EP2332511A2 - Dispensing system for drugs - Google Patents

Abstract

The system has discharging containers (3) aligned for holding a medicine. Trays for holding the discharging containers are arranged in transport boxes (1) and a medicine carriage (2). The transport boxes are transported from an aligning station (4.1) to a station room (6), and the medicine carriage is moved from the station room to a hospital room. The trays are divided into transport trays (1.1) and discharging trays (2.1), and the transport boxes comprise inner walls, which are provided with profile-grooves. The discharging containers are provided with a rubber-band.

Description

Technical area

1. a) eine Vielzahl von Abgabebehälter, wobei ein Abgabebehälter eingerichtet ist zur Aufnahme von Medikamenten für einen Patienten, und
2. b) eine Vielzahl Tabletts, wobei ein Tablett mehrere Abstellbereiche zur Aufnahme von je einem Abgabebehälter aufweist.

The invention relates to a drug delivery system comprising:

1. a) a plurality of dispensing containers, wherein a dispensing container is adapted for receiving medicaments for a patient, and
2. b) a plurality of trays, wherein a tray has a plurality of Abstellbereiche for receiving a respective dispensing container.

State of the art

When delivering medicines, especially in hospitals, old people's homes, nursing homes or dormitories, hundreds or thousands of patients have to be individually supplied with medicines. Patients often have the need for several different drugs, some of which must be precisely matched. For example, medications are taken daily, twice or six times a day, or more often, several times a week, or in increasing or decreasing doses. Providing medication to a patient requires extreme care, as a medication failure can lead to delayed recovery, discomfort to the patient, complication of the disease, or even death. To ensure the safety of drug delivery, nowadays the drugs in the ward room are carefully addressed, often following the four-eye principle, i. E. The medication is directed by one person and then independently checked by a second person. With a large number of patients, this leads to a high need for staff.

For drug delivery, the ward room is supplied with appropriate drug boxes from which the medicines are withdrawn and provided in a respective delivery container per patient of the ward. The dispensing containers may have compartments to arrange, for example, the medication for the morning, noon, evening and night in different subjects. The patient can thus be provided with the daily supply of medicaments, whereby it is very clear for the administering person or the patient, thanks to the compartmentalized dispensing container, which medicines are to be administered or taken at what time.

In order to save costs, hospitals, hospitals, nursing homes or dormitories are now outsourcing the drug-making business to pharmacies. In the ward room then only the weekly rations of the individual patients are stored, thus providing the Ward room with medicine boxes is not required. In known systems, the drug rations are packed in pharmacies with appropriate machines in blisters. A blister can contain all medications of a patient, which are to be taken at a certain time of day. For example, in the morning, at noon, in the evening and at night, a blister containing the required medication may be available to the patient. But there are also known blisters, which contain just a Wochenration with the daily by the patient in the morning, noon, evening and at night to be taken drugs, the drugs are packed according to the day and time in blister.

Straightening in dispensing containers in a ward room is very flexible, since drugs in very different dosage forms, e.g. can be present as a tablet, tincture or paste. But it is expensive and requires a lot of staff. The packaging of medicines in blisters can be done very efficiently in the pharmacy, but only very specific dosage forms can be handled.

Presentation of the invention

The object of the invention is to provide a system belonging to the technical field mentioned above, which allows an efficient drug delivery of different drug forms.

The solution of the problem is defined by the features of claim 1. According to the invention, the system comprises transport boxes, in which trays for receiving the dispensing containers are arranged, wherein transport boxes can be transported from a straightening station to a station room. The system further comprises medicine trolleys in which trays for receiving the dispensing containers are arranged, wherein medicine trolleys can be moved from the ward room to a sick room.

Between the straightening station and the station room transport boxes are used, which are optimally adapted to existing means of transport, so in particular are stackable and have a geometry which optimally utilizes the transport volume of the means of transport. Between the ward room and the hospital room Known medicine trolleys are used which are optimally adapted in particular to the hygienic and working conditions in hospitals. The directing of the drugs can thus be outsourced to a pharmacy and there done very efficiently due to the high volume, with the delivery of drugs can still be used well-known and proven medicine cart, which are for example also set up for the delivery of different dosage forms ,

By using different storage systems for transport (transport box) and on the station (medicine cart), a hygienically unfavorable transport route can be delimited against the hygienically demanding discharge path on a station. The transport boxes arrive only in certain, provided for the delivery or rearrangement of the trays of transport boxes in the drug cabinets, areas of the station. Due to the rearrangement of the stowed away in the transport boxes trays in medicine cabinets of the station, only the hygienically safe medicine cabinets need to be brought into the sensitive patient areas. The transport boxes, which have a largely uncontrollable hygienic history, do not need to be brought into the patient areas. The system according to the invention thus permits two, largely separate, circuits for transporting medicaments from a straightening station to a delivery point (for example patient room): a transport cycle between straightening station and delivery or stock transfer on a station and a delivery cycle between delivery or stock transfer and delivery point.

Preferably, dispensing containers are transferable between the trays, particularly in a single movement, such as a bucket motion, to simultaneously transfer all the dispensing containers disposed on a first tray to a second tray. As a result, dispensing containers can be efficiently redeployed from the transport trays to the dispensing trays, the dispensing containers thereafter being placed, in particular, in a medicament cart which is pushed to a desired bedside for administration of medicaments.

1. a) Transporttabletts mit darauf angeordneten Abgabebehältern in Transportboxen anordenbar sind für den Transport von der Richtstation zum Stationszimmer; und
2. b) Abgabetabletts mit darauf angeordneten Abgabebehältern in Medikamentenwagen anordenbar sind für das Verfahren von einem Stationszimmer in ein Krankenzimmer und die Abgabe von Medikamenten im Krankenzimmer.

Preferably, the trays are divided into transport trays and dispensing trays, wherein:

1. a) transport trays arranged thereon dispensing containers in transport boxes can be arranged for transport from the straightening station to the ward room; and
2. b) dispensing trays with dispensing containers arranged thereon can be arranged in medicament trolleys for the procedure from a ward room to a hospital room and the dispensing of medicaments in the hospital room.

The transport trays may in particular have different dimensions or colors, so that they can not be confused. In particular, the different types of trays may be differentiated such that a transport tray can not be placed in a medication cabinet and a dispensing tray is not placed in a transport box. As a result, the transport trays can be strictly separated from the dispensing trays, wherein the trays are designed, for example, particularly robust and dispensing trays are provided for special hygienic conditions.

Preferably, other trays, e.g. Drawers are provided, which serve to receive emergency medications, which are e.g. due to their dimension can not be accommodated in the dispensing containers of the system. In this case, such trays or drawers can be provided both for the transport boxes and for the medicine cabinets.

The number of storage areas of the dispensing trays preferably differs from the number of storage areas of the transport trays; in particular, the number of storage areas of the dispensing trays is one greater than the number of storage areas of the transport trays so that a dispensing container can be arranged on the dispensing trays more than on the transport trays. For example, eight storage areas on the delivery trays and seven storage areas on the transport trays have proven themselves. Due to the different number of storage areas, the transport trays and the delivery trays can be adapted to the specific requirements. Thus, transport boxes can be provided to transport weekly rations with medication and there may be dispensing trays be provided to arrange a weekly ration with drugs and additional daily rations with drugs.

With the seven shelves on the transport trays, it is possible to have just one weekly ration for a patient, i. seven daily rations which are each arranged in a dispensing container, transport from the pharmacy to the ward room. However, since the supply of the patient with medication must be ensured on this day, eight storage areas are provided at the dispensing tray. On the day of refilling the dispensing tray with dispensing containers from the transport tray, the eighth dispensing container on the dispensing tray, which contains the daily ration for the patient on that day, remains unaffected. Thus, refilling can be done at any time of the day, without having to take into account which medications the patient has already taken on that day and which are not.

Preferably, first transport boxes are provided with empty first transport trays and second transport boxes with filled second transport trays, wherein for emptying the dispensing trays empty or filled dispensing containers from the dispensing trays on the empty first transport trays are displaced and filling the dispensing trays dispensing container from the filled second transport trays on the dispensing trays are displaceable. The first transport boxes with empty first transport trays come from the last day on which the dispensing trays were refilled. At the current refill date, the empty dispensing containers are moved from the dispensing trays to the first transport trays. The second transport trays delivered on the current refill day contain filled delivery containers for the following week. These dispensing containers are moved to the now emptied dispensing trays. The so-filled dispensing trays are arranged in medicine trolleys and are available to the patients. The transport trays with the empty dispensing containers are placed in the first transport box and moved back to the pharmacy to refill the dispensing containers.

Preferably, the transport boxes are stackable and in particular have standardized dimensions for placement on normalized transport pallets. This enables an efficient and safe transport, as well as the optimal utilization of a Available transport volume allows. Thus, means of transport such as transport buses with standardized transport boxes can be loaded in a particularly space-saving manner.

Preferably, transport boxes have removable and fixable inner walls, which are provided with profile grooves, which serve as guide rails for trays, and / or which a guide system for a retractable in the open state in the transport box door, in particular for a hinged door or a shutter Include closure of an access opening to the transport box, in particular to push trays in transport boxes and pull out, wherein transport boxes in particular have lids, which can be opened to optionally remove the inner walls and / or the door, especially for cleaning purposes. This allows a secure mounting of transport trays in the transport boxes. At the same time, the transport box can be disassembled for cleaning purposes into the components and thus easily comply with hygienic requirements.

Preferably, a lock and / or seal system is provided so that transport boxes can be protected against unauthorized access, in particular, if necessary, against unauthorized opening of the door and / or the lid. The lock and / or seal system may be attached to the door, for example.

Preferably, one or more transport boxes are arranged to arrange further trays of the same or different size therein, the further trays being provided in particular for medicaments generally required in a ward room. Medicines of quite unusual dosage forms such as tubes or bottles can thus also be arranged in the transport boxes for transport from the pharmacy to the ward room.

Ridges or lips are preferably provided on transport boxes, which provide light and dust protection, in particular optionally with the door closed or closed lid, preferably brush seals, which are resistant to opening and closing the door and form a good dust seal. The dispensers and medicines are thus better protected and better hygienic conditions can be created.

Preferably, the dispensing containers contain a daily ration with medicaments of a patient and in particular have freely dividable compartments, for example one compartment for medicaments, which are intended to be taken by the patient in the morning, at noon, in the evening and at night, with dispensing containers in particular a protective cover, such as a transparent sliding cover, are lockable. The dispensing container can be easily adapted to the usual delivery times of drugs and the drugs can be protected in the compartments of the dispensing containers.

Preferably, dispensing containers are markable with a patient identification and a delivery date, in particular a name, a gender, a date of birth, and a day of the week, and that the subjects with medications disposed therein can be marked with a time of day for the recommended intake of the medications of a compartment. This allows the control to be given to the correct patient at the correct time.

Preferably, trays can be assigned to specific patients and only delivery containers of the same patient are arranged on trays. Thus, different daily rations of a patient can be arranged on the tray, which allows an effective way of working with the drug delivery, since only dispensing containers the same position of a tablet are administered in a day.

Trays with covers are preferably providable, in particular trays arranged in transport boxes, so that the dispensing containers are held on the trays, in particular with a rubber band. As a result, a particularly stable arrangement of the dispensing container for transport is achieved.

Preferably covers are arranged to receive documents, in particular documents which are printed by a prescription software and contain, for example, a patient identification, an identification of the relevant week and a documentation of the prescribed medication. Thus, specific information to be considered in the drug delivery, the person or the patient in a clear manner.

From the following detailed description and the totality of the claims, further advantageous embodiments and feature combinations of the invention result.

Brief description of the drawings

Fig. 1

eine Übersicht des erfindungsgemässen Systems;

Fig. 2

eine Transportbox mit einer Klapptüre zur Verwendung in einem erfindungsgemässen System;

Fig. 3

eine Transportbox mit einem Rollladen zur Verwendung in einem erfindungsgemässen System;

Fig. 4

eine Explosionszeichnung einer Transportbox mit einer Klapptüre;

Fig. 5

eine Transporttablett sowie die Explosionszeichnung dieses Transporttabletts; und

Fig. 6

das Zusammenwirken eines Transporttabletts mit einem Abgabetablett.

The drawings used to explain the embodiment show:

Fig. 1

an overview of the inventive system;

Fig. 2

a transport box with a hinged door for use in a system according to the invention;

Fig. 3

a transport box with a roller shutter for use in a system according to the invention;

Fig. 4

an exploded view of a transport box with a hinged door;

Fig. 5

a transport tray and the exploded view of this transport tray; and

Fig. 6

the interaction of a transport tray with a dispensing tray.

Basically, the same parts are provided with the same reference numerals in the figures.

Ways to carry out the invention

Fig. 1 shows an embodiment of the inventive system with a transport box 1 and a medicine cart 2. In Fig. 1 only a single transport box 1 and a single medicine cart 2 is shown. The inventive However, the system may include any number of transport boxes 1 and medicine cart 2.

The transport box 1 is made of any dimensionally stable material, for example of a readily washable plastic such as polyethylene, polypropylene or polyvinyl chloride. The transport box 1 has a plurality of guide rails, in which transport trays 1.1 can be arranged by these are pushed into the guide rails. The transport trays 1.1 can thus be easily and stably arranged in the transport box 1 and removed again therefrom. The geometric dimensions of the transport box are chosen so that it is particularly easy to stack and can be arranged to save space on transport aids such as pallets. Other aspects of the transport box 1 and the transport trays 1.1 are set forth elsewhere in this document.

The drug cart 2 is made of any dimensionally stable material, for example, made of full synthetic resin plates, which meet the highest standards of hygiene. The drug cart 2 has a chassis with wheels 2.0 and can easily be pushed through rooms or corridors. The medication cart 2 also has a plurality of guide rails, in which dispensing trays 2.1 can be arranged by being pushed into the guide rails. The dispensing trays 2.1 can thus be stably and easily placed in the drug cart and removed again, the drug cart is conveniently moved for example from a ward room in a hospital room. Other aspects of the medicine cart 2 and dispensing trays 2.1 are set forth elsewhere in this document.

The system according to Fig. 1 further comprises dispensing container 3, which can be arranged in storage areas of transport trays 1.1 and dispensing trays 2.1. Such storage areas can be formed in particular by depressions in the transport or dispensing trays 1.1, 2.1. The dispensing containers 3, which are further described elsewhere in this document, have freely divisible compartments to dispose medicaments therein. So a dispensing container can be put in a tray for the morning Be subdivided at noon, the evening and the night, in order to arrange appropriate medication of a patient.

The inventive system thus comprises one or more transport boxes 1, one or more drug cart 2, a plurality of transport trays 1.1, a plurality of dispensing trays 2.1 and a plurality of dispensing containers 3.

In Fig. 1 In addition to the system according to the invention, a straightening station 4.1 is shown. The straightening station 4.1 is set up for example in a pharmacy 4 and comprises various shelves or cabinets, in which medicines are arranged.

Required medicines are taken in the pharmacy 4 of the straightening station 4.1 and filled into dispensing container 3, wherein the compartments of the dispensing containers are subdivided in the desired manner and the dispensing container 3 optionally provided with a label of a patient and / or drug description. In a dispensing container 3, for example, the daily ration may be included with drugs for a patient. The filled dispensing containers 3 are arranged on transport trays 1.1, which are pushed into a transport box 1 as soon as the desired number of dispensing containers 3 are present on the transport trays 1.1. Optionally, the transport trays 1.1 are also provided with a label, in particular a patient. In this way, at the straightening station 4, several transport boxes 1 can be filled with medicaments, for example with a weekly ration with medicaments for all patients of a hospital or a subunit of a hospital. Thus, for example, one transport tray 1.1 can be assigned to one patient and provided with its identification, wherein on each transport tray 1.1 there are also seven marked delivery containers 3, each with a daily ration with medicaments of the patient.

As further explained elsewhere, the dispensing container 3 can be secured on the transport tray 1.1 and the transport boxes 1 are closed. The transport boxes 1 are then arranged in a means of transport 5, so for example in a transport bus, and thus (or with other transport aids such as a movable pedestal) transported from the pharmacy 4 to a ward room 6 in a hospital or nursing home.

In the ward room 6, the dispensing containers 3 are transferred from the transport trays 1.1 to the dispensing trays 2.1 respectively rearranged by a transport tray 1.1 respectively a dispensing tray 2.1 a transport box 1 respectively a medicine cart 2 are removed and the dispensing container 3 are provided by the transport tray 1.1 on the dispensing tray 2.1 , In other words, the transport trays 1.1 respectively transport boxes 1 are emptied of the drugs and filled the dispensing trays 2.1 respectively medicine cart 2 with drugs.

Instead of the dispensing trays 2.1 are placed in the ward 6 directly in the drug cart 2, these can be stored in a shelf or a cabinet to arrange them at a later date in the medicine cart 2.

Like the transport trays 1.1, the dispensing trays 2.1 can also have an identification, in particular a patient. Thus, in one or more medicaments 2, for example, the weekly ration may be contained with medicaments from all patients assigned to a ward room.

The drug cart 2 are as mentioned movable and can be pushed from the ward 6 in the associated hospital room 7. At the appropriate hospital bed 7.1 of a patient, the person administering the desired dispensing container 3 can take the medicine cart 2, for example, depending on the time of day the patient only the medication of the appropriate time of day be administered, for example, in the morning, noon, evening or at night the drugs taken from the appropriately marked compartment and administered to the patient.

The empty or partially emptied dispensing containers 3 are relocated or transferred from the dispensing trays 2.1 to empty transport trays 1.1 in order to transport them back to the pharmacy 4 for refilling.

Thus, there is a first circuit 6.1 between the pharmacy 4 and the ward room 6 and a second circuit 6.2 between the ward 6 and the sick room 7, in which filled or emptied dispensing container 3 between these places are transported back and forth, in the ward room 6 by switching the dispensing container 3 between the transport trays 1.1 and the dispensing trays 2.1 a connection between the first and second circulation 6.1, 6.2 exists and thus drugs of various dosage forms can be provided in an efficient manner in the pharmacy 4 and administered to a patient in the hospital room 7. The first circuit 6.1 can be geared in particular to specific requirements for the transport of medicaments and the second circuit 6.2 to specific requirements for the delivery of medicines.

In Fig. 2A and Fig. 2B a transport box 1 for use in a system according to the invention is shown. The transport box 1 has a hinged door 1.9, which can be opened and closed. At in Fig. 2A shown closed folding door 1.9 are arranged in the transport box 1 transport trays 1.1 protected against falling out. At in Fig. 2B shown opened hinged door 1.9, the transport trays 1.1 can be removed from the transport box 1 or arranged therein.

In FIGS. 3A and 3B a transport box 1 for use in a system according to the invention is shown, which has a roller shutter 1.91 for closing the transport box 1. In the transport box 1.1, transport trays 1.1 can again be arranged with the roller shutter 1.91 open, these being protected against falling out when the roller shutter 1.91 is closed.

The hinged door 1.9 is retractable parallel to the lid in the transport box 1 in the open state. The roller shutter 1.91 is guided either down or up parallel to the bottom or lid of the transport box 1 to the rear and looped so that it is not a hindrance when using the transport trays 1.1.

Fig. 4 shows the exploded view of a transport box according Fig. 2A and Fig. 2B , The transport box 1 comprises a housing 1.0, which consists of a dimensionally stable material such as a simply washable plastic such as polyethylene, polypropylene or polyvinyl chloride. As in Fig. 4 shown, the housing has 1.0 different ribs to ensure stability. The housing 1.0 has according to the in Fig. 4 selected representation, a front opening 1.01 and an upper opening 1.02. The arranged on one longitudinal side practically full-surface front opening 1.01 is used to remove and arrange transport trays 1.1 or in the transport box 1. Contrary to the impression of the representation according to Fig. 4 it is not intended to arrange the transport trays 1.1 through the upper opening 1.02 in the housing 1.0.

The upper opening 1.02 is closed with the cover 1.8, which is removable. The lid 1.8 is typically opened only for cleaning purposes. Through the cover 1.8, the inner walls described below and the flap resp. the shutters are used and removed for cleaning or to replace them. The lid can be provided with a lock or a sealing system, so that the transport box can not be opened without authorization.

The transport box 1, which for example has a width of 40 cm and a length of 60 cm, is provided with two inner walls 1.7 with a series of profile grooves serving as guide rails for the transport trays 1.1. The inner walls 1.7 are removable and are inserted through the upper opening 1.02 in the housing 1.0 or removed again. In order to fix the inner walls, a fixing system 1.6 is provided which comprises, for example, Velcro strips. The inner walls 1.7 on the one hand have the mentioned profile grooves for receiving, for example, up to 10 transport trays 1.1. On the other hand, the inner walls 1.7 also serve as a guide for the folding door 1.9 or the roller shutter 1.91.

Laterally on the housing 1.0 of the transport box 1 recessed grips 1.5 are embedded in the narrow side walls, so that the transport box 1 can be easily lifted and carried. The recessed grips 1.5 can be provided with grips 1.51, for example, for increased comfort or to ensure dust protection.

The hinged door 1.9 resp. The roller shutter 1.91 on the front opening 1.01 can be equipped with a lock 1.92 or a sealing system so that the transport box can not be opened without authorization.

At the edge of the front opening 1.01 ribs or lips are provided, which create an increased protection against light and dust when the hinged door 1.9 is closed. Preferably, when using a hinged door brush seals 1.4 are used, which do not break when opening and closing the hinged door and are good dust seals.

As in Fig. 4 sketched, in the transport box 1 more trays 1.11 such as drawers may be provided to carry on demand medications of different dosage forms such as vials, tubes or other bulky drugs in the transport box 1.

Fig. 5A shows a transport tray 1.1 arranged thereon and secured dispensing container. 3 Fig. 5B shows the exploded view of this transport tray 1.1.

The transport tray 1.1 has storage areas formed as depressions 1.19, in which dispensing containers 3 can be arranged. The troughs 1.19 can have lateral guides, in particular in a longitudinal direction, so that the dispensing containers 3 are stably guided during placement or removal on or from the transport tray 1.1. The wells 1.19 are made very flat on a front side, so that the dispensing container 3 can be easily removed or arranged. In particular, all arranged on a transport tray 1.1 dispensing container 3 can be performed by tilting the transport trays 1.1 simultaneously and guided by the lateral guides sliding out of the wells 1.19 (see also Fig. 6 ).

The dispensing containers 3 have graduations 3.1 in order to subdivide the dispensing container 3 into different compartments. Normally in a dispensing container 3 is the daily ration for a single patient. The compartments are designed for different delivery times, so that in a compartment, the drugs are arranged for certain administration times. The dispensing container 3 can with a protective cover such as a sliding lid 3.2 are closed to prevent falling out of disposed in the dispensing container 3 drugs.

A transport tray 1.1 is provided with seven juxtaposed wells 1.19, in which seven dispensing containers 3 can be inserted. Therefore, the weekly ration (seven daily rations) of a patient can be transported per transport tray 1.1. Depending on the concept, more or less dispensing containers 3 can be provided.

A transport tray 1.1 can be provided with a cover 1.18, so that the dispensing containers are held on the transport tray 1.1. The cover 1.18 may e.g. be attached by means of rubber bands on the transport tray 1.1.

The cover 1.18 can also record documents. The recording of the documents can be carried out like a book, a portfolio or an envelope and is part of the cover 1.18. The documents are e.g. printed by a prescription software system and include e.g. a patient identification, a week's identification, and a documentation of the medicine prescribed to the patient.

As in Fig. 6 Shown are the transport trays 1.1 formed so that they can charge as a scoop in a tilting seven Medikationsdispenser from a dispensing tray 2.1 for the arrangement of eight dispensing containers 3. This function helps to fill the transport trays 1.1 with delivery hopper 3.

On the other hand, the blade of the transport trays 1.1 is also shaped such that it can convey seven dispensing containers 3 from the transport trays 1.1 into a dispensing tray 2.1 with eight dispensing containers 3. This feature helps to unload the transport trays 1.1.

In summary, it can be stated that the system according to the invention makes it possible to deliver medicaments of different dosage forms efficiently, by making it possible to efficiently direct the medicaments in a pharmacy and with the delivery containers Various forms of medication can be supplied to the patient for administration.

Claims (15)

A drug delivery system comprising a) a plurality of dispensing containers (3), wherein a dispensing container (3) is arranged for receiving medicaments for a patient, b) a plurality of trays (1.1, 2.1), wherein a tray (1.1, 2.1) has a plurality of storage areas for receiving a respective dispensing container (3),
characterized in that c) the system comprises transport boxes (1) in which trays (1.1, 2.1) for receiving dispensing containers (3) are arranged, wherein transport boxes (1) from a straightening station (4.1) to a ward room (6) are transportable, and d) the system medicine cart (2), in which trays (1.1, 2.1) for receiving dispensing containers (3) are arranged, wherein medicine cart (4) from the ward room (6) to a hospital room (7) are movable. System according to claim 1, characterized in that dispensing containers (3) can be transferred between the trays (1.1, 2.1), in particular in a single movement such as a blade movement, in order at the same time to dispose all dispensing containers (3) arranged on a first tray (1.1). to transfer to a second tray (2.1). A system according to claim 1 or 2, characterized in that the trays are divided into transport trays (1.1) and dispensing trays (2.1), wherein: a) transport trays (1.1) arranged thereon dispensing containers (3) in transport boxes (1) can be arranged for transport from the straightening station (4.1) to the ward room (6); and b) dispensing trays (2.1) arranged thereon dispensing containers (3) in drug cart (2) can be arranged for the procedure of a ward room (6) in a hospital room (7) and the delivery of drugs in the hospital room (7). System according to claim 3, characterized in that the number of storage areas of the delivery trays (2.1) differs from the number of storage areas of the transport trays (1.1), in particular that the number of storage areas of the delivery trays (2.1) is greater than the number of storage areas of the transport trays ( 1.1), so that on the dispensing trays (2.1) a dispensing container (3) is more than on the transport trays (1.1), for example, eight dispensing containers (3) on the dispensing trays (2.1) and seven dispensing containers (3) on the transport trays (1.1 ). System according to claim 3 to 5, characterized in that first transport boxes (1) with empty first transport trays (1.1) and second transport boxes (1) are provided with filled second transport trays (1.1), wherein for emptying the discharge trays (1.1) empty or filled Dispensing container (3) from the dispensing trays (2.1) on the empty first transport trays (1.1) are displaceable and for filling the dispensing trays (2.1) dispensing container (3) from the filled second transport trays (1.1) on the dispensing trays (2.1) are displaceable. System according to one of claims 1 to 5, characterized in that transport boxes (1) are stackable and in particular have standardized dimensions for placement on normalized transport pallets. System according to one of claims 1 to 6, characterized in that transport boxes (1) have removable and fixable inner walls (1.7), which are provided with profile grooves which serve as guide rails for trays (1.1, 2.1) and / or as a guide system for a door retractable in the open position in the transport box, in particular for a hinged door (1.9) or a roller shutter (1.91), for closing an access opening to the transport box (1), in particular for pushing in trays (1.1, 2.1) in transport boxes (1) and pulling out, wherein transport boxes (1) in particular cover (1.8), which can be opened to possibly the inner walls ( 1.7) and / or to remove the door, especially for cleaning purposes. System according to one of claims 1 to 7, characterized in that a lock and / or seal system is provided so that transport boxes (1) can be protected against unauthorized access, in particular, if necessary, unauthorized opening of the door and / or the lid (1.8) , System according to one of claims 1 to 8, characterized in that one or more transport boxes (1) are arranged to arrange therein further trays (1.11) of the same or different size, wherein the further trays (1.1 1) in particular for in a ward room ( 6) generally required drugs are provided. System according to one of claims 1 to 9, characterized in that ribs or lips are provided on transport boxes (1), which provide protection against light and dust, in particular optionally with the door closed or closed cover (1.8), preferably brush seals, which are opposite Opening and closing the door are resistant and make a good dust seal. System according to one of claims 1 to 10, characterized in that the dispensing containers (3) contain a daily ration with drugs of a patient and in particular have freely subdividable compartments, for example, each a compartment for drugs which for ingestion by the patient in the morning, at noon, are provided in the evening and at night, with dispensing container (3) in particular with a protective cover, such as a transparent sliding cover, are lockable. System according to one of claims 1 to 11, characterized in that dispensing containers (3) are markable with a patient identification and a delivery date, in particular a name, a gender, a date of birth, and a day of the week, and that the subjects with medications arranged therein with a Time of day for the recommended intake of the medications of a subject are markable. System according to one of claims 1 to 12, characterized in that trays (1.1, 2.1) can be assigned to certain patients and that on trays (1.1, 2.1) only dispensing containers of the same patient are arranged. System according to one of claims 1 to 13, characterized in that trays (1.1, 2.1) with covers (1.18) are providable, in particular in transport boxes (1) arranged trays (1.1, 2.1), so that the dispensing container (3) on the Trays (1.1, 2.1) are held, in particular with a rubber band. A system according to claim 14, characterized in that covers (1.18) are arranged to receive documents, in particular documents which are printed by a prescription software and contain, for example, a patient identification, a week's identification and a documentation of the prescribed medication.

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