer from the status information registered in the status information table 33 and sets the status to “ Change from “Confirmed” to “Unconfirmed”. When the approval for the medication history display 11 or the like is input to the management terminal 3, the status information management unit 27 adds the information of the approver to the status information registered in the status information table 33 and the status is “confirmed”. ”To“ Approved ”.

  The medication history display 11 of the medication status list screen 10 is based on the medication history registered in the medication history table 31, the additional information registered in the additional information table 32, and the status information registered in the status information table 33. It is a display. The medication schedule display 12 of the medication status list screen 10 is based on the medication schedule information registered in the medication schedule table 30, the additional information registered in the additional information table 32, and the status information registered in the status information table 33. Display.

  The management server 5 determines whether or not confirmation of the medication history display 11 and the like, cancellation of confirmation, and input of approval are permitted according to the status of the medication history display 11 and the like, and registers the result in the database 27.

  Next, with reference to the flowchart shown in FIG. 4, the process performed by the small terminal 4 and the management server 5 when a staff member tries to give medication to a resident will be described.

  First, the staff activates the small terminal 4, and stores the medicine information code 7 attached to the medicine bag to be dispensed, the resident information code 8 attached to the exclusive item of the resident to be administered, Is read by the small terminal 4 (step S1). The small terminal 4 automatically transmits information read from the three information codes 7, 8, 9 to the management server 5.

  When the management server 5 receives the information read from the three information codes 7, 8, and 9 (step S2), it is registered in the database 28 with the information read from the three information codes 7, 8, and 9. Based on the information, the appropriateness of medication is determined (step S3). The management server 5 creates a medication history based on the determination result of the appropriateness of medication and the information read from the three information codes 7, 8, 9, and the created medication history is stored in the medication history table of the database 28. 31 is registered (step S4). The management server 5 transmits the determination result of appropriateness of medication to the small terminal 4 (step S5). Moreover, a resident's face photograph may be transmitted from the management server 5 to the small terminal 4 together with the determination result.

  When receiving the determination result, the small terminal 4 displays the determination result (step S6). When the small terminal 4 receives the face photo of the resident along with the determination result, the small terminal 4 displays the face photo together with the determination result. The staff visually confirms the determination result displayed on the small terminal 4 and confirms the appropriateness of the medication. When a face photograph of the resident is displayed on the small terminal 4 together with the determination result, the staff checks the face of the resident to be administered with the face photograph and confirms the identity. Then, the staff member presses the medication execution button when performing medication, and presses the medication stop button when canceling medication (step S7). When the medication execution button is pressed, a medication execution signal is transmitted from the small terminal 4 to the management server 5, and when the medication stop button is pressed, a medication suspension signal is transmitted from the small terminal 4 to the management server 5. Is done.

  When receiving the medication record signal (medication execution signal or medication stop signal) (step S8), the management server 5 adds medication record information to the medication history registered in the medication history table 31 (step S9).

  Next, referring to the flowchart shown in FIG. 5, the determination result of appropriateness of medication is inappropriate, and a medication execution signal is transmitted from the small terminal 4 to the management server 5, and medication history information is displayed in the medication history. An example of processing executed by the management terminal 3 and the management server 5 after the “” is added will be described. In this case, the medication history to which the medication history information is added is referred to as medication history X for convenience of explanation. The medication history display 11 displayed on the medication status list screen 10 based on the medication history X is referred to as a medication history display 11X.

  The staff member who has administered the medicine activates the management terminal 3, accesses the management server 5 from the management terminal 3, performs login processing, and displays the medication status list screen 10 on the management terminal 3 (step S11). The display color of the medication history display 11X displayed on the medication status list screen 10 is the third color (for example, red). Also, Δ is displayed in the column of medication record of the medication history display 11X.

  The staff member presses the information input button 13 provided on the medication history display 11X and inputs additional information (step S12). The input additional information is transmitted from the management terminal 3 to the management server 5. When receiving the additional information (step S13), the management server 5 registers the additional information in the additional information table 32 of the database 28 (step S14). Further, the management server 5 updates the medication history X registered in the medication history table 31 (step S15). Specifically, the display color information of the medication history display 11X included in the medication history X is changed from the third color to the second color.

  The management server 5 transmits the updated medication history X to the management terminal 3 (step S16). When receiving the updated medication history X, the management terminal 3 updates the medication history display 11X of the medication status list screen 10 (step S17). Specifically, the display color of the medication history display 11X is changed from the third color to the second color. At this time, the status of the medication history display 11X is “unconfirmed”.

  Thereafter, the management terminal 3 can input confirmation of the medication history display 11X by the confirmer. A process executed by the management terminal 3 and the management server 5 when the confirmation of the medication history display 11X is input to the management terminal 3 will be described with reference to the flowchart shown in FIG.

  The confirmer accesses the management server 5 from the management terminal 3 to perform login processing, and displays the medication status list screen 10 on the management terminal 3 (step S21). The confirmer selects the medication history display 11X from the selection box 17 and presses the confirm button 14 (step S22). Then, the management terminal 3 displays an identity confirmation screen (step S23). The confirmer inputs the confirmer's password on the identity confirmation screen (step S24). The password input to the management terminal 3 is transmitted to the management server 5.

  The management server 5 collates the received password with the password registered in the basic information table 29 of the database 28. If the password is correct (step S25: YES), the management server 5 updates the status information registered in the status information table 33 of the database 28 (step S26).

  The management server 5 transmits the updated status information to the management terminal 3 (step S27). When receiving the updated status information, the management terminal 3 updates the medication history display 11X of the medication status list screen 10 (step S28). Specifically, the status column of the medication history display 11X is changed from blank to “confirmed” and the name of the confirmer is displayed.

  On the other hand, when the password is not correct (step S25: NO), the management server 5 transmits an error message to the management terminal 3. The management terminal 3 displays the received error message (step S29).

  Thereafter, the management terminal 3 can input the cancellation of the confirmation of the medication history display 11X by the confirmer or the approval of the medication history display 11X by the approver. The processing executed by the management terminal 3 and the management server 5 when the confirmation person inputs cancellation of the confirmation of the medication history display 11X or the approval person inputs the medication history display 11X, the medication history display 11X Since it is similar to the case where the confirmation is input, the description is omitted.

  The medication support system 1 of the present embodiment has the following features.

The management terminal 3 displays a medication history display 11 in which medication schedule information and medication performance information are associated with each other. Therefore, the staff including the confirmer and the approver can confirm whether or not the medication record is appropriate by looking at the medication history display 11. Furthermore, since the management terminal 3 can input additional information related to the medication history, the staff who is the medication can input information for evaluating the validity of the medication history in addition to the medication history information. .
In addition, the management terminal 3 displays the input additional information, and a confirmer having a confirmation authority can input confirmation to the medication history display 11 to the management terminal 3. Therefore, the confirmer can input confirmation of the medication history while evaluating the validity of the medication performance based on the input additional information. Then, the management terminal 3 displays the presence / absence of confirmation with respect to the medication history display 11. Therefore, it is possible to prevent omission of confirmation of the medication history by the confirmer. Furthermore, after the confirmation to the medication history display 11 is input to the management terminal 3 by the confirmer, the management terminal 3 cannot input additional information. Therefore, it is possible to prevent the additional information from being input or changed after the confirmer performs confirmation. As described above, it is ensured as information that the confirmation history is confirmed by the confirmer and what additional information the confirmation by the confirmer is based on. Therefore, even when a medication record that does not match the schedule is allowed as an operation, the validity of the medication record can be reliably assured.

An approver having approval authority can input approval for the medication history display 11 to the management terminal 3. The management terminal 3 displays whether or not the medication history display 11 is approved. Therefore, it is possible to prevent omission of confirmation of medication history (approval omission) by the approver.
Further, the management terminal 3 cannot input approval for the medication history display 11 before the confirmation for the medication history display 11 is input. When the confirmation for the medication history display 11 is input, the approval for the medication history display 11 can be input. Therefore, it is possible to prevent the approver from entering approval for the medication history display 11 that has not been confirmed by the confirmer. Therefore, it is possible to prevent the approver from making a mistake by confirming whether or not the medication history display 11 is confirmed. In addition, since the order of approval after confirmation can be clarified, the order of authority between the confirmer and the approver can be clarified.

  The management terminal 3 can input the cancellation of confirmation for the medication history display 11 by the confirmer. Therefore, even if the confirmer inputs confirmation on the medication history display 11 to the management terminal 3, the staff then inputs cancellation information on the medication history display 11, so that the staff inputs additional information to the management terminal 3. can do.

  When the approval for the medication history display 11 is input by the approver, the management terminal 3 cannot input a confirmation cancellation for the medication history display 11. Therefore, after the approver inputs approval for the medication history display 11, it can be prevented that the confirmer inputs cancellation of the confirmation for the medication history display 11 and additional information can be input. Therefore, it is ensured as information that the approval history has been approved by the approver and what additional information the approval by the approver is based on.

The staff reads the drug information code 7, the resident information code 8 and the staff information code 9 by the small terminal 4 before the medication. The management server 5 (determination means) determines the appropriateness of medication based on the information of the medicine information code 7, the resident information code 8 and the staff information code 9 read by the small terminal 4 and the information managed by the management server 5. Determine. The small terminal 4 displays this determination result. Therefore, the medication person (staff) can perform the medication after confirming whether the medication is appropriate, and can prevent a medication error.
When the determination result of the appropriateness of the medication is inappropriate, the medication person selects either the medication execution signal or the medication stop signal and transmits it from the small terminal 4 to the management server 5. When stopping the medication, a medication stop signal is selected, and when performing the medication, a medication execution signal is selected. For example, even if the scheduled dosing time recorded in the medicine information code 7 is different from the actual dosing time and the result of determining whether or not the medication is appropriate is appropriate, the medication may be administered depending on the situation. . In such a case, medication can be executed by transmitting a medication execution signal.
The medication history display 11 is created based on the medication schedule information, the determination result of appropriateness of medication, and the medication execution signal or medication suspension signal transmitted from the small terminal 4 to the management server 5. Therefore, by browsing the medication history display 11, detailed information regarding medication can be confirmed.

  The small terminal 4 transmits, to the management server 5, one of a medication execution signal and a medication stop signal selected by the medication person when the determination result of appropriateness of medication is appropriate. Therefore, the medication stop signal can be transmitted from the small terminal 4 to the management server 5 when the appropriate judgment result of medication is appropriate and, for example, no resident is present and medication cannot be performed. Therefore, the medication history display 11 corresponding to various situations can be created.

  The display color of the medication history display 11 displayed on the management terminal 3 is changed based on the relationship between the determination result of appropriateness of medication and the medication execution signal or medication suspension signal transmitted from the small terminal 4 to the management server 5. The Therefore, even without reading the characters of the medication history display 11 displayed on the management terminal 3, it is possible to grasp a part of the information included in the medication history display 11 only by looking at the display color. Therefore, it becomes easier for the confirmer to check the medication history display 11, and it is possible to more reliably prevent omission of confirmation of information included in the medication history display 11.

When the determination result of appropriateness of medication is inappropriate and the medication execution signal is transmitted from the management terminal 3 to the management server 5, the display color of the medication history display 11 displayed on the management terminal 3 is the medication history It is changed depending on whether or not the additional information regarding is already input to the management terminal 3. Therefore, it is possible to quickly and easily grasp whether or not additional information has been input simply by looking at the display color without reading the characters of the medication history display 11 displayed on the management terminal 3.
When the determination result of appropriateness of medication is inappropriate and a medication execution signal is transmitted from the management terminal 3 to the management server 5, there is a possibility of a medication error. Therefore, it is preferable that the medication person inputs to the management terminal 3 the reason why it is not a medication error as additional information regarding the medication history. Whether or not additional information has been input can be quickly and easily grasped based on the display color of the medication history display 11, so that it is possible to prevent omission of entry of additional information by the medication person.
In addition, since the display color of the medication history display 11 can quickly and easily grasp whether or not additional information has been input, the confirmer can quickly and easily confirm whether or not there is a medication error. Therefore, it is possible to prevent the omission of confirmation of the medication history more reliably.

  The preferred embodiments of the present invention have been described above. However, the present invention is not limited to the above-described embodiments, and various modifications can be made as long as they are described in the claims. Moreover, the example of a change mentioned later can be implemented in combination as appropriate.

  In the above embodiment, when the determination result of appropriateness of medication is inappropriate and the medication execution signal is transmitted to the management server 5, Δ is displayed in the medication performance column of the medication performance display 11. The However, ○ may be displayed instead of Δ.

  In the above embodiment, when the determination result of appropriateness of medication is appropriate and the medication execution signal is transmitted to the management server 5, a circle is displayed in the medication performance column of the medication performance display 11. . In addition, when the determination result of appropriateness of medication is inappropriate and a medication stop signal is transmitted to the management server 5, “◯” is displayed in the medication performance column of the medication performance display 11. However, the display may be different so that the two cases can be distinguished. For example, the former may be ◎ and the latter may be ○.

  The items of information displayed on the medication status list screen 10 are not limited to the items described in the above embodiment. It may be less or more than this.

  In the above embodiment, the display color of the medication history display 11 is set based on the relationship between the determination result of the appropriateness of medication and the medication performance information and the presence / absence of additional information. Only the color may be used.

  The display color of the medication history display 11 may be set in a different classification from the above-described embodiment based on the relationship between the determination result of proper medication and medication performance information and the presence or absence of additional information. For example, when the determination result of appropriateness of medication is inappropriate, a medication execution signal is transmitted to the management server 5, and additional information is registered in the management server 5, the determination result of appropriateness of medication is inappropriate. Thus, the display color of the medication history display 11 may be different when the medication stop signal is transmitted to the management server 5. In the above embodiment, in both cases, the display color of the medication history display 11 is the second color (for example, yellow).

  The display color of the medication history display 11 may be set only by the relationship between the determination result of appropriateness of medication and the medication performance information regardless of the presence or absence of additional information.

  The additional information may be input, for example, by selecting a reason registered in advance regarding the inappropriate medication, or may be input by inputting a comment that can be freely described. Moreover, you may input by both of these.

  In the above embodiment, the management terminal 3 cannot input the approval cancellation for the medication history display 11, but may input the approval cancellation for the medication history display 11.

  In the above-described embodiment, after the approval for the medication history display 11 is input, the management terminal 3 cannot input the confirmation cancellation for the medication history display 11. However, even after the approval for the medication history display 11 is input, the management terminal 3 may be able to input a confirmation cancellation for the medication history display 11.

  In the above embodiment, the management terminal 3 can input the cancellation of the confirmation for the medication history display 11 before the approval for the medication history display 11 is inputted. However, the management terminal 3 may not be able to input a cancellation of confirmation for the medication history display 11 regardless of whether or not the medication history display 11 is approved.

  In the above-described embodiment, the management terminal 3 displays whether or not the medication history display 11 is approved, and can input the approval for the medication history display 11 after inputting confirmation for the medication history display 11. However, the management terminal 3 may not be able to input approval for the medication history display 11 without displaying approval / disapproval for the medication history display 11.

  In the present invention, “approval for medication history” means that a person with specific authority confirms the medication history. In the embodiment to which the medication support system of the present invention is applied, the phrases “confirmation” and “approval” may not be used. For example, “confirmation for medication history” may be “first confirmation for medication history”, and “approval for medication history” may be “second confirmation for medication history”.

  Instead of the drug information code 7, the resident information code 8, and the staff information code 9 made of a two-dimensional code such as a QR code (registered trademark), a drug information tag made of an RFID tag (Radio Frequency Identification), a resident information tag , And staff information tags may be provided. The drug information tag, the resident information tag, and the staff information tag correspond to the drug information recording medium, the subject information recording medium, and the medication information recording medium of the present invention, respectively. In this case, the small terminal 4 includes an RFID reader that can read information recorded on the RFID tag from a short distance without contact.

  In the above embodiment, the management server 5 is based on the information read from the three information codes 7, 8, and 9, the information registered in the medication schedule table 30 and the basic information table 29, and the current date and time information. The appropriateness of medication is determined. However, the management server 5 uses the drug information code 7 and the resident information code 8 without using the staff information recorded in the staff information code 9 and the information registered in the medication schedule table 30 and the basic information table 29. The appropriateness of medication may be determined based on the read information and the current date and time information.

  In the above embodiment, the management server 5 determines the appropriateness of medication based on the information read from the three information codes 7, 8, 9 by the small terminal 4 and the information managed by the management server 5. The determination result is transmitted to the small terminal 4. However, the small terminal 4 receives information managed by the management server 5 from the management server 5, information read from the three information codes 7, 8, and 9, and information managed by the management server 5. Based on this, it may be determined whether medication is appropriate. In this case, the small terminal 4 includes the determination unit of the present invention.

  The management means of the medication support system of the present invention may be provided in the management terminal 3 instead of the management server 5. In this case, the medication support system does not need to determine the appropriateness of medication based on the information read from the three information codes 7, 8, and 9 and the information managed by the management means. That is, in the medication support system of the present invention, the medication history managed by the management means may not include the determination result of proper medication. The medication history may be created by associating the medication schedule information with the medication performance information. The medication record information here is information that the medication has been executed or stopped. The means by which the management means acquires the medication schedule information and the medication performance information is not particularly limited.

The application target of the medication support system of the present invention is not limited to a care facility, but may be a medical facility such as a hospital. In this case, the subject is a patient. In the medication support system of the present invention,
The medication person is not limited to a care worker such as a caregiver. The medication person may be a nurse.

1 medication support system 3 management terminal 4 small terminal (terminal used during medication)
5 management server 7 drug information code (drug information recording medium)
8 Resident information code (medicalee information recording medium)
9 Drug information code (Medication information recording medium)
24 Medication appropriateness determination unit (determination means)

The medication support system according to the first aspect of the present invention is a management means for managing a medication history in which medication schedule information and medication history information for a subject are associated with each other, and displays the medication history and the medication history indicated by the medication history. And a management terminal capable of inputting additional information for evaluating the validity of the medication support system, wherein the management terminal displays the additional information when the additional information is input, Whether or not to confirm the medication history is displayed, and a confirmation person having confirmation authority can input the confirmation to the medication history, and when the confirmation to the medication history is input, the addition related to the medication history It is impossible to input information.

Claims (8)

A management means for managing a medication history in which medication schedule information and medication performance information for a subject are associated;
A medication support system comprising a management terminal for displaying the medication history and capable of inputting additional information related to the medication history,
When the additional information is input, the management terminal displays the additional information, displays whether or not to confirm the medication history, and inputs the confirmation to the medication history by a confirmer having confirmation authority. When the confirmation for the medication history is input, it is impossible to input the additional information regarding the medication history.   The management terminal displays whether or not approval for the medication history is displayed, and before the confirmation for the medication history is input, it is impossible to input the approval for the medication history, and the confirmation for the medication history is performed. 2. The medication support system according to claim 1, wherein after approval is input, the approval can be input to the medication history by an approver having approval authority.   The medication management system according to claim 1 or 2, wherein the management terminal can input cancellation of the confirmation with respect to the medication history by the confirmer.   4. The medication support system according to claim 3, wherein when the approval for the medication history is input by the approver, the management terminal cannot input the cancellation of the confirmation. The management means is a management server connected to the management terminal via a network;
A drug information recording medium in which information about the drug is recorded attached to the drug;
A to-be-administered information recording medium in which information related to the to-be-administered person is recorded attached to the to-be-administered item;
A medicator information recording medium attached to the medicator's exclusive items and recorded with information about the medicator;
A medication terminal used by the medication person, connected to the management server via the network and capable of reading the medication information recording medium, the subject information recording medium and the medication person information recording medium;
The appropriateness of the medication is determined based on the information on the medicine information recording medium, the subject information recording medium and the medication person information recording medium read by the terminal at the time of medication and the information managed by the management server And a determination means for
The medication use terminal displays a determination result of appropriateness of medication by the determination means, and when the determination result is inappropriate, either a medication execution signal or a medication suspension signal selected by the medication person To the management server,
The management server creates the medication history based on the medication schedule information, a determination result of appropriateness of medication by the determination means, and the medication execution signal or the medication suspension signal received from the medication use terminal. The medication support system according to any one of claims 1 to 4, wherein:   The medication use terminal transmits one of the medication execution signal and the medication suspension signal selected by the medication person to the management server when the judgment result of the suitability by the judgment means is appropriate. The medication support system according to claim 5, wherein The management terminal
The display color of the medication history is changed based on the relationship between the determination result of appropriateness of medication by the determination means and the medication execution signal or the medication suspension signal transmitted from the medication use terminal to the management server. The medication support system according to claim 5 or 6, characterized in that. The management terminal
Whether or not the additional information has been input to the management terminal when the determination result of appropriateness of medication by the determination means is inappropriate and the medication execution signal is transmitted from the management terminal to the management server The medication support system according to claim 7, wherein the display color of the medication history is changed depending on whether or not.

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