JP2005034191A - Pharmacy support system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a pharmacy support system capable of efficiently and more appropriately prescribing medicines on the basis of the attributes and fitness of a patient himself/herself. <P>SOLUTION: In the case that the patient has the experience of actually receiving the administration of the medicine decided in a medicine decision means 2 and actually generating an adverse effect such as side effects in the past and that fact is stored in an onset history storage means 6 as an onset history, the onset history information is outputted to a result output means 5 and displayed together with doubt information generated by a judgement means 4. Also, the onset history can be newly inputted and stored in the output display of the doubt information. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a pharmacy support system that provides support for dispensing at a pharmacy based on a prescription, and more particularly, to a pharmacy support system that provides support for prescribing a more appropriate drug.
[0002]
[Prior art]
A pharmacy support system that performs support for dispensing, packaging, etc. at a pharmacy based on a prescription created at a hospital or the like is known. In particular, in a general hospital such as a university hospital, a plurality of prescriptions may be created for a patient in a plurality of medical departments, and it is important to convert the prescriptions into data and manage them at a pharmacy centrally.
[0003]
In addition, multiple prescriptions across multiple medical departments contain drugs that are not well combined (for example, taking a drug prescribed in internal medicine and an internal medicine prescribed in cardiac surgery at the same time will cause interaction and There may be side effects, etc., and there may be overlapping drugs (of the same type or similar properties) (for example, pain medications prescribed in otolaryngology and pain medications prescribed in internal medicine). In order to prevent this, a pharmacy support system that searches for and extracts combinations of drugs that cause duplication, interaction, or side effects from drugs in all prescriptions prescribed to patients is also known (for example, Patent Document 1). ). This system was designed to improve the efficiency and speed of drug prescription.
[0004]
[Patent Document 1]
Japanese Patent Laid-Open No. 9-56785
[Problems to be solved by the invention]
However, there is a problem with the above prior art. That is, in patent document 1, since it searches and extracts medicines in a prescription and is not based on the patient's own attributes and suitability, it cannot be said that proper use of medicines for patients is sufficient. There was a case.
[0006]
On the other hand, pharmacies provide medication instruction after dispensing. In the dialogue with the patient at this time, a combination of drugs that are not preferable to the patient (such as a combination with side effects in the past) is included in the prescription for the first time by obtaining new information on the patient's attributes and suitability. You may notice. In this case, it is necessary to redo the preparation of the prescription again, and the first dispensing is wasted, which may be inefficient and take a long time to prescribe.
[0007]
The present invention has been made to solve such problems of the prior art, and provides a pharmacy support system capable of prescribing drugs efficiently and more appropriately based on the attributes and aptitudes of patients themselves. Objective.
[0008]
[Means for Solving the Problems]
The pharmacy support system according to the present invention includes prescription data input means for inputting prescription data based on a prescription for each patient, and drug determination means for determining a predetermined drug based on prescription data input to the prescription data input means. A drug data storage means in which a combination of drugs that may cause adverse effects on the patient such as side effects, a combination of drugs stored in the drug data storage means, and a drug determined in the drug determination means A determination means for comparing the combination and determining whether an adverse effect on the patient such as the side effect can occur; and in the determination means, if the adverse effect cannot occur, the drug determined by the drug determination means A result output means for displaying suspicion information when the adverse effects may occur, and a past for the patient The adverse effects enter the actual on whether what happened is, store, is to and a development history storage means which can be displayed together with the question information.
[0009]
In the pharmacy support system according to the present invention, prescription data input means inputs prescription information based on a prescription for each patient. When information about the prescription is input as prescription data, the medicine determination means determines a predetermined medicine to be prescribed based on the prescription data.
[0010]
On the other hand, in the drug data storage means, combinations of drugs that may cause adverse effects on the patient, such as duplication or interaction and side effects, are stored in advance. Then, the combination of the medicine stored in the medicine data storage means and the combination of all the medicines determined by the medicine determination means are collated, and from among all the combinations of the medicines in the prescription data, It is determined whether there are drug combinations that can cause adverse effects on the patient, such as side effects. As a result of the determination by the determination means, if no adverse effect can occur due to the combination of the drugs, the result output means displays that the prescription should be confirmed with the drug determined by the drug determination means. On the other hand, when adverse effects may occur due to the combination of medicines, the combination of medicines in which suspicion has occurred, together with adverse effects such as possible side effects, is output and displayed as suspicion information by the result output means.
[0011]
Here, in the past, the patient actually received administration of the drug determined by the drug determination means, and had an experience that adverse effects such as side effects actually occurred. If stored, this onset history information is output and displayed together with the suspicion information. It is also possible to newly input and store the onset history in the display of suspicion information.
[0012]
In this way, when not only judging whether adverse effects such as side effects occur from only the combination of drugs, but also reconsidering the drug prescribed in the prescription based on the patient's actual onset history, when doubt arises Can be warned to review the prescription. Moreover, it can suppress that the doubt about a medicine arises at the time of the medication instruction | indication after dispensing by conducting a questionnaire about the actual onset history of a patient before dispensing. Therefore, it is possible to prescribe a drug efficiently and more appropriately based on the patient's own attributes and suitability.
[0013]
Preferably, a prescription history storage means for storing a prescription history of the patient is further provided, and the determination means can further collate the stored prescription history with the medicine determined by the medicine determination means. Composed.
[0014]
In this case, the prescription history of the past patient is stored by the prescription history storage means, and in addition to the above-described onset history, the stored prescription history can be collated with a predetermined medicine to be prescribed in the determination means. .
[0015]
Thereby, since the past prescription history can also be referred to, it is possible to prescribe a more appropriate medicine for the patient in consideration of this.
[0016]
Preferably, the apparatus is further configured to further include support information storage means for storing support information that can be used when taking a medication instruction based on the determined prescription of the medicine.
[0017]
In this case, in general, support information (for example, general explanation of illness, examination, medicine, etc. and basic information on symptoms) that can be used by the pharmacist when taking instructions for patients after dispensing. Appropriate prescriptions, etc.) can be output as appropriate to help with medication instruction. Therefore, more appropriate and appropriate medication instruction can be performed.
[0018]
DETAILED DESCRIPTION OF THE INVENTION
Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings. FIG. 1 is a block diagram showing a configuration of a pharmacy support system according to an embodiment of the present invention.
[0019]
As shown in FIG. 1, the pharmacy support system according to the present embodiment is based on prescription data input means 1 for inputting prescription data based on a prescription for each patient, and prescription data input to the prescription data input means 1. A drug determination unit 2 for determining a predetermined drug, a drug data storage unit 3 in which a combination of drugs that may cause adverse effects on a patient such as side effects is stored in advance, and a drug stored in the drug data storage unit 3 A combination of the combination and the combination of drugs determined by the drug determination unit 2 is performed. The determination unit 4 determines whether an adverse effect on the patient such as the side effects can occur. When the adverse effect cannot occur in the combination of drugs, the confirmation of the drug prescription determined by the drug determination unit 2 is displayed, while the adverse effect is displayed. If there is a possibility that the adverse effect has occurred, the result output means 5 for displaying the suspicion information, and whether or not the adverse effect has actually occurred in the past for the patient is input and stored, and the onset that can be displayed together with the suspicion information And a history storage means 6.
[0020]
The pharmacy support system of this embodiment is realized by a single computer or a plurality of computers such as personal computers that can exchange data with each other.
[0021]
The pharmacy support system of the present embodiment further comprises a prescription data storage unit 9 for storing prescription data determined by the drug determination unit 2 and a prescription history storage unit 7 to be described later, and an onset history storage unit. 6, a patient information storage unit 12 is formed in the storage device 13. Each storage means in the patient information storage unit 12 is linked to each patient and is configured to be cross-referenced. The storage device 13 can be realized by a storage device such as a hard disk of a computer. When using a plurality of computers, the storage device 13 is collectively stored in a server or the like, while the data stored in each storage means is used by a single or a plurality of responsible terminals connected to the server or the like via a LAN or the like. Alternatively, each storage means may be stored in a different computer and used mutually by a LAN connection or the like.
[0022]
Moreover, in the pharmacy support system of this embodiment, the patient selection means 10 for extracting any patient information memorize | stored in the said patient information storage part 12 and the onset history memorize | stored in the onset history memory means 6 are input. The onset history input means 11 is further provided. The patient selection means 10, the onset history input means 11 and the prescription data input means 1 are realized by a keyboard, a mouse, a scanner, a dedicated input device or the like connected to a single or a plurality of responsible terminals.
[0023]
The medicine determination means 2 and the determination means 4 are realized by a CPU of a computer connected directly or indirectly to the storage device 13, and the result output means 5 is a monitor, a printer, a display lamp, etc. connected to the computer. It is realized by.
[0024]
Hereinafter, a specific operation of the pharmacy support system of the present embodiment will be described. FIG. 2 is a flowchart showing the operation of the pharmacy support system of this embodiment.
[0025]
First, a pharmacy (including both pharmacies inside and outside a hospital) receives a prescription created by a medical office (including all medical institutions such as other hospitals). At this time, the medical office and the pharmacy may be electrically connected by an electric communication line such as a LAN, and the prescription data of the prescription may be received by data communication. An operator such as a pharmacist may receive the prescription brought by the patient. It may be received directly.
[0026]
When the prescription is received, information about the prescription for each patient is input by the prescription data input means 1 based on the received prescription (step S1). In addition to this, patient information (for example, information for specifying a patient such as a patient ID) of the prescription is input (step S2). The input method may be manual input with a keyboard, reading with a scanner, or selection with a mouse or the like from history information displayed on a monitor. FIG. 3 is a diagram showing a patient selection screen displayed on the monitor. In this embodiment, as shown in FIG. 3, the corresponding patient display is selected by switching the reverse display 22 from the patient list display column 21 in which the patient information is displayed by using a keyboard cursor or a mouse. It is determined by clicking the button 23.
[0027]
In Steps S1 and S2, information about prescription is input as prescription data, and when a patient is specified, the medicine determination means 2 determines a predetermined medicine to be prescribed based on the prescription data (Step S1). S3). FIG. 4 is a diagram showing a determined medicine information display screen. As shown in FIG. 4, a patient information column 41 for displaying patient information, a medical office information column 42 for displaying information on a prescription provider such as a medical institution, a medical department, a doctor in charge, and the prescription data based on the prescription are displayed. A prescription data display field 43 is displayed.
[0028]
On the other hand, in the medicine data storage means 3 in the storage device 13, combinations of medicines that may cause adverse effects on the patient such as duplication or interaction and side effects are stored in advance. Then, when the question inquiry button 44 in FIG. 4 is clicked, the combination of the medicine stored in the medicine data storage means 3 and the combination of all the medicines determined by the medicine determination means 2 are collated, and in the prescription data The determination means 4 determines whether there is any combination of drugs that can cause adverse effects on the patient, such as duplication or interaction or side effects, among all the combinations of drugs (step S4).
[0029]
As a result of the determination by the determination means 4, if there is no suspicion that adverse effects such as side effects are caused by the combination of drugs (No in step S5), a result output indicating that the prescription should be confirmed with the drug determined by the drug determination means 2 The output is displayed by means 5 and the prescription is determined (step S6). Specifically, the prescription is confirmed by clicking the confirm button 45 in FIG. Then, operations such as dispensing and packaging are performed based on the determined prescription. Note that the prescription data is automatically transferred to the packaging machine when the prescription is confirmed in step S6, and the packaging work may be automatically started. Based on the prescription data output to the result output means 5 It may be dispensed by a pharmacist.
[0030]
After dispensing and packaging work, the pharmacist gives medication instruction to the patient (step S7). In this medication instruction, the pharmacist and the patient may have a direct conversation, which may cause doubt about the prescription. For example, there is an error in the prescription itself accepted by the pharmacy. When such a doubt arises (No in step S8), the prescription is processed (step S15 described later), but if there is no doubt (Yes in step S8), the drug is delivered to the patient, and the accounting Is performed (step S9).
[0031]
In addition, the pharmacy support system of this embodiment and the receipt computer are connected, the prescription data is transferred to the accounting computer at the same time as the prescription determination in step S6, accounting calculation and creation of the receipt, packaging work, etc. It is good also as performing the dispensing management etc. in. As a result, the pharmacy support system, the receipt computer, the dispensing / packaging machine, etc. can be configured as one system system that can communicate with each other, and pharmacy operations can be made faster and more efficient, as well as improving reliability. Can do.
[0032]
On the other hand, in step S5, when there is a suspicion that adverse effects such as side effects are caused by the combination of drugs (Yes in step S5), the combination of drugs that may cause adverse effects along with the possible side effects is output as suspicion information. The output is displayed on the means 5 (step S11). FIG. 5 is a diagram showing a suspicion information display screen. As shown in FIG. 5, symptoms such as side effects that may occur are listed in the suspicious item list display column 51, and by clicking each item to select it, the symptom occurs in any combination of drugs. Whether or not to obtain is displayed in the corresponding medicine display field 52.
[0033]
Note that FIG. 5 shows only use restrictions (about symptoms such as side effects that may occur due to ingestion of drugs) as major items of questionable items, but this embodiment is not limited to this. Various large items such as products (for example, those that may cause side effects when combined with alcohol such as liquor) are applicable.
[0034]
Here, in the past, the patient actually received the drug determined by the drug determination means 2 and had an actual experience of adverse effects such as side effects. When stored as a history (step S10), the onset history information is output and displayed together with the suspicion information (step S12).
[0035]
More specifically, as shown in FIG. 5, an onset history check column 53 is provided for each questionable item in the questionable item list display column 51. Then, each questionable item is compared with the onset history information of the patient stored in the onset history storage means 6, and when the corresponding symptom is detected, “present” in the onset history check column 53 is checked and a warning is displayed. . At this time, the suspicious item checked as “present” in the onset history check column 53 may be highlighted as the warning item 53 by color-coding the suspicious item checked as “none”.
[0036]
It is also possible to newly input and store the onset history in the display of suspicion information. Specifically, an operator such as a pharmacist conducts a questionnaire as to whether or not a symptom of a suspicious item has been caused by a medicine prescribed for a patient while viewing the suspicion information display screen in FIG. Based on the questionnaire, the onset history check column 53 is checked using a mouse or the like as the onset history input means 11 (step S13). The checked result is stored as updated onset history information by the onset history storage means 6 (step S14).
[0037]
Thus, in response to the output of the suspicion result in steps S11 and S12, a suspicion inquiry to the medical office is performed as to whether or not to change the prescription (step S15). When changing the prescription (Yes in step S15), prescription data is input again based on a new prescription from the medical office (returning to step S1, the subsequent operations are the same as above). Specifically, by clicking the re-input button 54 in FIG. 5, it is possible to input new prescription data without changing the identification of the patient or the like.
[0038]
If it is not necessary to change the prescription according to an instruction from the medical office, the prescription is confirmed and the dispensing operation is started (step S6, the subsequent operations are the same as above). Specifically, by clicking the decision button 55 in FIG. 5, the medicine information display screen of FIG. 4 is displayed again, and by clicking the confirmation button 45, the prescription is confirmed.
[0039]
As described above, not only whether or not adverse effects such as side effects occur only from the combination of drugs, but also the drug prescribed in the prescription based on the actual history of the patient is reviewed, and doubt arises In some cases, warnings can be issued to review the prescription. Moreover, it can suppress that the doubt about a medicine arises at the time of the medication instruction | indication after dispensing by conducting a questionnaire about the actual onset history of a patient before dispensing. Therefore, it is possible to prescribe a drug efficiently and more appropriately based on the patient's own attributes and suitability.
[0040]
In this embodiment, as shown in FIG. 1, it further comprises a prescription history storage means 7 for storing the prescription history of the patient, and the determination means 4 includes the stored prescription history and the medicine determination means 2. It is configured to be able to further collate with the determined medicine. The prescription history storage unit 7 constitutes a patient information storage unit 12 together with the prescription data storage unit 8 and the onset history storage unit 6 described above.
[0041]
The prescription history storage means 7 stores the prescription history of the past patient. In addition to the above-described onset history in the determination means 4, the stored prescription history can be collated with a predetermined medicine to be prescribed. is there. Specifically, a prescription history 56 for each patient is displayed by clicking a prescription history display button 56 in FIG.
[0042]
Thereby, since the past prescription history can also be referred to, it is possible to prescribe a more appropriate medicine for the patient in consideration of this.
[0043]
Moreover, in this embodiment, as shown in FIG. 1, it is comprised so that the support information storage means 8 which memorize | stores the support information which can be utilized when taking a medication based on the determined prescription of the medicine will be further provided. The
[0044]
Thereby, support information (for example, general explanation of illness, examination, medicine, etc. and basic prescription method for symptoms, etc.) that can be used by the pharmacist when taking the medication instruction in step S7 as appropriate. You can output and use it for medication instruction. Therefore, more appropriate and appropriate medication instruction can be performed.
[0045]
【The invention's effect】
According to the pharmacy support system according to the present invention, not only whether or not adverse effects such as side effects occur from only combinations of drugs, but also the drugs prescribed in the prescription based on the actual onset history of the patient are reproduced. You can warn to review the prescription if you have any doubts. Moreover, it can suppress that the doubt about a medicine arises at the time of the medication instruction | indication after dispensing by conducting a questionnaire about the actual onset history of a patient before dispensing. Therefore, it is possible to prescribe a drug efficiently and more appropriately based on the patient's own attributes and suitability.
[Brief description of the drawings]
FIG. 1 is a block diagram showing a configuration of a pharmacy support system in an embodiment of the present invention.
FIG. 2 is a flowchart showing the operation of the pharmacy support system of the present embodiment.
FIG. 3 is a diagram showing a patient selection screen displayed on a monitor.
FIG. 4 is a diagram showing a determined medicine information display screen.
FIG. 5 is a diagram showing a suspicion information display screen.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 1 Prescription data input means 2 Drug determination means 3 Drug data storage means 4 Judgment means 5 Result output means 6 Onset history storage means 7 Prescription history storage means 8 Support information storage means

Claims (3)

Prescription data input means for inputting prescription data based on a prescription for each patient;
A medicine determination means for determining a predetermined medicine based on the prescription data input to the prescription data input means;
Drug data storage means in which a combination of drugs that may cause adverse effects on patients such as side effects is stored in advance;
A judgment means for collating the combination of medicines stored in the medicine data storage means with the combination of medicines determined by the medicine determination means and judging whether or not adverse effects on the patient such as the side effects can occur; ,
In the determination means, when the adverse effect cannot occur, a result output means for displaying the suspicion information when displaying the confirmation of the prescription of the drug determined in the drug determination means, while the adverse effect may occur,
A pharmacy support system, comprising: an onset history storage unit capable of inputting, storing, and displaying together with the suspicion information whether or not the adverse effect has actually occurred in the past for the patient. The apparatus further comprises prescription history storage means for storing the prescription history of the patient, wherein the determination means can further collate the stored prescription history with the medicine determined by the medicine determination means. The pharmacy support system according to claim 1. 3. The pharmacy support system according to claim 1 or 2, further comprising support information storage means for storing support information that can be used when taking medication instruction based on the determined prescription of the medicine.

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