JP2003292122A - Chemical storage and management system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a chemical storage and management system allowing the types and numbers of chemicals to be discriminated and recorded only by picking the chemicals out of a chemical storage, reducing burden on the storage and management of the chemicals and serving checking function for preventing errors in medication as well. <P>SOLUTION: The chemical storage and management system comprises a storage unit 6 for storing the chemicals S, a management computer 12 for inputting chemical pick-out schedule information for the chemicals S scheduled to be picked out of the storage unit 6, detecting means 9 for detecting the chemicals S picked out of the storage unit 6, the management computer 12 for storing the chemical pick-out schedule information and chemical pick-out result information for the chemicals S detected by the detecting means 9, a control device 11 for determining whether the chemical pick-out result information is adaptable or not for the chemical pick-out schedule information, and a display device 10 provided for the management computer 12 or in the chemical storage 1 for displaying the chemical pick-out schedule information, the chemical pick-out result information and a determination result of the chemical pick-out result information for the chemical pick-out schedule information. <P>COPYRIGHT: (C)2004,JPO

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a drug storage management system that can reduce the burden of drug storage management work in medical institutions and perform appropriate and safe medication.

[0002]

2. Description of the Related Art Conventionally, in a medical field such as an operating room, a nurse or the like takes out a medicine from a storage, etc., sets it on a tray, etc., and takes it into the operating room before the operation according to a doctor's instruction. There is. After the surgery, nurses and the like grasp the amount of medicines used and enter them in the management ledger or enter them in the management computer for management.

In addition, when a nurse or the like mixes an injection drug, the name of the patient, the drug name, the dosage, etc. are directly written by hand on the drip container into which the mixed injection drug is placed.

[0004]

In the case of the conventional method, the preparation of the medicine, the grasp of the used quantity of the medicine, the entry of the used quantity of the medicine into the management ledger or the input into the management computer are directly performed. It is a heavy burden for nurses and others. In addition, the function of checking the prevention of erroneous medication is not sufficient, and when a nurse or the like selects a medicine, a medical accident occurs in which the medicine to be originally administered is mistaken.

Further, due to a misunderstanding by a doctor, a medical accident has occurred in which an excessive amount of drug is administered or a drug is administered to a patient without knowing contraindications of drug combination.

In addition, when a nurse or the like mixes many injection drugs, it is a great burden to directly fill in the necessary items on the drip container. In addition, when many injection drugs are mixed, there is a possibility that the filling of the drip container may be incorrect and the drugs may be mixed up.

[0007] Therefore, a drug storage management system that can determine and record the type and quantity of the drug by simply removing the drug from the drug storage to reduce the burden of storage management of the drug and also have a check function for preventing erroneous administration. It is intended to be provided.

[0008]

As a means for solving the above problems, the present invention provides a storage section for storing a chemical and a chemical extraction for inputting chemical removal schedule information of the chemical to be taken out from the storage section. Schedule information input means, detection means for detecting the medicine to be taken out from the storage section, medicine take-out information storage means for storing the medicine take-out schedule information and medicine take-out performance information of the medicine detected by the detection means, and the medicine take-out It is configured to include a medicine take-out information output means for outputting the schedule information and the medicine take-out result information.

Further, the drug withdrawal schedule information is the scheduled date and time of withdrawal of the drug for each patient, which is scheduled to be taken out from the storage section,
It consists of the medicine name and the quantity of medicine, and the medicine extraction result information is the medicine extraction result date and time for each patient detected by the detection means,
The composition consists of the chemical name and quantity.

Further, a counting means for determining the number of stored medicines in the storing portion according to the detection result of the detecting means is provided.

[0011] Further, the present invention further comprises a medicine take-out suitability judging means for judging suitability of the medicine take-out performance information with respect to the medicine take-out schedule information, and the medicine take-out information outputting means for outputting a judgment result of the medicine take-out suitability judging means. did.

Further, a medication extreme quantity adequacy determining means for determining propriety of the medication extreme quantity by comparing the quantity of medication in the medication extraction planned information or the medication extraction result information with the medication extreme quantity information, and the medication extreme quantity adequacy determination The medicine extraction information output means for outputting the determination result of the means is provided.

Further, a drug combination suitability judging means for judging suitability of the drug combination by comparing the drug combination in the drug take-out schedule information or the drug take-out result information with the drug mixture contraindication information, and the drug combination suitability judgment. The medicine extraction information output means for outputting the determination result of the means is provided.

Further, the medicine take-out information output means is based on the medicine take-out schedule information or the medicine take-out performance information,
It is configured to include a printer that prints a patient name, a drug name, and a dosage as an infusion label.

[0015]

BEST MODE FOR CARRYING OUT THE INVENTION An embodiment of the present invention will be described below with reference to the drawings. FIG. 1 is a front view of a medicine storage, FIG. 2 is a side sectional view of the same, FIG. 3 is a side sectional view of a storage unit, and FIG. 4 is a system configuration diagram of a medicine storage management system.

1 and 2, the medicine S stored in the medicine storage 1 is shown as an ampoule container for medicine. In addition to the ampoule container, the medicine S to be stored
Vial containers, infusion bottles, infusion bags, etc. are also applicable.
The medicine storage 1 has a shelf 2 that can store the medicines S in a row in the front-rear direction, and a housing 3 that stores the shelf 2. The "front-back direction" means the front-back direction of the paper surface in FIG. The housing 3 is a member having a vertically long rectangular parallelepiped shape made of a resin plate, a stainless steel plate, or the like, the front surface side of which is formed with an opening, and the bottom portion thereof is a caster 3a for movement.
Also, an adjuster 3b for fixed installation is attached.
Further, the medicine storage 1 is provided with a plurality of shelves 2, and a drawer 4 is provided at the bottom of the housing 3 for accommodating a relatively large infusion bottle or the like.

Each of the shelves 2 is constructed horizontally and can be pulled out to the front side, and a handle 5 is formed on each front surface as shown in FIG. The shelf 2 of this embodiment has a structure in which a storage unit 6 is incorporated. The storage unit 6 has a plurality of partition plates 17 extending in the front-rear direction so that the chemicals S can be stored in a plurality of rows. In the storage unit 6, between the partition plates 17 adjacent to each other,
That is, each storage passage in which the chemicals S are stored in a row is provided with the urging means 7 for directing the entire row of the chemicals S in a row toward the inlet / outlet side via the chemical S located at the end of the row. .

When a spring having a constant biasing force such as a constant load type spring is used, when the number of stored chemicals S decreases, the frictional force of the entire chemicals with the installation surface becomes small. Therefore, when the medicine S at the foremost end is taken out, the impact of the remaining stored medicine S at the time of movement is likely to be large, and is not suitable as the urging means 7 of the present invention.

In this embodiment, as shown in FIG. 3, a spring is used as the biasing means 7. The mainspring spring has a small biasing force when the winding distance of the spring is short, and a large biasing force when the winding distance of the spring is long, that is, the biasing force changes according to the winding amount of the spring. Therefore, application to the configuration of the present invention is extremely easy. Specifically, as shown in FIG. 3, a case 8 having a mainspring 15 built therein is arranged in a storage passage for the medicine S. A draw-out opening 8a is formed in the lower part of the front surface of the case 8, and a thread winding reel 16a for accommodating a thread-shaped member 16 made of a resin material or the like in a wound state is rotatably accommodated in the case 8 and the mainspring 15 In the hollow inside of the reel 16a, one end side is connected to the central fixed shaft 8b fixed to the case 8 side, and the other end side is connected to the inner peripheral surface portion of the reel 16a. Then, the tip end portion of the filamentous member 16 pulled out from the pullout opening 8a is locked to the front portion 18 of the storage unit 6.

Therefore, when the filamentous member 16 is pulled out for a long time, that is, when the mainspring spring 15 has a large winding amount, the urging force against the medicine S is large. Each time the medicine S is taken out from the inlet / outlet port 19, the case 8 itself moves forward by the urging force of the mainspring 15 to press the entire row of medicines S forward, and each time the case 8 moves forward. The mainspring 15 becomes loose, and the urging force on the medicine S gradually decreases. Therefore, when the number of stored medicines is small, the load on the medicine S can be reduced, and when the frontmost medicine S is taken out, the rapid slide movement of the remaining medicine S is prevented. .

The medicine storage 1 is provided with detection means 9 for detecting the medicine S taken out from the storage unit 6 placed on the shelf 2. A plurality of detection means 9 are provided inside the front part of the frame of the shelf 2 so as to correspond to each storage passage for the medicine S. The detecting means 9 is not particularly limited, but in the present embodiment, it comprises a limit switch. In the state in which the entire medicine is urged forward by the urging means 7, the foremost medicine S presses the limit switch, so that the electric signal from the limit switch is in the ON state. From this state, if you take the foremost chemical S,
The limit switch is turned off by momentarily releasing the pressing state from the medicine S at the foremost end. Then, when the medicine S at the foremost end is completely taken out, the medicine S located at the second position is urged by the urging means 7 and the limit switch is turned on again. Of course, the ON-OFF mode of the electric signal from the limit switch may be reversed.

From the above, the number of medicines S taken out can be known by counting the ON signal and the OFF signal. For example, the number of medicines taken out can be subtracted from the preset number of stored medicines to be stored in the shelf 2. The number of stored items can be counted. The control device 11 mounted on the lower part of the housing 3 processes the signal from the limit switch which is the detection means 9.

Further, the storage unit 6 stores the positional information including the main body number, the number of stages and the number of rows of the medicine storage 1 indicating the position of the storage unit 6 in which the medicine S is stored in the medicine storage 1. By associating with the medicine information, the medicine information taken out from the medicine storage 1 can be obtained from the position information of the storage unit 6 detected by the detecting means 9. In addition, a touch panel type display device 10 that can be operated to display the drug removal schedule information, the drug removal record information, and the like is installed on the top plate portion of the housing 3.

As shown in FIG. 4, the control device 11 of the medicine storage 1 and the management computer 12 are connected by a LAN (local area network) or the like, various information is stored in the management computer 12, and the storage of the medicine storage 1 is controlled. Control device 11
In, the various information stored in the management computer 12 is compared to determine suitability. Therefore, the plurality of medicine storage cabinets 1 are centrally managed by one management computer 12. In the management computer 12, specifically, a patient master file, a drug master file, a drug storage position information file, and a drug removal information file are formed, and various information is stored. The patient master file stores the patient's date of birth, name, sex, patient code, etc. as patient information. The drug master file stores drug information of various drugs that can be used in the hospital. The drug information includes a drug code, a drug name, a capacity per drug container, a maximum dose for one or one day, a maximum number of days for administration, and drug contraindication information. In the medicine storage position information file, the main body number, the number of columns and the number of rows of the medicine storage are associated with the medicine master file, and which medicine is stored in which position of which medicine storage is stored.

In the medicine take-out information file, the medicine take-out schedule information input by the management computer 12 is stored.
The drug removal schedule information includes a patient name, a patient code, a drug name, a drug code, a scheduled removal date and time, the number of packages to be taken out, and the like, which indicates when, who, and how many drugs should be administered. When the doctor inputs the medicine take-out schedule information, the doctor uses the medicine take-out schedule information input screen of the management computer 12. Specifically, the medicines to be administered are selected from the medicine master file for each patient, and the dosage indicated by the number of the selected medicines, the scheduled removal time of the medicines selected from the medicine storage 1, the time required for the administration, etc. input. The inputted medicine take-out schedule information is stored in the medicine take-out information file of the management computer 12. The doctor in charge who can input the drug withdrawal schedule information is set in advance for each patient and is strictly managed with a password or the like.

Further, in the medicine take-out information file, the limit switch which is the detecting means 9 detects, and the medicine storage 1
The names of the medicines taken out from each patient, the number of medicines taken out, the taking-out date and time, etc. are stored as the medicine taking-out result information.

The chemical storage 1 having the control device 11
The control board 1 is provided with the medicine storage 1a not equipped with the controller 11.
By connecting with the RS422 or the like at 4, it is possible to centrally manage a plurality of drug storages including the inexpensive drug storage 1a not including the control device 11 with one management computer 12. It is also possible to provide the medicine storage 1 with a storage function of various information of the management computer 12.

Based on the medicine take-out schedule information and the medicine take-out result information stored in the medicine take-out information file of the management computer 12, the medicine take-out status can be displayed on the display device 10 of the medicine storage 1 or the display screen of the management computer 12. is there. The display screen is composed of date and time on the horizontal axis and drug name on the vertical axis, and when the medicines are taken out from the medicine taking-out schedule, the time when each medicine is taken out is displayed in chronological order for each patient together with the quantity thereof. This medicine taking-out status is set to "scheduled" when the doctor inputs the medicine taking-out schedule information. Then, if the medicine is taken out within the preset taking-out time period before and after the scheduled medicine taking-out date and time, the medicine taking-out status is set to “executed”. That is, when a predetermined medicine S is taken out from the storage unit 6 within the take-out range time and the detection means 9 detects it, the medicine take-out situation is changed to “execution”. When a predetermined medicine S is taken out from the storage unit 6 before the take-out range time and the detecting means 9 detects it, the medicine taking-out situation is changed to "preparing". Therefore, in the medicine taking-out status, the taking-out status of the medicine S is displayed in three stages of “scheduled”, “preparing”, and “executed”, so that detailed medicine taking-out management can be performed.

Further, as a list of unexecuted medicines S, the medicines which are scheduled to be taken out from the medicine storage 1 but the medicine taking out status is not “executed” are displayed on the display screen of the management computer 12 or It is also possible to display on the display device 10 of the medicine storage 1 and the medicine storage 1
It is possible to easily detect the medicine S that has not been taken out from the medicine.

Next, determination of suitability for taking out medicine will be described.
The medicine take-out schedule information input by the management computer 12 and stored in the medicine take-out information file and the medicine take-out information file of the medicine S actually taken out from the medicine storage 1 are stored. When the medicine S actually taken out from the medicine storage 1 is different from the medicine S to be taken out, the display indicating that the medicine is not taken out is displayed. It is displayed on the display screen of the display device 10 of the storage 1 or the management computer 12. When the quantity of the medicine S actually taken out exceeds the quantity to be taken out, an indication that the quantity taken out is exceeded is displayed on the display screen of the display device 10 of the medicine storage 1 or the management computer 12.

Next, the determination of suitability for the extreme dose will be described.
The quantity of medicine indicated by the number for each patient and for each type, which is scheduled to be taken out from the medicine storage 1 stored in the medicine extraction information file of the management computer 12, and one time or one day stored in the medicine master file. The control device 11 of the medicine storage 1 compares the medication extreme amount information indicated by the number, and when the medication extreme amount is exceeded, an indication that the medication extreme amount is exceeded is displayed. Display device 1
0 or displayed on the display screen of the management computer 12.

Further, it is indicated by the number of patients, which are actually detected by the detection means 9 of the medicine storage 1 and are extracted from the medicine storage 1 stored in the medicine extraction information file of the management computer 12 for each patient and for each type. The control device 11 of the drug storage 1 compares the drug quantity and the drug dosage information stored in the drug master file and indicated by the number of doses or daily doses, and the drug dosage is exceeded. Also in this case, it is possible to display a display indicating that the drug dosage is exceeded on the display screen of the display device 10 of the medicine storage 1 or the management computer 12.

Next, determination of suitability for chemical combination will be described. The control device 11 of the medicine storage 1 compares the combination of medicines to be taken out for each patient stored in the medicine taking-out information file of the management computer 12 with the medicine mixture contraindication information registered in the medicine master file. When a combination of chemicals that is incompatible with chemicals is applied, a display that is incompatible as the combination of chemicals is displayed on the display screen of the display device 10 of the chemical storage 1 or the management computer 12.

Further, the combination of the medicines actually detected by the detecting means 9 of the medicine storage 1 and taken out from the medicine storage 1 stored in the medicine extraction information file of the management computer 12 and registered in the medicine master. The control device 11 of the medicine storage 1 compares the information about the contraindications of the medicines, and when the combination of the medicines of the contraindications of the medicine is applicable, the display device 10 of the medicine storage 1 indicates that the combination of the medicines is incompatible. Alternatively, it can be displayed on the display screen of the management computer 12.

Further, the patient name, the medicine name, and the dosage amount are automatically output from the printer 13 connected to the medicine storage 1 based on the medicine take-out schedule information input using the medicine take-out schedule information input screen of the management computer 12. It is also possible to print on an infusion label. Specifically, when a nurse or the like takes out an infusion bottle or the like from the drawer 4 of the medicine storage 1 and mixes an injection drug, by performing a printing operation on the operation screen of the display device 10 of the medicine storage 1, The printer 13 prints the patient name, the medicine name, the dosage, etc. on the infusion label based on the medicine take-out schedule information stored in the medicine take-out information file. After that, the nurse or the like attaches the printed infusion label to the drip container containing the compounded injection drug.

Since the infusion label is attached to the drip container,
It is necessary to print for each combination of drugs that contain injection drugs. Therefore, when inputting the drug withdrawal schedule information using the drug withdrawal schedule information input screen of the management computer 12,
A function is provided for grouping each combination of chemicals to be mixed. Alternatively, the display device 10 of the medicine storage 1
It is also possible to provide a function for grouping each combination of chemicals to be mixed with the planned chemical withdrawal information when the printing operation is performed.

Further, the patient name, the medicine name, and the dosage amount are automatically printed on the infusion label from the printer 13 connected to the medicine storage 1 based on the medicine extraction result information actually extracted from the medicine storage 1. Is also possible. In this case, when performing a printing operation on the display device 10 of the medicine storage 1, a function is provided for grouping each combination of medicines to be mixed with the injection medicine.

Finally, the chemical storage management system according to the present invention is not limited to the above-described embodiment, and plays a role required for each component within the scope of the present invention. It is possible to make such various changes.

[0039]

As described above, according to the present invention, it is possible to determine and record the type and quantity of medicines by simply taking out the medicines from the medicine storage, and to prepare the medicines for nurses and grasp the quantity used. It is possible to reduce the burden of direct work by filling out the management ledger or entering the management computer such as the amount of medicine used.

Before the medicine is taken out, the medicine taking-out situation is displayed on the display of the medicine storage, and the nurse or the like looks at the indication to confirm the medicine taking-out schedule and selects the medicine. It is possible to prevent mistakes in medicine due to mistakes made by women and the like.

Further, the medicine take-out schedule information and the medicine take-out performance information are compared, and if the medicine actually taken out from the medicine storage is different from the medicine to be taken out, the indication that the medicine is not taken out is stored. Since the information is output to the display unit such as the storage, proper and safe medication can be performed.

Further, the medicine take-out schedule information and the medicine take-out performance information are compared, and when the quantity of the medicine actually taken out exceeds the quantity to be taken out, the indication that the taken-out quantity is exceeded is displayed in the medicine storage. Since it is output to the display section such as, it is possible to administer appropriate and safe medication.

Further, the medicine take-out schedule information or the medicine take-out performance information is compared with the one-day or one-day medication extreme dose data registered for each medication, and the medication exceeds the medication extreme dose. In this case, since the display indicating that the maximum amount is exceeded is output to the display screen of the drug storage or the like, proper and safe medication can be performed.

Further, since the medicine withdrawal schedule information or the medicine withdrawal result information is compared with the medicine mixture contraindication information, and the judgment result of the mixture contraindication is output to the display section such as the medicine storage, it is appropriate and safe. Dosing can be done.

Further, since the patient name, the drug name and the dosage are automatically printed on the infusion label based on the information on the planned drug withdrawal or the information on the actual withdrawal of the drug, a handwriting operation on the infusion label by a nurse or the like is performed. This can reduce the burden of writing and prevent erroneous entry.

[Brief description of drawings]

FIG. 1 is a front view of a medicine storage 1 according to an embodiment of the present invention.

FIG. 2 is a side cross-sectional explanatory view of the medicine storage 1 according to the embodiment of the present invention.

FIG. 3 is a side cross-sectional explanatory view of a storage unit 6 according to an embodiment of the present invention.

FIG. 4 is a system configuration diagram of a medicine storage management system that is an embodiment of the present invention.

[Explanation of symbols]

S medicine 1, 1a chemical storage 2 shelves 3 housing 3a caster 3b adjuster 4 Drawer 5 handle 6 storage units 7 urging means 8 cases 8a outlet 8b Center fixed axis 9 Detection means 10 Display device 11 Control device 12 Management computer 13 Printer 14 Control board 15 Mainspring 16 thread members 16a reel 17 partition boards 18 Front part 19 entrance / exit

Claims (7)

[Claims] 1. A storage unit for storing a drug, a drug withdrawal schedule information input unit for inputting drug withdrawal schedule information of a drug to be taken out from the storage unit, and a detection unit for detecting the drug withdrawn from the storage unit. A drug take-out information storage unit that stores the drug take-out schedule information and the drug take-out result information of the drug detected by the detection unit, and a drug take-out information output unit that outputs the drug take-out schedule information and the drug take-out result information. A chemical storage management system characterized by being provided. 2. The drug withdrawal schedule information includes a drug withdrawal date and time for each patient, a drug name and a drug quantity, and the drug withdrawal result information includes a drug withdrawal date and time for each patient, a drug name and a drug quantity. The chemical storage management system according to claim 1, wherein: 3. The medicine storage management system according to claim 1, further comprising: counting means for determining the number of medicines stored in the storage portion according to the detection result of the detection means. 4. A drug removal suitability determination means for determining suitability of said drug removal record information with respect to said drug removal schedule information, and said drug removal information output means for outputting the determination result of said drug removal suitability determination means. The chemical storage management system according to claim 1, wherein 5. A medication extreme quantity adequacy determining means for determining propriety of a medication extreme quantity by comparing the medication quantity of the drug extraction scheduled information or the medication extraction result information with the dosage extreme quantity information, and the medication extreme quantity adequacy judgment. 4. The medicine storage management system according to claim 1, further comprising the medicine extraction information output means for outputting the determination result of the means. 6. A drug combination suitability determination means for comparing the drug combination in the drug removal planned information or the drug removal record information with drug compounding contraindication information to determine the suitability of the drug combination, and the drug combination suitability determination. 4. The medicine storage management system according to claim 1, further comprising the medicine extraction information output means for outputting the determination result of the means. 7. The medicine extraction information output means includes a printer for printing a patient name, a medicine name, and a dosage as an infusion label based on the medicine extraction schedule information or the medicine extraction result information. The chemical storage management system according to claim 1.