JP2002172150A - Drug package with tag and method for preventing erroneous administration of drug - Google Patents

Abstract

PROBLEM TO BE SOLVED: To prevent erroneous administration of drugs. SOLUTION: This drug package with a tag is formed by fitting the package of the drugs with the tag having a memory to read and write information.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medicine package with a tag and a method for preventing erroneous administration of a medicine.

[0002]

2. Description of the Related Art In general, in order to prevent erroneous administration of a drug, the drug must always be accompanied by a health certificate that describes usage and precautions. (Doctors, nurses, pharmacists).

[0003]

[0006] However, even if a medical professional reads through a script attached to a drug product, the usage and precautionary notes are not always fully understood. . In addition, it takes time for the side effect information and the like to be transmitted from the pharmaceutical company as needed to reach the medical personnel, and there is no guarantee that the information will be thoroughly known to the medical personnel. Therefore, there is a fear that an incorrect administration may be made to the patient.

[0004] Man-made such as mistakes in doctor's prescription (wrong medicine, wrong dose, etc.), mistakes in pharmacists (wrong medicine, wrong dose, etc.), mistakes in nurses (wrong medicine patients, wrong medicine, wrong dose, etc.) Mistakes cannot be completely eliminated as long as they rely only on human labor. Such mistakes can put the patient at risk for life and sometimes even death. Orally administered drugs such as tablets and capsules have a low risk of life due to erroneous administration of the drug, but erroneous administration of injections and infusions often involves the life of the patient.

[0005] The present invention has been made in view of such circumstances, and has as its object to prevent erroneous administration of pharmaceuticals.

[0006]

In order to achieve the above object, the present invention firstly discloses that a tag having a memory for reading and writing information is attached to a package of a medicine. This is a packaged pharmaceutical product with a tag.

According to a second aspect of the present invention, there is provided a medicine package with a tag, wherein a label having a tag having a memory for reading and writing information is attached to a medicine package. .

According to a third aspect of the present invention, a tag having a memory for reading and writing information is printed on a package of a medicine, or a label on which a tag having a memory for reading and writing information is printed is attached to a medicine. The present invention provides a tagged pharmaceutical package characterized in that the package is attached to a package.

According to a fourth aspect of the present invention, there is provided the pharmaceutical package with a tag according to any one of the first to third aspects, wherein reading and writing of information is performed in a non-contact manner.

[0010] In the invention of claim 5, the packaged medicine is one dose.
The pharmaceutical package with a tag according to any one of the above.

According to a sixth aspect of the present invention, there is provided the pharmaceutical package with a tag according to any one of the first to fourth aspects, wherein pharmaceutical information of the packaged pharmaceutical is written in a memory. Things.

According to a seventh aspect of the present invention, there is provided the medicine package with a tag according to the sixth aspect, wherein the packaged medicine is one dose.

[0013] In the invention according to claim 8, there is provided a medicine package with a tag according to claim 7, wherein patient identification information for identifying a patient is written in a memory.

According to a ninth aspect of the present invention, there is provided the medicine package with a tag according to the seventh or eighth aspect, wherein prescription identification information for identifying a prescription is written in a memory.

[0015] According to the tenth aspect of the present invention, medical information is stored, patient information is stored, and a doctor prepares a prescription.
The prescription is checked against drug information and patient information, and if there is a prescription problem, a warning is issued.If there is no prescription problem, or if the doctor inputs that the warning is ignored,
The present invention is a method for preventing erroneous administration of a medicine, characterized by storing a prescription and notifying a person preparing the medicine of the prescription.

The invention of claim 11 provides the method for preventing erroneous administration of a drug according to claim 10, wherein the drug information is stored by a storage means of a third party.

According to a twelfth aspect of the present invention, a prescription is displayed, and drug information is read from a memory of a tag attached to the package of the tagged drug package according to the sixth aspect. And a warning is issued if the medicine is not in accordance with the prescription, thereby providing a method for preventing erroneous administration of a medicine.

According to a thirteenth aspect of the present invention, a prescription is displayed, and drug information is read from a memory of a tag attached to the package of the tagged drug package according to the seventh aspect. If the medicine does not comply with the prescription, a warning is issued, and if the medicine complies with the prescription, either one of the patient identification information for identifying the patient or the prescription identification information for identifying the prescription in the memory or This is a method for preventing erroneous administration of a medicine, characterized by writing both.

According to a fourteenth aspect of the present invention, a prescription is displayed, and drug information is read from a memory of a tag attached to one or more of the packaged drug packages with a tag according to the sixth aspect. 6. The tagged pharmaceutical package according to claim 5, wherein the information is compared with the prescription, and a warning is issued if the medicine does not comply with the prescription, and if the medicine complies with the prescription, the medicine is prepared based on the medicine. Writing one or both of patient identification information for identifying a patient and / or prescription identification information for identifying the pharmaceutical information and the prescription in a memory of a tag attached to the package. This is a method for preventing drug misadministration.

According to a fifteenth aspect of the present invention, the patient identification information is read from a memory of a tag attached to the package of the pharmaceutical package with a tag according to the eighth aspect,
This is a method for preventing erroneous administration of a drug, which comprises confirming a patient to be administered (or handed).

According to a sixteenth aspect of the present invention, the patient identification information is read from the memory of the tag attached to the package of the medicine package with the tag according to the eighth aspect, the patient identification information is input, and the read patient is read. This is a method for preventing erroneous administration of a medicine, characterized by collating identification information with input patient identification information and issuing a warning when both patient identification information are different.

According to the seventeenth aspect of the present invention, the prescription identification information and the pharmaceutical information are read from the memory of the tag attached to the package of the pharmaceutical package with the tag according to the ninth aspect, and the prescription is stored in the stored prescription. Reading the prescription identified by the prescription identification information, collating the medicine information with the prescription, and issuing a warning when the medicine package is not prepared according to the prescription identified by the prescription identification information. This is a method of preventing drug misadministration.

[0023]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS An embodiment of the present invention will be described below.

1: Pharmaceutical Package with Tag A tag having a memory in which various information (data) is written and read is attached to an individual pharmaceutical package. This is done by reading and writing various information on the tag until the drug is administered to the patient, to ensure that the patient receives the appropriate drug,
That is, individual packaging (infusion bags, ampules, vials,
This is because a tag is required for each of bottles, bottles, powders and granules. FIG. 1 shows an example in which a tag is attached to an ampule.

However, if it is impossible to attach the tag in terms of area, the package containing a plurality of doses is
Attach the tag. An example of this is PTP packaging. In PTP packaging, it is impossible to apply a tag for each tablet in terms of area, and therefore, as shown in FIG. In addition, for a medicine used by a pharmacist for dispensing (dispensing), since one dose cannot be specified in advance, a tag is attached to a package in which an appropriate amount is put together.

The tag may be attached directly to the package of the medicine, or may be attached via something. As an example of the latter, a label attached with a tag, such as the ampoule of FIG.

In this specification, for the sake of simplicity, reading and writing information (data) to and from a memory of a tag is simply referred to as reading and writing information (data) to and from a tag. I also say.

In the tag, drug information is written and shipped as information necessary for drug collation and administration to patients at a pharmaceutical company. Pharmaceutical information is broadly divided into information specific to pharmaceuticals and fluctuation information associated with the production of pharmaceuticals.
Examples of the information specific to the drug include the name of the drug company, the name of the drug, the active ingredient, and the content (concentration) of the active ingredient. Examples of fluctuation information associated with the manufacture of pharmaceuticals include factories,
Examples include a line number, a production date, a lot number, and an expiration date. Among the information peculiar to the drug, the name of the drug and the active ingredient and the content of the active ingredient are always written on the tag and shipped. Similarly, the lot number and the expiration date in the fluctuation information associated with the manufacture of a pharmaceutical product are always written on the tag and shipped. In the present specification, for the sake of convenience of explanation, drug-specific information is abbreviated as drug-specific information, and fluctuation information accompanying the manufacture of a drug is abbreviated as drug fluctuation information or manufacturing data.

By directly printing the components of the tag, such as the memory, the circuit, and the antenna, on the packaging material using conductive ink, electronic ink, or the like, the tag may be formed and the tag may be attached to the pharmaceutical package at the same time. . In this case, a tag using an IC chip is not required. Therefore, it is possible to cope with the existing packaging line only by attaching a terminal for writing data to the packaging line without introducing a new facility for attaching a tag at a pharmaceutical company.

When a tag is printed on a package of a medicine, the tag can be hidden by further printing on the tag, and the conventional print design can be left as it is. If the tag is a non-contact type that reads and writes data using an electromagnetic wave or the like, there is no problem in reading and writing data even if the position of the tag is not known.

When a tag is formed by printing, information such as the name of a pharmaceutical company, the name of a pharmaceutical product, the active ingredient, and the content (concentration) of the active ingredient specific to the drug packaged with the packaging material on which the tag is printed is provided. It is also possible for the printing company to write in the tag in advance. In that case, the pharma company has a factory, line number,
All that is necessary is to write in the tag information on the fluctuations associated with the manufacture of the drug, such as the date of manufacture, lot number, and expiration date.

Infusion bags, ampules, bottles, bottles, etc.
If a label is used, a tag may be printed on the label. In this case, except that the label is attached, the same effect as in the case of printing directly on the packaging material can be obtained.

In the case of a non-contact type tag that reads and writes data using electromagnetic waves and the like, a dedicated terminal that reads and writes data from and to the tag is simply installed near an existing facility.
Since data can be read from and written to tags, there is no need to modify existing equipment. If there is no contact, writing can be performed on many tags at the same time, and the efficiency is increased (speedup). Therefore, data can be written to the tag by the pharmaceutical company not in the individual packaging line of pharmaceuticals, but also in a state of an integrated package (carton or cardboard packaging) in which individual packages are put together. Further, a shipping date may be written at the time of shipping.

2: Hardware Configuration for Executing the Process Related to the Method of Preventing Drug Misadministration of the Present Invention The process related to the method of preventing drug misadministration of the present invention is executed using hardware resources. FIG. 3 shows an example of hardware for executing processing relating to the method for preventing incorrect administration of a medicine according to the present invention.

The pharmaceutical company has a dedicated terminal 11 and a server 1
3 and a LAN 12, and a dedicated terminal 11 and a server 13 are connected via the LAN 12. The dedicated terminal is mainly used for reading and writing data from and to a tag attached to a medicine package.
Although FIG. 3 shows only one pharmaceutical company, this is for the purpose of making the figure easier to see, and a plurality of pharmaceutical companies may be present. Also, in FIG. 3, only one dedicated terminal is installed in the pharmaceutical company.
A plurality of dedicated terminals may be installed.

In the medical institution (hospital), the server 31 and the LA
N32, and a dedicated terminal 33, a dedicated terminal 34, a dedicated terminal 35, a dedicated terminal 36, and a dedicated terminal 3.
7 and a dedicated terminal 38 are respectively installed in a medicine receiving place, a hospital pharmacy, a nurse center, a sickroom, a treatment room, and an examination room, and a terminal 39 is installed in an examination room, and these exclusive terminals and terminals are connected via the LAN 32. It is connected to the server 31. Any of the medicine receiving place, the in-hospital pharmacy, the nurse center, the hospital room, the treatment room, and the examination room may also serve as the other. For example, an in-hospital pharmacy may double as a medicine receiving place, or a consultation room may double as a treatment room. still,
Although only one medical institution (hospital) exists in FIG. 3, this is for the purpose of making the figure easy to see, and a plurality of medical institutions may be present. Also, in FIG. 3, there is only one medicine receiving place, in-hospital pharmacy, nurse center, sickroom, and examination room in the medical institution (hospital), but this is also to make the figure easier to see. There may be more than one. Also,
In FIG. 3, only one dedicated terminal is installed at each of the medicine receiving place, the in-hospital pharmacy, the nurse center, and the sickroom. However, this is also for the purpose of making the diagram easy to see, and a plurality of dedicated terminals are installed. Good. Although only one terminal is installed in the examination room in FIG. 3, this is also for the purpose of making the figure easier to see, and a plurality of terminals may be installed.

The third party is provided with the server 21 and the WA
The server 21 and the server 13 are connected via N41, and the server 21 and the server 31 are connected.

It should be noted that a LAN (Local Area Ne)
network, local network), WAN (Wide)
Area Network, wide area network)
It suffices if data can be transmitted and received, regardless of whether it is wired or wireless.

3: Hardware Configuration of Dedicated Terminal, Terminal, and Server As shown in FIG.
A computer comprising a central processing unit, a main storage device, an auxiliary storage device, an input device, an output device, a communication control device, and a clock device, and these devices are connected by a bus. Further, as shown in FIG. 5, the dedicated terminal includes a central processing unit, a main storage device, an input device, an output device, a communication control device, a tag read / write device, and a clock device. Is a dedicated computer connected by a bus, and is used exclusively for reading and writing data from and to a tag attached to a medicine package.

The central processing unit is a device that executes a program.

The main storage device is a device for temporarily storing programs and data so that the central processing unit executes the programs.

The auxiliary storage device is a device for permanently storing programs and data.

The output device is a device for outputting information (data) such as a display device (display) for temporarily displaying information (data) and a printer for printing out information (data). The terminal and the dedicated terminal have at least a display device.

The input device is a device for inputting information (data) such as a keyboard and a mouse. One or both of the terminal and the dedicated terminal may include an input device for exclusively inputting a patient ID for identifying a patient in a medical institution.

The communication control device is a kind of input / output device, and is a device for controlling input / output of data through a network. The terminal and the dedicated terminal each include a device that controls input and output of data performed via the LAN. The server includes a device that controls input and output of data through a LAN and a device that controls input and output of data through a WAN.

The tag reading / writing device is a type of input / output device, and is a device for controlling reading / writing (input / output) of data from / to a tag. The dedicated terminal includes a tag read / write device.

The clock device is a device that measures time and notifies the central processing unit of the time (year, month, day, hour, minute, second).

The program stored in the auxiliary storage device is loaded into the main storage device and executed by the central processing unit.

The terminal and the dedicated terminal may be of a stationary type or a portable type. If you ’re mobile, doctor, pharmacist,
It goes without saying that each nurse may carry and use it as needed.

4: Database In the auxiliary storage device provided in the server 13 installed in the pharmaceutical company, as shown in FIG. 6, a pharmaceutical information database for storing information on pharmaceuticals sold by the pharmaceutical company is stored. I have. In this specification, this drug information database is abbreviated as a drug information DB (pharmaceutical company) for convenience. The drug information stored in the drug information DB (pharmaceutical company) includes drug information written on a tag. That is, the drug-specific information includes, for example, a drug company name, a drug name, an active ingredient, the content (concentration) of the active ingredient, applicable symptoms, contraindicated information, side effect information, and usage (dose). The drug fluctuation information (production data) includes a factory, a line number, a production date, a lot number, an expiration date, and the like.

As shown in FIG. 7, a drug information database for storing drug information sold by each pharmaceutical company is stored in an auxiliary storage device provided in the server 21 installed by a third party. In this specification, for convenience, this medicine information database is abbreviated as a medicine information DB (third party). The drug information stored in the drug information DB of each pharmaceutical company is also stored in the drug information DB (third party). Pharmaceutical information DB (third party) also stores drug fluctuation information in order to enable third parties and medical institutions to conduct quick and independent investigations when there is a problem with the drug. It is.

When drug information is registered, updated, or deleted in the drug information DB (pharmaceutical company),
Registration, update, and deletion of the drug information are also performed on the drug information DB (third party). For this reason, the medicine information DB (third party) always stores the latest medicine information on the medicines sold by the pharmaceutical companies.

As shown in FIG. 8, the auxiliary storage device provided in the server 31 installed in a medical institution (hospital) includes a medicine management database for storing medicine management information, a patient information database for storing patient information, and a patient information database. Is stored. In this specification, for convenience, this medicine management database is abbreviated as a medicine management DB, and this patient information database is abbreviated as a patient information DB. The drug management information is information for managing a drug at a medical institution (hospital), and includes, for example, an inventory amount, a delivery date, an expiration date, a prescription record, and the like. The patient information is a medical record, and is, for example, medical record information such as a patient ID, a patient name, age, gender, distinction between hospitalization and outpatient care, a medical condition, a medical history, a medical history, a medication history, and a prescription. The patient ID is uniquely assigned to one patient within one medical institution to identify the patient.

5: Outline of the processing according to the method for preventing erroneous administration of a drug of the present invention The processing according to the method for preventing erroneous administration of a drug of the present invention is roughly classified into four.

The first process is to register, update, and delete the drug-specific information in the drug information DB (pharmaceutical company), and also to register the drug information in the drug information DB (third party). Registration, update, and deletion of unique information are performed. For convenience of explanation, this first process will be referred to as drug-specific information storage process. This process is performed to always keep the latest drug-specific information in the drug information DB (third party) for the drugs sold by the pharmaceutical companies.

The second process involves a pharmaceutical company producing a drug and shipping it as a tagged drug package, and includes the process of writing drug information to a tag as described above. . For convenience of explanation, this second process will be referred to as a tagged pharmaceutical package shipping process.

The third process involves a medical institution (hospital) receiving a tagged drug at a drug receiving location. For convenience of explanation, this third process will be referred to as a tagged medicine receiving process.

The fourth process involves a doctor examining a patient at a medical institution (hospital), issuing a prescription, and administering to the patient according to the prescription. For convenience of explanation, this fourth processing will be referred to as medical treatment processing.

These four processes will be described in detail one by one.

6: Drug-Specific Information Storage Process The drug-specific information storage process includes at least a process of registering drug-specific information, a process of updating drug-specific information, and a process of deleting drug-specific information. The registration process is to newly register the drug-specific information in the drug information DB. The update process updates the drug-specific information registered in the drug information DB. The deletion processing is for deleting the drug-specific information registered in the drug information DB.

First, an example of the flow of the registration process of the drug-specific information will be described with reference to the flowchart of FIG.

S (STEP) 1: Pharmaceutical company server 13
The drug-specific information is input by the input device provided in the device, and the drug information DB of the drug-specific information (pharmaceutical company)
Registration is required.

S (STEP) 2: The server 13 registers the drug-specific information in the drug information DB (pharmaceutical company).

S (STEP) 3: Pharmaceutical company server 13
Transmits to the third party server 21 the input drug-specific information and a request to register the drug information in the drug information DB (third party).

S (STEP) 4: Third party server 21
Receives the drug-specific information and the request, and registers the drug-specific information in the drug information DB (third party).

Next, an example of the flow of the process of updating the drug-specific information will be described with reference to the flowchart of FIG.

S (STEP) 1: Pharmaceutical company server 13
The registered device-specific information is specified in the drug information DB (pharmaceutical company) by the input device included in the device, information (update information) for updating the drug-specific information is input, and the specified drug-specific information is input. You will be required to update with the update information.

S (STEP) 2: The server 13 updates the specified drug-specific information in the drug information DB (pharmaceutical company) with the input information.

S (STEP) 2: Pharmaceutical company server 13
Specifies drug-specific information, information for updating the drug-specific information (update information), and a drug information DB (third party)
Is transmitted to the server 21 of the third party to update the specified drug-specific information with the update information.

S (STEP) 3; Third party server 21
Receives the specification, the update information, and the request, and updates the specified drug-specific information in the drug information DB (third party) with the update information.

Next, an example of the flow of the process of deleting the drug-specific information will be described with reference to the flowchart of FIG.

S (STEP) 1: Pharmaceutical company server 13
The drug-specific information already registered in the drug information DB (pharmaceutical company) is designated by the input device provided in the device, and deletion of the drug-specific information is requested.

S (STEP) 2; The server 13 deletes the drug-specific information from the drug information DB (pharmaceutical company).

S (STEP) 2: Pharmaceutical company server 13
Is the designation of drug-specific information and the drug information DB (No. 3
A request to the third party to delete the specified drug-specific information is transmitted to the server 21 of the third party.

S (STEP) 3: Third party server 21
Receives the designation and the request, and enters the drug information DB
(Third party) deletes the specified drug-specific information.

7: Shipping Process of Tagged Pharmaceutical Package Here, the tagged pharmaceutical package shipping process is an example of the tagged pharmaceutical package shipping process in the case where the drug-specific information is not stored in the memory of the tag. This will be described with reference to the flowchart of FIG. If the tag is formed by printing and the drug-specific information is written at the time of printing, and the drug-specific information is already stored in the memory of the tag, STEP 1 and STEP 1 are performed in the following processing. 2 is unnecessary.

S (STEP) 1; server 13 of pharmaceutical company
Reads out information specific to the drug to be shipped from the drug information DB (pharmaceutical company), and transmits the information to the dedicated terminal 11 of the pharmaceutical company.

S (STEP) 2; dedicated terminal 1 of pharmaceutical company
1 receives information specific to the drug to be shipped, and
1 is stored in the main storage device.

S (STEP) 3; Dedicated terminal 1 of pharmaceutical company
The change information of the drug to be shipped is input to the dedicated terminal 11 by the input device included in the dedicated terminal 1, and the dedicated terminal 11 stores the drug change information in the main storage device included in the dedicated terminal 11.

S (STEP) 4: Dedicated terminal 1 of pharmaceutical company
1 writes the drug-specific information and the drug fluctuation information stored in the main storage device into a tag attached to the packaging of the drug to be shipped.

S (STEP) 5; Dedicated terminal 1 of pharmaceutical company
1 transmits to the pharmaceutical company server 13 the pharmaceutical variation information stored in the main storage device and a request to register the pharmaceutical variation information in a pharmaceutical information DB (a pharmaceutical company).

S (STEP) 6: Pharmaceutical company server 13
Receives the drug fluctuation information and the request and stores them in the main storage device.

S (STEP) 7: Pharmaceutical company server 13
Registers the drug fluctuation information stored in the main storage device in a drug information DB (pharmaceutical company).

S (STEP) 8; server 13 of pharmaceutical company
Transmits to the third party server 21 the medicine change information stored in the main storage device and a request to register the medicine change information in the medicine information DB (third party).

S (STEP) 9; Third party server 21
Receives the drug fluctuation information and the request and stores them in the main storage device.

S (STEP) 10; Third party server 21
Registers the drug fluctuation information stored in the main storage device in the drug information DB (third party).

8: Receiving Process of Tagged Pharmaceutical Package Here, an example of the tagged pharmaceutical package receiving process will be described below with reference to the flowchart of FIG.

S (STEP) 1: The dedicated terminal 33 at the medicine receiving place reads out the medicine information from the tag attached to the package of the delivered medicine and stores it in the main storage device.

S (STEP) 2: The dedicated terminal 33 at the medicine receiving place writes the receiving information such as the receiving date on the tag attached to the package of the delivered medicine. The acceptance date is
It is today's date measured by the clock device provided in the dedicated terminal 33.

S (STEP) 3: The dedicated terminal 33 at the medicine receiving place transmits the medicine information and the receiving information to the server 31 of the medical institution (hospital).

S (STEP) 4: The server 31 of the medical institution (hospital) receives the medicine information and the reception information.

S (STEP) 5: The server 31 of the medical institution (hospital) registers the received medicine information and the reception information in the medicine management DB, and simultaneously stocks the medicine identified by the received medicine information. Update the quantity.

9: Medical Treatment Processing First, an example of the main processing will be described with reference to the flowchart of FIG.

STEP 1: In the consultation room, the doctor examines the patient, and uses the input device of the terminal 39 in the consultation room.
Enter the patient ID. Then, the terminal 39 in the examination room has the server 31 transmit the patient information including the patient name registered in the patient information DB, and displays the patient information. The doctor inputs into the terminal 39 information that affects the medication such as a diagnosis result in consideration of the patient information. Then, the terminal 39
Transmits information that affects medication such as a diagnosis result to the server 31 of the medical institution. Then, the medical institution server 31
Registers information that affects medication such as a diagnosis result in the patient information DB. If a prescription is required, the drug information DB (No. 3
), A medicine management DB, and a doctor using a list of medicines in stock within the expiration date, which are created based on the information registered in the respective DBs and are in stock for each medicinal effect, displayed by the terminal 39. , A prescription, a transmission destination of the prescription, and the like are input to the terminal 39 of the examination room. Then, the terminal 39 transmits the prescription indicating the transmission destination to the server 31 of the medical institution. Then, the server 31 of the medical institution stores the patient information DB,
A medicine information DB (third party) checks whether there is a problem with the prescription based on information registered in each DB. This check is performed by the medical institution server 31
Is a drug information DB (third party) from the third party server 21
Is transmitted by collating the medicine information registered in the patient information DB with the patient information registered in the patient information DB with respect to matters necessary for preventing erroneous medication. Examples of items necessary to prevent erroneous medication include the following. First, is the dose appropriate, especially overdose? Second
The administration of the same drug in a short period (double administration)? Third, are there any contraindications (drug combinations, allergies, pregnancy, pre-existing symptoms, etc.)? Fourth, is it consistent with the medical condition? Fifth, have you received another drug of the same type in the past? If there is a problem as a result of the check, the server 31 of the medical institution displays a warning on the terminal 39 of the examination room. If the doctor cannot ignore the warning for preventing erroneous administration, he / she inputs the prescription again to the terminal 39 in the examination room using the input device provided in the terminal 39 in the examination room. If there is no problem, or if the warning for preventing erroneous administration can be ignored, the doctor requests the terminal 39 in the examination room to issue a prescription using the input device provided in the terminal 39 in the consultation room. Then, the terminal 39 in the examination room requests the server 31 of the medical institution to register the prescription in the patient information DB. Then, the medical institution server 31 writes the prescription ID on the prescription and registers it in the patient information DB. This prescription ID is for identifying the prescription in the medical institution. In addition, the terminal 39 of the examination room
Automatically writes the patient ID, the patient name, and whether the patient is in-patient or out-patient on the prescription. Also, the reason why the doctor inputs the destination of the prescription is that a nurse may prepare a medicine without going through a pharmacist (in-hospital pharmacy), such as an injection or infusion at the time of medical examination.

S (STEP) 2: Medical institution server 31
Transmits a prescription to each dedicated terminal as follows in accordance with a destination written on the prescription. When the transmission destination is the hospital pharmacy, the server 31 of the medical institution transmits the prescription to the dedicated terminal 34 of the hospital pharmacy, and proceeds to STEP3. If the destination is a nurse center, the server 31 of the medical institution transmits the prescription to the dedicated terminal 35 of the nurse center, and
Proceed to 8. If the destination is a consultation room, the server 3 of the medical institution
1 transmits the prescription to the dedicated terminal 38 in the examination room,
Proceed to EP9. When the transmission destination is the treatment room, the server 31 of the medical institution transmits the prescription to the dedicated terminal 37 of the treatment room,
Go to STEP11.

S (STEP) 3; dedicated terminal 3 of the in-hospital pharmacy
4 receives the prescription, stores the prescription in the main storage device provided in the dedicated terminal 34, and notifies the pharmacist that the prescription has arrived. The pharmacist uses the input device of the dedicated terminal 34 to display a prescription on the dedicated terminal 34 and prepares a medicine according to the prescription. At this time, the pharmacist uses the dedicated terminal 34 to read the drug information from the tag attached to the package of the drug, and checks whether there is a problem with the prepared drug. The check contents are three items: expiration date, medicine, and dosage. The expiration date is checked by the dedicated terminal 34 comparing the expiration date included in the medicine information read from the tag with today's date measured by the clock device provided in the dedicated terminal 34. The method of checking the drug and checking the dosage differs depending on the type of packaging of the tagged drug package. In the case of a medicine packaged individually in one administration unit, the dedicated terminal 34 compares the medicine information read from the tag and the prescription stored in the main storage device provided in the dedicated terminal 34 with the medicine name, the active ingredient, and the active ingredient. The drug is checked by collating the content (concentration) of the component. Also, in this case, when reading the medicine information from the tag, the dedicated terminal 34 also counts the number of medicines individually packaged in one administration unit, and compares the number with the number determined from the prescription to administer the medicine. Check the quantity. In the case of packaging a medicine to be delivered packaged in a plurality of doses such as a PTP package, a bottle, a tablet or a capsule in a bottle, the pharmacist uses the dedicated terminal 34 to attach the medicine to the packaging of the medicine. The medicine name is read from the tag, and the medicine name is checked by comparing the medicine name with the medicine name written on the prescription stored in the main storage device of the dedicated terminal 34. Each dosage unit is packaged in a tagged packaging material. Therefore, in this case, the pharmacist determines the number of medicines packaged in one administration unit by the dedicated terminal 3.
4 and the dedicated terminal 34 checks this number against the number determined from the prescription to check the dose. In the case of PTP packaging (see FIG. 2), when preparing a medicine, if the tag portion is cut out so as to remain to the end, the medicine name can be checked for all tablets. When the pharmacist dispenses a medicine (dispensing), the pharmacist reads the medicine name from the tag attached to the packaging of each medicine used for dispensing at the dedicated terminal 34 and stores the name in an auxiliary storage device provided in the dedicated terminal 34. The drug is checked and prepared by checking it against the drug name written on the prescription. At this time, the prepared preparation is packaged in a packaging material with a tag for each administration unit. In this case as well, the pharmacist inputs the number of dispensed products packaged in one administration unit to the dedicated terminal 34, and the dedicated terminal 34 compares this number with the number determined from the prescription, so that the dosage can be reduced. Check also. As a result of the check, if there is a problem, the dedicated terminal 34 displays a warning. The pharmacist re-prepares the medicine according to the warning, and checks again with the dedicated terminal 34. If there is no problem as a result of the check, the pharmacist uses the dedicated terminal 34 to attach the prescription I to the tag attached to the prepared medicine package.
Write down D, patient ID, patient name, and prescription date. At this time, the dedicated terminal 34 transmits the prescription ID, the patient ID, the patient name, the prescription date, the drug information and the number of the prepared drugs to the server 31 of the medical institution as the prescription record. The prescription date is today's date measured by the clock device provided in the dedicated terminal 34. The server 31 of the medical institution registers the prescription record in the drug management DB and updates the stock amount of the drug registered in the drug management DB.
In the case of packaging or dispensing, drug information such as a drug name is also written on a tag attached to the package of the drug packaged in one dose unit.

S (STEP) 4: The prepared medicine is
If it is for an inpatient, the medicine is sent to a nurse center and the procedure goes to STEP5. If the prepared medicine is for an outpatient, go to STEP7. Whether the prepared medicine is for an inpatient or an outpatient is determined by the pharmacist looking at the prescription displayed on the dedicated terminal 34. As mentioned above,
This is possible because the prescription includes a distinction between hospitalization and outpatient care.

S (STEP) 5: The nurse checks the medicine prepared at the hospital pharmacy and sent to the nurse center with the prescription using the dedicated terminal 35 of the nurse center. This is because the dedicated terminal 35 reads the prescription ID and the medicine information from the tag attached to the medicine package, counts the number of medicines, and sends the prescription ID, the medicine information and the number to the server 31 of the medical institution. Send and server 3
1 compares the medicine information and the number with the prescription stored in the patient information DB, and compares the comparison result with the dedicated terminal 35.
This is done by displaying it. After confirming that the medicines and the quantity match the prescription,
The drug is taken to the room for administration to the patient.

S (STEP) 6: The nurse uses the dedicated terminal 36 in the hospital room immediately before administering the medicine to the hospitalized patient.
The patient ID (or patient name) is read from the tag attached to the medicine package, and after confirming that it matches the patient ID (or patient name) of the hospitalized patient, the medicine is administered to the hospitalized patient. Go to END.

S (STEP) 7: The pharmacist reads the patient ID (or patient name) from the tag attached to the prepared medicine package at the in-hospital pharmacy window, using the in-hospital pharmacy dedicated terminal 34. After confirming that it matches the patient's patient ID (or patient name), the prepared patient is handed to the outpatient. Go to END.

S (STEP) 8: The nurse replaces the dedicated terminal 34 of the hospital pharmacy with the dedicated terminal 3 of the nurse center.
5, using the same procedure as the pharmacist in STEP 3,
Prepare medicines. The prepared medicine is taken to a hospital room for administration to an inpatient. It returns to STEP6.

S (STEP) 9: The nurse uses the dedicated terminal 38 in the examination room instead of the dedicated terminal 34 in the in-hospital pharmacy to prepare medicines in the same manner as the pharmacist in STEP 3.

S (STEP) 10: Immediately before administering the medicine to the patient in the examination room, the nurse
At 8, the patient I was identified from the tag attached to the pharmaceutical package.
After reading D (or patient name) and confirming that it matches the patient's patient ID (or patient name), the drug is administered to the patient. Go to END.

S (STEP) 11: The nurse uses the dedicated terminal 37 in the treatment room instead of the dedicated terminal 34 in the in-hospital pharmacy, and prepares the medicine in the same manner as the pharmacist in STEP 3.

S (STEP) 12: The nurse, just before administering the medicine to the patient in the treatment room, uses the dedicated terminal 3 in the treatment room.
At 7, the patient attached to the patient
After reading D (or patient name) and confirming that it matches the patient's patient ID (or patient name), the drug is administered to the patient. Go to END.

9-1: Examination / Prescription Issuance Performed by Doctor in Examination Room Here, the processing (S1 in the flowchart of FIG. 14) involved in the examination / prescription issuance performed by the doctor in the examination room is as follows.
An example of the detailed processing will be described below with reference to the flowchart of FIG.

S (STEP) 1: The doctor inputs the patient ID of the examined patient to the terminal 39 using the input device provided in the terminal 39 in the examination room. Then, the terminal 39 in the examination room stores the patient ID in the main storage device.

S (STEP) 2: The terminal 39 of the examination room is
The patient ID is transmitted to the server 31 of the medical institution.

S (STEP) 3: Medical institution server 31
Receives the patient ID, retrieves the patient information of the patient identified by the patient ID from the patient information DB, and transmits the patient information to the terminal 39 in the examination room.

S (STEP) 4: The terminal 39 of the examination room is
It receives the patient information, stores the patient information in the main storage device provided in the terminal 39, and displays the patient information.

S (STEP) 5: The doctor looks at the displayed patient information or the patient himself and determines whether or not the patient is a first-time visit. If the consulted patient is the first visit, proceed to STEP6.
If the patient is not the first visit, go to STEP7.

S (STEP) 6: The doctor uses the input device provided in the terminal 39 of the examination room to administer the medication even if it is not directly related to the diagnosis, such as the presence or absence of allergy and the presence of pregnancy of the examined patient. The affected items are input to the terminal 39 of the examination room. Items that affect these medications
Displaying the information on the screen of the display device provided in the terminal 39 in the examination room is useful for preventing the doctor from forgetting to input.

S (STEP) 7: The doctor inputs the diagnosis result of the examined patient to the terminal 39 in the examination room using the input device provided in the terminal 39 in the examination room.

S (STEP) 8: The terminal 39 of the examination room is
The diagnosis result is transmitted to the server 31 of the medical institution. In addition, the presence or absence of allergies, pregnancy, etc.
Items that affect medication even if not directly related to diagnosis
If the information has been input to the terminal 39 in EP6, the terminal 39 in the examination room transmits these items to the server 31 together.

S (STEP) 9: Medical institution server 31
Receives the diagnosis result and registers the diagnosis result in the patient information DB as a part of the patient information. In addition, if items that affect medication are input to the terminal 39 in STEP 6 even if they are not directly related to diagnosis, such as the presence or absence of allergy and the presence of pregnancy, etc.
Receives these items together, and registers those items as part of the patient information in the patient information DB.

S (STEP) 10: The doctor determines whether to give a prescription to the examined patient. When issuing a prescription, the process proceeds to STEP11. If you do not issue a prescription,
Proceed to ND.

S (STEP) 11; terminal 39 of the examination room
Requests the server 31 of the medical institution to transmit a list of medicines for each medicinal effect.

S (STEP) 12; medical institution server 3
1 receives a request to transmit a list of medicines for each medicinal effect, and requests the server 21 of a third party to transmit the list.

S (STEP) 13; Third party server 21
Receives a request to transmit a list of medicines for each medicinal effect, and stores the list in the medicine information DB (No. 3).
) Is created by searching, and the list is transmitted to the server 31 of the medical institution.

S (STEP) 14; Server 3 of medical institution
1 receives a list of medicines organized for each medicinal effect, searches the medicine management DB, and summarizes the medicines in the received medicine list that are in stock within the effective period and the stock amount for each medicinal effect. Then, a list (hereinafter, referred to as a list of in-stock medicines for each medicinal effect) is created, and the in-stock medicine list is transmitted to the terminal 39 in the examination room.

S (STEP) 15; terminal 39 of the examination room
Receives a list of drugs in stock for each medicinal effect and displays the list on a screen of a display device provided in the terminal 39.

S (STEP) 16: The physician uses the input device provided in the terminal 39 of the examination room to select a prescription from a list of medicines having a necessary amount in stock from a list of medicines in stock for each medicinal effect. In addition, a prescription is created by inputting the dose, the number of days of administration, and the like of the selected medicine, and further inputting the destination of the prescription. At this time, the terminal 39 of the examination room uses the patient ID, the patient name,
Automatically distinguishes outpatients. Patient ID, patient name, hospitalization
The outpatient distinction is included in the patient information stored in the main storage device of the terminal 39.

S (STEP) 17; terminal 39 of the examination room
Transmits the prescription to the server 31 of the medical institution.

S (STEP) 18: Medical institution server 3
1 receives a prescription and stores the prescription in a main storage device provided in the server 31.

S (STEP) 19: Server 3 of medical institution
1 requests the server 21 of the third party to transmit the medicine information of the medicine described in the prescription.

S (STEP) 20; Third party server 21
Receives a request to transmit the drug information of the drug described in the prescription, and obtains a drug information DB (third party)
And retrieves the drug information from the medical institution server 31
Send to

S (STEP) 21: Medical institution server 3
1 receives the drug information of the drug described in the prescription and stores the drug information in a main storage device provided in the server 31.

S (STEP) 22; server 3 of medical institution
1 retrieves the patient information of the patient identified by the patient ID written on the prescription from the patient information DB and stores the retrieved patient information in the main storage device provided in the server 31.

S (STEP) 23: Medical institution server 3
1 checks the medicine information stored in the main storage device of the server 31 with the patient information to check whether or not there is a medication problem in the prescription. As described above, the items to be checked include, for example, the following. First
In addition, whether the dosage is appropriate, especially whether it is overdose.
Second, is the administration of the same drug in a short period of time (dual administration)? Third, contraindications (drug combinations, allergies,
Pregnancy, pre-existing symptoms, etc.) Fourth, is it consistent with the medical condition? Fifth, have you received another drug of the same type in the past? If there is a problem, proceed to STEP24. If there is no problem, proceed to STEP25.

S (STEP) 24; medical institution server 3
1 transmits a warning indicating what kind of medication problem is present to the terminal 39 in the examination room. Proceed to STEP26.

S (STEP) 25: Medical institution server 3
1 transmits to the terminal 39 in the examination room that there is no problem with the prescription.

S (STEP) 26; terminal 39 of the examination room
Receives either a warning indicating what medication problem is present, or that there is no problem with the prescription.

S (STEP) 27; terminal 39 of the examination room
However, if a warning indicating what kind of medication problem is present is received, the process proceeds to STEP33. If the terminal 39 in the examination room receives the information that there is no problem with the prescription, the process proceeds to STEP28.

S (STEP) 28; terminal 39 of the examination room
Displays on the screen of the display device of the terminal 39 that there is no problem with the prescription.

S (STEP) 29: The doctor requests the terminal 39 in the examination room to issue a prescription using the input device provided in the terminal 39 in the examination room. Then, the terminal 39 of the examination room
Sends a request to issue a prescription to the server 31 of the medical institution.
Send to

S (STEP) 30; medical institution server 3
1 receives a request to issue a prescription.

S (STEP) 31; medical institution server 3
1 writes a prescription ID in a prescription stored in a main storage device provided in the server 31, and registers the prescription with the prescription ID in the patient information DB. This prescription ID is for identifying the prescription in the medical institution.

S (STEP) 32; server 3 of medical institution
1 transmits a prescription describing a prescription ID to a transmission destination described in the prescription.

S (STEP) 33; terminal 39 of the examination room
Will warn you of what medication problems you have,
It is displayed on the screen of the display device provided in the terminal 39.

S (STEP) 34: The doctor looks at the warning and determines whether or not the warning can be ignored. If the warning can be ignored, the process proceeds to STEP37. If the warning cannot be ignored, the process proceeds to STEP35.

S (STEP) 35: The doctor uses the input device of the terminal 39 in the examination room to
Correction of the prescription is input.

S (STEP) 36; terminal 39 of the examination room
Transmits the prescription to the server 31 of the medical institution. STE
Proceed to P38.

S (STEP) 37: The doctor requests the terminal 39 in the examination room to issue a prescription using the input device provided in the terminal 39 in the examination room. Then, the terminal 39 of the examination room
Sends a request to issue a prescription to the server 31 of the medical institution.
Send to

S (STEP) 38: Medical institution server 3
1 receives either a prescription or a request to issue a prescription. If the medical institution server 31 has received the prescription, the process returns to STEP19. If the server 31 of the medical institution has received the request to issue the prescription, the process proceeds to STEP31.

9-2: Process of Pharmaceutical Preparation Performed by Pharmacist at Hospital Pharmacy Here, the process (S3 in the flowchart of FIG. 14) of drug preparation performed by the pharmacist at the hospital pharmacy is described.
An example of the detailed processing will be described below with reference to the flowchart in FIG. Note that this detailed process is performed by the nurse in the preparation of medicines performed in the nurse center, the examination room, and the treatment room (S8, S8 in the flowchart of FIG.
9, S11) is similarly applied.

S (STEP) 1; medical institution server 31
Transmits the prescription to the dedicated terminal 34 of the hospital pharmacy. As described above, this prescription includes a prescription ID, a patient ID,
The patient's name and the distinction between inpatient and outpatient are indicated.

S (STEP) 2; dedicated terminal 3 of in-hospital pharmacy
4 receives the prescription, stores the prescription in the main storage device provided in the dedicated terminal 34, and notifies the pharmacist that the prescription has arrived. For example, the notification is made by displaying a list of prescriptions on the screen of the display device in the order of arrival.

S (STEP) 3: The pharmacist displays the prescription on the screen of the display device provided in the dedicated terminal 34 using the input device provided in the dedicated terminal 34 of the hospital pharmacy.

S (STEP) 4: The pharmacist determines whether or not the medicine packaged in individual dose units is written on the prescription. If the medicine packaged individually in one dosage unit is written on the prescription, the process proceeds to STEP5. If the prescription does not contain the medicine packaged in one dose unit, the STE
Proceed to P11.

S (STEP) 5: The pharmacist looks at the prescription and takes out the medicine packaged individually in one administration unit.
Then, the pharmacist uses the tag read / write device provided in the dedicated terminal 34 of the hospital pharmacy to read the drug information from the tag attached to the package of the taken out drug for all doses. Then, the dedicated terminal 34 of the hospital pharmacy
Reads the drug information from the tag, counts the number of drugs, and stores the number of each drug and the drug information in a dedicated terminal 34.
Is stored in the main storage device provided in.

S (STEP) 6; dedicated terminal 3 of in-hospital pharmacy
4 compares the current date measured by the clock device provided in the dedicated terminal 34 with the expiration date included in the drug information stored in the main storage device, and determines whether or not it is within the expiration date. to decide. If all medicines are within the expiration date, ST
Proceed to EP7. If there are expired medicines,
Go to STEP27.

S (STEP) 7; Dedicated terminal 3 for in-hospital pharmacies
No. 4 describes the medicine information stored in the main storage device and the medicine described in the prescription also stored in the main storage device with respect to the medicine name, the active ingredient, and the content (concentration) of the active ingredient. By collation, it is determined whether or not a drug that matches the medicine described in the prescription has been extracted. If the medicine corresponding to the medicine described in the prescription has been extracted, the process proceeds to STEP8. If the medicine corresponding to the medicine described in the prescription has not been extracted, the process proceeds to STEP28.

S (STEP) 8; dedicated terminal 3 of in-hospital pharmacy
4 is the number of each medicine stored in the main storage device;
Similarly, the number of each medicine determined from the prescription stored in the main storage device is collated to determine whether the number of each medicine matches. If the numbers of all the medicines match, go to STEP9. If there are drugs whose numbers do not match, the procedure proceeds to STEP29.

S (STEP) 9: Dedicated terminal 3 of the in-hospital pharmacy
4 writes the prescription ID, the patient ID, and the patient name, which are written in the prescription stored in the main storage device, on the tag attached to the package of the removed medicine. Also,
The dedicated terminal 34 of the in-hospital pharmacy writes, as a prescription date, today's date measured by the clock device provided in the dedicated terminal 34 on a tag attached to the package of the taken-out medicine.
Further, the prescription ID, the patient ID, the patient name, the prescription date, the medicine information and the number of the medicines taken out are transmitted to the medical institution server 31 as a prescription record.

S (STEP) 10: Medical institution server 3
1 receives the prescription record, and stores the prescription record in the drug management D
Register with B. In addition, the stock amount of each medicine stored in the medicine management DB is subtracted from the number included in the prescription record, and a new stock amount is updated.

S (STEP) 11: The pharmacist determines whether or not a medicine packaged in a plurality of doses, such as a PTP package, a bottle, a bottle, and the like, which needs to be packaged, is written on the prescription. If the medicine requiring packaging is described in the prescription, go to STEP12. If the medicine requiring packaging is not described in the prescription, the process proceeds to STEP19.

S (STEP) 12: The pharmacist takes out the medicine that needs to be packaged while looking at the prescription. Then, the pharmacist uses the tag reading / writing device provided in the dedicated terminal 34 of the in-hospital pharmacy to read the medicine information from the tag attached to the package of the taken medicine. Then, the dedicated terminal 34 of the in-hospital pharmacy stores the drug information in the main storage device provided in the dedicated terminal 34.

S (STEP) 13: The dedicated terminal 34 of the in-hospital pharmacy stores today's date measured by the clock device provided in the dedicated terminal 34, the expiration date included in the drug information stored in the main storage device, and the like. To determine whether it is within the expiration date. If all medicines are within the expiration date, S
Proceed to TEP14. If there is an expired medicine, the process proceeds to STEP30.

S (STEP) 14: The dedicated terminal 34 of the in-hospital pharmacy stores the drug information stored in the main storage device and the drug written on the prescription also stored in the main storage device into the drug name. To determine whether or not a drug that matches the drug described in the prescription has been extracted. If the medicine that matches the prescription is retrieved, STEP1
Go to 5. If the medicine corresponding to the medicine described in the prescription has not been extracted, the process proceeds to STEP31.

S (STEP) 15: The pharmacist divides each medicine into one-dose units by the number determined from the prescription, and packs them in a packaging material with a tag attached. Then, the pharmacist uses the input device provided in the dedicated terminal 34 of the in-hospital pharmacy to input the number of packed medicines to the dedicated terminal 34 for each medicine. Then, the dedicated terminal 34
Stores the number in the main storage device of the dedicated terminal 34.

S (STEP) 16: The dedicated terminal 34 of the in-hospital pharmacy inputs the number of each medicine stored in the main memory and the number of each medicine determined from the prescription also stored in the main memory. By comparing the number with each other, it is determined whether or not the number of each medicine matches. If the numbers of all the medicines match, the process proceeds to STEP17. If there is a drug whose number does not match, the process proceeds to STEP32.

S (STEP) 17: The dedicated terminal 34 of the hospital pharmacy stores the prescription ID and the patient ID written on the prescription stored in the main storage device on the tag attached to the packaged medicine. And the patient name. Also,
The dedicated terminal 34 of the in-hospital pharmacy writes the current date measured by the clock device provided in the dedicated terminal 34 as a prescription date on a tag attached to the package of the packed medicine. Further, the dedicated terminal 34 of the hospital pharmacy writes the drug information stored in the main storage device to a tag attached to the package of the packed drug. Furthermore, the prescription ID
And, the patient ID, the patient name, the prescription date, the medicine information (such as the medicine name) of the packaged medicine and the dose of the medicine are transmitted to the server 31 of the medical institution as a prescription record. This dosage is stated on the prescription, as described above.

S (STEP) 18: Medical institution server 3
1 receives the prescription record, and stores the prescription record in the drug management D
Register with B. In addition, the stock amount of each medicine stored in the medicine management DB is updated according to the dose contained in the prescription record.

S (STEP) 19: The pharmacist judges whether or not a medicine requiring dispensing (formulation) is written on the prescription. If the medicine requiring dispensing is described in the prescription, the process proceeds to STEP20. If the medicine requiring dispensing is not listed on the prescription, go to END.

S (STEP) 20: The pharmacist takes out the medicine used for dispensing while looking at the prescription. Then, the pharmacist uses the tag reading / writing device provided in the dedicated terminal 34 of the hospital pharmacy to read the drug information from the tag attached to the packaging of the drug used for dispensing. Then, the dedicated terminal 34 of the in-hospital pharmacy transmits the drug information to the dedicated terminal 34.
Is stored in the main storage device provided in.

S (STEP) 21: The dedicated terminal 34 of the in-hospital pharmacy stores the date and time of today measured by the clock device provided in the dedicated terminal 34, and the expiration date included in the drug information stored in the main storage device. To determine whether it is within the expiration date. If all medicines are within the expiration date, S
Proceed to TEP22. If there is an expired medicine, the process proceeds to STEP34.

S (STEP) 22: The dedicated terminal 34 of the in-hospital pharmacy stores the drug information stored in the main storage device and the drug written on the prescription also stored in the main storage device into the drug name. To determine whether or not a drug that matches the drug described in the prescription has been extracted. If the medicine that matches the prescription is retrieved, STEP2
Proceed to 3. If the medicine corresponding to the medicine described in the prescription has not been extracted, the process proceeds to STEP35.

S (STEP) 23: The pharmacist dispenses and packs the finished preparation in a packaging material with a tag for each dosage unit. The pharmacist uses the input device provided in the dedicated terminal 34 of the in-hospital pharmacy to determine the number of dispensed products packaged for each administration unit, and for each dispensed product, the dedicated terminal 3
Enter 4 Then, the dedicated terminal 34 sets the number as
It is stored in the main storage device of the dedicated terminal 34.

S (STEP) 24: The dedicated terminal 34 of the in-hospital pharmacy inputs each dispensing product stored in the main storage device and each dispensing determined from the prescription similarly stored in the main storage device. The number of products is compared with each other to determine whether or not the number of each preparation matches. If the numbers of all preparations match, the process proceeds to STEP25. If there are dispensed products whose numbers do not match, the flow proceeds to STEP36.

S (STEP) 25: The dedicated terminal 34 of the in-hospital pharmacy stores the prescription ID written on the prescription stored in the main storage in the tag attached to the package of the preparation.
And the patient ID and the patient name are written. The dedicated terminal 34 of the in-hospital pharmacy writes the current date measured by the clock device provided in the dedicated terminal 34 as a prescription date on a tag attached to the package of the dispensed product. In addition, the dedicated terminal 34 of the in-hospital pharmacy writes the drug information of the drug used for dispensing the preparation stored in the main storage device into a tag attached to the packaging of the preparation. Furthermore, the prescription ID, the patient ID, the patient name, the prescription date, the drug information (pharmaceutical name, etc.) of the drug used to dispense the dispensed product, and the dose of the drug are recorded as a prescription record. It is transmitted to the institution server 31. This dosage is stated on the prescription, as described above.

S (STEP) 26: Medical institution server 3
1 receives the prescription record, and stores the prescription record in the drug management D
Register with B. In addition, the stock amount of each medicine stored in the medicine management DB is updated according to the dose contained in the prescription record. Go to END.

S (STEP) 27: The dedicated terminal 34 of the hospital pharmacy displays a warning indicating a list of expired medicines. It returns to STEP5.

S (STEP) 28: The dedicated terminal 34 of the in-hospital pharmacy displays a warning indicating a list of drugs that do not match the drugs described in the prescription. It returns to STEP5.

S (STEP) 29: The dedicated terminal 34 of the in-hospital pharmacy displays a warning indicating a list of medicines that do not match the number determined from the prescription. It returns to STEP5.

S (STEP) 30: The dedicated terminal 34 of the in-hospital pharmacy displays a warning indicating a list of expired medicines. It returns to STEP12.

S (STEP) 31: The dedicated terminal 34 of the in-hospital pharmacy displays a warning indicating a list of drugs that do not match the drugs described in the prescription. It returns to STEP12.

S (STEP) 32: The dedicated terminal 34 of the in-hospital pharmacy displays a warning indicating a list of medicines not matching the number determined from the prescription.

S (STEP) 33: The pharmacist judges whether or not it is necessary to take out a new medicine (additionally because there are few medicines) to match the number determined from the prescription. If it is necessary to take out a new medicine, the process returns to STEP12. If it is not necessary to take out a new medicine, the process returns to STEP15.

S (STEP) 34: The dedicated terminal 34 of the hospital pharmacy displays a warning indicating a list of expired medicines. It returns to STEP20.

S (STEP) 35: The dedicated terminal 34 of the hospital pharmacy displays a warning indicating a list of medicines that do not match the medicines described in the prescription. It returns to STEP20.

S (STEP) 32: The dedicated terminal 34 of the in-hospital pharmacy displays a list of medicines used for dispensing each dispensed product which does not match the number determined from the prescription, in dispensed product units. Is displayed.

S (STEP) 33: The pharmacist determines whether or not it is necessary to take out a new drug (add a new drug because the drug is small) so as to match the number determined from the prescription. If it is necessary to take out a new medicine, the process returns to STEP20. If it is not necessary to take out a new medicine, the process returns to STEP23.

9-3: Verification of Drugs and Prescriptions Performed by Nurses at Nurse Center Here, a process performed by a nurse at a nurse center in which a nurse sends a drug sent from a pharmacy in a hospital to a prescription is checked. An example of a detailed process flow (S5 in the flowchart of FIG. 14) will be described with reference to the flowchart of FIG.

S (STEP) 1: The nurse uses the tag read / write device provided in the dedicated terminal 35 of the nurse center,
For all medicines, the prescription ID and medicine information (such as medicine name) are read from the tag attached to the package of the medicine taken out. Then, the dedicated terminal 35 of the nurse center counts the number of read medicines, and stores the prescription ID, the medicine information, and the number of medicines in the main storage device of the dedicated terminal 34.

S (STEP) 2: The dedicated terminal 35 of the nurse center stores the prescription ID, the medicine information and the number of medicines stored in the main storage device in the server 31 of the medical institution.
Send to

S (STEP) 3: Medical institution server 31
Receives the prescription ID, the medicine information, and the number of medicines, and stores them in the main storage device of the server 31.

S (STEP) 4: Medical institution server 31
Reads the prescription identified by the prescription ID from the patient information DB and stores it in the main storage device of the server 31.

S (STEP) 5: Medical institution server 31
Compares the medicine information stored in the main storage device with the medicine described in the prescription also stored in the main storage device, and determines whether or not the medicines themselves match. If there is any unmatched medicine, STEP
Proceed to 6. If all drugs match, S
Proceed to TEP7. Pharmaceutical companies are individually packaged in one-dose units and collated with respect to three points: the name of the drug, the active ingredient, and the concentration of the active ingredient. Also, PTP packaging,
Drugs, such as bottles, bottle tablets, and capsules, packaged in one unit at hospital pharmacies are checked for drug names.
In the case of preparations, the names of the drugs used in the preparation are checked.

S (STEP) 6: Medical institution server 31
Transmits to the terminal 35 of the nurse center a warning indicating a list of drugs that do not match. However,
If the medicine is a preparation, the warning shows a list of the names of the medicines used to dispense the preparation in units of the preparation. Go to STEP10.

S (STEP) 7: Medical institution server 31
Collates the number of medicines stored in the main storage device with the number of medicines determined from the prescription also stored in the main storage device, and determines whether the numbers match. If there are drugs that do not match, ST
Proceed to EP8. If the numbers are the same for all medicines, go to STEP9.

S (STEP) 8: Medical institution server 31
Alerts you with a list of medicines with inconsistent quantities,
It is transmitted to the dedicated terminal 35 of the nurse center. However, when the medicine is a preparation, the warning shows a list of the names of the medicines used for preparing the preparation in units of the preparation. Go to STEP10.

S (STEP) 9: Medical institution server 32
Said that there is no problem, the dedicated terminal 35 of the nurse center
Send to

S (STEP) 10: The dedicated terminal 35 of the nurse center provides a warning indicating a list of medicines that do not match, a warning indicating a list of medicines whose numbers do not match, or a message indicating that there is no problem. Receive either.

S (STEP) 11: If the dedicated terminal 35 of the nurse center has received a warning indicating a list of drugs that do not match, the process proceeds to STEP 14. If the dedicated terminal 35 of the nurse center receives either a warning indicating a list of medicines whose numbers do not match or no problem, the process proceeds to STEP12.

S (STEP) 12: If the dedicated terminal 35 of the nurse center receives a warning indicating a list of medicines whose numbers do not match, the flow proceeds to STEP 15. If the dedicated terminal 35 of the nurse center has received that there is no problem, the process proceeds to STEP13.

S (STEP) 13: The dedicated terminal 35 of the nurse center displays that there is no problem. Go to END.

S (STEP) 14: The dedicated terminal 35 of the nurse center displays a warning indicating a list of medicines that do not match. However, when the medicine is a preparation, the warning shows a list of the names of the medicines used for preparing the preparation in units of the preparation. EN
Go to D.

S (STEP) 15: The dedicated terminal 35 of the nurse center displays a warning indicating a list of medicines whose numbers do not match. However, when the medicine is a preparation, the warning shows a list of the names of the medicines used for preparing the preparation in units of the preparation. Go to END.

9-4: Processing for Confirming Drugs to be Administered to Patient Here, just before the nurse in the hospital room administers the medicine brought from the nurse center to the hospitalized patient, the nurse administers the medicine to be administered to the hospitalized patient. An example of a detailed process flow of the confirmation process (S6 in the flowchart of FIG. 14) will be described below with reference to the flowchart of FIG. This detailed processing is performed by a nurse in the consultation room.
A process for confirming the medicine to be administered to the patient immediately before administering the medicine to the patient (S10 in the flowchart of FIG. 14), and a nurse in the treatment room administers the medicine to the patient immediately before administering the medicine to the patient. The same applies to the process of confirming the medicine to be performed (S12 in the flowchart of FIG. 14).

S (STEP) 1: The nurse inputs the patient ID (or patient name) to the dedicated terminal 36 using the input device provided in the dedicated terminal 36 for the hospital room. Then, the dedicated terminal 36 stores the input patient ID (or patient name) in the main storage device provided in the dedicated terminal 36.

S (STEP) 2: The nurse reads the patient ID (or patient name) from the tag attached to the medicine package using the tag reading / writing device provided in the dedicated terminal 36 in the hospital room. Then, the dedicated terminal 36 reads the read patient I
D (or the patient name) is stored in the main storage device provided in the dedicated terminal 36.

S (STEP) 3; Dedicated terminal 36 for the hospital room
Is the patient ID (or patient name) entered in STEP1
And the patient ID (or patient name) read in STEP 2
It is determined whether or not matches. If they match, ST
Proceed to EP4. If they do not match, the process proceeds to STEP9.

S (STEP) 4: Dedicated terminal 36 for the hospital room
Indicates that the drug is administered to hospitalized patients.

S (STEP) 5: After administration, the nurse uses the tag reading / writing device provided in the dedicated terminal 36 in the hospital room to read the patient ID and medicine information from the tag attached to the package of the administered medicine. And read.

S (STEP) 6: Dedicated terminal 36 for the hospital room
Transmits the patient ID and the medicine information to the server 3 of the medical institution.
Send to 1.

S (STEP) 7: Medical institution server 31
Receives the patient ID and the medicine information.

S (STEP) 8; Server 31 of medical institution
Registers the drug information in the patient information DB as the medication history identified by the patient ID. Go to END.

S (SETP) 9; Dedicated terminal 36 for the hospital room
Displays a warning that it is not a medicine to be administered to hospitalized patients. Go to END.

9-5: Processing for Confirming Drugs to be Passed to Outpatient Here, a process for confirming the drugs to be handed to the outpatient at the window of the in-hospital pharmacy immediately before the pharmacist delivers the drug to the outpatient (flow chart in FIG. 14) In step S7), an example of the detailed processing flow is described according to the flowchart of FIG.
This will be described below.

S (STEP) 1: The pharmacist inputs the patient ID (or patient name) to the dedicated terminal 34 using the input device provided in the dedicated terminal 34 of the in-hospital pharmacy. Then, the dedicated terminal 34 stores the input patient ID (or patient name) in the main storage device included in the dedicated terminal 34.

S (STEP) 2: The pharmacist reads the patient ID (or patient name) and the drug information from the tag attached to the drug package using the tag reading / writing device provided in the dedicated terminal 34 of the hospital pharmacy. . Then, the dedicated terminal 34
Stores the read patient ID (or patient name) and drug information in the main storage device of the dedicated terminal 34.

S (STEP) 3; dedicated terminal 3 for in-hospital pharmacies
4 is the patient ID (or patient name) entered in STEP 1
And the patient ID (or patient name) read in STEP 2
It is determined whether or not matches. If they match, ST
Proceed to EP4. If they do not match, the process proceeds to STEP9.

S (STEP) 4; dedicated terminal 3 for in-hospital pharmacy
No. 4 indicates that the medicine is to be handed out to an outpatient.

S (STEP) 5: After delivering the medicine to the outpatient, the pharmacist registers the medicine delivered to the outpatient as the medication history of the patient using the input device provided in the dedicated terminal 34 of the in-hospital pharmacy. To the dedicated terminal 34 to perform the operation.

S (STEP) 6; dedicated terminal 3 for in-hospital pharmacy
4 transmits the patient ID and the medicine information stored in the main storage device of the dedicated terminal 34 to the server 31 of the medical institution.

S (STEP) 7: Medical institution server 31
Receives the patient ID and the medicine information.

S (STEP) 8: Medical institution server 31
Registers the drug information in the patient information DB as the medication history identified by the patient ID. Go to END.

S (SETP) 9; dedicated terminal 3 of in-hospital pharmacy
No. 4 displays a warning indicating that the medicine is not to be handed out to an outpatient. Go to END.

10: When Third Party Server 21 Does Not Exist In this embodiment, a third party server that stores drug information provided from server 11 of a pharmaceutical company and provides it to server 31 of a medical institution has been used. 21, assuming that they exist. If such a third party server 21 does not exist, the medical institution server 31 may also serve as the third party server 21. At this time, a medicine information database similar to the medicine information DB (third party) is stored in the auxiliary storage device provided in the server 31 of the medical institution. In this specification, for convenience, this drug information database is referred to as
Abbreviated as drug information DB (medical institution).

When the third party server 21 does not exist, the medicine information is registered and updated in the medicine information DB (pharmaceutical company).
When deleted, the drug information need not be registered, updated, or deleted in the drug information DB (medical institution). In this case, the pharmaceutical company provides medical information to the medical institution by an appropriate method. Then, the medical institution registers, updates, and deletes the medical information in the medicine information DB (medical institution).

Even if the server 21 of the third party does not exist, of the processing according to the method of the present invention, the medical care processing is performed by replacing the server 21 of the third party with the server 31 of the medical institution, and the medical information DB. (Third party) drug information DB
(Medical institution), except that the server 21 of the third party exists.

Among the processes according to the method of the present invention, the process for receiving a packaged medicinal product with a tag is originally performed by the server 21 of a third party.
Is not involved, so there is no change even when the third party server 21 does not exist.

[0223]

According to the first aspect of the present invention, there is an effect that various information for preventing erroneous administration such as drug information, patient ID, and prescription ID can be read and written on the tag.

[0224] According to the invention of claim 2, drug information,
In addition to the effect of being able to read and write various information such as patient IDs and prescription IDs to prevent erroneous administration, even when it is difficult to directly attach the product to the packaging material of the medicine, attach it to the packaging material. By attaching the tag to the label, there is also an effect that the tag can be attached to the packaging material.

[0225] According to the invention of claim 3, the tag includes drug information,
In addition to the effect of being able to read and write various types of information such as patient IDs and prescription IDs to prevent erroneous administration, a tag can be formed when printing on pharmaceutical packaging materials and labels, and drug-specific information can be written. There is also an effect.

According to the invention of claim 4, there is an effect that various information for preventing erroneous administration can be read and written to a plurality of tags at the same time only by bringing the dedicated terminal close thereto.

[0227] According to the fifth aspect of the present invention, the tag includes drug information,
In addition to the effect of being able to read and write various information such as patient ID and prescription ID to prevent erroneous administration, the dosage of the packaged medicine is one dose, so the administration of the dosage is easy and the administration is easy. There is an effect that erroneous administration due to an incorrect amount can be prevented.

According to the invention of claim 6, since the medicine information of the packaged medicine is written, it is possible to check whether or not the medicine complies with the prescription by comparing the medicine information with the prescription. .

According to the seventh aspect of the present invention, since the medicine information of the packaged medicine is written, it is possible to check whether the medicine complies with the prescription by checking the medicine information with the prescription. In addition, since the medicine packaged is one dose, there is also an effect that the dose can be easily controlled and erroneous administration due to an incorrect dose can be prevented.

According to the eighth aspect of the present invention, since the patient identification information such as the patient ID of the patient is written, by reading out the patient identification information, the patient to be administered or handed over can be confirmed.

According to the ninth aspect of the invention, since the prescription identification information such as the prescription ID of the prescription is written, the prescription can be compared with the prescription used when preparing the medicine, and it can be confirmed whether the prepared medicine complies with the prescription. effective.

According to the tenth aspect of the present invention, when a doctor issues a prescription, it is possible to check a problem with the prescription, thereby preventing the issuance of an inappropriate prescription.

According to the eleventh aspect of the present invention, since the medical information used by the doctor when making a prescription is stored by a third party, the medical information provided by a pharmaceutical company or the like can be easily managed, and the latest information can be always obtained. It is possible to issue a prescription based on the pharmaceutical information of the present invention, and it is possible to prevent issuance of an inappropriate prescription.

According to the twelfth aspect of the present invention, a medicine can be prepared by looking at a prescription, and it can be confirmed whether or not the prepared medicine complies with the prescription. Therefore, there is an effect that a medicine according to the prescription can be prepared.

According to a thirteenth aspect of the present invention, a medicine package is prepared by referring to a prescription for a packaged medicine with a tag which is individually packaged in one dosage unit and written with the medicine information and delivered, and whether the prepared medicine complies with the prescription. In addition to being able to ascertain whether or not the patient has the prepared drug immediately before administration (or handing over), writing patient identification information on the tag makes it possible to confirm the patient,
When the prescription identification information is written in the tag, there is an effect that it can be easily confirmed again whether or not the medicine has been prepared according to the prescription before administration (or handing).

According to a fourteenth aspect of the present invention, in the case where a plurality of doses are packaged and delivered and a single dose is required to be packaged, or in the case where a pharmacist dispenses (dispensing), a medicine is prepared by looking at a prescription and preparing In addition to being able to verify that a given drug complies with the prescription, if a patient identification is written on the tag, make sure that the patient is given (or handed) immediately before administering (or handing) the prepared drug. In addition, when drug information and prescription identification information are written in the tag, it is easy to confirm again whether or not the drug was prepared as prescribed before administering (or handing) the prepared drug. This has the effect.

The invention of claim 15 has the effect that the patient to be administered can be confirmed immediately before administering (or handing) the prepared one dose of pharmaceutical.

According to the sixteenth aspect of the present invention, it is preferable that a label on which a bar code expressing patient identification information such as a patient ID is written, or an ID card having a memory in which the patient identification information is written be attached to the patient. Alternatively, by using a device for exclusively inputting the patient identification information in the case of possession, the patient to be administered (or handed) can be further improved immediately before administering (or handing) the prepared one dose of medicine. There is an effect that confirmation can be made easily and reliably.

The invention of claim 17 has the effect that before administering (or handing) the prepared medicine, it can be easily confirmed again whether or not the medicine has been prepared as prescribed.

As described above, each invention of the present application has an effect of preventing erroneous administration of a drug.

[Brief description of the drawings]

FIG. 1 is an explanatory view showing an example of an ampule to which a label on which a tag is printed is attached.

FIG. 2 shows a PTP (Press Thro) printed with a tag.
FIG. 4 is an explanatory diagram illustrating an example of packaging (Uhg Package).

FIG. 3 is an explanatory diagram exemplifying a hardware configuration for realizing an erroneous administration prevention method.

FIG. 4 is an explanatory diagram illustrating a hardware configuration of a terminal or a server.

FIG. 5 is an explanatory diagram illustrating a hardware configuration of a dedicated terminal.

FIG. 6 is an explanatory view exemplifying data stored in a drug DB (pharmaceutical company).

FIG. 7 is an explanatory view exemplifying data stored in a medicine DB (third party).

FIG. 8 is an explanatory diagram exemplifying data stored in a medicine management DB and a patient information DB.

FIG. 9 is a flowchart illustrating an example of a flow of a registration process of drug-specific information.

FIG. 10 is a flowchart showing an example of the flow of a process of updating drug-specific information.

FIG. 11 is a flowchart showing an example of the flow of a process of deleting drug-specific information.

FIG. 12 is a flowchart illustrating an example of a flow of a tagged medicine package shipping process when medicine-specific information is not stored in the memory of the tag.

FIG. 13 is a flowchart illustrating an example of the flow of a process for receiving a packaged medicine with a tag.

FIG. 14 is a flowchart illustrating an example of the flow of a main process of a medical treatment process.

FIG. 15 is a flowchart showing an example of the flow of processing involved in a medical examination and issuance of a prescription performed by a doctor in a medical examination.

FIG. 16 is a flowchart showing an example of the flow of a process performed by a pharmacist at the in-hospital pharmacy to prepare a medicine.

FIG. 17 is a flowchart showing an example of the flow of processing performed by a nurse at a nurse center for collating a medicine with a prescription.

FIG. 18 is a flowchart showing an example of a flow of a process performed by a nurse in a hospital room to confirm a medicine to be administered to an inpatient.

FIG. 19 is a flowchart showing an example of the flow of a process performed by a pharmacist at a hospital pharmacy to check a medicine to be handed to an outpatient.

[Explanation of symbols]

11: Dedicated terminal 12: LAN (Local Area Network)
k, campus network) 13 server 21 server 31 server 32 LAN (Local Area Network)
k, private network) 33 ... dedicated terminal 34 ... dedicated terminal 35 ... dedicated terminal 36 ... dedicated terminal 38 ... dedicated terminal 39 ... terminal 41 ... WAN (Wide Area Network)
k, wide area network)

Claims (17)

[Claims] 1. A medicine package with a tag, wherein a tag having a memory for reading and writing information is attached to a medicine package. 2. A pharmaceutical package with a tag, wherein a label attached with a tag having a memory for reading and writing information is attached to a pharmaceutical package. 3. A tag having a memory for reading and writing information is printed on a medicine package, or a tag having a memory having a memory for reading and writing information is printed on a medicine package. A pharmaceutical package with a tag, characterized in that: 4. The tagged pharmaceutical package according to claim 1, wherein the reading and writing of information is performed in a non-contact manner. 5. The packaged pharmaceutical product with a tag according to any one of claims 1 to 4, wherein the packaged pharmaceutical product is one dose. 6. A package of a medicine with a tag according to any one of claims 1 to 4, wherein the medicine information of the packaged medicine is written in a memory. 7. The packaged medicinal product according to claim 6, wherein the packaged medicament is one dose. 8. The pharmaceutical package with a tag according to claim 7, wherein patient identification information for identifying the patient is written in a memory. 9. The package of claim 7, wherein prescription identification information for identifying a prescription is written in a memory. 10. Preserving drug information, storing patient information, having a doctor prepare a prescription, collating the prescription with drug information and patient information, issuing a warning if there is a prescription problem, And storing a prescription and notifying a person who prepares the medicine of the prescription when there is no problem or when the doctor inputs that the warning should be ignored. 11. The method for preventing incorrect administration of a medicine according to claim 10, wherein the medicine information is stored by a storage means of a third party. 12. A prescription is displayed, drug information is read from a memory of a tag attached to the package of the tagged drug package according to claim 6, and the drug information and the prescription are collated. A warning is issued if the medicine does not comply with the above-mentioned method. 13. A prescription is displayed, drug information is read from a memory of a tag attached to the package of the tagged pharmaceutical package according to claim 7, and the drug information and the prescription are collated. If the medicine does not comply with the prescription, a warning is issued, and if the medicine complies with the prescription, one or both of the patient identification information for identifying the patient and the prescription identification information for identifying the prescription are written in the memory. How to prevent drug misadministration. 14. A prescription is displayed, and drug information is read from a memory of a tag attached to one or a plurality of the packaged drug packages with a tag according to claim 6, and the pharmaceutical information and the prescription are read. The medicine is collated and a warning is issued if the medicine does not comply with the prescription, and if the medicine complies with the prescription, the medicine is attached to the package of the tagged medicine package according to claim 5 prepared based on the medicine. A method of preventing erroneous administration of a medicine, characterized in that one or both of writing patient identification information for identifying a patient and / or prescription identification information for identifying a prescription to a patient's memory is performed. 15. A patient to be administered (or handed over) is read by reading patient identification information from a memory of a tag attached to the package of the tagged pharmaceutical package according to claim 8. How to prevent drug misadministration. 16. A patient identification information is read from a memory of a tag attached to a package of the medicine package with a tag according to claim 8, the patient identification information is input, and the read patient identification information is input. With the patient identification information
A method for preventing erroneous administration of a medicine, wherein a warning is issued when both patient identification information are different. 17. Prescription identification information and medicine information are read from a memory of a tag attached to the package of the tagged medicine package according to claim 9, and identified by the prescription identification information from stored prescriptions. Reading a prescription, comparing the drug information with the prescription, and issuing a warning if the drug package is not prepared according to the prescription identified by the prescription identification information. .