JP2005046420A - Preparation support device - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To prevent a medical error related to the preparation work by integrally and intensively managing the total work concerning the preparation of medicines including the inspection, preparation and confirmation of information on dosing. <P>SOLUTION: Medicines are paid out to a tray 3 for each patient from an automatic medicine pay-out device 2 and an automatic other medicine pay-out device 5 to pay out medicines for each patient based on the inputted prescription for the medicines. Devices up to a worktop 6 on which the medicines paid out to the tray 3 are inspected and prepared are intensively disposed, and the inspection and preparation of the medicines are performed on the worktop 6. Furthermore, the information on dosing including a method of dosing and direction for dosing is displayed, so that the total work is intensively performed on the worktop 6. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

  The present invention relates to a preparation support apparatus for preparing and supporting a medicine to be administered to a patient in a hospital or the like.

Traditionally, in order to achieve the desired relationship between dispensing and auditing work, medicines have been stored in storage units and then recalled and audited. (See Patent Document 1)
This device consists of a dispensing unit for injecting medicine, a temporary storage unit for the tray from which the injecting medicine has been dispensed, and a unit for auditing the dispensed medicine.
The automatic dispensing of injectable medicine and the inspection of medicine are performed separately, and are completely separate processes in the preparation. In the case of such a device, it is positioned as an automatic dispensing device for injectable drugs, and after the automatic dispensing of injectable drugs and drug inspection by a pharmacist in a hospital pharmacy, the injected drugs are carried to the ward and administered. Occasionally, preparations are made by ward nurses and administered to patients.

  Originally, the pharmaceutical action that should be performed by a pharmacist is performed by a nurse in a ward that is physically separated from the pharmacy of the hospital, and this is one of the causes of erroneous preparations.

  That is, the preparation should be performed by a pharmacist as long as the drug is handled, and the injection drug is preferably administered immediately after the preparation. At present, as described above, from the preparation of injectable drugs to the auditing work are performed in a lump in the pharmacy, and the preparation work is performed by the nurse in the ward as a separate process to be administered thereafter. As a result, a medical error has occurred due to an erroneous preparation due to a mistake in medicine by a nurse and an excessive or insufficient amount of the medicine to be mixed.

  Further, in Patent Document 2, when prescription information is prepared, prescription information is stored in a storage unit to prevent an error in quantity or type, and a drug article is mixed when the medicine is mixedly injected based on the prescription information. It describes that after the ID number and prescription information are automatically collated, mixed injection is performed according to the collation result.

Also, it is possible to prepare necessary medicines by putting them in a tray for each patient in advance, read the medicine collation label before co-injecting, and automatically collate the read collation information with prescription information, and then perform co-infusion according to the collation result. It is described in Patent Document 3.
JP 7-265392 A JP 2002-92182 A JP 2002-92165 A

  There were problems such as audit work, preparation work, and overall work related to drug preparation work such as confirmation of medication information were not centralized and managed centrally, and preparation work was included in ward nursing work .

  The present invention provides a formulation support apparatus that can prevent medical errors associated with formulation operations by performing a single process including formulation operations.

In order to solve the conventional problems, the formulation support apparatus of the present invention inputs a medicine dispensing apparatus that dispenses medicine for each patient based on an inputted medicine prescription, and a medicine dispensed from the dispensing apparatus. A tray, and a work table for sequentially performing an inspection operation and a preparation operation of medicines for each patient dispensed to the tray,
It is characterized in that the inspection work for comparing the medicine based on the prescription and the medicine put in the tray and the preparation work of the medicine in the tray based on the prescription are centrally performed on the work table. Is.

  As described above, according to the preparation support apparatus of the present invention, the audit work and the preparation work can be performed on the same work table, and the centralized processing can be performed at the same place for the drug administration for each patient including the medication instruction. This makes it possible to prevent the occurrence of errors related to drug administration by patients.

  Embodiments of the formulation support apparatus of the present invention will be described below in detail with reference to the drawings.

  FIG. 1 schematically shows the arrangement of the preparation support apparatus of the present invention. In FIG. 1, the preparation work and the inspection work of the injection drug will be mainly described. Workers are provided with an injection medicine automatic dispensing device 2 that automatically arranges injection medicines in a tray 3 according to a doctor's prescription, a tray 3 into which injection medicines are charged by the injection medicine automatic dispensing device 2, and a tray 3 from which injection medicines have been dispensed. 10 and after the operator 10 completes a series of operations, the tray 3 is collected and transported to the automatic injection medicine dispensing device 2 again, and the injection medicine automatic dispensing device 2 in the prescription is prepared. A non-automatically dispensed medicine shelf 5 with injectable medicines that are not used, and a workbench that audits whether the injectable medicines and automatically dispensed medicines that are automatically dispensed are in line with the prescription, and performs the preparation work after the audit work 6, monitor 7 for displaying prescription and mixed injection work instructions for formulation work and processing status such as prohibited blending and blending change, and drug after formulation work A printer 8 a label (not shown) is discharged paste, and a basket 9 for transporting the drug to the lower of the patient after the formulation work. The label includes a patient ID number assigned to each patient, a medication instruction, and the like. Although not shown, an input terminal for inputting a doctor's prescription and a management device and a control device for managing and supervising these devices are provided.

  The tray 3 is attached with an ID number unique to each tray such as a barcode, and when receiving prescription data based on a doctor's prescription, the ID number of the tray is associated with each individual patient. That is, the medicine necessary for the patient is stored in the tray 3 corresponding to the patient ID number. The tray-specific ID number may correspond to the patient ID number, or the tray-specific ID number may be assigned as the patient ID number, and if the tray 3 ID number is read, the patient's prescription can be handled. is there.

  The injection medicine automatic dispensing device 2 reads the ID number of the tray 3 and dispenses the injection medicine based on the prescription data to the tray 3.

  When the injection medicine dispensing apparatus 2 finishes the preparation of the injection medicine for each patient, the transport apparatus 4 transports the tray 3 to the work table 6 where the operator 10 stands by. When the work related to the previous payout work of the worker 10 has not been completed and the worker 10 is not in a standby state, the tray 3 is stocked in a temporary stock section (not shown) and the work of the worker 10 is not performed. Wait for it to complete.

  When the tray 3 transported to the work table 6 is received by the operator 10, the tray ID number is read by the operator 10 using a bar code reader (not shown), and the patient name based on the tray ID number, for the patient is read. In order to collect medicines that are not prepared in the automatic medicine dispensing device 2 at the same time that the prescription is displayed on the monitor 7, LEDs of storage units (not shown) of medicines that store individual medicines in the medicine dispensing outside medicine shelf 5, etc. Lights up and prompts the operator 10 to arrange all of the injection medicines. The operator 10 takes out the necessary number of necessary medicines from the medicine storage section on which the LED of the automatic medicine dispensing outside medicine shelf 5 is displayed, completes the preparation of all medicines, and prepares them according to the prescription displayed on the monitor 7. Audit whether the drugs given are correct.

  The monitor 7 indicates which medicines to be mixed with which medicines or which medicines to be mixed with which medicines, or which medicines to be mixed with which medicines at the same time or after the display of the patient name and the prescription based on the tray ID number. Is displayed, and the worker 10 confirms this, and then performs the formulation work. The display content of the prescription includes drug information and medication information. If there are confusing drugs in the tray or drugs that should not be mixed, a notice will be displayed, and if there is a time limit for drug administration after the preparation work, this content will also be displayed. The information is displayed to prompt the worker 10 to pay full attention.

  In this way, the medication information required for each patient can also be centrally managed along with the audit work and formulation work on the workbench, so that sequential processing, that is, efficient centralized processing, can be performed on the same workbench. Yes.

  Note that detailed information regarding these chemicals is managed by a computer server (not shown), and is only displayed on the monitor 7. When a plurality of apparatuses according to the present invention are deployed in a hospital, management in a pharmacy is performed more efficiently if they are centrally managed.

  In addition, ID numbers such as barcodes are attached to injectable medicines in advance, and ID numbers of medicines to be prepared are read before preparation work, and preparation work based on prescription is performed when these medicines are dispensed normally. If it is possible to check whether there are any mistakes, it is still effective for crisis management.

  When the preparation work is completed, or when the preparation work is not necessary and the preparation and the inspection work are completed, the operator 10 presses a completion button (not shown) to indicate that the work is completed. To notify. In response to this, a label on which the patient name including the patient ID number based on the prescription is printed is discharged from the printer 8, and the operator attaches this label to the medicine for which the preparation has been completed. To be able to confirm normal dosing time. In addition, an ID number such as a barcode is printed on the label, and the patient ID number and the ID number printed on the label are read by the nurse at the time of medication with a barcode reader, and the ID numbers of both are compared and compared. If it is possible to check that the patient and the medicine to be administered are correct based on the results, it is still effective for crisis management.

  In addition, the label can be printed with the patient's medication instruction based on the prescription, and can include medication information such as the medication method and order of medication, and medication instructions such as the infusion speed if infusion is included. .

  As described above, since the same operator can perform the preparation operation on the work table 6 after the inspection operation, it is possible to prevent a medicine error associated with the preparation operation. Further, when the preparation work is completed, a label printed with a patient name based on the prescription is discharged from the printer 8 under the control of a control device (not shown), and the operator attaches this label to the medicine for which the preparation work has been completed. In addition, it is possible to prevent an error in medicine when administering to a patient. Such unified processing can prevent the occurrence of chemical errors.

  Alternatively, a method such as using a card instead of a label should be considered. The name of the patient is printed on the card surface, and data such as the time when the prescription and preparation are performed and the name of the operator are recorded in the card magnetic or IC data part. If these rechecks can be performed, they are still effective for crisis management.

  When the preparation operation or the inspection operation is completed, the medicine is transferred to the cart 9 and carried to the required patient for delivery. Alternatively, the medicine is transferred to the cart 9 with the medicines in the tray 3. The tray 3 from which the chemicals have been removed is sent to the transport device 4 that is circulated again by a tray collection conveyor disposed under a work table (not shown). The patient ID number assigned to the tray 3 is deleted, and the new patient ID number is again associated with the ID number assigned to the tray 3 when the patient ID number is sent to the automatic medicine dispensing device 2.

  That is, when the preparation work or the inspection work is completed, the medicine is transferred to the cart 9, and after completion of the work, the tray 3 is sent back to the automatic dispensing device 2 and a new barcode is attached to the tray 3. After the patient ID number corresponding to the patient is assigned and assigned, the automatic dispensing device 2 dispenses the medicine based on the new patient ID into the tray 3 to constitute a circulated tray conveying device.

  As explained above, audit work and preparation work can be concentrated on the work table 6 in one place, improving the work efficiency of the pharmacist who is the worker 10, and the preparation work by the nurse. As a whole, it is possible to prevent the occurrence of medical errors related to drug administration.

  In addition, if the constituent requirements of the mixed injection support apparatus described in the embodiment are installed in a clean room or a clean booth, an aseptic preparation is possible. Alternatively, a sterile preparation can be realized by using a work bench as a clean bench.

  In the above description, the medicine is automatically dispensed to the tray 3. However, the present invention is not limited to this, and it is naturally possible to dispense the medicine into a bag shape or a box shape.

  When the worker 10 stands by on the work table 6 and a series of work is performed, an individual ID number is input, thereby starting a series of work of the apparatus, which is still effective for crisis management.

  In addition, ID numbers corresponding to individual drugs are created with barcodes or ID tags and affixed to the drugs themselves, and these ID numbers are read with a reading device at the time of drug product work. If it is displayed on the monitor 7 that there is no doubt that it is a medicine, it is possible to further avoid dangers in the preparation work.

  It can be applied to a formulation support device that can prevent medical errors by centralizing the formulation / audit work related to patient drug administration.

The figure which shows typically arrangement | positioning of the formulation assistance apparatus in embodiment of this invention.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Formulation support apparatus 2 Injection medicine automatic dispensing apparatus 3 Tray 4 Conveyance apparatus 5 Automatic dispensing outside medicine shelf 6 Worktable 7 Monitor 8 Printer 9 Cart 10 Worker

Claims (8)

A medicine dispensing device that dispenses medicine for each patient based on a prescription of the inputted medicine, a tray into which the medicine dispensed from the dispensing device is placed, and an auditing operation of the medicine for each patient dispensed to the tray; With a workbench that sequentially performs formulation operations,
The inspection work for collating the medicine based on the prescription and the medicine put into the tray and the preparation work of the medicine in the tray based on the prescription are performed on the work table in an integrated manner. Formulation support device.   A unique ID number is assigned to the tray, a patient ID number corresponding to a patient based on the prescription is made to correspond, and the ID number of the tray is read, and at the same time, a medicine put into the tray is a medicine based on the prescription The formulation support apparatus according to claim 1, further comprising a display device that collates and displays a collation result together with information on the prescription.   The formulation support apparatus according to claim 2, wherein medication information for each patient is intensively managed on the work table together with the auditing operation and the formulation operation.   The dispensing device is composed of an automatic dispensing device and a non-automatic dispensing device. When a medicine that is not prepared in the automatic dispensing device is prescribed, the ID number of the tray into which the automatically dispensed medicine is loaded is read, and the patient's 3. A non-automatic dispensing device having display means for displaying a shortage medicine on a monitor and displaying a storage location of a non-automatic dispensing device in which these chemicals are stored as non-automatic dispensing medicines. The formulation support apparatus according to 1.   3. The preparation support apparatus according to claim 2, wherein when the medicine inspection work, or the audit work and the preparation work is completed, a label printed with a medicine ID and a medication instruction is created and attached to the medicine.   When delivery of medicines to a patient based on a prescription is completed, the tray is provided with a transport device that associates a patient ID number of a new patient and performs a circulation transport process that performs a medicine dispensing operation. The formulation support apparatus according to claim 2.   The drug product support device according to claim 2, wherein the drug administration information is displayed together with a collation result between the dispensed drug and the drug information of the prescription. The preparation support apparatus according to claim 1, further comprising a work bench including a clean bench, wherein the preparation work is performed on the clean bench.

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