JP2002282341A - Dispensing method based on number of prescriptive days and dispensary recording device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a means for checking the maximum level of dosage to be confirmed without inputting the number of days for prescribing drugs. SOLUTION: The maximum level of dosage (usual dose) is stored in a master data base 6a. The weight of the drugs determined by measurement is divided by the maximum level of dosage stored in the above dosage master data base 6a, so that the maximum level of the dosage can be checked and confirmed by comparing the number of days thus divided and the number of the days prescribed.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a dispensing method based on the number of prescription days for checking the upper limit of the dose when dispensing medicines such as powders and liquid medicines in medical facilities such as hospitals and dispensing pharmacies. The present invention relates to a dispensing recording device used.

[0002]

2. Description of the Related Art When a dispenser (pharmacist) dispenses a drug such as a powder or a liquid medicine in a medical facility such as a hospital or a dispensing pharmacy, the dose described in the prescription (daily dose or single dose) ) Is multiplied by the number of days (or the number of times) to obtain a total amount, and the obtained total amount is measured using a measuring device such as an electronic balance or a measuring cylinder liquid amount device, and is subdivided into the number of prescriptions.

[0003] Therefore, in order to prevent a dispenser from reading a doctor's prescription and making mistakes in the type of medicine, a dispensing recording apparatus for recording the kind and amount of medicine for each dispensing has been used. .

The dispensing recording device includes, for example, reading means for reading identification information attached to a medicine container, measuring means for measuring the medicine taken out of the medicine container from which the identification information has been read by the reading means, and a dose upper limit value for each medicine. (Normal,
A dosage master database storing (registering) prescription amounts for adults not used in excess of that amount: also referred to as extreme doses and normal doses, input means for inputting the prescription days of the drug, and processing means. The medicine name based on the read medicine container identification information and the measured value measured by the measuring means are recorded.

When the number of prescription days described in the prescription is inputted from the input means, the upper limit value of the dose stored (registered) in the dose master database based on the identification information of the medicine container read by the reading means and the previous value. The measured values measured by the measuring means are compared, and when the measured value exceeds the stored upper limit value of the dose, it is notified.

[0006]

However, in the above-mentioned check of the upper limit of the dose in the dispensing recording device, the value obtained by dividing the measured value of the total amount of the drug by the number of prescription days is compared with the upper limit of the dose. Therefore, it is necessary for the dispenser to input the number of days each time, which is not only troublesome, but the operation of inputting the number of days used only for checking the upper limit of the dose is a heavy burden for the dispenser during busy dispensing work. There is.

[0007] In addition, a doctor may consciously prescribe a dose exceeding the upper limit of the dose, and the excess amount at the time of prescription may become a problem. Therefore, the dispenser needs to know the value of the upper dose limit, not just the excess.

[0008] Furthermore, there is a possibility that the dispenser may make an error when calculating the total amount, so that the number of days should be confirmed.

On the other hand, for example, regarding the dosage for children and the elderly, the Augsberger formula and VonHarnac
The dosage for age is determined by simplifying the usage for adults based on the table of k, and therefore, the upper limit of the dose needs to be determined according to age.

However, in order to check the upper limit of the dose in accordance with the age with the above-mentioned dispensing recording device, the operation of inputting the date of birth (or age) of the patient described in the prescription increases, which is troublesome. Increases the burden on the dispenser.

Also, the correspondence between the age range and the upper limit of the dose is not strict, and the dispenser may make a judgment including the balance between the upper and lower doses before and after the age range. There is also a problem in doing so.

[0012] Therefore, an object of the present invention is to first enable the dispenser to easily confirm and check the upper limit of the dose without inputting the number of days. Next, the dispenser inputs the date of birth. To be able to confirm and check the upper dose limit according to age without having to do so.

[0013]

In order to solve the above-mentioned problems, in the present invention, a dose master database is provided to store the upper limit (normal dose) of a drug, and then the drug taken out of the drug container is measured. Then, the upper limit of the dose of the measured drug is displayed based on the database, the measured value of the measured drug is divided by the displayed upper limit of the dose, and the number of days calculated by the division is displayed and checked. The method was adopted.

By adopting such a method, the upper limit of the dose is displayed, and when the medicine is weighed, the number of prescription days is calculated and displayed, so that the displayed number of days can be compared with the number of prescription days of the prescription. Check and check the upper limit of the dose.

At this time, after the upper limit of the dose for each age is stored in the dose master database, the medicine taken out of the medicine container is measured by the measuring means, and the upper limit of the measured dose of the medicine is stored on the basis of the database. It is possible to adopt a configuration of separately displaying and dividing the measured value of the measured medicine by the displayed upper limit of the dose for each age, and displaying the number of days calculated by the division by age and checking.

By adopting such a configuration, the upper limit of the dose for each age is displayed, and when the medicine is weighed, the number of prescription days for each age is calculated and displayed. By comparing with the above, it is possible to confirm and check the upper limit of the dose by age.

Further, a reading means for reading the identification information attached to the medicine container, a measuring means for measuring the medicine taken out of the medicine container from which the identification information has been read by the reading means, a dosage upper limit (normal dosage) for each medicine ), An input means for inputting the number of days for prescribing the drug, a drug name based on the identification information of the drug container read by the reading means, and a measured value measured by the measuring means. A prescription amount calculated from the measured value of the medicine measured by the measuring means and the number of prescription days input from the input means, and the dose stored in the dose master database based on the identification information of the medicine container read by the reading means. In the dispensing recording device comprising a processing means for comparing the calculated prescription amount exceeds the upper dose limit by comparing with the upper limit value, Instead of the input means for inputting the number of days, the upper limit value of the dose stored in the dose master database is displayed, and the number of days for prescribing the drug is calculated based on the displayed upper limit value and the measured value measured by the measuring means. And a check is performed based on the displayed prescription days.

By adopting such a configuration, the upper limit of the dose is displayed and, for example, if the data measured by the measuring means is divided by the upper limit of the dose in the dose master database, the number of prescription days can be calculated. By comparing this with the prescription days of the prescription, the upper limit of the dose can be confirmed and checked.

At this time, the upper limit of the dose for each age is displayed by storing the upper limit of the dose for each age in the dose master database and calculating and displaying the number of prescription days for each age. At the same time, the number of prescription days can be calculated and displayed. By comparing the displayed number of days with the number of prescription days of the prescription, it is possible to confirm the upper limit of the dose and to check the upper limit.

[0020]

Embodiments of the present invention will be described below with reference to the drawings.

FIGS. 1 and 2 show one embodiment of a dispensing recording apparatus using the dispensing method based on the number of prescription days according to the present invention.

As shown in FIG. 1, the dispensing recording device comprises identification information reading means 1, weighing means 2, display means 3, input means 4, printer 5, storage means 6, and processing means 7. Is used by being incorporated into the dispensing table 8.

The identification information reading means 1 is for reading the identification information attached to the medicine container A.
As shown in FIG. 2, a barcode reader 1a for reading a barcode attached to the medicine container A, an ID tag reader 1b for receiving a signal of a wireless ID tag attached to the medicine container A, Any type of magnetic sensor, such as a magnetic sensor for reading a binary code formed at the position of the magnet piece attached to the medicine container, may be used.

The measuring means 2 comprises an electronic balance 2a for measuring a powder, a measuring cylinder liquid amount reading device 2b for measuring a liquid as shown in FIG. 2, and obtains a measured value of the measured drug.

The display means 3 may be a CRT, but since it is installed on the dispensing table 8, a small and integrated liquid crystal display device 3a as shown in FIG. 2, for example, is preferable. A liquid crystal display 3a having a touch input mechanism that can be used as a means is preferable.

The input means 4 is used for inputting the operation of the entire dispensing recording apparatus and for inputting various databases such as a dose master database 6a and a drug master database 6b to be described later, and uses a keyboard 4a, a mouse 4b and the like. However, since it is installed on the dispensing table 8 as described above, the display 3 having the touch input mechanism is used here.
a is used.

The printer 5 is for printing a dispensing record, and may be of any type such as a thermal type or an ink jet type.

The storage means 6 is for storing various data such as the above-mentioned dose master database 6a and drug master database 6b, and registers a dose upper limit value for each drug in the dose master database 6a. on the other hand,
A medicine code, a medicine name,
Basic data on a drug such as a drug unit is stored. By providing the dose master database 6a and the medicine master database 6b in this way, a relational database can be constructed. Therefore, for example, it is realistic to use a storage such as a large-capacity hard disk as the storage unit 6,
In the future, a configuration using a nonvolatile memory such as a flash memory may be considered.

The processing means 7 has a control program for controlling the entire dispensing recording apparatus, and has a calendar function for dispensing recording.

The display means 3, the input means 4, the storage means 6, and the processing means 7 may be constituted by a personal computer (including a notebook), or may be constituted by a network. The hardware devices are not limited to those described above, and the type and the number of hardware devices can be arbitrarily set.

This dispensing recording apparatus is configured as described above, and the processing operation thereof will be described below to explain the dispensing method based on the number of prescription days of the present invention.

First, prior to dispensing, it is necessary to store (register) the upper limit data (dose upper limit value) of the drug dose in the dose master database 6a and store the basic data on the drug in the drug master database 6b.

Here, the dose master database 6a
In the simplest configuration, only one upper limit data of an adult (adult) can be stored as the upper limit dose data. However, in this embodiment, the upper limit dose data is constructed for each age range. The display screen is shown in FIG. Note that FIG.
, The data range is set so as to be “less than”. However, the present invention is not limited to this.
A data configuration such as “○ to △△” may be used.

Incidentally, the dose upper limit registration screen of FIG.
It is started from the menu screen.

In the display example of FIG. 3, the upper limit of the dose is 0.25 g when the age range is less than 3 years old, 0.33 g when the age range is 3 years old or more → less than 7 years old and 6 months, and when the age range is 7 years and 6 months or more → less than 12 years old. Is 0.50 g, 12 years old or older → 0.67 g for children under 15 years old, 1
5 years old or older → 1.00 g for children under 60 years old;
It means 9 g.

On the other hand, in the registration of this data, in the example of FIG. 3, the data item button displayed on the liquid crystal display device 3a as the display means 3 is pressed to display a numerical button list window (not shown), and the display is performed. Enter the numerical value by pressing the number buttons, and press the “Enter” button 13.
It is a system that registers data and returns to the menu screen, so that it can be operated intuitively. In addition,
When the "end" button 17 is pressed, the screen returns to the menu screen without registering the data.

When the upper limit data of the drug dose is registered in the dose master database 6a in this manner, preparation for dispensing is completed.

Therefore, the dispenser starts dispensing processing of the dispensing recording device and proceeds dispensing while looking at the prescription.

This dispensing process is started from the previous menu screen not shown. Next, the dispensing process will be described with reference to the flowchart of FIG.

First, when the dispensing process is started ("Process 1")
00, the "processing" is omitted), and the dispensing screen of FIG. The screen at this time displays an initial screen in which the “drug name” and “weighing value” columns 10 and 11 are empty. When the initial screen is displayed (110), the dispenser removes the medicine container A. Reading means 1 such as a barcode reader 1a
a and the identification information can be read (12
0). At this time, when the processing unit 7 reads the identification information,
The medicine master database 6b is searched with the read identification information to acquire a medicine name, and the acquired medicine name is displayed in the "drug name" column 10 of the dispensing screen (130). When the name of the medicine is displayed, the dispenser measures the dose of the medicine, for example, written on the prescription of FIG. 6 by using the measuring means 2 such as the electronic balance 2a or the measuring cylinder liquid amount reading device 2b (140).
The weighed value at this time is displayed in the "weighed value" column 11 of the dispensing screen (150), and until the "Cancel" button 12 or the "Enter" button 13 on the dispensing screen of FIG. 160, 180), the weighing can be repeated. Therefore, accurate weighing can be performed by repeatedly performing weighing. At this time, if the "cancel" button 12 is pressed (160), the medicine name is deleted (17).
0), returning to the processing 120 and repeating the subsequent processing.

On the other hand, when the “enter” button 13 is pressed,
The determined weighed value is displayed in the "weighed value" column 11 of the dispensing screen (190). For example, as shown in FIG.
In column 10, "Sansai B" and in "weighing value" column 11, "1.8
0g ". When the medicine name and the measured value are input in this way, the processing means 7 sets the dose master database 6
a is searched to determine whether or not there is an upper limit of the dose of the input drug (200). At this time, if the upper limit of the dose is registered, the process proceeds to the number of days calculation process (210). If the upper limit is not registered, the process returns to the process 120, and the process is repeated for the next medicine.
In the example of FIG. 5, Sanzai B indicates that the upper limit of the dose is registered.

In the number of days calculation process (210), the number of days is calculated by dividing the weighed value by the upper limit dose read out in the search. At this time, if there is a dosage upper limit for each age range, the number of days for each age range is calculated. The calculated number of days is displayed, for example, as shown in FIG.
0). When the number of days is displayed in this process (220), the dispenser can see on the display screen that “Sanzai B” is a medicine to be noted that has an upper dose limit. In addition, the dispenser who knew this, for example, that the “age” is 11 years and 11 months from the “birth date” and “date of the day (dispensing date)” described in the prescription of FIG. You can know. Therefore, the upper limit of the dose corresponding to the age range "7 years and over 6 months" to "less than 12 years" displayed on the screen → 0.50 g and the number of days → 3.60 days, the dose upper limit is exceeded. Can be recognized.

Here, the dispenser is that the patient's age is just before the age of 12, and 0.6 g of the dose is 0.67 g or less, which is the upper limit of the dose in the next age range of "12 years or older" to "less than 15 years". Therefore, it is possible to determine that there is no problem without consulting a doctor. At this time, the above-mentioned recognition allows the user to make comprehensive judgments by checking with other dispensers, examining the past drug history of the patient, and examining the package insert of the medicine.

As a result of the determination on the dose upper limit / days confirmation screen shown in FIG. 7, when the "Yes" button 14 on this confirmation screen is pressed (230), the dispensing screen (FIG. 5) saved in the process 220 is restored. (240), and the process returns to step 120. At this time, if there is a medicine to be further dispensed, the processing 120
Repeat ~ 240. If there is no medicine to be dispensed, the process proceeds to the printing process of process 280.

In the printing process 280, the dispenser presses the "print" button 15 on the displayed dispensing screen (FIG. 5) (280) to proceed to the dispensing record printing process (29).
0), otherwise proceed to end determination processing (310).

In the dispensing record printing process (290), dispensing records include "dispensing person name", "dispensing date", "dispensing start time", "dispensing names" of all dispensed medicines, "measured values" and "total amount". , And “Dispensing end time” are printed by the printer 5. When the printing is completed, since the dispensing of the prescription has been completed, all the drug names and all the measured values in the “drug name” and “measured value” columns on the dispensing screen are deleted (300), and the next dispensing is prepared.

On the other hand, in the process 230, the "No" button 16
Is pressed (250), the dispensing screen (FIG. 5) is restored (260), the weighing value in the "weighing value" column 11 of the dispensing screen is erased (270), the process returns to the process 140, and the above process is repeated. .

On the returned dispensing screen, an "end" button 1
Pressing 7 ends the dispensing process and returns to the menu screen.

As described above, in the dispensing recording apparatus using the dispensing method based on the number of prescription days, the upper limit of the dose can be easily known, and the dispenser can easily input the number of days without "ichiichi". Check and check the upper limit of the dose.

Similarly, the upper limit of the dose for each age can be easily known, and the dispenser can confirm and check the upper limit of the dose according to the age without inputting the date of birth "1".

[0051]

According to the present invention, when a drug having an upper limit of a dose is weighed by the above-described configuration, the number of days calculated by dividing the measured value of the drug by the upper limit of the dose of the drug and the upper limit of the dose is obtained. Is displayed, there is no need for the dispenser to enter the number of days. In addition, the above display calls attention to the dose and the number of days, and allows the upper limit of the dose to be easily confirmed and checked.

Also, at this time, by displaying the upper limit of the dose for each age range and the number of days calculated by dividing the measured value of the drug by the upper limit of the dose, the dispenser has to enter the date of birth and age of the patient. The above display alerts the user to the dose and the number of days, so that the upper limit of the dose can be easily confirmed and checked.

Therefore, the patient's date of birth, gender, all drug names, doses,
Dispensers can make comprehensive judgments along with usage and days.

[Brief description of the drawings]

FIG. 1 is a block diagram of an embodiment.

FIG. 2 is a schematic view of an embodiment.

FIG. 3 is an action diagram showing a dosage upper limit registration screen of the embodiment.

FIG. 4 is a flowchart of an embodiment.

FIG. 5 is an operation diagram showing a dispensing screen according to the embodiment.

FIG. 6 is an operation diagram showing a prescription.

FIG. 7 is an operation diagram showing a confirmation screen according to the embodiment;

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 Identification information reading means 2 Measuring means 3 Display means 4 Input means 6a Dose master database 7 Processing means A Drug container

Claims (4)

[Claims] 1. A dose master database is provided to store an upper limit (normal dose) of a drug, and then the drug taken out of the drug container is measured, and the upper limit of the measured dose is displayed based on the database. A dispensing method based on the number of prescription days in which the measured value of the medicated drug is divided by the displayed upper dose limit, and the number of days calculated by the division is displayed and checked. 2. After the upper limit of the dose for each age is stored in the dose master database, the drug taken out of the drug container is measured by a measuring means, and the upper limit of the dose of the metered drug is stored for each age based on the database. The dispensing based on the prescription days according to claim 1, wherein the dispensing is performed by dividing the measured value of the measured medicine by the displayed upper limit of the dose by age and displaying the days calculated by the division by age. Method. Reading means for reading identification information attached to the medicine container; measuring means for measuring the medicine taken out of the medicine container from which the identification information has been read by the reading means; ), An input means for inputting the number of days of prescription of the medicine, a medicine name based on the identification information of the medicine container read by the reading means, and a measured value measured by the measuring means. A prescription amount calculated from the measured value of the medicine measured by the measuring means and the number of prescription days input from the input means,
A dispensing device comprising processing means for comparing with a dose upper limit value stored in a dose master database based on the identification information of the medicine container read by the reading means and notifying that the calculated prescription amount exceeds the dose upper limit value; In the recording device, instead of the input means for inputting the number of prescription days, the upper limit of the dose stored in the dose master database is displayed, and based on the displayed upper limit of the dose and the measured value measured by the measuring means, A dispensing recording device that calculates and displays prescription days, and performs a check based on the displayed prescription days. 4. The dispensing recording device according to claim 3, wherein the upper limit of the dose for each age is stored in the dose master database, and the number of prescription days is calculated and displayed for each age.