JP2006018458A - Medical malpractice preventing system and method - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To greatly simplify a system for preventing a medical accident caused by a careless mistake without any increase in labor or cost for constructing the system. <P>SOLUTION: A wrist band 15 receiving an input of patient information and having a bar code 14 representing a patient ID is issued by a receipt side terminal 10. When a prescription 20 to which a bar code 21 serving as code information equal to the bar code 14 is attached is issued after a medical examination on the patient, a medicine preparation side terminal 30 issues a patient label 34 which is attached to medicine and carries a bar code 36 serving as code information equal to the bar code 21 on the prescription 20, in accordance with the type of the medicine described in the prescription 20. When medical care with the medicine is carried out on the patient, the bar code 14 of the wrist band 14 is compared with the bar code 36 of the patient ID label 34 attached to the medicine by a collation scanner 50. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to a medical malpractice prevention system that prevents medical malpractices at medical sites in hospitals, medical facilities, nursing care facilities, and the like.

  In hospitals, medical facilities, nursing care facilities, etc., when a doctor examines a patient, determines a prescription, and issues a medical record, medical treatment by a nurse is given to the patient according to the medical record. When prescriptions are recorded and managed as electronic information through the introduction of a computer, when a doctor enters a medication name, the contents of a medical practice, etc. into the computer, medical treatment by a nurse is performed in accordance with the prescription of the computerized electronic information. Action is given to the patient.

  In this case, the nurse outputs the doctor's prescription converted to electronic information once on paper and confirms the output contents to perform medical treatment, or confirms the contents displayed on the display and performs medical treatment. Acting. In addition, the doctor's prescription converted into electronic information is stored as various medical information or used for medical office work such as accounting.

  By the way, since such a medical practice is carried out by the nurse confirming the contents of the prescription from the doctor, many medical accidents have been reported in which patients with different disease names are mistaken and drugs are administered in the wrong way. Has been.

  That is, for example, in the case of injection drugs used for patient treatment, there are ampoules, vials, infusion bottles, etc., which are prepared for each patient in the patient-specific tray based on the doctor's injection prescription and audited by the pharmacist After that, the entire tray is transported to the ward and stored in the ward until it is administered to the patient.

  When an injection is administered to a patient, there are a case where the ampule and the vial drug are directly administered by an injection syringe, and a case where the ampule and the vial drug are mixed in an infusion bottle and administered by infusion. When a drug is administered to a patient via an injection syringe, the ward nurse selects the patient's tray to be treated from multiple stored trays, and then ampules from the tray based on the injection prescription contained in that tray. Take out the vial or vial, transfer the medicine to the syringe in advance, and go to the patient with the syringe.

  Similarly, when a drug is administered to a patient by infusion, the ward nurse selects the patient's tray to be treated from multiple stored trays, and the tray is based on the injection prescription contained in that tray. Remove the ampoule and vial from the bottle, mix it with the infusion bottle, and go to the patient with the infusion bottle.

  However, from the drug department to the ward, both the injection prescription and the injection medicine are placed in the same tray, and the injection prescription contains information that can identify the patient, such as the patient name. Therefore, there is no worry that the injection in the tray will be mistaken for another patient's injection, but after the nurse has transferred the medicine to the injection syringe or mixed it into the infusion bottle, the injection syringe or infusion bottle May leave the tray, i.e., the injection prescription, and mistake the syringe or infusion bottle with another patient's injection.

  Such mistakes are largely due to carelessness, but there are some rules that try to carry out double checks between other nurses, but they are actually too busy to operate reliably. Or, although there are confirmation work, there are many cases where oversight occurs.

Therefore, in Patent Document 1, a main computer provided with information on a medical practice plan to be performed on a patient, information on the medical action with the main computer is transmitted and received, the contents of the medical action are displayed, and information from the recognition device Collate information on medical practice plans, output collation results as necessary, capture the results of medical practice as performance information, and capture information identifying medical practice, and send the information to the portable computer A medical action accident prevention support system that checks and records whether there is no mistake in the medical action to be performed by comparing the information of the medical action plan with the information taken in by the recognition apparatus. Has proposed.
JP 2001-312566 A

  However, in the medical practice accident prevention support system shown in Patent Document 1 described above, a main computer that holds information for a patient, a portable computer that receives information from the main computer, and information that specifies a medical practice Since the system includes a recognition device that transmits a message to a portable computer, the system becomes large.

  In other words, the main computer, the portable computer, and the recognition device need to exchange information with each other online or the like, and an infrastructure for that must be constructed. There is a problem that increases.

  The problem to be solved is that, in order to prevent careless medical accidents, if a system is installed to check whether there is a mistake in medical practice by introducing a computer, the system will be large. In addition, the labor and cost for constructing the system will increase.

The medical malpractice prevention system of the present invention is a reception-side terminal for receiving input of patient information and issuing code information indicating a patient ID, a prescription with the same code information as the code information indicating the patient ID, Depending on the type of medicine described in the prescription, a medicine preparation terminal that issues the same code information as the prescription code information to be attached to these medicines, and a medical action by the medicine is performed on the patient And a collation scanner for collating the code information indicating the patient ID with the code information attached to the medicine.
Further, the reception side terminal has a function of receiving input of at least a patient's name, blood type, date of birth, sex, and patient ID as the patient information and issuing an instruction to issue code information indicating the patient ID. A personal computer and a wristband issuing printer for issuing a wristband with code information indicating the patient ID when receiving the issuance instruction, and the drug compounding terminal reads the prescription code information A scanner, a personal computer having a function of issuing an instruction to issue the same code information as the code information read by the handy scanner, and the code information is attached based on the issuing instruction from the personal computer. A label issuing printer that issues patient ID labels according to the number of labels issued When the patient ID label is affixed to the medicine and a medical action with the medicine is performed on the patient, the wristband code information and the patient ID label code information are collated by the collation scanner. You can make it.
The medical malpractice prevention method of the present invention includes a step of accepting input of patient information indicating at least a patient's name, blood type, date of birth, sex, and patient ID, and code information identical to the code information indicating the patient ID. A process for issuing a prescription, a process for issuing the same code information as the code information of the prescription for attaching to these drugs according to the type of the drug described in the prescription, When the medical action by the medicine is performed, there is a step of collating the code information indicating the patient ID with the code information attached to the medicine.
In the medical malpractice prevention system according to the present invention, the reception side terminal receives input of patient information and issues code information indicating a patient ID, and is the same as the code information indicating the issued patient ID after the patient is examined. When a prescription with code information is issued, the same code information as the prescription code information for these drugs is issued by the drug compounding terminal according to the type of drug described in the prescription. When a medical action with a medicine is performed on a patient, the code information indicating the patient ID and the code information attached to the medicine are collated by the collation scanner.

  According to the medical malpractice prevention system of the present invention, the reception side terminal receives the input of patient information and issues the code information indicating the patient ID, and after the examination for the patient, the code information indicating the issued patient ID; When a prescription with the same code information is issued, the same code information as the prescription code information attached to these drugs is issued by the drug compounding terminal according to the type of drug described in the prescription When a medical action is performed on a patient by a medicine, the code information indicating the patient ID and the code information attached to the medicine are collated by the collation scanner, so that the system is greatly simplified. Therefore, careless medical accidents can be reliably prevented without increasing the labor and cost for constructing the system.

  In this embodiment, the reception side terminal accepts input of patient information and issues a wristband with at least code information indicating the patient ID, and after the examination for the patient, the same code information as the code information indicating the patient ID When the prescription with is issued, the patient ID with the same code information as the prescription code information to be attached to these drugs according to the type of the drug described in the prescription by the drug compounding side terminal When a label is issued and a medical action with a drug is performed on a patient, the code information indicating the patient ID of the wristband and the code information of the patient ID label attached to the drug are checked by a matching scanner, The system will be greatly simplified, and careless medical accidents will be secured without increasing the effort and cost of building the system. It was to prevent the.

Hereinafter, embodiments of the present invention will be described.
1 is a diagram for explaining an embodiment of the medical malpractice prevention system of the present invention, FIG. 2 is a diagram for explaining the issuance of wristbands in the medical malpractice prevention system of FIG. 1, and FIG. 3 is the medical plan of FIG. FIG. 4 is a diagram for explaining a case where a label with the same code information as the prescription barcode in the error prevention system is issued. FIG. 4 is a list of a wristband barcode and a drug barcode in the medical error prevention system of FIG. FIG. 5 is a flowchart for explaining a medical error prevention method in the medical error prevention system of FIG.

  As shown in FIG. 1, the medical error prevention system includes a reception side terminal 10, a prescription 20, a medicine preparation side terminal 30, and a collation scanner 50. Here, the reception side terminal 10, the prescription 20, the medicine preparation side terminal 30, and the collation scanner 50 are not exchanged information online or the like, but are present independently. Therefore, it is not necessary to exchange information by communication as in the prior art, and it is not necessary to construct an infrastructure for that purpose.

  The reception side terminal 10 is provided at receptions of hospitals, medical facilities, nursing care facilities, etc., and performs input reception of patient information and issuance of code information indicating a patient ID. At least a personal computer as shown in FIG. 11 and a wristband issuing printer 12. When patient information indicating at least a patient's name, blood type, date of birth, sex, and patient ID is input by the personal computer 11, the patient information is stored in the personal computer 11.

  Here, the personal computer 11 can be a notebook personal computer or a desktop personal computer. The personal computer 11 only needs to have at least a function of accepting input of patient information indicating the patient's name, blood type, date of birth, sex, and patient ID, and a function of issuing an issuance instruction to the wristband issuance printer 12. A relatively inexpensive one is sufficient. The patient information is not limited to being stored in the personal computer 11 and may be stored using an external storage device.

  When there is an issuance instruction from the personal computer 11, the wristband issuing printer 12 issues a wristband 15 with at least a barcode 14 as code information indicating the patient's name 13 and patient ID. Here, the wristband issuing printer 12 only needs to have at least a function of issuing the wristband 15, and a relatively inexpensive printer is sufficient.

  The prescription 20 is a sheet issued by a printer (not shown) that is operated by a doctor after the patient is examined, and a barcode 21 having the same content as the barcode 14 indicating the patient ID attached to the wristband 15 is attached. Yes. For example, when the doctor inputs a patient ID from a terminal such as a personal computer (not shown), the barcode 21 that is the same code information as the input barcode 14 is printed at a predetermined position on the prescription 20. It has come to be.

  The drug compounding side terminal 30 issues the same code information as the barcode 21 which is the code information of the prescription 20 for attaching to these drugs according to the type of the drug described in the prescription 20, A handy scanner 31, a personal computer 32, and a label issuing printer 33 are provided.

  As shown in FIG. 3, the handy scanner 31 reads the barcode 21 indicating the patient ID of the prescription 20 issued by a doctor. The personal computer 32 has a function of causing the label issuing printer 33 to print at least the same code information as the barcode 21 indicating the patient ID read by the handy scanner 31, and a function of prompting the user to input the number of labels to be issued. Yes. The number of labels to be issued may be input by a pharmacist according to the type of medicine described in the prescription 20.

  The personal computer 32 can be a notebook personal computer or a desktop personal computer. The personal computer 32 only needs to have a function of causing the label issuing printer 33 to print at least the same code information as the barcode 21 indicating the patient ID read by the handy scanner 31, and a function of prompting the user to input the number of labels to be issued. A relatively inexpensive one is sufficient.

  The label issuing printer 33 issues a patient ID label 34 corresponding to the input number of issued labels based on an issuing instruction from the personal computer 32. On these patient ID labels 34, a barcode 36, which is the same code information as the barcode 21 indicating the patient ID of the prescription 20, is printed. These patient ID labels 34 are attached to the surface of a medicine such as an infusion pack 40 or a medicine bottle 41.

  The collation scanner 50 is carried by the nurse. As shown in FIG. 4, when a medical action is performed on the patient, for example, with an infusion pack 40, a barcode indicating the patient ID of the patient wristband 15 is displayed. 14 and a bar code 36 indicating the patient ID of the patient ID label 34 affixed to the drip pack 40, and a display unit 51 that displays whether the collation result is OK or NG. ing. In addition, you may make it alert | report not only by the display by the display part 51 but a signal sound, an audio | voice, flashing light, etc. about the collation result.

Next, a medical error prevention method using the medical error prevention system as described above will be described.
First, as shown in FIG. 5, at the reception, the personal computer 11 inputs at least patient information indicating the patient's name, blood type, date of birth, sex, and patient ID (a step of accepting input of patient information). After that, when an issuance instruction is issued to the wristband issuance printer 12, at least a bar code 14 indicating the patient's name 13 and patient ID is attached (printed) from the wristband issuance printer 12. A wristband 15 is issued (step S2).

  Next, when the patient is examined by a doctor, a prescription with a barcode 21 that is the same code information as the barcode 14 indicating the patient ID attached to the wristband 15 by a printer (not shown) operated by the operation of the doctor. 20 is issued (step S3). (Process where prescription is issued)

  For example, when the doctor inputs a patient ID from a terminal such as a personal computer (not shown), the barcode 21 which is the same code information as the input barcode 14 is printed at a predetermined position on the prescription 20. Is done.

  Next, when the prescription 20 is passed to the pharmacist, the pharmacist reads the barcode 21 indicating the patient ID of the prescription 20 issued by the doctor with the handy scanner 31 (step S4). At this time, when the personal computer 32 grasps the patient ID from the barcode 21 read by the handy scanner 31, the personal computer 32 prompts the user to input the number of labels to be issued.

Here, when the pharmacist inputs the number of labels issued according to the type of medicine described in the prescription 20, an issuing instruction is issued from the personal computer 32 to the label issuing printer 33. Then, based on the issuing instruction from the personal computer 32, the patient ID label 34 corresponding to the inputted label issuing number is issued by the label issuing printer 33 (step S5). (Process where the same code information as the prescription code information is issued)
In this case, if there is one medicine described in the prescription 20, one patient ID label 34 is issued, and if there are three or more medicines, three or more patient ID labels 34 are issued.

  At this time, a barcode 36 which is the same code information as the barcode 21 indicating the patient ID of the prescription 20 is printed on the patient ID label 34. When the patient ID label 34 is issued, the patient ID label 34 is immediately attached to the surface of the infusion pack 40 or the medicine bottle 41 corresponding to the medicine described in the prescription 20 (step S6). Thus, after the patient ID label 34 is issued, the patient ID label 34 is immediately attached to the surface of the medicine such as the infusion pack 40 or the medicine bottle 41, so that the medicine described in the prescription 20 can be obtained. It is possible to reliably correspond to the patient ID without making a mistake.

  Then, when a medical practice is actually performed, for example, by the drip pack 40 by the nurse, the nurse sticks the barcode 14 indicating the patient ID of the patient wristband 15 and the drip pack 40 by the matching scanner 50. The barcode 36 indicating the patient ID on the patient ID label 34 is read and collated (step S7). (Step of collating code information indicating patient ID with code information attached to medicine)

  At this time, by collation (step S8), the barcode 14 indicating the patient ID of the patient wristband 15 and the barcode 36 indicating the patient ID of the patient ID label 34 attached to the infusion pack 40 match. Then, since the contents that the collation result is OK are displayed on the display unit 51 of the collation scanner 50 (step S9), the nurse can surely perform the medical action with the infusion pack 40 on the patient, for example. .

  On the other hand, if the barcode 14 indicating the patient ID of the patient wristband 15 and the barcode 36 indicating the patient ID of the patient ID label 34 attached to the drip pack 40 do not match, the matching scanner 50 Since the content of the collation result is NG is displayed on the display unit 51 (step S10), the nurse can immediately recognize that the infusion pack 40 belongs to another patient.

  As described above, in this embodiment, the reception side terminal 10 performs input reception of patient information and issue of the wristband 15 with the barcode 14 which is at least code information indicating the patient ID, and after the examination for the patient, When the prescription 20 with the barcode 21 that is the same code information as the barcode 14 indicating the patient ID is issued, the medicine blending side terminal 30 makes these according to the type of medicine described in the prescription 20 When a patient ID label 34 with a barcode 36, which is the same code information as the barcode 21 of the prescription 20 for attaching to the medicine of the patient, is issued, and the medical action is performed on the patient, the patient of the wristband 15 The collation scanner 50 collates the barcode 14 indicating the ID and the barcode 36 of the patient ID label 34 attached to the medicine. Since it is possible to reliably prevent medical accidents due to carelessness.

  In addition, since the reception side terminal 10, the prescription 20, the medicine preparation side terminal 30 and the collation scanner 50 are not exchanged information online or the like, each is present independently. Since there is no need to exchange information by communication and there is no need to construct an infrastructure for it as in the past, the system can be greatly simplified, increasing the effort and cost for constructing the system. There is nothing.

  In the present embodiment, the case where the barcodes 14, 21, and 36 are used as the code information indicating the patient ID has been described. However, the present invention is not limited to this, and a two-dimensional code may be used.

  Further, in the present embodiment, the case where the prescription 20 is used as the paper has been described. However, the present invention is not limited to this example. The contents of the prescription 20 are stored in an electronic medium such as a flexible or CD, and the contents of the electronic medium are used by the pharmacist. It is also possible to cause the handy scanner 31 to scan the code information attached to the prescription 20 displayed on the screen while being displayed on the screen by the personal computer 32.

  In addition, the pharmacist ID corresponding to the pharmacist is stored in the personal computer 32 used by the pharmacist, and the pharmacist ID is attached with a name plate attached with code information (barcode), and a patient ID label 34 is issued. When scanning the barcode information indicating the patient ID of the prescription 20 after scanning the code information of the nameplate, the barcode 14 indicating the patient ID on the patient ID label 34, the name of the pharmacist in charge May be printed. This makes it easy to determine who was in charge of the medicine preparation.

  Also, information indicating the drug name is stored in the personal computer 32 used by the pharmacist, and when issuing the patient ID label 34, the bar code 14 indicating the patient ID of the prescription 20 is scanned and displayed on the screen of the personal computer 32. The medicine name corresponding to the medicine name described in the prescription 20 may be selected from the medicine table thus written, and the barcode 14 indicating the patient ID and the medicine name may be printed on the patient ID label 34.

It is a figure for demonstrating one Embodiment of the medical malpractice prevention system of this invention. It is a figure for demonstrating issue of the wristband in the medical malpractice prevention system of FIG. It is a figure for demonstrating the case where the label attached with the same code | symbol information as the barcode of a prescription in the medical malpractice prevention system of FIG. 1 is issued. It is a figure for demonstrating collation with the barcode of a wristband and the barcode of a medicine in the medical malpractice prevention system of FIG. It is a flowchart for demonstrating the medical malpractice prevention method in the medical malpractice prevention system of FIG.

Explanation of symbols

DESCRIPTION OF SYMBOLS 10 Reception side terminal 11,32 Personal computer 12 Wristband issue printer 14, 21, 36 Barcode 15 Wristband 20 Prescription 30 Drug preparation side terminal 31 Handy scanner 33 Label issue printer 34 Patient ID label 40 Infusion pack 41 Drug bottle 50 Verification scanner

Claims (3)

A reception-side terminal for receiving input of patient information and issuing code information indicating a patient ID;
A prescription with the same code information as the code information indicating the patient ID;
Depending on the type of drug described in the prescription, a drug compounding side terminal that issues the same code information as the code information of the prescription for attaching to these drugs,
A medical malpractice prevention system, comprising: a collation scanner that collates code information indicating the patient ID and code information attached to the medicine when a medical action with the medicine is performed on a patient. The reception side terminal
A personal computer having a function of accepting input of at least a patient's name, blood type, date of birth, sex, and patient ID, which is the patient information, and issuing an instruction to issue code information indicating the patient ID;
A wristband issuing printer that issues a wristband with code information indicating the patient ID when receiving the issuing instruction;
The drug compounding terminal is
A handy scanner for reading the prescription code information;
A personal computer having a function of prompting the input of the number of issued sheets and issuing an instruction to issue the same code information as the code information read by the handy scanner,
A label issuing printer for issuing a patient ID label with the code information in accordance with an input label issuing number based on an issuing instruction from the personal computer;
When the patient ID label is affixed to the medicine and a medical action with the medicine is performed on the patient, the wristband code information and the patient ID label code information are collated by the collation scanner. The medical malpractice prevention system according to claim 1 characterized by things. A step of accepting input of patient information indicating at least a patient's name, blood type, date of birth, sex, and patient ID;
A step of issuing a prescription with the same code information as the code information indicating the patient ID;
According to the type of drug described in the prescription, a step of issuing the same code information as the code information of the prescription for attaching to these drugs,
A medical malpractice prevention method comprising: a step of collating code information indicating the patient ID with code information attached to the medicine when a medical action with the medicine is performed on a patient.

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