JP2004195033A - Support system and method for preventing error in preparation of medicine - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a support system and a method useful for the prevention of errors in preparation of a medicine and for the discovery of accidents of chemical storage which allows easy confirmation of the name and the remaining quantity of a chemical contained in each chemical container. <P>SOLUTION: A bottle container 2 for containing a chemical to be stored in a depository 1 is provided with a contactless integrated circuit (IC) tag 4 comprising a contactless communication section and a data storing memory for storing chemical specific data. A contactless read-write devices 20 and 10 comprising a controller for reading and writing the contactless communication section and the data storing memory are installed in a medicine preparation place. Before starting to prepare a medicine, the contactless read-write unit read out the chemical specific data, such as remaining quantity of the chemical or the like, stored in the data storing memory by bringing the container 2 close to the contactless read-write unit 20. After preparing a medicine, a remaining quantity of the chemical is updated and wrote in the data storing memory by bringing the container 2 close to the contactless read-write unit 20. <P>COPYRIGHT: (C)2004,JPO&NCIPI

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a dispensing error prevention support system and a dispensing error prevention method that help prevent dispensing errors and also prevent storage accidents of medicines.
[0002]
Problems to be solved by the prior art and the invention
At the site of a dispensing pharmacy, dispensing work is usually performed in the following procedure. The picker and the dispenser may be the same person or different persons.
(1) Pickers, based on prescriptions, take medicines such as powders, liquids, tablets, etc. from containers, such as bottles, ampoules, bags, etc., from fixed positions determined for each medicine in shelves, drawers, etc. Is collected together with the container (this operation is called "delivery" or "picking").
(2) The dispenser takes out the picked medicine from the container and dispenses it.
(3) After dispensing, the dispenser returns the medicine remaining in the container to its original position in the storage (this operation is referred to as "storage").
(4) After dispensing, the dispenser hands over the dispensed medicine to the inspector, and the inspector audits the medicine for dispensing errors.
[0003]
In such a dispensing operation, a dispensing error is an accident that should never occur, but there is a good possibility of it occurring. For example, dispensing errors that occur as follows are known from experience.
(A) Dispensing mistake due to incorrectly picking a drug stored in the next position, not a target drug stored in a fixed position.
(B) A dispensing error caused by returning the medicine remaining in the container to the wrong storage after dispensing, and picking the wrongly returned medicine next time without being aware of it as a mistake by daily practice.
[0004]
Moreover, these dispensing mistakes are particularly likely to occur in the following cases.
(A) When handling chemicals that are very diverse but difficult to distinguish in color, such as colorless and transparent liquids, powders in the form of white powder, and white tablets.
(B) When the external shape of the medicine container is similar.
(C) The risk of the dispensing error of (B) may be increased for those who are more accustomed to the work and are more skilled.
[0005]
The dispensing mistake that occurs as described above may not be overlooked when the dispensed medicine passes from the dispenser to the auditor. This is because the items to be checked in the dispensing operation are performed only by the visual check of the picker and the dispenser. In particular, in the dispensing of medicines in the dispensing operation, since only the dispenser performs the final confirmation work, the audit by the auditor may not be perfect. In addition, at the dispensing pharmacy site, the communication from the dispenser to the auditor is all performed in an anachronic manner (for example, on a note sheet), so that the auditor may not be able to see the dispenser's mistake.
[0006]
Also, a theft accident, in which the medicine stored in the vault is partially removed by an unauthorized person, although this should not occur, it is possible. However, conventionally, it was practically impossible to detect such a storage accident of a chemical.
[0007]
As a method of eliminating such dispensing mistakes or management accidents, it is easy to conceive of increasing the number of personnel and multiplexing confirmations. However, at the dispensing pharmacy site, labor costs are reduced and operations are accelerated (waiting time is reduced). ), And it is very difficult to multiplex and increase the number of people to check because of the business content that values the explanation at the time of delivery.
[0008]
In light of the preceding literature which is thought to be useful for reducing dispensing errors, for example, Patent Literature 1 below describes a dispensing support system for automatically collecting dispensed medicines, but such a system is large-scale. It is expensive and cannot be easily introduced. Further, in Patent Document 2 below, an identification code signal is transmitted from a transceiver of a dispensing table to a transceiver of a medicine container, and an indicator lamp is turned on to notify the location of the medicine container. Although a device that sends a self-identification code to one transceiver and checks whether it matches the first identification code signal is described, such a system is also large-scale, and a single function of drug identification is also described. It's just
[0009]
[Patent Document 1]
JP-A-11-169436 [Patent Document 2]
Japanese Utility Model Registration No. 3024113
An object of the present invention is to solve the above-mentioned problems, and to be able to easily confirm the name and the remaining amount of a medicine for each container containing the medicine, thereby helping to prevent dispensing errors, and at the same time, preventing the storage of a medicine. It is an object of the present invention to provide a dispensing error prevention support system and a dispensing error prevention method, which are also useful for finding out.
[0011]
[Means for Solving the Problems]
In order to solve the above-mentioned problems, a dispensing error prevention support system according to the present invention provides a non-contact communication unit and at least a medicine name and a residue in a container containing medicines such as powders, liquids, and tablets stored in a storage. A non-contact type IC medium such as an IC tag and an IC card including a data storage memory for storing drug-specific data including an amount is attached, and a non-contact communication unit and the data storage memory are read and written at a dispensing place. A non-contact type read / write device including a control unit capable of installing the medicine, and picking up the medicine from the storage together with the container and before dispensing the medicine. And the medicine-specific data stored in the data storage memory of the non-contact type IC medium is transmitted by the control unit of the non-contact type read / write device via the mutual non-contact communication unit. Characterized in that it has been configured to take seen.
[0012]
Here, the “contactless IC (integrated circuit) medium” includes, but is not particularly limited to, a control unit (CPU) that controls access to the data storage memory in addition to the contactless communication unit and the data storage memory. Are preferred. In addition, the non-contact type IC media include not only existing IC tags or IC cards but also any forms that will appear in the future.
[0013]
The “drug-specific data” stored in the data storage memory includes at least the drug name and the remaining amount as described above, but further includes an identification code, a common name, shape, particle size (fineness), viscosity, color, smell, and the like. Drug properties, delivery (taken out of storage) history, storage (returned to storage) history, usage history, precautions (side effects, indication of poisons / drugs, habit, risk of wrong dose, It can also include at least one selected from data such as dangers due to combinations, non-adapted patients, advice when applying to infants / elderly people, etc.).
[0014]
The “container” containing the medicine is not particularly limited, and examples thereof include a bottle, a can, a box, a drawer, and a bag. The means for attaching the non-contact type IC media to the container is not particularly limited, but examples include embedding, sticking, engagement by unevenness, and the like.
[0015]
The installation position of the “non-contact read / write device” is not particularly limited, but it is preferable that at least the non-contact communication unit is installed inside or outside the weighing device as described later. Although a dedicated CPU may be used as the control unit of the non-contact type read / write device, it is preferable to use a general-purpose personal computer (hereinafter, referred to as a personal computer).
[0016]
Furthermore, the present invention is configured such that the read medicine-specific data is output by at least two of three means of displaying on a display, reading out by a voice guidance device, or printing by a printer. It is preferable that the output medicine-specific data can be compared with the medicine name visually observed by the dispenser and the weighed remaining amount. The output here means not only outputting the read medicine-specific data as it is, but also reading the identification code of the medicine and, based on the identification code, a database connected to the control unit of the non-contact type read / write device. This includes extracting and outputting unique information from.
[0017]
Further, after taking out the medicine by a predetermined amount from the container and dispensing the medicine, the container in which the medicine remains is brought close to the non-contact type read / write device again, and the control unit of the non-contact type read / write device controls each other. It is also preferable that the updated remaining amount is written to the data storage memory of the non-contact type IC media via the non-contact communication section.
[0018]
Further, the medicine-specific data further includes a usage amount history and a storage history, and after the dispensing, the container in which the medicine remains is brought close to the non-contact type read / write device again, and the non-contact type read / write device It is also preferable that the control unit writes the updated usage history and storage history to the data storage memory of the non-contact IC media via the non-contact communication units.
[0019]
Further, the non-contact communication unit of the non-contact type read / write device is installed near or inside the weighing device, and before the dispensing, the non-contact type when the container containing the medicine is placed on the weighing device. When inevitably approaching the non-contact communication unit of the read / write device, the medicine is weighed and the reading is performed at the same time, and after the dispensing, the container in which the medicine remains is placed on the weighing device again. It is also preferable that the writing is performed based on the measured remaining amount at the same time as measuring the remaining amount of the medicine by inevitably approaching the non-contact communication section of the non-contact type read / write device.
[0020]
In addition, it is preferable that the medicine-specific data further include precautions as described above. It is preferable that the notice be read out not only on the display but also in particular by voice guidance.
[0021]
Next, the dispensing error prevention method according to the present invention includes a non-contact communication unit and a medicine specific data including at least a medicine name and a remaining amount in a container containing medicines such as powders, liquid medicines and tablets stored in a storage. A non-contact type IC medium such as an IC tag and an IC card including a data storage memory to be stored is attached, while a non-contact communication unit and a control unit that can read and write the data storage memory are provided at the dispensing place. Before installing a contact type read / write device and taking out a prescribed amount of medicine from the container and dispensing the medicine, the container containing the medicine is brought close to the non-contact type read / write device, and the non-contact type IC is read. The drug-specific data stored in the data storage memory of the medium is read by the control unit of the non-contact type read / write device via the mutual non-contact communication unit, and the read drug-specific data is read, Drugs that are output by at least two of the three means of displaying on the display device, reading out by the voice guidance device, or printing by the printer device, and the output of the drug-specific data by the dispenser himself. By comparing the name and the weighed remaining amount, it is possible to find a mistake of the medicine at the time of picking or an error or a fluctuation of the remaining amount at the time of storage.
[0022]
Here, after taking out the medicine from the container by a predetermined usage amount and dispensing, the container where the medicine remains is again brought close to the non-contact type read / write device, and the control unit of the non-contact type read / write device, It is preferable that the updated remaining amount is written to the data storage memory of the non-contact type IC medium via the mutual non-contact communication unit, so that the error of the remaining amount during storage can be eliminated. .
[0023]
Furthermore, by recording each of the above-mentioned operations on a video recorder or the like, it is possible to manage daily operations, and to effectively use the information as countermeasures and problems when an accident is encountered.
[0024]
BEST MODE FOR CARRYING OUT THE INVENTION
1 to 5 show a dispensing error prevention support system and a dispensing error prevention method according to an embodiment of the present invention. As shown in FIGS. 1 and 2, a storage 1 such as a shelf or drawer of a dispensing pharmacy or hospital stores a large number of containers 2 and 3 containing medicines such as powders, liquids and tablets. A non-contact type IC medium is attached to each of the containers 2 and 3 of the present embodiment. Specifically, in the illustrated example, the non-contact type IC media is not in contact with the bottom of the bottle container 2 containing the powder, liquid or tablet medicine. A type IC tag 4 is attached by embedding, and a non-contact type IC card 5 is attached by sticking to the bottom of a drawer-shaped box container 3 containing a powder or tablet medicine.
[0025]
Both the non-contact type IC tag 4 and the non-contact type IC card 5 are basically IC media having a common configuration except for the difference in shape and size. As shown in FIG. And a control unit 8 (CPU) for controlling access to the data storage memory 7. In the data storage memory 7, identification codes, chemical names, general names, remaining amounts, chemical properties such as shape, particle size (fineness), viscosity, color, smell, etc., delivery history, storage history, usage history, and notes Is stored in a rewritable manner.
[0026]
A dispensing management personal computer 10 is installed at the dispensing place, and a display 11, a speaker 12, a printer 13, and a video recorder 14 are connected to an interface (not shown), and a video camera 15 and a microphone 16 are connected to the video recorder 14. Have been. A non-contact type read / write unit 20 including a non-contact communication unit 21 and an interface 22 is installed inside the electronic weighing device 17 installed at the dispensing place. The contact read / write unit 20 is also connected. The non-contact type read / write device is constituted by the non-contact type read / write unit 20 and the dispensing management personal computer 10 as a control unit capable of reading and writing the data storage memory 7.
[0027]
Then, after picking up the medicines from the storage 1 together with the containers 2 and 3 and before dispensing, the containers 2 and 3 containing the medicines are placed on the weighing device 17 so that the non-contact type read / write unit 20 The medicine is inevitably brought close to the non-contact communication unit 21 to weigh the medicine, and at the same time, the medicine-specific data stored in the data storage memory 7 of the non-contact type IC media 4 and 5 is transferred to the non-contact communication units 6 and It is configured to be readable by the dispensing management personal computer 10 as a control unit via the control unit 21.
[0028]
The read medicine-specific data is displayed on a display 11 as shown in an example in FIG. 5, read out from a speaker 12 by a voice guidance device (not shown) incorporated in the dispensing management personal computer 10, and printed by a printer 13. The medicine specific data output by these three means can be reliably compared with the medicine name visually observed by the dispenser and the weighed remaining amount.
[0029]
At this time, the updated dispensing history is written into the data storage memory 7 of the non-contact type IC media 4 and 5 by the dispensing management personal computer 10 as a control unit via the non-contact communication units 6 and 21 of each other. You can do it.
[0030]
Next, after taking out the medicine by a predetermined amount from the containers 2 and 3 and dispensing the medicine, when the containers 2 and 3 where the medicine remains are put on the weighing device 17 again, the non-contact communication of the non-contact type read / write unit 20 is performed. Inevitably approach the unit 21 to measure the remaining amount of the medicine, and at the same time, based on the measured remaining amount, the dispensing management personal computer 10 as a control unit transmits the non- The updated remaining amount, usage history, and storage history can be written in the data storage memory 7 of the contact type IC media 4, 5.
[0031]
A prescription database personal computer 30 is connected to the dispensing management personal computer 10 via a network. The prescription is input to the prescription database personal computer 30, and the first entry information to the medicine storage is input. Also, the dispensing management personal computer 10 can acquire the prescription number and the indicated amount of medicine use by the prescription from the prescription database personal computer 30. Therefore, it is possible to compare the used amount and the remaining amount of the medicine between the personal computers 10 and 30.
[0032]
The dispensing operation is performed in the following procedure using the dispensing error prevention support system configured as described above. FIG. 4 illustrates the procedure. The picker and the dispenser may be the same person or different persons.
[0033]
(1) The picker takes out and collects the medicines contained in the containers together with the containers 2 and 3 from a fixed position determined for each medicine in the storage 1 based on the prescription (picking).
[0034]
(2) As shown by the arrow (1) in FIG. 1, after the picking and before the dispensing, the containers 2 and 3 containing the chemicals are placed on the weighing device 17, and the non-contact type IC media 4 and 5 The non-contact communication unit 6 is necessarily brought closer to the non-contact communication unit 21 of the non-contact type read / write unit 20. Thereby, the medicine can be weighed, and at the same time, the medicine-specific data stored in the data storage memory 7 of the non-contact type IC media 4, 5 is transmitted to the control unit via the non-contact communication units 6, 21. And can be read by the dispensing management personal computer 10 as a computer. The read medicine-specific data is displayed on a display 11 as shown in an example in FIG. 5, read out from a speaker 12 by a voice guidance device (not shown) incorporated in the dispensing management personal computer 10, and printed by a printer 13. Is done.
[0035]
(3) As shown by the arrow line (2) in FIG. 1, the dispenser takes out the picked medicine from the container and dispenses it. As described above, the read medicine-specific data is output not only by visual means but also by auditory means, so that the dispenser can be surely alerted and read back / touch the display (finger touch). Can also be enforced. Then, the medicine-specific data can be compared with the medicine name visually observed by the dispenser and the weighed remaining amount, so that a mistake in medicine at the time of picking can be found, and dispensing errors can be eliminated.
Further, even when a medicine stored in the storage 1 is partially removed by an unauthorized person, a storage accident can be found by comparing the remaining amounts.
[0036]
(4) As shown by the arrow (3) in FIG. 1, after dispensing, the containers 2 and 3 in which the medicines remain are placed on the weighing device 17 again, and the non-contact communication section 6 of the non-contact type IC media 4 and 5 is moved. Inevitably approach the non-contact communication unit 21 of the non-contact read / write unit 20. Thereby, at the same time as measuring the remaining amount of the medicine, the dispensing management personal computer 10 as a control unit, based on the measured remaining amount, transmits the non-contact type IC media 4, 5 via the non-contact communication units 6, 21 to each other. The updated remaining amount (see FIG. 5), the usage amount history, and the storage history are written in the data storage memory 7.
At this time, if the used amount (mixed weighing amount) does not match the prescribed amount of the prescription, a warning / voice guidance is given. Further, the printer 13 outputs an attached document in which the name of the medicine, the prescription number, the amount of use (the amount of the mixture) and the date and time are printed, and this is attached to the dispensed medicine.
In this way, by weighing again after dispensing, it can be compared with the prescribed amount of the prescription, and it can be confirmed whether the dispensing operation according to the instruction by the prescription has been performed, so that dispensing errors can be prevented. Also, if any mistake occurs, the cause can be grasped by examining the history and the video record.
[0037]
(5) As shown by the arrow (4) in FIG. 1, after the dispensing, the dispenser returns the medicines remaining in the containers 2 and 3 to their original positions in the storage 1.
[0038]
(6) After dispensing, the dispenser hands over the dispensed medicine to the inspector, and the inspector audits the medicine for dispensing errors. The auditor can confirm the progress of the dispensing operation by comparing and confirming the dispensed medicine with the above-mentioned attached document and prescription. Furthermore, in the present embodiment, the above-mentioned respective operations are recorded on the video recorder 14 by the video camera 15 and the microphone 16, so that daily operations are managed, and are effectively used as countermeasures and problem materials in the event of an accident. be able to.
[0039]
As described above, by using the present invention, the dispensing error prevention support system gives advice to the dispenser / auditor, and manages dispensing history / prescription comparison, etc. (even without the dispenser being conscious) Since an alarm is immediately notified when a problem occurs, dispensing errors can be prevented, and dispensing work can be performed with peace of mind.
[0040]
Note that the present invention is not limited to the configuration of the above-described embodiment, and may be embodied with appropriate modifications without departing from the spirit of the invention, for example, as described below.
(1) The communicable distance between the non-contact type IC media and the non-contact type read / write device is not particularly limited. In the above embodiment, the non-contact type IC media 4 and 5 at the bottom of the containers 2 and 3 and the weighing device 17 were incorporated only when the containers 2 and 3 were placed on (or very close to) the weighing device 17. The communicable distance is set to, for example, several tens cm or less so that the non-contact type read / write unit 20 can communicate with the non-contact type read / write unit 20, but is not limited thereto and may be longer.
(2) The container may be of another type (for example, a bag), and the mounting position and mounting means of the non-contact type IC media can be appropriately determined according to the type.
[0041]
【The invention's effect】
As described above in detail, according to the dispensing error prevention support system and the dispensing error prevention method according to the present invention, the name of the medicine and the remaining amount can be easily confirmed for each container containing the medicine, It has an excellent effect of preventing dispensing mistakes and also finding drug storage accidents.
[Brief description of the drawings]
FIG. 1 is a schematic diagram showing an overall configuration of a dispensing error prevention support system according to an embodiment of the present invention.
FIG. 2 is a perspective view of a container provided with a non-contact type IC medium in the system.
FIG. 3 is a block diagram showing the non-contact type IC medium and a non-contact type read / write device.
FIG. 4 is a flowchart showing a dispensing operation using the dispensing error prevention support system.
FIG. 5 is a front view showing an example of a display on the system.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 1 Storage 2 Bottle container 3 Box container 4 Non-contact type IC tag 5 Non-contact type IC card 6 Non-contact communication part 7 Data storage memory 8 Control part 10 Dispensing management personal computer 11 Display 12 Speaker 13 Printer 17 Scaler 20 Non-contact Type read / write unit 21 Non-contact communication unit 30 Prescription database personal computer

Claims (8)

While a non-contact type IC medium including a non-contact communication unit and a data storage memory for storing drug-specific data including at least a drug name and a remaining amount is added to a container containing a drug stored in a storage,
At the dispensing location, a non-contact type read / write device including a non-contact communication unit and a control unit that can read and write the data storage memory is installed,
After picking the medicine together with the container from the storage and before dispensing, the container containing the medicine is brought close to the non-contact type read / write device, and the data storage memory of the non-contact type IC medium is stored. Wherein the control unit of the non-contact type read / write device reads the drug specific data stored in the non-contact type communication unit via the non-contact communication unit. The read medicine-specific data is displayed on a display, read out by a voice guidance device, or printed by a printer, and is configured to be output by at least two of the three means, and the output medicine is provided. 2. The dispensing error prevention support system according to claim 1, wherein the dispenser can compare the unique data with the medicine name visually observed by the dispenser and the weighed remaining amount. After taking out the medicine by a predetermined amount from the container and dispensing the medicine, the container in which the medicine remains is approached again to the non-contact type read / write device, and the control unit of the non-contact type read / write device mutually disagrees with each other. 3. The dispensing error prevention support system according to claim 1, wherein the updated remaining amount is written to a data storage memory of the non-contact type IC medium via a contact communication unit. The medicine-specific data further includes a usage amount history and a storage history, and after the dispensing, the container in which the medicine remains remains close to the non-contact type read / write device, and the control unit of the non-contact type read / write device is controlled. 4. The dispensing error prevention support system according to claim 3, wherein the updated usage history and storage history are written to the data storage memory of the non-contact type IC media via the non-contact communication units. A non-contact communication unit of the non-contact type read / write device is installed near or inside the weighing device,
Prior to the dispensing, when the container containing the medicine is placed on the weighing device, it is inevitably approached to the non-contact communication unit of the non-contact type read / write device, and the reading is performed simultaneously with weighing the medicine. So that
After the dispensing, when the container in which the medicine is left is placed on the weighing device again, it is inevitably brought close to the non-contact communication unit of the non-contact type read / write device, and the remaining amount of the medicine is measured at the same time. 5. The dispensing error prevention support system according to claim 3, wherein the writing is performed based on the remaining amount. The dispensing error prevention support system according to any one of claims 1 to 5, wherein the medicine-specific data further includes precautions. While a non-contact type IC medium including a non-contact communication unit and a data storage memory for storing drug-specific data including at least a drug name and a remaining amount is added to a container containing a drug stored in a storage,
At the dispensing location, a non-contact type read / write device including a non-contact communication unit and a control unit that can read and write the data storage memory is installed,
Before taking out the medicine from the container by a predetermined amount and dispensing the medicine, the container containing the medicine is brought close to the non-contact type read / write device and stored in the data storage memory of the non-contact type IC medium. The medicine specific data is read by the control unit of the non-contact type read / write device via the mutual non-contact communication unit,
The read drug-specific data is displayed on a display device, read out by a voice guidance device, or printed by a printer device, and is output by at least two of the three means, and the output drug-specific data is output. Dispensing mistakes at the time of picking or errors or fluctuations of the remaining amount at the time of storage can be found by comparing the drug name with the medicine name visually observed by the dispenser and the weighed remaining amount. Method. After taking out the medicine by a predetermined amount from the container and dispensing the medicine, the container in which the medicine remains is approached again to the non-contact type read / write device, and the control unit of the non-contact type read / write device mutually disagrees with each other. 8. The dispensing method according to claim 7, wherein the updated remaining amount is written to the data storage memory of the non-contact type IC media via the contact communication unit, so that an error in the remaining amount during storage can be eliminated. How to prevent mistakes.

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