CN110910983A - Medicine taking system and method for hospital operating room - Google Patents

Medicine taking system and method for hospital operating room Download PDF

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Publication number
CN110910983A
CN110910983A CN201811088597.4A CN201811088597A CN110910983A CN 110910983 A CN110910983 A CN 110910983A CN 201811088597 A CN201811088597 A CN 201811088597A CN 110910983 A CN110910983 A CN 110910983A
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drug
medicine
subsystem
operating room
unit
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王旻
林阳
乌东东
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BEIJING HUAXING CHANGTAI INTERNET OF THINGS TECHNOLOGY RESEARCH INSTITUTE CO LTD
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BEIJING HUAXING CHANGTAI INTERNET OF THINGS TECHNOLOGY RESEARCH INSTITUTE CO LTD
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G16H20/13ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered from dispensers
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06KGRAPHICAL DATA READING; PRESENTATION OF DATA; RECORD CARRIERS; HANDLING RECORD CARRIERS
    • G06K17/00Methods or arrangements for effecting co-operative working between equipments covered by two or more of main groups G06K1/00 - G06K15/00, e.g. automatic card files incorporating conveying and reading operations
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06KGRAPHICAL DATA READING; PRESENTATION OF DATA; RECORD CARRIERS; HANDLING RECORD CARRIERS
    • G06K7/00Methods or arrangements for sensing record carriers, e.g. for reading patterns
    • G06K7/10Methods or arrangements for sensing record carriers, e.g. for reading patterns by electromagnetic radiation, e.g. optical sensing; by corpuscular radiation
    • G06K7/10009Methods or arrangements for sensing record carriers, e.g. for reading patterns by electromagnetic radiation, e.g. optical sensing; by corpuscular radiation sensing by radiation using wavelengths larger than 0.1 mm, e.g. radio-waves or microwaves

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Abstract

The medicine taking system and the medicine taking method for the hospital operating room provided by the invention have the advantages that the operation of the distribution equipment on the operating room medicine management system is realized through the matching and the data connection between the medicine management equipment and the distribution equipment of the operating room, the storage space is expanded, the whole process controllability of the medicines in the distribution, use and verification processes is ensured, the medicine use safety is ensured, meanwhile, the unified management of the medicine for the operation can be realized without putting the distributed medicines into the storage space of the operating room medicine management system, and the charging and the accounting are convenient.

Description

Medicine taking system and method for hospital operating room
Technical Field
The application belongs to the technical field of medicine management, and particularly relates to a medicine taking system and a medicine taking method for a hospital operating room.
Background
In the prior art, an automated drug management system is widely used in hospitals, for example, a prior application with application number CN201110211704 filed by the company, and such an automatic drug access system is proposed. Conventional drug accessing systems generally include a central control unit and an input/output device, for example, many drug management systems use a computer to perform drug management. The drug management system has a number of drug storage spaces, such as drawers, drug cabinets, or controllable drug cassettes, which typically have locking mechanisms that can be controlled by electrical signals, and a power supply that supplies power to a central control unit, input and output devices, and locks. When taking medicine, medical care personnel can realize the authentication of user identity and the unlocking of a locking mechanism through management software so as to open the storage space where the needed medicine is located and realize the automatic management of the medicine. The above-mentioned applications of the present company are incorporated in the content of the present application as background art of the present invention. The existing drug management system can effectively prevent the loss of drugs by controlling the locking mechanism of the drug storage unit, and realize the function of drug management, thereby greatly reducing the working pressure of medical personnel and reducing the possibility of errors.
In the actual use process, the existing medicine management system has some defects in the medicine management of the operating room in the hospital. Firstly, for the existing drug management system, in consideration of the shelf life of drugs and the storage cost of drugs, the volume of the drug management system used in an operating room cannot be too large, and in practical application, the inventory of the ordinary drug management system is enough to meet the drug taking requirement in the ordinary surgical procedure, but in the case of long and complicated surgery (such as cardiac surgery), the inventory space of the ordinary drug management system is insufficient. Since the medication in the operating room is related to the control of drugs (e.g. narcotics), the management is relatively strict, if the drugs or consumables are temporarily replenished during the operation, the identity of the drug filler must be confirmed, and then the drug filler puts the drugs into the storage space of the drug management system, and ensures that the filled drugs correspond to the corresponding storage space.
Disclosure of Invention
FIG. 1 is a block diagram of a drug access system of the present invention;
FIG. 2 is a flow chart of a method for taking a medicine according to the present invention.
Detailed Description
The invention is further described with reference to the following figures and specific examples.
In one embodiment, the present application provides a drug access system for operating room drug access comprising an operating room drug management subsystem, a drug library drug management subsystem, a drug delivery subsystem, and a remote platform subsystem.
The operating room drug management subsystem comprises a central control unit, a login unit, an operating room drug storage unit and a first communication unit.
Specifically, the central control unit is provided with a visual operation interface through which a user passes. The central control unit is a host with a display, and a user realizes the control of the operating room drug management subsystem through a visual operation interface of management software running on the host computer on the display. In consideration of cost, in a simpler embodiment, the host may also be a control unit formed by a single chip or an MCU (micro controller unit), and a smaller display screen (similar to an operation interface of a copier) is adopted, so that a user can control the entire system through a visual operation interface displayed on the display screen by touch or key operation.
The user login unit provides authentication for the user, and after the authentication is passed, the corresponding management authority is provided for the user, so that the situation that a medicine taker who does not obtain authorization starts the operating room medicine storage unit is avoided. Specifically, the user login unit may require the user to fill in a user name and a password for login to obtain authorization on a software interface of the display screen. In other embodiments, the user login unit may further include a fingerprint recognition device, a scanning device, a card reading device, etc., which will not be described in detail herein.
After a user logs in, a medicine taking mode can be selected to take medicines, for example, an operation medicine taking mode is adopted, the user selects a patient and/or an operation type after logging in, a visual operation interface can display medicine information in an operation room medicine storage unit, the user selects required medicines, the storage space of the operation room medicine storage unit where the medicines are located is opened for taking, and if the central control unit judges that the current logged-in user does not have the permission of taking the medicines, the storage space of the operation room medicine storage unit where the medicines are located keeps locked. Meanwhile, the central control unit records the medicine taking information so as to realize the verification and the expense calculation of the medicines.
The operating room medicine storage unit can be a drawer or a medicine cabinet; in other embodiments, the drug storage unit may be a single cartridge. The operating room medicine storage unit is provided with a storage space, a control circuit and a locking mechanism, wherein the control circuit receives an instruction sent by the central control unit to enable the locking mechanism to be in a locking or unlocking state, so that the storage space is locked or unlocked. Such locking mechanisms and control means are referred to earlier applications of the present company and will not be described in detail here. And the user sends an unlocking signal or a locking signal to the control circuit through the central control unit operation interface to realize the opening or locking of the operating room medicine storage unit.
Furthermore, the operation medicine management subsystem further comprises an operating room camera shooting unit, wherein the camera shooting unit is used for obtaining images of an operating room and obtaining medicine taking images of the operating room medicine management subsystem.
The first communication unit is used for communicating with the second communication unit of the drug delivery subsystem, and meanwhile, the first communication unit is also used for communicating with the fourth communication unit of the remote platform system. In particular, the first communication unit has a near field communication mode and/or a remote communication mode. The near field communication can adopt communication modes such as USB, RFID, Bluetooth or local area network, and the remote communication can adopt communication modes such as local area network and public communication network.
The drug delivery subsystem comprises a delivered drug storage unit and a second communication unit. The second communication unit is used for communicating with the first communication unit of the operating room drug management subsystem, and meanwhile, the second communication unit is used for communicating with the fourth communication unit of the remote platform system. In particular, the second communication unit has a near field communication mode and/or a remote communication mode. Preferably, the drug delivery subsystem is a portable drug box, and in other embodiments, the drug delivery subsystem may also be a mobile drug delivery vehicle, which can achieve drug delivery between the drug storage and the operating room.
The drug delivery subsystem takes a drug box as an example, the drug delivery storage unit of the drug delivery subsystem is provided with a storage space for storing delivered drugs or consumables, the storage space can be one or more independent storage spaces, and the drug delivery storage unit is further provided with a locking device, preferably an electronic lock, and the locking or unlocking of the locking device is controlled by a control circuit. Further, the medicine box may further include a delivery imaging unit configured to acquire a medicine delivery image of the medicine box, and a positioning unit configured to acquire delivery position information of the medicine box. In other embodiments of the drug delivery subsystem, the drug storage unit may be in the form of a drawer, a drug cabinet, or the like, and may have a locking mechanism, preferably an electronic lock, which is controlled by the control circuit to be locked or unlocked. The drug dispensing subsystem is sized to enable rapid dispensing of the drug between the drug depot and the operating room, for example in the form of a suitcase, a draw-bar box or a wheeled dispensing cart. The drug delivery subsystem also includes a battery unit for powering other units of the drug delivery subsystem.
Furthermore, the operating room drug management subsystem and the drug delivery subsystem can realize matching of devices, and after matching is successful, a user logging in the operating drug management subsystem has the authority to start a drug delivery storage unit of the drug delivery subsystem. Specifically, the operating room drug management subsystem and the drug delivery subsystem implement matching of devices in a near field communication mode, taking RFID as an example, the drug delivery subsystem is one or more portable drug cases, the drug cases have RFID transmitting devices, such as radio frequency chips, the video chips contain unique identification information of the drug cases, such as serial numbers ID, the operating room drug management subsystem has an RFID reading device, the RFID reads the identification information of the video chips and compares the identification information with the prestored drug case identification information, and if the identification information is consistent, matching is successful. After matching is successful, the medicine box and the operating room medicine management subsystem mutually transmit information, for example, the medicine box sends the delivered medicine information and the delivered medicine taking information to the operating room medicine management subsystem, and the operating room management subsystem sends a control instruction to the medicine box, so that a doctor can directly take the medicine from the delivery subsystem without filling the medicine in the delivery subsystem into the operating room medicine management subsystem, but the taking management of the medicine in the delivery subsystem in the operating room medicine management subsystem is realized. In other embodiments, the operating room drug administration subsystem and the drug delivery subsystem may enable device matching and information transfer to and from each other via bluetooth or WiFi communication.
The drug storage drug management subsystem comprises a drug storage control unit and a drug storage unit, the drug storage unit is provided with a storage space, and is also provided with a control circuit and a locking mechanism, and the control circuit receives an instruction sent by the drug storage control unit to enable the locking mechanism to be in a locking or unlocking state so as to realize locking or unlocking of the storage space. The drug library drug management subsystem further comprises a third communication unit, and the third communication unit is used for communicating with a fourth communication unit of the remote platform subsystem.
The remote platform subsystem comprises a fourth communication unit, a verification and cancellation unit and a monitoring unit. The fourth communication unit is used for communicating with the first communication unit of the operating room drug management subsystem, the second communication unit of the drug distribution subsystem and the third communication unit of the drug library drug management subsystem. The first communication unit of the operating room drug management subsystem sends drug taking information to the fourth communication unit of the remote platform subsystem, and the verification and sale unit is used for verifying and selling the taking condition of the operating room drugs according to the drug taking information. The first communication unit of the operating room drug management subsystem sends a drug taking image of the operating room drug management subsystem to the fourth communication unit, meanwhile, the second communication unit of the drug delivery subsystem sends the drug delivery image and the delivery position information to the fourth communication unit, the monitoring unit realizes monitoring of drug delivery and taking according to the drug taking image, the drug delivery image and the delivery position information, and preferably, the monitoring unit comprises a monitor.
In one embodiment, the present application proposes a drug taking method for operating room drug taking, which is based on the drug taking system in the above embodiment, the method comprising the steps of:
step 1: and the user logs in the operating room medicine management subsystem through the user login unit, and acquires the corresponding medicine taking authority after the login is successful. Specifically, after a user logs in, a medicine taking mode can be selected to take medicines, for example, an operation medicine taking mode is adopted, the user selects a patient and/or an operation type after logging in, a visual operation interface can display medicine information in an operation room medicine storage unit, the user selects required medicines, the storage space of the operation room medicine storage unit where the medicines are located is opened for taking, and if the central control unit judges that the currently logged-in user does not have the permission of taking the medicines, the storage space of the operation room medicine storage unit where the medicines are located keeps locked. Meanwhile, the central control unit records the medicine taking information.
Step 1.1: the user sends a drug delivery request to the remote platform subsystem through the operating room drug management subsystem, wherein the drug delivery request may include drug name, drug quantity, operation name, operating room, requester information, request time, and the like. And the remote platform subsystem sends a medicine distribution instruction to the medicine library and medicine management subsystem after receiving the medicine distribution request, wherein the medicine distribution instruction can comprise medicine names, medicine quantity, operation names, operating rooms and the like.
Step 1.2: and the drug library drug management subsystem generates drug delivery information after receiving the drug delivery instruction, and sends the drug delivery information to the drug delivery subsystem and/or the remote platform subsystem, wherein the drug delivery information can comprise the drug name, the drug quantity, the validity period, the information of a delivery person, the delivery time and the like of the delivered drug. The dispensed drug is in a drug storage unit of the dispensed drug subsystem. The subsystem for dispensing the medicines is in a locking state in the process of medicine dispensing.
In an actual application scenario, a doctor exhausts medicines and consumables in a storage unit of an operating room medicine management subsystem in an operation process, or needs to call medicines or consumables which are not in the storage unit of the operating room medicine management subsystem, and the doctor logs in the operating room medicine management subsystem and sends a medicine distribution request to a remote platform subsystem. After receiving the drug delivery request, the remote platform subsystem sends the drug delivery request to the drug storage drug management subsystem, and after a pharmacist in the drug storage sees the drug delivery request on the drug storage drug management subsystem, the pharmacist in the drug storage fills the drug or the consumable in the drug delivery request into the drug delivery box and sends the drug delivery information to the drug delivery box. The locking device is in a locking state in the delivery process of the delivery medicine boxes, and the delivery personnel deliver the medicine boxes to the operating room, so that the safety of the medicines in the delivery process is ensured.
Step 2: and the drug delivery subsystem and the operating room drug management subsystem are in communication connection so as to realize device matching between the drug delivery subsystem and the operating room drug management subsystem. After the matching is successful, the user sends a control instruction to the medicine distribution subsystem through the operating room medicine management subsystem, and the medicine distribution subsystem receives the control instruction and starts the distributed medicine storage unit for the user to take.
Step 2.1: and after the matching is successful, the medicine distribution subsystem sends the distributed medicine information to the operating room medicine management subsystem and/or the remote platform subsystem. And the operating room medicine management subsystem receives and displays the medicine distribution information.
After receiving the information of the delivered drugs, the operating room drug management subsystem displays the information on a visual interface, a user logging in the operating room drug management subsystem can select the delivered drugs in the delivery subsystem through the visual display interface, the operating room drug management subsystem sends a control instruction to the drug delivery subsystem, the drug delivery subsystem receives the control instruction, and a locking device of the delivered drug storage unit is unlocked. After the user takes the delivery medicines in the delivery medicine storage unit, the operating room medicine management subsystem generates delivery medicine taking information, the delivery medicine taking information comprises the name, the number, the information of the medicine taking person, the taking time and the like of the medicines taken by the user from the delivery medicine storage unit, and the delivery medicine taking information is sent to the remote platform subsystem.
In an actual application scenario, after a medicine box is delivered to a target operating room, the medicine box and an operating room medicine management subsystem are matched with each other firstly, after the matching is successful, the medicine box sends information of delivered medicines to the operating room medicine management subsystem, the operating room medicine management subsystem displays the information of the delivered medicines on a display, and a doctor sees the added equipment, such as 'delivery medicine box', on the display and can see the information of the medicines in the delivered medicine box. The doctor can select to take the delivery medicine in the medicine box, if the doctor has the authority of taking the delivery medicine, the operating room medicine management subsystem sends a control instruction to the medicine box, the locking device of the medicine box is unlocked, and the delivery medicine storage unit is opened for the doctor to take. In the delivery process, the medicine chest and the operating room medicine management subsystem are in a physical isolation state, but the medicine taking process is integrated through information transmission between the operating room medicine management subsystem and the medicine chest, and delivered medicines in the taken medicine chest and medicines taken in the medicine storage unit of the operating room medicine management subsystem are all counted in the medicines for the same operation, so that the medicines are convenient to charge.
Step 2.2: after the medicine delivery subsystem returns to the medicine warehouse, the medicine warehouse medicine management subsystem generates the information of the residual delivered medicines, wherein the information of the residual delivered medicines can comprise the medicine names, the medicine quantity, the valid period, the information of delivery persons, the time for returning to the medicine warehouse and the like of the residual delivered medicines, and the information of the residual delivered medicines is sent to the remote platform subsystem.
Step 2.3: the drug delivery subsystem sends drug delivery images to the remote platform subsystem, and the operating room drug management subsystem sends drug delivery images to the remote platform subsystem.
And step 3: and the remote platform subsystem receives the delivered medicine information, the delivered medicine taking information and the residual delivered medicine information and verifies and cancels the taken delivered medicine. Specifically, the verification and verification unit calculates whether the number of delivered drugs is equal to the sum of the number of delivered drugs taken and the number of remaining delivered drugs according to the name and the number of drugs in the delivered drug information, the name and the number of drugs in the taken and delivered drug information, and the name and the number of drugs in the remaining delivered drug information, so as to ensure that no drug is lost in the processes of delivering, taking and returning the drugs.
And 4, step 4: and the remote platform subsystem receives the medicine distribution image and the medicine taking image to monitor the distribution and taking processes of the medicines.
The above are only preferred embodiments of the present invention, but the scope of the present invention is not limited thereto, and any combination, change or substitution within the technical scope of the present invention, which is disclosed by the technical scope of the present invention, can be conceived by any person skilled in the art to be covered by the scope of the present invention.

Claims (10)

1. A medicine taking system for a hospital operating room is characterized by comprising an operating room medicine management subsystem, a medicine library medicine management subsystem, a medicine distribution subsystem and a remote platform system;
the operating room drug management subsystem comprises a central control unit, a login unit, an operating room drug storage unit and a first communication unit;
the drug delivery subsystem comprises a delivered drug storage unit and a second communication unit;
the medicine taking system further comprises a medicine storage and medicine management subsystem, and the medicine storage and medicine management subsystem comprises a medicine storage unit and a third communication unit;
the remote platform unit comprises a server unit, a medicine verification and marketing unit, a remote monitoring unit and a fourth communication unit.
2. The drug access system of claim 1, wherein:
the central control unit is provided with a visual operation interface, and a user realizes the control of the operating room drug management subsystem through the visual operation interface;
the login unit is used for providing identity authentication for the user, the user is provided with management authority corresponding to the identity of the user after the authentication is passed, and the operating room medicine storage unit can be opened only after the user with the medicine taking authority logs in;
the operating room medicine storage unit is provided with a controllable storage space and is provided with a control circuit and a locking mechanism;
the first communication unit is used for communicating with the second communication unit and the fourth communication unit.
3. The drug access system of claim 1, wherein the dispensed drug storage unit comprises a dispensed drug storage space and a locking device; the second communication unit is used for communicating with the first communication unit and the fourth communication unit.
4. The drug access system of claim 3, wherein the drug delivery subsystem further comprises a delivery camera unit for obtaining a drug delivery image of the drug delivery subsystem and a positioning unit for obtaining delivery location information of the drug delivery subsystem.
5. The drug access system of claim 1, wherein the operating room drug management subsystem and the drug delivery subsystem enable device matching, and wherein a user logged into the operating drug management subsystem after a successful match has permission to open a delivered drug storage unit of the drug delivery subsystem.
6. The drug access system of claim 1, wherein the drug library drug management subsystem comprises a drug library control unit and a drug library drug storage unit, the third communication unit for communicating with a fourth communication unit.
7. The drug access system of claim 1, wherein the remote platform subsystem comprises a fourth communication unit for communicating with the first communication unit, the second communication unit, the third communication unit;
the remote platform subsystem comprises a core-selling unit and a monitoring unit; the first communication unit of the operating room drug management subsystem sends drug taking information to the fourth communication unit of the remote platform subsystem, and the verification and sale unit is used for verifying and selling the taking condition of the operating room drugs according to the drug taking information; the first communication unit of the operating room drug management subsystem sends the drug taking image of the operating room drug management subsystem to the fourth communication unit, meanwhile, the second communication unit of the drug delivery subsystem sends the drug delivery image and the delivery position information to the fourth communication unit, and the monitoring unit realizes drug delivery and taking monitoring according to the drug taking image, the drug delivery image and the delivery position information.
8. A method for taking a drug for a hospital operating room, based on a drug taking system according to one of the preceding claims 1 to 7, characterized in that it comprises the following steps:
step 1: a user logs in the operating room medicine management subsystem through a user login unit, acquires corresponding medicine taking authority after logging in is successful, selects required medicines on a visual operation interface after logging in, and opens the storage space of the operating room medicine storage unit where the medicines are located;
step 2: the drug delivery subsystem and the operating room drug management subsystem establish communication connection to realize device matching between the two subsystems; after matching is successful, a user sends a control instruction to a medicine distribution subsystem through an operating room medicine management subsystem, and the medicine distribution subsystem receives the control instruction and starts a distributed medicine storage unit;
and step 3: the remote platform subsystem receives the delivered medicine information, the delivered medicine taking information and the residual delivered medicine information, and verifies and sells the taken delivered medicines;
and 4, step 4: and the remote platform subsystem receives the medicine distribution image and the medicine taking image to monitor the distribution and taking processes of the medicines.
9. The method for accessing medication of claim 8, further comprising, between step 1 and step 2:
step 1.1: a user sends a drug delivery request to a remote platform subsystem through an operating room drug management subsystem, and the remote platform subsystem sends a drug delivery instruction to a drug storage drug management subsystem after receiving the drug delivery request;
step 1.2: after receiving the drug delivery instruction, the drug library drug management subsystem generates drug delivery information and sends the drug delivery information to a drug delivery subsystem and/or a remote platform subsystem; the distributed medicines are in the medicine storage units of the distributed medicine subsystems, and the distributed medicine subsystems are in a locking state in the medicine distribution process;
10. the method for accessing medication of claim 8, further comprising, between step 2 and step 3:
step 2.1: after matching is successful, the medicine distribution subsystem sends the distributed medicine information to an operating room medicine management subsystem and/or a remote platform subsystem, and the operating room medicine management subsystem receives and displays the distributed medicine information;
step 2.2: after the medicine distribution subsystem returns to the medicine warehouse, the medicine warehouse medicine management subsystem generates the information of the residual distributed medicines and sends the information of the residual distributed medicines to the remote platform subsystem;
step 2.3: the drug delivery subsystem sends drug delivery images to the remote platform subsystem, and the operating room drug management subsystem sends drug delivery images to the remote platform subsystem.
CN201811088597.4A 2018-09-18 2018-09-18 Medicine taking system and method for hospital operating room Pending CN110910983A (en)

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CN113793671A (en) * 2021-09-17 2021-12-14 深圳市龙岗区人民医院 Narcotic management system
CN115171839A (en) * 2022-05-27 2022-10-11 四川大学 Drug management system and method
CN115330311A (en) * 2022-08-15 2022-11-11 苏州大学附属儿童医院 Medicine distribution method and system for intravenous medicine preparation center
CN115456398A (en) * 2022-09-09 2022-12-09 武汉容晟吉美科技有限公司 Consumable missing detection method, device, storage medium and system

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