JP2006155599A - Dispensing support system and dispensing support method - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To enable a plurality of pharmacists to dispense efficiently and simultaneously despite of a simple and inexpensive structure. <P>SOLUTION: A dispensing support system is composed of a responsible pharmacist identifying means 7 provided in each container 14 of a drug rack 3 containing drug D for identifying a responsible pharmacist, a storing means 25 storing pharmacist data, and a control means 24. As the prescription data are inputted, the control means 24 prepares a prescription table by associating prescription data with pharmacist data stored in the storing means 25 and stores the prescription table into the storing means 25. When the drug D is taken out of the drug rack 3, the control means 24 refers to the prescription table based on the pharmacist data on a pharmacist identified by the responsible pharmacist identifying means 7 and determines whether or not the pharmacist is permitted to dispense the drug to be taken out of the drug rack 3. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to a dispensing support device and a dispensing support method.

  Conventionally, when dispensing, a pharmacist looks at a prescription and takes out the corresponding medicine from a medicine shelf. However, with this method, human errors such as misreading prescriptions are likely to occur. In addition, there is a great difference in workability depending on the proficiency level of the pharmacist.

  For this reason, in order to support dispensing, manual devices (for example, see Patent Document 1) or automatic devices (for example, see Patent Documents 2 to 4) have been proposed.

  In addition, if an IC chip is provided on the wristband attached by the person in charge of dispensing and the information of the person in charge stored in the IC chip is read by the antenna provided in the container containing the medicine, the information is read. A medicine management system has been proposed in which the information is stored in a storage unit provided in the storage unit along with the time (see, for example, Patent Document 5).

JP 2004-187959 A Japanese Patent No. 2826547 Japanese Patent No. 2818759 Japanese Patent No. 3083165 JP 2003-144525 A

  However, in the manual type, when an instruction sheet is read by a bar code reader, the corresponding shelf door or the like is automatically opened. For this reason, a plurality of pharmacists cannot be dispensed at the same time by reading a plurality of instructions at a time. In addition, no action can be taken even if the medicine is taken out of the wrong shelf.

  In addition, the automatic type apparatus is large, complicated, and expensive.

  In addition, the medicine management system can not only provide a history of dispensing, but cannot provide an environment in which a plurality of people can work simultaneously.

  Therefore, an object of the present invention is to provide a dispensing support apparatus and a dispensing support method with good workability that allow a plurality of pharmacists to dispense at the same time, despite having a simple and inexpensive configuration.

  As a means for solving the above-mentioned problem, the present invention provides a dispensing support device in each storage section of a medicine shelf in which medicines are stored, and stores pharmacist identification means for identifying the pharmacist in charge and pharmacist data. The prescription data and the pharmacist data stored in the storage means are associated with each other to create a prescription table, and the prescription table is stored in the storage means. Whether or not the pharmacist is permitted to dispense the medicine to be taken out from the medicine shelf by referring to the prescription table based on the pharmacist data of the pharmacist identified by the responsible pharmacist identification means when the medicine is taken out from the medicine shelf. And a control means for determining whether or not.

  Here, the responsible pharmacist means a pharmacist identified by the responsible pharmacist identifying means among the pharmacists registered in the pharmacist data. Moreover, prescription data means the data regarding the content of the prescription created by the doctor. The pharmacist data means data relating to the pharmacist, such as a name and a code number.

  With the above configuration, when taking out medicines from the storage unit, the pharmacist is identified by the responsible pharmacist identification means provided in each storage unit, and the prescription table is inquired, so that the pharmacist is authorized to take out the medicine from the storage unit. A determination is made whether or not. For this reason, even if a plurality of pharmacists perform the dispensing operation at the same time, it is possible to appropriately prevent the medicine from being taken out from different storage units by mistake. In addition, it is only necessary to provide a pharmacist identification means in each container and determine whether the pharmacist who wants to take out the drug from the container is authorized. it can.

  The object identified by the responsible pharmacist identifying means is preferably an identification member attached to the hand of the pharmacist.

  With this configuration, when the pharmacist inserts a hand into the storage section of the medicine shelf and takes out the medicine, the identification member can be reliably read by the responsible pharmacist identification means provided in each storage section. Therefore, it is possible to appropriately determine whether or not the pharmacist is authorized to take out the medicine from the container.

  A pharmacist data reading means for reading pharmacist data at the start of dispensing; and a working pharmacist identifying means for identifying a working pharmacist at the start of dispensing, wherein the control means stores the pharmacist data read by the pharmacist data reading means. The working pharmacist table is created by associating the working pharmacist data identified by the working pharmacist identifying means with each other, and determining whether or not the data is stored in the storage means. The table is preferably stored in the storage means.

  With this configuration, it is determined whether or not the pharmacist data read by the pharmacist data reading unit is stored in the storage unit at the start of dispensing, and whether or not the pharmacist can dispense using the working pharmacist identification unit. Judgment can be made. For this reason, only a registered pharmacist who can dispense can be dispensed.

  Each shelf of the medicine shelf is preferably provided with a display unit that can be identified by the pharmacist in charge.

  With this configuration, even if a plurality of pharmacists start dispensing at the same time, it can be seen at a glance from which container each person in charge should take out the medicine. Therefore, the dispensing operation can proceed very efficiently.

  Each shelf of the medicine shelf is preferably provided with a medicine remaining amount detecting unit for detecting the remaining amount of the medicine.

  With this configuration, when taking out a medicine from the container according to the prescription data, it is possible to detect the remaining amount of medicine and the amount to be taken out based on this remaining amount of medicine. As a result, inventory management can be performed, and it can be checked whether or not there is an error in the quantity to be taken out.

  Preferably, the control means sets the association between the prescription data and the responsible pharmacist for each medicine and stores it in the storage means.

  With this configuration, it is possible to perform fine and efficient dispensing work. For example, a pharmacist in charge can be determined for each medicine, and a plurality of pharmacists can line up in a line and proceed with dispensing like a flow work.

  The control means calculates the amount of medicine taken out and its quantity by detecting that the medicine is taken out from the medicine shelf by the medicine remaining amount detecting section, and each time the dispensing is completed, the dispensing completion table It is preferable to store in.

  With this configuration, it is possible to identify who is the pharmacist who has dispensed, when and how much of the medicine has been removed from the medicine shelf, and the like. It is also possible to clarify where the responsibility lies.

  An opening / closing member capable of opening and closing the medicine shelf is further provided, and the control means identifies the pharmacist by the working pharmacist identification means, and if there is anything corresponding to the pharmacist data previously stored in the storage means, the opening / closing It is preferable to drive and control the members to open the chemical shelves.

  Provided doors that can be opened and closed in each container of the medicine shelf, the control means, based on the input prescription data, read the responsible pharmacist from the prescription table stored in the storage means, and read the responsible pharmacist, It is preferable to determine whether or not the pharmacist identified by the working pharmacist identification means matches, and if the pharmacist matches, it is preferable to open the door of the storage unit in which the medicine contained in the prescription data is stored.

  With these configurations, it is possible to reliably prevent an unauthorized third party from taking out medicines from the medicine shelf without permission at night. In particular, in the case where doors are provided in the respective storage units, removal by unauthorized persons can be prevented even during work.

  Each storage unit of the medicine shelf further includes an entry detection unit that detects an entry into the storage unit, and the control unit is configured to take out the drug extraction in a state where no detection signal is input from the pharmacist identification unit. If there is a detection signal input from the presence / absence detection means, it is preferable to determine that there is an error.

  With this configuration, it is possible to warn against the act of taking out the medicine from the medicine shelf without mounting the identification member. Therefore, it is possible to appropriately prevent erroneous and unauthorized removal while maintaining an environment in which the medicine can be easily taken out from the medicine shelf, that is, an open state.

  The medicine shelf is provided with a drawer capable of containing a medicine, and the drawer is divided into a plurality of storage chambers, arranged in a portion exposed to the outside before being pulled out, and is subject to dispensing based on prescription data. It is preferable to include a display unit that displays whether or not a medicine is stored, and another display unit that is disposed in a portion exposed by being pulled out and indicates a storage chamber in which a medicine to be dispensed is stored. .

  With this configuration, it becomes possible to quickly take out the corresponding medicine from the inside of the drawer where the contained medicine cannot be directly visually confirmed. In other words, after confirming in which drawer the corresponding medicine is stored in the display section, if the drawer is pulled out from the medicine shelf, it is possible to grasp at a glance which storage room the corresponding medicine is stored in. can do.

  Further, the present invention provides a dispensing support method as a means for solving the above-mentioned problem by creating a prescription table by associating the prescription data with the pharmacist data by inputting prescription data, When the medicine is taken out from the medicine shelf, the responsible pharmacist identifying means provided in each container of the medicine shelf identifies the responsible pharmacist, and based on the identified pharmacist's pharmacist data, the medicine is taken out from the medicine shelf by referring to the prescription table. It is determined whether or not the pharmacist is allowed to dispense the medicine.

  According to the present invention, the pharmacist identification means is provided in each container of the medicine shelf so that the person who takes out the medicine is only a pharmacist who is permitted to dispense. However, it is possible to produce the medicine easily and inexpensively, and it is possible to surely prevent the medicine from being taken out from different storage parts by mistake.

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

[First embodiment]
FIG. 1 shows an appearance of a dispensing support device 1 according to the first embodiment. This dispensing support device 1 is a medicine shelf 3 formed on a dispensing table 2.

  The dispensing table 2 includes a plurality of drawers 4 that can be drawn to the front side, and stores medical-related members such as catheters, poultices, and gauze, and chemicals such as drops. A bar code reader 5 shown in FIG. 2 is installed on the dispensing table 2. The barcode reader 5 includes a barcode recognition unit 6, an RFID antenna 7 (RFID: Radio Frequency Identification), a buzzer 8, and the like. The barcode recognition unit 6 identifies the barcode A printed on the dispensing instruction sheet P (see FIG. 8). Thereby, the patient's thing described in the said instruction note P is extracted from the prescription data (data regarding the contents of the prescription prepared by the doctor) input from the host computer 9. The RFID antenna 7 is an example of a working pharmacist identification unit according to the present invention, and is used to identify an identification member 10 such as a ring worn on the finger by the working pharmacist, as will be described later. Then, when the working pharmacist performs the operation of reading the barcode A of the instruction note P by the barcode recognition unit 6, it is possible to automatically identify the identification member 10 without being conscious of it. When the buzzer 8 dispenses according to the contents of the dispensing instruction P, the buzzer 8 notifies the working pharmacist when the wrong medicine D is taken out or when the barcode A of the instruction P is read by the barcode reader 5. Is. As a notification method, a confirmation sound such as “beep” or a sound such as “different medicine” may be used.

  The medicine shelf 3 includes a plurality of cassettes 11 serving as storage units, and each cassette 11 stores medicines D (D1, D2) by type. The front surface of the medicine shelf 3 can be closed by a shutter 12 provided at the upper portion, and when the medicine shelf 3 is not used at night or the like, taking out the medicine D from the cassette 11 is completely blocked.

  As shown in FIG. 3, each cassette 11 includes a display operation panel 13 on the front surface, and a medicine storage chamber 14 that opens to the front surface side is formed above the display operation panel 13. As shown in FIG. 3C, the display operation panel 13 is provided with a scheduled number display unit 15, an extraction number display unit 16, an identification display unit 17, and a cancel button 18. The planned number display unit 15 displays the quantity of the medicine D to be taken out from the cassette 11 determined based on the prescription data. In the removal number display section 16, the number of medicines D actually taken out from the cassette 11 is displayed. The cancel button 18 is used when dispensing is stopped.

  As shown in FIG. 3D, the display / operation panel 13 has a quantity of medicine D accommodated (“5” in FIG. 3D) and a fraction (“5” in FIG. 3D). 2 ") may be displayed. The medicine D here means the form of the medicine delivered from a pharmaceutical company or the like. For example, in the case of a press-through pack, a medicine in which a plurality of tablets or the like housed one by one is continuously formed into a sheet shape. The fraction means a state where a part of the medicine D is cut off.

  Moreover, as shown in FIG. 4 or FIG. 5, the identification display part 17 may be comprised with the light emitting diode (LED: Light Emitting Diode) from which several colors differ. In FIG. 4, the LEDs are arranged on the circumference. In FIG. 5, the LEDs are arranged in two rows. In addition to the number and color of the LEDs, the arrangement position can be freely selected. In any case, the working pharmacist (charged pharmacist) in charge can be identified by the difference in the color to be lit. Thereby, the charge pharmacist can grasp at a glance that the medicine D to be dispensed is contained in the cassette 11 in which the LED of the assigned color is lit. In addition to changing the color of the LED for each responsible pharmacist, a display unit for displaying a predetermined pharmacist ID or the like may be provided. In short, it suffices if it is possible to identify who takes out medicine from each medicine storage chamber 14 of medicine shelf 3.

  An antenna line 19 that can be identified only when the identification member 10 is inserted into the medicine storage chamber 14 is provided at the opening edge of the medicine storage chamber 14. This antenna line 19 is an example of a responsible pharmacist identifying means of the present invention, and as shown in FIG. 17 (a), detects the ring identification member 10 attached to the finger by the responsible pharmacist. In this case, a wireless chip (RFID tag) is used for the identification member 10. However, barcode seals (printed barcodes on stickers) that can be identified without contact, fingerprint authentication, touch communication systems (http://www.mew.co.jp/press/0409/0409 -3.htm) etc. can be used that can be identified by contact. The wireless chip can be used by being provided on a ring, a bracelet (see FIG. 17C), or the like. As shown in FIG. 17B, the bar code seal may be attached to a nail or the like. Further, if a color sensor is provided in place of the antenna line 19, it is possible to cope by using a color glove. Of course, the detection of the identification member 10 is not limited to the antenna wire 19, and an appropriate one may be used depending on the type of the identification member 10. In addition, by making the colors of the rings, color gloves, and the like match the colors of the LEDs that light up, it is possible to easily make a determination during work.

  In addition, although the said identification member 10 was used in order to identify the charge pharmacist, you may make it prepare the thing which can take out medicine from any medicine storage chamber 14 for taking out in emergency. . However, as will be described later, it is necessary to record the identification of the pharmacist and how much medicine has been taken out. In addition, an operation unit such as a switch may be separately provided for taking out the drug in an emergency, and the drug D may be taken out from any drug storage chamber 14 by operating the operation unit. Thereby, it becomes possible to respond quickly without replacing a ring or the like. In this case as well, the recording is necessary.

  As shown in FIG. 3A, an inclined base 20 that protrudes gradually upward toward the opening side is installed on the bottom surface of the medicine storage chamber 14. And the medicine D1 packaged, such as a press-through pack, is placed on the inclined table 20 in a laminated state. The stacked medicine D1 is tilted along the inclined surface of the tilting table 20, and the tip of the urging arm 22 constituting the medicine remaining amount detection sensor 21 is in contact with the medicine D1 located at the uppermost part. A roller 23 is rotatably provided at the tip of the urging arm 22 so that the medicine D1 can be smoothly taken out from the cassette 11. If the number of chemicals to be stacked is different, the position where the roller 23 provided at the tip of the urging arm 22 contacts also changes, and the inclination angle of the urging arm 22 is displaced. Therefore, based on the change in the inclination angle. The remaining amount of chemicals can be detected. Further, a fraction medicine container 14a for placing the fraction medicine D2 is provided between the tilt base 20 and the opening.

  In addition, it is also possible to use the reflective sensor 27 shown in FIG. 6 and the weighing devices 28a and 28b shown in FIG. In FIG. 6, a reflective sensor 27 is provided on the upper surface of the cassette 11, and the amount of the medicine D1 stacked on the tilting table 20 depends on the time taken to reflect the light emitted from the light emitting element with the medicine D1 and receive it with the light receiving element. To calculate the remaining amount of chemicals. In FIG. 7, a weighing device for detecting the weight is provided below the tilt base 20 and below the fraction medicine container 14a, and the weights of the medicines D1 and D2 are detected, respectively, and based on the detected weights. Calculate the remaining amount of chemicals. However, what can be used for the said chemical | medical agent residual amount detection sensor 21 is not restricted to the thing of the said structure.

  As shown in FIG. 8, the bar code reader 5, the cassette 11, and the like transmit and receive signals to and from the main controller 24.

  The main controller 24 performs each control during the dispensing process based on the prescription data of each patient input from the host computer 9. The main controller 24 stores each data stored in the storage unit 25 based on detection signals from the barcode reader 6 and the RFID antenna 7 of the barcode reader 5, or the antenna wire 19 and the chemical remaining amount detection sensor 21 of the cassette 11. The medicine shelf 3, the display 26, the buzzer 8 and the like are driven and controlled with reference to the table.

  The storage unit 25 stores a patient master table, a medicine master table, a medicine management master table, a working pharmacist master table, an identification master table, a prescription table, a dispensing completion table, and the like.

  The patient master table stores insurance card data (patient ID (Identification, hereinafter, ID is all this), patient name) and vital data such as blood type, height, weight, allergy, etc. for each patient. In the medicine master table, information of medicine D, for example, as shown in FIG. 9, medicine ID, medicine name, packaging form, standard amount, efficacy, dosage form, stock quantity, filling date, lot number, (medicine D The expiration date etc. are stored. In the medicine management master table, the shelf number of medicine shelf 3 and medicine D are associated with each other, and storage management ID, shelf position, and medicine ID are stored as shown in FIG. However, if information that associates the shelf number with the medicine D is added to the medicine master table, the medicine management master table is unnecessary. As shown in FIG. 11, the working pharmacist master table stores information on a pharmacist who is currently dispensing, for example, a ring ID, a pharmacist ID, a login time, a logout time, and the like. In the identification master table, in association with the pharmacist ID in the working pharmacist master table, the ring ID, color (red, blue, yellow, green, light blue, purple, white), forget notification timer, flashing pattern (fast flashing, flashing slowly) , No change etc.), completion notification sound, error notification sound, authority, etc. are stored. In the prescription table, prescription data waiting for dispensing, that is, as shown in FIG. 12, patient ID, patient name, prescription ID, medicine ID, taking time, days, date, working pharmacist ID, and the like are stored. The dispensing completion table stores dispensing completion data processed by the prescription table, that is, patient ID, prescription ID, medicine ID, completion time, etc., as shown in FIG.

  Next, a control method during the dispensing process by the main controller 24 will be described with reference to the data flow diagram shown in FIG. 16 according to the flowcharts shown in FIGS. 14 and 15.

  First, information relating to the pharmacist (pharmacist data) is read by an authentication device (not shown) (step S1), and authentication is performed (step S2: see a in FIG. 16). Examples of the pharmacist data include passwords, ID cards, fingerprints, voices, irises, and the like. Then, the read information is compared with the pharmacist master table, and authentication is performed by determining whether or not the information is registered in advance, that is, whether or not the pharmacist can perform the dispensing process. If not authenticated, an error is notified by the buzzer 8 or the like (step S3), and the process is terminated. Thereby, it becomes possible to prevent the medicine D from being taken out illegally. However, all pharmacists who want to start dispensing need to be authenticated regardless of whether the shutter 12 is open.

  If it is authenticated, it is determined whether or not the shutter 12 is opened (step S4), and if it is closed, the shutter 12 is opened (step S5). If there is no authenticated pharmacist, the shutter 12 remains closed, and an unauthorized third party cannot take out the medicine D without permission.

  Subsequently, it is determined whether or not the identification information (working pharmacist data: for example, ring identification ID) stored on the ring worn by the pharmacist, that is, the identification member 10 provided on the ring, has been read by the RFID antenna 7 (step S6). ).

  If the ring identification ID is read, the ring identification ID is associated with the pharmacist data read in step S1, and stored in the working pharmacist master table shown in FIG. 11 (step S7: see b in FIG. 16). Further, the display 26 displays that the authentication has been completed (step S8).

  Next, it is determined whether or not the barcode A (two-dimensional barcode obtained by encoding the prescription data) attached to the instruction note P has been scanned by the barcode reader 5 (step S9). If the barcode A attached to the instruction note P is scanned, the prescription data is read from the host computer 9 for the patient described therein, and the shelf number etc. containing the medicine D to be prescribed from the medicine management master table Is read (step S10).

  If prescription data etc. are read, a prescription data allocation process will be started (step S11). In the prescription data allocation process, the prescription data ID of the prescription data read in step S10 is associated with the ring identification ID associated with the prescription data stored in the working pharmacist master table in step S7, and the pharmacist actually in charge of dispensing Is determined as the pharmacist in charge and stored in the prescription table (see c in FIG. 16).

  If the responsible pharmacist is determined, display processing for turning on the LED of each cassette 11 is performed (step S12). The LED is provided with a plurality of colors corresponding to the identification member 10 provided on the ring, and the corresponding color is lit. In the display process, the LED corresponding to the pharmacist in charge is turned on among the LEDs of the shelves in which the medicine D included in the prescription data is stored, so that even if the pharmacist in charge performs dispensing work simultaneously, It is possible to immediately identify at a glance whether the medicine D on the shelf should be taken out.

  When dispensing by the responsible pharmacist is started, the RFID tag (identification member 10) attached to the ring attached to the finger is read by the antenna line 19 in the cassette 11 in which a hand is put to take out the medicine D. Therefore, the pharmacist who inserted the hand performs authentication as to whether or not the medicine D of the prescription data that is to be handled in step S9 is taken out (step S13). If not authenticated, an error is notified by the buzzer 8 or the like (step S14), and the process is terminated.

  If authenticated, it is determined whether the dispensing operation has been completed (step S15). At the end of the dispensing operation, the cassette 11 that started taking out the medicine D is operated, and an operation completion button (not shown) is operated by judging that the next medicine D has not been taken out within a certain time or that the pharmacist in charge has completed the dispensing. It may be determined by detecting that it has occurred.

  When the dispensing operation is completed, it is determined whether or not the dispensing has been performed as prescribed (step S16). Whether or not it is in accordance with the prescription is determined by whether or not the amount of medicine D taken out from the cassette 11 matches the prescription data. If the medicine D exceeding the prescription number is taken out or if the medicine D taken out is less than the prescription number and a certain time elapses without taking out the next medicine D, the buzzer 8 or the like notifies the responsible pharmacist ( Step S17). Thereby, the mistake of the taking-out quantity of the chemical | medical agent D can be prevented reliably. In addition to displaying the error content, the display 26 also displays a selection button consisting of “retry” and “ignore” to determine which button has been operated (step S18). If the “retake” button is operated, it is possible to return to step S13 and start dispensing again. In this case, the medicine D taken out by mistake may be returned to the original cassette 11. The operation of the “ignore” button is used, for example, when the patient's condition suddenly changes and the content of the dispensing is changed, but the data is not updated. In this case, since an extraction history is recorded in step S19, which will be described later, it becomes possible to investigate the cause of fraud and dispensing errors by clarifying where the responsibility lies.

  When dispensing is performed as prescribed, and when the “ignore” button is operated in step S18, as shown in FIG. 13, the extraction history is recorded in the dispensing completion table shown in FIG. 13 (step S19: In step S20, the corresponding LEDs are sequentially turned off. Here, it is determined whether or not there are LEDs that are still lit among the LEDs lit in step S12 (step S21). If there is something that is lit, the process returns to step S13 and the above-described dispensing is repeated. When the dispensing of all medicines D included in the prescription data is completed, the dispensing process is terminated.

  Note that the recording in the dispensing completion table performed in step S19 may be performed when all of the dispensing for certain prescription data is completed.

  The dispensing operation is performed as described above. If the medicine remaining amount detection sensor 21 detects that a missing item or the like is generated in the medicine D in each cassette 11 of the medicine shelf 3, the buzzer 8 or the like is notified. Is notified. The pharmacist accommodates the medicine D corresponding to the cassette 11 in which a shortage occurs. At this time, the filling date is recorded in the medicine master table, and the medicine D filled in the medicine management master table is associated with the shelf number. Thereby, the inventory management of the medicine D is appropriately performed.

[Second Embodiment]
18 and 19 show a dispensing support device 30 according to the second embodiment. This dispensing support device 30 is mainly different from that according to the first embodiment in the following points. In the following description and drawings, the same components are denoted by the same reference numerals and description thereof is omitted.

  As shown in FIG. 20, each cassette 11 of the medicine shelf 3 is provided with an entry object detection sensor 31. Each cassette 11 is provided with a first display section 32 as shown in FIG. Further, as shown in FIGS. 22 to 24, each drawer 4 has a second display portion 33 and a third display portion at the center of the grip portion 4 b provided on the front surface and the upper surface of the partition wall 4 a in the drawer 4. A display unit 34 is provided.

  A key hole 35 into which a shutter opening / closing key (not shown) can be inserted is provided below the medicine shelf 3. If the medicine shelf 3 is closed with the shutter 12 and a shutter opening / closing key is inserted into the key hole 35 and rotated, the shutter 12 can be locked in the closed state. Thereby, when the medicine shelf 3 is opened, in order to unlock the shutter 12, it can be managed by both the key and the authentication of the dispenser, which is further excellent in terms of safety.

  In addition, a dispensing completion button 36 is provided in the vicinity of the key hole 35 on the top surface of the dispensing table 2. When all the dispensing is completed, the shutter 12 is automatically closed by pressing the dispensing completion button 36. However, when the dispenser leaves the dispensing support device 30, if the dispensing completion button 36 is pressed, the shutter 12 can be immediately closed by the shutter 12, and it is possible to prevent the medicine from being taken out without permission.

  As shown in FIG. 25, the shutter 12 is movably provided along guide grooves 3a formed on both side walls. The shutter 12 is driven by a motor (not shown) to close the front medicine shelf 3 (see FIG. 25 (a)) and to the rear side to open the medicine shelf 3 (FIG. 25 (b)). Reciprocating movement with the reference).

  As shown in FIG. 20A, the insertion detection sensor 31 is provided with a light emitting element 31 a and a light receiving element 31 b at the upper and lower central portions of the opening edge of each cassette 11. If a medicine is to be taken out from the cassette 11, the optical path is always blocked by the hand that has been put in or the medicine that is to be taken out. That is, since the light emitted from the light emitting element 31a cannot be detected by the light receiving element 31b, the insertion detection sensor 31 outputs a detection signal (here, an off signal).

  Further, as shown in FIG. 20B, the insertion detection sensor 31 is provided at the center of the light emitting element 31a and the light receiving element 31b provided on the left and right of the upper position, and at the center of the lower position, of the opening edge of each cassette 11. You may comprise by the reflective part 31c (for example, reflective mirror) to be used. According to this, after the light irradiated from the light emitting element 31a is reflected by the reflecting part 31c, it is detected by the light receiving element 31b, and the optical path is substantially V-shaped. Therefore, even when the opening area of the cassette 11 is large, it is possible to detect hands and chemicals at low cost without increasing the number of elements. It is also possible to increase the number of reflecting portions 37 to make the optical path zigzag. Thereby, even if the opening area of the entrance portion where the hand is taken in and out is larger, it is only necessary to prepare the light emitting element 31a and the light receiving element 31b one by one. Moreover, when reflecting light with the reflection part 31c, it is preferable to use a semiconductor laser beam as a light source.

  As shown in FIG. 21A, the first display unit 32 is made up of a display such as a liquid crystal display, and displays an ID display unit 32a that displays the worker's identification number (ID), and a medicine stored in the cassette 11. It is comprised with the quantity display part 32b which displays a quantity. Similar to the first embodiment, the quantity display portion 32b can display the quantity (here, the number of sheets) of the medicine D accommodated and the fraction.

  Further, the first display unit 32 may display only the shelf number as shown in FIG. When a plurality of dispensers work at the same time, the shelf number or the display color of the background may be changed. In this case, the display color may be changed in order from the person in charge of the prescription data processed in advance. For example, if the person in charge A for the prescription data is red and the person B in charge for the next prescription data is yellow, the shelf number is initially displayed in red, and if a predetermined number of corresponding medicines are taken out, yellow Change to. In addition, when there is a next person in charge, the color display corresponding to the first person in charge may be identified by blinking or the like. Thereby, it can be discriminate | determined at a glance whether the cassette 11 of the shelf number has the next worker. For this reason, it becomes possible for the previous worker to improve the workability as a whole by giving priority to the dispensing in the cassette 11.

  Further, as shown in FIG. 21C, the first display unit 32 may include an NG display unit 37 and an OK display unit 38 in addition to the shelf number. The NG display unit 37 is lit to warn when an unauthorized person who dispenses accidentally puts a hand in the cassette 11. It may be turned on when the necessary number of medicines to be prescribed in the cassette 11 does not remain. Note that the NG display unit 37 can attract attention of the dispenser and the surroundings by using a red LED.

  Further, as shown in FIG. 21 (d), the first display unit 32 can perform person-in-charge identification display. That is, a plurality of LEDs having different colors are provided corresponding to a plurality of dispensers, and the corresponding LEDs are turned on when the responsible dispenser is authenticated. Here, 6 LEDs of different colors are used in parallel so that 6 people can perform dispensing work simultaneously. Similar to step S1, the corresponding pharmacist performing the work is authenticated, and the corresponding LED may be turned on. Thereby, compared with the case where only the above-mentioned shelf number is displayed, the dispenser can easily identify the target cassette 11, and the workability can be further improved.

  As shown in FIG. 22A, the second display unit 33 is configured by an instruction lamp 39 provided on the grip portion 4 b of each drawer 4. The instruction lamp 39 is used for making it easy to identify at which the drawer 4 contains the corresponding medicine based on the prescription data when dispensing. Since the dispenser can identify the drawer 4 in which the corresponding medicine is accommodated by looking at the lit instruction lamp 39 without pulling out the drawer 4 one by one, the dispensing operation can be performed efficiently. A configuration in which the display color of the instruction lamp 39 can be changed can be adopted as in the first display unit 32 so that a plurality of dispensers can work simultaneously, as shown in FIG. As described above, the person-in-charge identification display can be performed.

  The third display unit 34 has the same configuration as that of the first display unit 32 and is provided on the upper surface of the partition wall 4 a provided inside the drawer 4. In FIG. 23, the third display portions 34 are provided on the partition walls 4a located on both sides, and correspond to the respective storage chambers 4c (here, six locations). In FIG. 24, each of the third display portions 34 is provided on the upper surface of the partition wall 4a that is partitioned in the pull-out direction, and each third display portion 34 is positioned on the front side of each storage chamber 4c (here, 12 locations). Yes.

  As described above, since the second display unit 33 and the third display unit 34 are provided in each drawer 4, the dispenser determines which drawer 4 is displayed on the display of the second display unit 33, and specifies the identification. By pulling out the drawer 4, it is possible to identify at a glance which storage chamber 4 c it is.

  In the main controller 24, as in the case of the first embodiment, the medicine is appropriately applied by the person wearing the RFID tag (identification member 10) based on the detection signal from the antenna wire 19 provided in the opening of the cassette 11. In addition to determining whether or not the medicine has been taken out, the medicine is prevented from being taken out illegally based on a detection signal from the insertion detection sensor 31. That is, when a medicine is taken out from the cassette 11 without attaching the RFID tag 10, a detection signal is input to the main controller 24 only from the insertion detection sensor 31. Therefore, an error is notified by sounding the buzzer 8 or displaying a warning on the display / operation panel 13. Thereby, it becomes possible to prevent chemicals from being taken out illegally.

  If the insertion detection sensor 31 or the antenna wire 19 is provided in each storage chamber 4c of the drawer 4 so that the hand, the medicine, or the identification member 10 can be detected, the same effect as described above can be obtained. it can.

[Other embodiments]
In each of the above embodiments, the configuration in which the entire medicine shelf 3 is opened and closed by the shutter 12 is employed. However, a door (not shown) for opening and closing the medicine storage chamber 14 of each cassette 11 may be provided.

  That is, each door can be individually opened and closed by a motor or the like. Further, based on the inputted prescription data, the responsible pharmacist is read from the prescription table stored in the storage unit 25. Further, the identification member 10 such as a ring worn by the working pharmacist on the finger is read by the RFID antenna 7, and the pharmacist is specified by the working pharmacist master table stored in the storage unit 25. If a pharmacist is specified, it compares with the charge pharmacist read from the prescription table. Then, it is determined whether or not both match. If they match, the door of the medicine storage chamber 14 in which the medicine contained in the prescription data is stored is opened each time. When the medicine is taken out in the corresponding quantity, the door is automatically closed. A lock mechanism is adopted for the door so that it cannot be opened by hand in the closed state.

  As described above, according to the above-described embodiment, a medicine contained in certain prescription data can be dispensed only by a responsible pharmacist. Moreover, by opening and closing the door, it becomes possible to handle only the corresponding chemicals, and it is possible to reliably prevent dispensing errors and unauthorized removal.

  In each of the above embodiments, one pharmacist is assigned to one prescription data, but it is also possible to determine the pharmacist in charge for each medicine. In this case, there may be a plurality of responsible pharmacists for one prescription data.

  In this method, a prescription table in which a medicine (for example, medicine code) and a pharmacist (for example, pharmacist code) are associated with each other is created. When the prescription data is input, the prescription table is referred to based on the medicine included in the prescription data, and the responsible pharmacist of each medicine is specified.

  For example, a medicine shelf is divided into a plurality of areas, and a responsible pharmacist who dispenses medicines stored in each area is determined. When the prescription data is input, the pharmacist who is in standby in each area sequentially takes out the corresponding medicine from the medicine shelf 3. More specifically, if the A pharmacist, the B pharmacist, and the C pharmacist prepare in the order of the first area, the second area, the third area, and so on, and the prescription data is input, the medicine included in the prescription data is stored. The cassette 11 is displayed in an identifiable manner. The pharmacist takes out the medicine while looking at the display. While moving the tray in the order of the first area → the second area → the third area, etc., each pharmacist stores the medicine taken out in the tray. According to this, a dispensing operation can be performed by a flow operation, and there is no fear of mistaken chemicals stored in the tray.

It is a perspective view which shows the whole dispensing assistance apparatus which concerns on 1st Embodiment. It is a perspective view which shows the barcode reader of FIG. (A) is side sectional drawing which shows the cassette stored in the chemical | medical agent shelf of FIG. 1, (b) is the top view, (c) is the front view, (d) is a front view which shows another example. (A) is a front view which shows the other example of a cassette, (b) is the partial side view. (A) is a front view which shows the other example of a cassette, (b) is the partial side view. It is a side view which shows the other example of a cassette. (A) is a side view which shows the other example of a cassette, (b) is the top view. It is a block diagram which shows schematic structure of the dispensing assistance apparatus of FIG. It is a chart which shows the contents of a medicine master table. It is a chart which shows the contents of a medicine management master table. It is a chart which shows the contents of the duty pharmacist master table. It is a chart which shows the contents of a prescription table. It is a chart which shows the contents of a dispensing completion table. It is a flowchart figure which shows a dispensing (picking) process. It is a flowchart figure which shows a dispensing (picking) process. It is a data flow figure. It is the schematic which shows the example of an identification member. It is a front view of the dispensing assistance apparatus which concerns on 2nd Embodiment. It is a side view of FIG. It is the schematic which shows the example of the insertion detection sensor employ | adopted as the dispensing assistance apparatus of FIG. It is a front view which shows the example of the 1st display part employable as the dispensing assistance apparatus of FIG. It is a front view which shows the example of the 2nd display part employable as the dispensing assistance apparatus of FIG. It is a front view which shows the example of arrangement | positioning of the 3rd display part employable for the dispensing assistance apparatus of FIG. It is a front view which shows the other example of arrangement | positioning of the 3rd display part employable as the dispensing assistance apparatus of FIG. It is side surface sectional drawing which shows the example of the shutter employ | adopted as the dispensing assistance apparatus of FIG.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 ... Dispensing support apparatus 2 ... Dispensing stand 3 ... Drug shelf 4 ... Drawer 5 ... Bar code reader 6 ... Bar code recognition part 7 ... RFID antenna (person in charge pharmacist identification means)
DESCRIPTION OF SYMBOLS 8 ... Buzzer 9 ... Host computer 10 ... Identification member 11 ... Cassette 12 ... Shutter 13 ... Display operation panel 14 ... Chemical storage room (accommodating part)
DESCRIPTION OF SYMBOLS 15 ... Planned number display part 16 ... Extraction number display part 17 ... Identification display part 18 ... Cancel button 19 ... Antenna wire 20 ... Inclined stand 21 ... Chemical residual quantity detection sensor 22 ... Energizing arm 23 ... Roller 24 ... Main controller (control) means)
25. Storage unit (storage means)
DESCRIPTION OF SYMBOLS 26 ... Display 31 ... Insertion detection sensor 32 ... 1st display part 33 ... 2nd display part 34 ... 3rd display part 35 ... Keyhole 36 ... Dispensing completion button 37 ... NG display part 38 ... OK display part 39 ... Instruction lamp P ... Dispensing instructions A ... Barcode D ... Drugs D1 ... Regular drugs D2 ... Fractional drugs

Claims (12)

A pharmacist identification means for identifying a pharmacist in charge, provided in each container of a medicine shelf in which a medicine is stored;
Storage means for storing pharmacist data;
When prescription data is input, a prescription table is created by associating the prescription data with the pharmacist data stored in the storage means, and after storing the prescription table in the storage means, Control for determining whether or not the pharmacist is permitted to dispense the medicine to be taken out from the medicine shelf based on the pharmacist data of the pharmacist identified by the responsible pharmacist identification means when being taken out A dispensing support device comprising: means.   The dispensing support apparatus according to claim 1, wherein the object identified by the responsible pharmacist identifying means is an identification member attached to a pharmacist's hand. Pharmacist data reading means for reading pharmacist data at the start of dispensing,
A working pharmacist identifying means for identifying the working pharmacist at the start of dispensing,
The control means determines whether or not the pharmacist data read by the pharmacist data reading means is stored in the storage means, and if it is determined that it is stored, the work identified by the working pharmacist identification means The dispensing support apparatus according to claim 1 or 2, wherein a working pharmacist table is created by associating pharmacist data with each other, and the working pharmacist table is stored in the storage means.   The dispensing support device according to any one of claims 1 to 3, wherein each shelf of the medicine shelf is provided with a display unit that can be identified for each pharmacist in charge.   The dispensing support device according to any one of claims 1 to 4, wherein each of the medicine shelves includes a medicine remaining amount detection unit that detects a remaining amount of medicine.   6. The dispensing support apparatus according to any one of claims 1 to 5, wherein the control unit sets association between prescription data and a responsible pharmacist for each drug and stores the association in the storage unit.   The control means calculates the amount of medicine taken out and its quantity by detecting that the medicine is taken out from the medicine shelf by the medicine remaining amount detecting section, and each time the dispensing is completed, the dispensing completion table The dispensing support device according to claim 1, wherein the dispensing support device is stored in a storage device. An opening / closing member capable of opening and closing the medicine shelf;
The control means identifies the pharmacist with the working pharmacist identification means, and if there is anything corresponding to the pharmacist data stored in the storage means in advance, the opening / closing member is controlled to open the medicine shelf. The dispensing support device according to any one of claims 3 to 7, wherein A door that can be opened and closed is provided in each container of the medicine shelf,
The control means reads the responsible pharmacist from the prescription table stored in the storage means based on the inputted prescription data, and whether or not the read responsible pharmacist matches the pharmacist identified by the working pharmacist identifying means If it corresponds, If it corresponds, the door of the accommodating part in which the chemical | medical agent contained in the said prescription data was accommodated was opened, The any one of Claim 3 thru | or 7 characterized by the above-mentioned. Dispensing support device. Each container of the medicine shelf further includes an entry object detecting means for detecting an entry object to the container,
The control means determines that an error has occurred if there is an input of a detection signal from the medicine removal presence / absence detection means in the absence of a detection signal input from the pharmacist identification means. The dispensing assistance apparatus of any one of thru | or 8. It is further equipped with a drawer that can contain chemicals,
The drawer is divided into a plurality of storage chambers, arranged in a portion exposed to the outside before being pulled out, and a display unit that displays whether or not a medicine to be dispensed is stored based on prescription data 11. The apparatus according to any one of claims 1 to 10, further comprising: another display unit that is disposed in a portion exposed by being pulled out and that indicates a storage chamber in which a medicine to be dispensed is stored. The dispensing support device described.   When the prescription data is input, the prescription data and the pharmacist data are associated with each other to create a prescription table, and when the medicine is taken out from the medicine shelf, the responsible pharmacist identification means provided in each container of the medicine shelf A charge pharmacist is identified, and based on pharmacist data of the identified charge pharmacist, the prescription table is referred to and it is determined whether or not the pharmacist is permitted to dispense the medicine to be taken out from the medicine shelf. Dispensing support method.

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