JP2004118588A - Program for preventing medication indicating error - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a program for preventing medication indicating errors capable of easily correcting medication indications to prevent medication indicating errors. <P>SOLUTION: A computer 1 is made to function as history information storage means 8, 12 for storing the contents of medication indicating errors which one or more doctors have done before and the contents of corrections on the medication indicating errors in such a way that the contents are associated with each other, and as a history information display means 9 for displaying on a screen the contents of the medication indicating errors and the contents of corrections corresponding to the errors, before or after the doctors indicate medication. <P>COPYRIGHT: (C)2004,JPO

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a medication instruction error prevention program, and more particularly to a medication instruction error prevention program for preventing an error in a medication instruction performed by a doctor.
[0002]
[Prior art]
2. Description of the Related Art In recent years, in medical institutions such as hospitals, an order system has been introduced in which a doctor gives a prescription instruction and a medication instruction after diagnosis through a computer system. Such an order system may have a function to check whether a medication instruction input by a doctor includes a contraindication of a drug such as an incorrect combination of drugs or a drug that does not fit the patient's symptoms. Many.
[0003]
In a conventional order system, when there is an error such as a contraindication of a medicine in a medication instruction input from a doctor, the error is notified to the doctor and a correction of the medication instruction is requested. In this case, the doctor examines the cause of the error, corrects the medication instruction having the error, and re-enters the medication instruction without the error into the order system.
[0004]
The cited document 1 describes that an error history due to a user's mistake is stored, an error is predicted from the error history, and an error message for preventing the occurrence of the error is displayed in advance. (For example, see Reference 1).
[0005]
[Patent Document 1]
JP-A-04-317112
[0006]
[Problems to be solved by the invention]
In a conventional order system, when there is an error in a medication instruction input by a doctor, the doctor requests the doctor to correct the medication instruction. In this case, the physician had to investigate the cause of the error by various methods such as literature search, correct the erroneous medication instruction, and re-enter the erroneous medication instruction to the order system.
[0007]
In particular, it was difficult even for a physician to grasp all the contraindications of drugs that have many types and are frequently replaced. Therefore, the doctor may have to spend a great deal of time in correcting the erroneous medication instruction, which causes a problem in that the efficiency of the main medical care is reduced.
[0008]
The present invention has been made in view of the above points, and an object of the present invention is to provide a medication instruction error prevention program which can easily correct a medication instruction and can prevent a mistake in a medication instruction.
[0009]
[Means for Solving the Problems]
Therefore, in order to solve the above-described problem, the present invention relates to a computer that associates details of a medication instruction error performed by one or more doctors in advance with contents of a correction performed on the medication instruction error. Before and after the physician gives a medication instruction, the history information storage means to be stored and history information display means for displaying on the screen the content of the medication instruction error and the content of the correction corresponding to the medication instruction error. It is characterized by.
[0010]
The medication instruction error prevention program according to the present invention stores the content of the medication instruction error performed by one or more doctors in advance and the content of the correction performed on the medication instruction error in association with each other. Before or after the next administration instruction, the content of the medication instruction error and the content of the correction corresponding to the medication instruction error are displayed on the screen. Therefore, the doctor can easily identify the medicine which has been corrected before, and can improve the efficiency of medical treatment.
[0011]
ADVANTAGE OF THE INVENTION According to this invention, correction | amendment of a medication instruction | indication can be performed easily and it is possible to prevent the mistake of a medication instruction | indication.
[0012]
BEST MODE FOR CARRYING OUT THE INVENTION
Next, embodiments of the present invention will be described with reference to the drawings.
[0013]
FIG. 1 is a configuration diagram of an embodiment of an order system according to the present invention. The order system 1 is configured to include order system clients 2a to 2n, an order system server 3, and a network 4 such as a LAN (Local Area Network).
[0014]
The clients 2 a to 2 n are, for example, terminals operated by a doctor, and are connected to the server 3 via the network 4. The server 3 is a computer that provides services for the order system 1 to the clients 2a to 2n, and includes a communication processing unit 5, an order input processing unit 6, an error check processing unit 7, and an error history information management unit 8. , An error display screen creation unit 9, an order database 10, a medication check pattern master 11, and an error history information management file 12.
[0015]
The communication processing unit 5 performs communication with the clients 2a to 2n. The order input processing unit 6 stores an order such as a medication instruction by a doctor in the order database 10. The order database 10 stores orders such as medication instructions input by a doctor.
[0016]
The error check processing unit 7 checks whether or not an error such as a contraindication of a drug is included in the medication instruction by the doctor with reference to the order database 10 and the medication check pattern master 11. The medication check pattern master 11 stores information for checking whether an error is included in the medication instruction.
[0017]
The error history information management unit 8 stores the medication instruction containing the error in the error history information management file 12 as error history information, and uses the medication instruction modified by the doctor to avoid the error as the correction history information. It is stored in the error history information management file 12 in association with the error history information. The error history information management file 12 stores error history information and correction history information in association with each other.
[0018]
The error display screen creating unit 9 is configured to provide at least the error history information and the correction history information when the medication instruction input from the doctor includes an error or when the medication instruction to be input is likely to include the error. Is read from the error history information management file 12 to create an error display screen. Then, the error display screen creating unit 9 displays the created error display screen on the screens of the clients 2a to 2n.
[0019]
For example, when the medication instruction input from the doctor includes an error, the error display screen creating unit 9 reads the medication instruction previously corrected by the doctor to avoid the same error from the error history information management file 12. To create an error display screen.
[0020]
When there is a high possibility that the medication instruction to be input contains an error, the error display screen creating unit 9 displays the medication instruction containing the error beforehand and the medication corrected by the doctor to avoid the error. The instruction is read from the error history information management file 12 to create an error display screen.
[0021]
An example of a case where there is a high possibility that an error will be included in the medication instruction to be inputted is that the object of the medication instruction to be inputted (for example, a patient or a disease) is the object of the medication instruction which previously contained the error. And the like.
[0022]
Next, the hardware configuration of the server 3 will be described. FIG. 2 is a hardware configuration diagram of an embodiment of the server. The server 3 in FIG. 2 includes an input device 21, a display device 22, a drive device 23, a recording medium 24, an auxiliary storage device 25, a memory device 26, It comprises a device 27, an interface device 28, and a database (hereinafter referred to as DB) 29.
[0023]
The input device 21 includes a keyboard, a mouse, and the like, and is used to input various operation signals. The display device 22 is configured by a display device or the like, and is used for displaying various windows, data, and the like. The interface device 28 is configured by a LAN card or the like, and is used for connecting to the network 4.
[0024]
The medication instruction error prevention program related to the processing of the server 3 is provided by, for example, distributing or downloading the recording medium 24. The recording medium 24 storing the medication instruction error prevention program is a recording medium for recording information optically, electrically or magnetically, such as a CD-ROM, a flexible disk, a magneto-optical disk (MO), a ROM, Various types of recording media can be used, such as a semiconductor memory that electrically records information, such as a flash memory.
[0025]
When the recording medium 24 storing the medication instruction error prevention program is set in the drive device 23, the medication instruction error prevention program is installed in the auxiliary storage device 25 from the recording medium 24 via the drive device 23. The downloaded medication instruction error prevention program is installed in the auxiliary storage device 25 via the interface device 28.
[0026]
The auxiliary storage device 25 stores the installed medication instruction error prevention program and also stores necessary files and data. The memory device 26 reads and stores the medication instruction error prevention program from the auxiliary storage device 25 when the computer is started. The arithmetic processing device 27 executes the processing relating to the server 3 according to the medication instruction error prevention program stored in the memory device 26.
[0027]
Hereinafter, the processing of the order system 1 according to the present invention will be described in detail with reference to a screen transition diagram. FIG. 3 is a screen transition diagram for explaining processing when a new error is included in a medication instruction input from a doctor.
[0028]
A doctor who wants to give a medication instruction operates the client 2a to make a connection request to the server 3. When receiving the connection request from the client 2a via the communication processing unit 5, the order input processing unit 6 of the server 3 displays the login screen 31 on the screen of the client 2a.
[0029]
The doctor operates the client 2a and inputs a doctor ID and a password on the login screen 31. The client 2a transmits the doctor ID and the password input on the login screen 31 to the server 3.
[0030]
Upon receiving the doctor ID and the password from the client 2a via the communication processing unit 5, the order input processing unit 6 of the server 3 performs an authentication process. If the authentication process is completed normally, the order input processing unit 6 of the server 3 displays the patient selection screen 32 on the screen of the client 2a. If the authentication process does not end normally, the order input processing unit 6 of the server 3 may end the process, or may display the login screen 31 on the screen of the client 2a again, and You may be required to input a password.
[0031]
The doctor operates the client 2a and inputs the patient number of the patient for whom a medication instruction is to be given on the patient selection screen 32. The client 2a transmits the patient number input on the patient selection screen 32 to the server 3. When receiving the patient number from the client 2a via the communication processing unit 5, the order input processing unit 6 of the server 3 displays a patient medication instruction screen 33 corresponding to the patient number on the screen of the client 2a.
[0032]
The doctor operates the client 2a to input a medication instruction to the patient medication instruction screen 33 corresponding to the patient number. The client 2a transmits the medication instruction input to the medication instruction screen 33 to the server 3.
[0033]
When receiving the medication instruction from the client 2a via the communication processing unit 5, the error check processing unit 7 of the server 3 stores the past medication instruction history and the medication check pattern master 11 stored in the order database 10. Using the information for checking whether the medication order contains an error, it is checked whether the medication order contains an error.
[0034]
Here, a description will be given assuming that the medication instruction includes an error. Based on the result of the check that the medication instruction contains an error, the error check processing unit 7 supplies the medication instruction from the client 2a to the error history information management unit 8 as a medication instruction containing the error. When receiving the medication instruction containing the error from the error check processing unit 7, the error history information management unit 8 stores the medication instruction as error history information in the error history information management file 12.
[0035]
Further, the error history information management unit 8 stores the medication instruction including the error in the error history information management file 12, and then creates an error display screen indicating that the medication instruction from the client 2a and the medication instruction include the error. Supply to section 9. The error display screen creating section 9 displays an error display screen 34 including a medication instruction from the client 2a and a message that the medication instruction includes an error on the screen of the client 2a.
[0036]
The doctor checks the medication instruction including the error on the error display screen 34 and examines the cause of the error. When the doctor requests the medication instruction screen 35, the order input processing unit 6 displays the medication instruction screen 35 on the screen of the client 2a.
[0037]
The doctor operates the client 2a to input a medication instruction corrected to avoid an error on the medication instruction screen 35. The client 2a transmits the medication instruction input to the medication instruction screen 35 to the server 3.
[0038]
When receiving the medication instruction from the client 2a via the communication processing unit 5, the error check processing unit 7 of the server 3 stores the past medication instruction history and the medication check pattern master 11 stored in the order database 10. Using the information for checking whether the medication order contains an error, it is checked whether the medication order contains an error.
[0039]
Here, the description will be made on the assumption that the medication instruction does not include an error. Based on the result of the check that the medication instruction does not include an error, the error check processing unit 7 supplies the medication instruction from the client 2a to the order input processing unit 6. The order input processing unit 6 stores the medication instruction supplied from the error check processing unit 7 in the order database 10.
[0040]
The error check processing unit 7 supplies the medication instruction from the client 2a to the error history information management unit 8 as a modified medication instruction. When receiving the corrected medication instruction from the error check processing unit 7, the error history information management unit 8 stores the medication instruction in the error history information management file 12 as correction history information. The error history information management unit 8 stores the medication instruction including the error in the error history information management file in association with the medication instruction corrected by the doctor in order to avoid the error.
[0041]
Then, the order input processing unit 6 displays a message to the effect that the medication instruction has been normally input on the screen of the client 2a, and ends the processing. The error history information management file 12 as shown in FIG. 4 is created by the processing described with reference to the screen transition diagram of FIG.
[0042]
FIG. 4 is a configuration diagram of an example of the error history information management file. The error history information management file 12 of FIG. 4 stores information 41 of a medication instruction including an error and a medication instruction 42 corrected by a doctor in order to avoid the error in association with each other. The error history information management file further stores information on doctors, information on patients, related accompanying information, and the like.
[0043]
FIG. 5 is a screen transition diagram for explaining processing when a target of a medication instruction to be input and a target of a medication instruction that previously contained an error are the same patient. The processing until the patient selection screen 52 is displayed on the screen of the client 2a is the same as the processing until the patient selection screen 32 described with reference to FIG. 3 is displayed on the screen of the client 2a. Omitted.
[0044]
When the patient selection screen 52 is displayed on the screen of the client 2a, the doctor operates the client 2a and inputs the patient number of the patient for whom a medication instruction is to be performed on the patient selection screen 32. The client 2a transmits the patient number input on the patient selection screen 32 to the server 3.
[0045]
When receiving the patient number from the client 2a via the communication processing unit 5, the error history information management unit 8 of the server 3 searches the error history information management file 12 using the patient number as key information and finds that an error has been included. A record in which the target of the medication instruction is the same patient among the medication instructions is detected.
[0046]
The error history information management unit 8 uses the record detected from the error history information management file 12 to display a medication instruction including an error and a medication instruction corrected by a doctor to avoid the error to the error display screen creation unit 9. Supply. The error display screen creating unit 9 displays on the screen of the client 2a an alerting screen 53 including a medication instruction including an error and a medication instruction corrected by a doctor to avoid the error.
[0047]
That is, when a patient to be given a medication instruction is selected, the contents of the medication instruction containing an error and the medication instruction corrected by the doctor to avoid the error among the previous medication instructions for the patient are selected. Can be displayed on the screen of the client 2a, so that the doctor can be alerted.
[0048]
After displaying the alert screen 53 on the screen of the client 2a, the order input processing unit 6 of the server 3 displays the medication instruction screen 33 of the patient corresponding to the received patient number on the screen of the client 2a.
[0049]
Therefore, the doctor can input the medication instruction on the medication instruction screen 33 after confirming the contents of the medication instruction corrected to avoid the error on the screen of the client 2a, so that the medication instruction including the error can be effectively prevented. It is possible to do.
[0050]
FIG. 6 is a screen transition diagram for explaining a process when a target of a medication instruction to be input and a target of a medication instruction that previously contained an error have the same disease. The processing until the patient selection screen 62 is displayed on the screen of the client 2a is the same as the processing until the patient selection screen 32 described with reference to FIG. 3 is displayed on the screen of the client 2a. Omitted.
[0051]
When the patient selection screen 62 is displayed on the screen of the client 2a, the doctor operates the client 2a and inputs the patient number of the patient for whom a medication instruction is to be performed on the patient selection screen 62. The client 2a transmits the patient number input to the patient selection screen 62 to the server 3.
[0052]
When the error history information management unit 8 of the server 3 receives the patient number from the client 2a via the communication processing unit 5, the error history information management unit 8 searches the error history information management file 12 using the patient number as key information, and retrieves the disease information of the patient. get. Further, the error history information management unit 8 searches the error history information management file 12 using the acquired disease information as key information, and detects a record in which the target of the medication instruction is the same disease among the medication instructions containing the error. I do.
[0053]
The error history information management unit 8 uses the record detected from the error history information management file 12 to display a medication instruction including an error and a medication instruction corrected by a doctor to avoid the error to the error display screen creation unit 9. Supply. The error display screen creating unit 9 displays on the screen of the client 2a an alerting screen 63 including a medication instruction including an error and a medication instruction corrected by a doctor to avoid the error.
[0054]
That is, when a patient to be given a medication instruction is selected, the contents of the medication instruction containing an error among the previous medication instructions targeting the same disease as that of the patient and the error are avoided in order to avoid the error. Since the contents of the medication instruction corrected by the doctor can be displayed on the screen of the client 2a, the doctor can be alerted.
[0055]
After displaying the alerting screen 53 on the screen of the client 2a, the order input processing unit 6 of the server 3 displays a patient medication instruction screen 33 corresponding to the received patient number on the screen of the client 2a.
[0056]
Therefore, the doctor can input the medication instruction on the medication instruction screen 33 after confirming the contents of the medication instruction corrected to avoid the error on the screen of the client 2a, so that the medication instruction including the error can be effectively prevented. It is possible to do.
[0057]
In the alert screen 53 of FIG. 5 and the alert screen 63 of FIG. 6, one medication instruction corrected by the doctor to avoid the error is added to the content of one medication instruction containing the error. Is displayed, but the contents of a plurality of medication instructions corrected by the doctor to avoid the error may be displayed. In this case, for example, the alerting screen 53 of FIG. 5 and the alerting screen 63 of FIG. 6 may be displayed in order from the content of the medication instruction having the largest number of corrections.
[0058]
FIG. 7 is a screen transition diagram for explaining processing when a medication instruction input from a doctor includes the same error as before. The process until the medication instruction screen 73 is displayed on the screen of the client 2a is the same as the process until the medication instruction screen 33 described with reference to FIG. 3 is displayed on the screen of the client 2a. Omitted.
[0059]
When the medication instruction screen 73 is displayed on the screen of the client 2a, the doctor operates the client 2a to input a medication instruction on the medication instruction screen 73. The client 2a transmits the medication instruction input to the medication instruction screen 73 to the server 3.
[0060]
When receiving the medication instruction from the client 2a via the communication processing unit 5, the error check processing unit 7 of the server 3 stores the past medication instruction history and the medication check pattern master 11 stored in the order database 10. Using the information for checking whether the medication order contains an error, it is checked whether the medication order contains an error.
[0061]
Here, a description will be given assuming that the medication instruction includes an error. Based on the result of the check that the medication instruction contains an error, the error check processing unit 7 supplies the medication instruction from the client 2a to the error history information management unit 8 as a medication instruction containing the error. When receiving the medication instruction containing the error from the error check processing unit 7, the error history information management unit 8 stores the medication instruction as error history information in the error history information management file 12.
[0062]
After storing the medication instruction containing the error in the error history information management file 12, the error history information management unit 8 supplies the error display screen creation unit 9 that the medication instruction contains the error. The error display screen creating unit 9 searches the error history information management file 12 using the content of the error included in the medication instruction from the client 2a as key information, and outputs the correction history information corresponding to the content of the error to the error history information management file. 12 The error display screen creating unit 9 displays an error display screen 74 including the medication instruction including the error and the correction history information corresponding to the error on the screen of the client 2a.
[0063]
From the correction history information displayed on the error display screen 74, the doctor can easily know the contents previously corrected by the doctor (self or another person) to avoid the error. When the doctor requests the medication instruction screen 75, the order input processing unit 6 displays the medication instruction screen 75 on the screen of the client 2a.
[0064]
Note that the processing after displaying the medication instruction screen 75 on the screen of the client 2a is the same as the processing after displaying the medication instruction screen 35 described with reference to FIG. 3 on the screen of the client 2a. Description is omitted.
[0065]
It should be noted that the present invention is not limited to the above embodiments, and various changes can be made within the scope of the present invention.
[0066]
The present invention can be configured as described in the following supplementary notes.
(Appendix 1)
History information storage means for storing the details of the medication instruction error previously performed by one or more doctors and the details of the correction made to the medication instruction error;
A medication instruction error prevention program for functioning as history information display means for displaying on a screen the contents of the medication instruction error and the contents of the correction corresponding to the medication instruction error before or after the doctor gives the medication instruction.
(Supplementary Note 2) The history information display unit acquires information on the presence / absence of an error in the medication instruction given by the doctor, and when there is an error in the medication instruction, responds to the content of the medication instruction error and the medication instruction error. The medication instruction error prevention program according to claim 1, wherein the content of the correction is displayed on a screen.
(Supplementary Note 3) The history information display means acquires information on a patient to be instructed by the physician to give a medication instruction or information on a disease of the patient, and responds to the patient to be given the medication instruction or the illness of the patient. The medication instruction error prevention program according to claim 1, wherein the content of the medication instruction error and the content of the correction corresponding to the medication instruction error are displayed on a screen.
(Supplementary Note 4) The history information display means counts the number of corrections made to the medication instruction error, and displays the contents of the correction corresponding to the medication instruction error on a screen in an order corresponding to the number of corrections. The medication instruction mistake prevention program according to claim 1, wherein the program is displayed.
(Appendix 5)
History information storage means for storing the details of the medication instruction error previously performed by one or more doctors and the details of the correction made to the medication instruction error;
Before or after the doctor gives a medication instruction, a medication instruction error prevention program for functioning as history information display means for displaying on the screen the content of the medication instruction error and the content of the correction corresponding to the medication instruction error is recorded. Computer readable recording medium.
(Supplementary Note 6) A medication instruction error prevention device for preventing an error of a medication instruction performed by a doctor,
History information storage means for storing the details of the medication instruction error previously performed by one or more doctors and the details of the correction made to the medication instruction error;
Before or after the doctor gives a medication instruction, a history information display means for displaying on the screen the content of the medication instruction error and the content of the correction corresponding to the medication instruction error, the medication instruction error prevention. apparatus.
[0067]
【The invention's effect】
As described above, according to the present invention, it is possible to easily correct a medication instruction and prevent an error in the medication instruction.
[0068]
[Brief description of the drawings]
FIG. 1 is a configuration diagram of an embodiment of an order system according to the present invention.
FIG. 2 is a hardware configuration diagram of an embodiment of a server.
FIG. 3 is a screen transition diagram for describing processing when a new error is included in a medication instruction input from a doctor.
FIG. 4 is a configuration diagram of an example of an error history information management file.
FIG. 5 is a screen transition diagram for explaining processing when a target of a medication instruction to be input and a target of a medication instruction that previously contained an error are the same patient.
FIG. 6 is a screen transition diagram for describing processing when a target of a medication instruction to be input and a target of a medication instruction that previously contained an error have the same disease.
FIG. 7 is a screen transition diagram for explaining processing when a medication instruction input from a doctor includes the same error as before.
[Explanation of symbols]
1 order system
2a ~ 2n Client
3 server
4 Network
5 Communication processing unit
6 Order input processing unit
7 Error check processing section
8 Error history information management unit
9 Error display screen creation section
10 Order database
11 Medication check pattern master
12 Error history information management file
21 Input device
22 Display device
23 Drive device
24 Recording media
25 Auxiliary storage device
26 Memory device
27 Arithmetic processing unit
28 Interface device
29 Database (DB)

Claims (3)

Computer
History information storage means for storing the details of the medication instruction error previously performed by one or more doctors and the details of the correction made to the medication instruction error;
A medication instruction error prevention program for functioning as history information display means for displaying on a screen the contents of the medication instruction error and the contents of the correction corresponding to the medication instruction error before or after the doctor gives the medication instruction. The history information display unit acquires information on the presence or absence of a mistake in the medication instruction performed by the doctor, and when there is a mistake in the medication instruction, displays the content of the medication instruction error and the content of the correction corresponding to the medication instruction error. The medication instruction mistake prevention program according to claim 1, wherein the program is displayed on a screen. The history information display means obtains information on a patient or a disease of the patient as a target of the medication instruction performed by the physician, and, depending on a patient or a disease of the patient, as the target of the medication instruction, performs the medication. 2. The medication instruction error prevention program according to claim 1, wherein the content of the instruction error and the content of the correction corresponding to the medication instruction error are displayed on a screen.

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