JP2006185143A - Medical malpractice prevention system and its method - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To extremely simplify a system and to surely prevent a medical accident due to carelessness without increasing time, labor and costs for constructing the system. <P>SOLUTION: From a reception side terminal 10, the input of patient information is received and a list band 15 to which a bar code 14 indicating a patient ID is attached is issued. After a medical examination to a patient, a prescription 20 to which a two-dimensional code 21 having patient relating information for which prescription contents are added to the patient information is attached is issued. By a medicine preparation side terminal 30, an identification label 34 to which a bar code 36 corresponding to the contents of the two-dimensional code 21 of the prescription 20 is attached to be attached to medicines is issued corresponding to the kinds of the medicines described in the prescription 20. When a medical action by the medicine is to be performed to the patient, the bar code 14 indicating the patient ID of the list band 15 and the bar code 36 of the identification label 34 attached to the medicine are collated by a scanner 50 for collation. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to a medical error prevention system and method for preventing a medical error at a medical site in a hospital, a medical facility, a care facility, or 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. The action is carried out.

  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 to electronic information is stored as various medical information, and is used for medical office work such as drug preparation and accounting by a pharmacist.

  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.

  For example, in the case of injections used for patient treatment, there are ampoules, vials, infusion bottles, etc., which are prepared one by one in the patient-specific tray in the pharmacy department 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, information on medical practice is transmitted and received between a main computer having information on a medical practice plan to be performed on a patient and the main computer, and the contents of the medical practice are displayed. Information and medical treatment plan information are collated, a collation result is output if necessary, a medical computer performance record is stored as performance information, and information identifying the medical treatment is taken in, and the information is carried A medical device that has a recognition device that transmits to a computer, and checks and records whether the medical treatment that is about to be performed is correct by checking the information of the medical treatment plan with the information captured by the recognition device Accident prevention support system is 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 the system becomes large by connecting the main computer (host) and a plurality of terminal computers online, avoiding an increase in labor and cost for constructing the system, as well as medical care. An object of the present invention is to provide a medical error prevention system and method for preventing accidents.

A medical malpractice prevention system according to the present invention includes a receiving terminal that receives patient information and issues first code information indicating a patient ID, and a two-dimensional patient-related information in which prescription content is added to the patient information. A prescription with a code and a medicine preparation side that issues second code information according to the content of the two-dimensional code of the prescription for attaching to the medicine according to the kind of medicine described in the prescription A terminal and a collation scanner that collates first code information indicating the patient ID and second code information attached to the medicine when a medical action is performed on the patient by the medicine. And
In addition, the reception side terminal receives at least a patient's name, date of birth, sex, and patient ID, which is the patient information, and has a function of issuing an instruction to issue first code information indicating the patient ID. When receiving the issuing instruction, the processing terminal has a wristband issuing printer that issues a wristband with the first code information indicating the patient ID. A scanner for reading a code, and a label issuing printer for issuing an identification label with second code information according to the content of the two-dimensional code read by the scanner, according to the number of labels issued, When a label is affixed to the medicine and a medical action with the medicine is performed on a patient, the list scanner uses the collation scanner. Can first code information de and the second code information of the identification label is to be collated.
The medical malpractice prevention method of the present invention is issued by a wristband with a step of accepting input of patient information indicating at least a patient's name, date of birth, sex, and patient ID, and first code information indicating the patient ID Depending on the type of medicine described in the prescription, the step of issuing a prescription with a two-dimensional code having patient-related information in which prescription content is added to the patient information, and the prescription A step of issuing second code information according to the content of the two-dimensional code of the prescription for attaching to the medicine, and a first code indicating the patient ID when a medical action by the medicine is performed on the patient And a step of collating the information with the second code information attached to the medicine.
In the medical malpractice prevention system according to the present invention, the reception side terminal receives the input of patient information and issues the first code information indicating the patient ID, and the prescription content is added to the patient information after the examination for the patient. When a prescription with a two-dimensional code with patient-related information is issued, the prescription two-dimensional code to be attached to these drugs according to the type of drug described in the prescription by the drug compounding terminal When the second code information corresponding to the content of the medicine is issued and the medical action with the medicine is performed on the patient, the first code information indicating the patient ID and the second code information attached to the medicine are Matched.

  According to the medical malpractice prevention system of the present invention, the reception side terminal receives the input of patient information and issues the first code information indicating the patient ID, and the prescription content is added to the patient information after the patient is examined. When a prescription with a two-dimensional code having patient-related information is issued, the two-dimensional prescription for attaching to these drugs according to the type of drug described in the prescription by the drug compounding terminal When the second code information corresponding to the content of the code is issued and a medical action is performed on the patient by the medicine, the first code information indicating the patient ID and the second code information attached to the medicine are the matching scanner. The system can be greatly simplified, ensuring careless medical accidents without increasing the effort and cost of building the system. It is possible to stop.

  In the present embodiment, the reception-side terminal receives patient information and issues first code information indicating a patient ID, and has patient-related information in which prescription content is added to the patient information after the patient is examined. When a prescription with a two-dimensional code is issued, depending on the type of the drug described in the prescription, the drug compounding terminal responds to the contents of the two-dimensional code of the prescription to be attached to these drugs. When the second code information is issued and the medical action is performed on the patient by the medicine, the first code information indicating the patient ID and the second code information attached to the medicine are collated by the collation scanner. By making the system extremely simple, careless medical accidents can be reliably prevented without increasing the effort and cost of building the system.

Embodiments of the present invention will be described below.
FIG. 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 issuance of a wristband in the medical malpractice prevention system of FIG. 1, and FIG. FIG. 4 is a diagram for explaining a case where an identification label attached with second code information corresponding to the content of the two-dimensional code of the prescription of FIG. 1 is issued, and FIG. 4 is a diagram showing identification labels of FIG. 4, FIG. 6 is a diagram for explaining collation of a wristband barcode and a drug barcode in the medical malpractice prevention system of FIG. 1, and FIG. 7 is a medical malpractice prevention of FIG. It is a flowchart for demonstrating the medical malpractice prevention method in a system.

  As shown in FIG. 1, the medical malpractice 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 first code information indicating a patient ID, as shown in FIG. At least a personal computer 11 as an information processing terminal and a wristband issuing printer 12 are provided. When patient information indicating at least a patient's insurance number, name, date of birth, sex, blood type, 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 has at least a function of accepting input of patient information indicating a patient's insurance number, name, date of birth, sex, blood type, and patient ID, a function of automatically assigning a patient ID, and a wristband issuing printer. 12 only needs to have a function of issuing an issue instruction, and 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 issuance printer 12 issues a wristband 15 with at least a barcode 14 as first 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. As shown in FIG. 3, the patient's insurance number, name, date of birth, gender, blood type, patient ID In addition, prescription contents (internal use) and a two-dimensional code 21 in which these patient-related information are coded are attached. Here, the patient-related information is obtained by adding prescription content (internal use) to the above-described patient information. The contents of the two-dimensional code 21 may be at least the patient's name, patient ID, and prescription content.

  The two-dimensional code 21 is obtained by inputting at least the patient ID and prescription content (internal use) of the above-described barcode 14 from a terminal such as a personal computer (not shown) by a doctor. (Internal clothes) has information added. Further, the two-dimensional code 21 may be a code in which kanji, kana, numerals, etc. are coded, for example, like a QR code (registered trademark).

  The medicine preparation side terminal 30 issues second code information according to the contents of the two-dimensional code 21 of the prescription 20 to be attached to these medicines according to the kind of medicine described in the prescription 20. At least a handy scanner 31 as a scanner, a personal computer 32, and a label issuing printer 33 are provided. If the label issuing printer 33 automatically issues the second code information in accordance with the contents of the two-dimensional code 21 read by the handy scanner 31, the personal computer 32 is unnecessary.

  As shown in FIG. 4, the handy scanner 31 reads the two-dimensional code 21 in which the patient-related information of the prescription 20 issued by the doctor is encoded. The personal computer 32 has a function of causing the label issuing printer 33 to print the second code information corresponding to the content of the two-dimensional code 21 in which the patient-related information read by the handy scanner 31 is encoded, and the number of labels issued And a function for prompting input. 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 has a function of causing the label issuing printer 33 to print the second code information corresponding to the content of the two-dimensional code 21 having at least the patient related information read by the handy scanner 31, and inputting the number of labels to be issued. There should be a function to encourage it, and a relatively inexpensive one is sufficient.

  The label issuing printer 33 issues an identification label 34 corresponding to the input label issuance number based on the issuing instruction from the personal computer 32. On these identification labels 34, the second code information corresponding to the content of the two-dimensional code 21 having the patient related information of the prescription 20 is printed. In the second code information, a bar code 36 indicating a patient ID, a patient name, a drug name, and the like are printed. Since the drug names are printed on these identification labels 34, they can be attached to the surface of the drug while confirming the drug names printed on the drip pack 40, the drug bottle 41, or the like. FIG. 5 shows a case where an identification label 34 indicating the content of the tablet is issued. Since the identification label 34 is temporarily attached to the mount 35, the identification label 34 is peeled off from the mount 35 to be placed in the medicine bottle 41 or the like. It can be pasted.

  The collation scanner 50 is carried by a nurse. As shown in FIG. 6, 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 provided. 14 and a bar code 36 indicating the patient ID of the identification label 34 affixed to the drip pack 40, and a display unit 51 for displaying whether the collation result is OK or NG. Yes. 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. 7, after the patient information indicating at least the patient's insurance number, name, date of birth, sex, blood type, and patient ID is input by the personal computer 11 at the reception (step S1), When an issuance instruction is issued to the wristband issuance printer 12, a wristband 15 with at least a bar code 14 indicating (namely) the patient's name 13 and patient ID is printed from the wristband issuance printer 12. (Step S2).

  Next, when the patient receives a doctor's examination, a patient's insurance number, name, date of birth, sex, blood type, patient ID and prescription contents (internal use), and these are indicated by a printer (not shown) operated by the operation of the doctor. A prescription 20 with a two-dimensional code 21 encoded with patient-related information is issued (step S3).

  The two-dimensional code 21 is obtained by inputting at least the patient ID and prescription content (internal use) of the above-described barcode 14 from a terminal such as a personal computer (not shown) by a doctor. A two-dimensional code 21 having information to which “internal clothes” is added is printed at a predetermined position on the prescription 20.

  Next, when the prescription 20 is passed to the pharmacist, the pharmacist reads the two-dimensional code 21 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 two-dimensional code 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, the label issuing printer 33 issues an identification label 34 corresponding to the input label issuing number based on the issuing instruction from the personal computer 32 (step S5). In this case, when there is one medicine described in the prescription 20, one identification label 34 is issued, and when there are three or more medicines, three or more identification labels 34 are issued.

  At this time, a barcode 36 having information corresponding to the content of the two-dimensional code 21 of the prescription 20 is printed on the identification label 34. When the identification label 34 is issued, the identification 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).

  In this way, after the identification label 34 is issued, the identification label 34 on which the medicine name is printed is adhered to the surface of the medicine while confirming it on the infusion pack 40 or the medicine bottle 41, etc. It is possible to reliably correspond to the patient ID without mistaking the medicines that are present.

  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 of the identified identification label 34 is read and collated (step S7).

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

  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 identification label 34 attached to the drip pack 40 do not match, the verification scanner 50 Since the content that the verification 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 the present embodiment, the reception side terminal 10 receives at least the patient's insurance number, name, date of birth, sex, blood type, patient information input reception of patient information as patient ID and first code information indicating the patient ID. Issue a wristband 15 with a barcode 14 and issue a prescription 20 attached with a two-dimensional code 21 having patient-related information in which prescription content is added to the patient information after examination with respect to the patient, An identification label 34 attached with a barcode 36 corresponding to the content of the two-dimensional code 21 of the prescription 20 to be attached to these medicines according to the kind of medicine described in the prescription 20 by the medicine preparation side terminal 30. When the medical action by the medicine is issued to the patient, the barcode 14 indicating the patient ID of the wristband 15 and the barcode 3 of the identification label 34 attached to the medicine Preparative since so as to match the verification scanner 50, 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 prescription 20 is used as a paper is described. However, the present invention is not limited to this example, and the contents of the prescription 20 are stored in an electronic medium such as a floppy or a CD, and the contents of the electronic medium are used by the pharmacist. The two-dimensional code 21 attached to the prescription 20 displayed on the screen may be scanned by the handy scanner 31 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 is attached with a name plate with the pharmacist ID attached by code information (barcode), and the identification label 34 is issued. Sometimes, the barcode information indicating the patient ID and the name of the pharmacist in charge are printed on the identification label 34 by scanning the code information of the nameplate and then scanning the two-dimensional code 21 of the prescription 20. It may be. This makes it easy to determine who was in charge of the medicine preparation.

  Further, in the present embodiment, the medicine name is printed on the identification label 34, so that the medicine written on the prescription 20 is taken out of the storage location, and then the medicine and the medicine name printed on the identification label 34 are displayed. The identification label 34 can be affixed to the medicine while confirming the above, and the patient ID can be surely associated with the medicine without mistaking the medicine.

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 which shows the prescription of FIG. It is a figure for demonstrating the case where the identification label to which the 2nd code information according to the content of the two-dimensional code of the prescription of FIG. 1 was attached | subjected is issued. It is a figure which shows the identification label of FIG. 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 14,36 Bar code 15 Wristband 20 Prescription 21 Two-dimensional code 30 Drug preparation side terminal 31 Handy scanner 33 Label issue printer 34 Identification label 40 Infusion pack 41 Drug bottle 50 Verification scanner

Claims (3)

A reception-side terminal for receiving input of patient information and issuing first code information indicating a patient ID;
A prescription with a two-dimensional code having patient-related information with prescription content added to the patient information;
According to the type of the drug described in the prescription, a drug compounding side terminal that issues second code information according to the content of the two-dimensional code of the prescription for attaching to these drugs,
A medical scanner comprising: a collation scanner that collates first code information indicating the patient ID and second code information attached to the medicine when a medical action is performed on the patient by the medicine. Error prevention system. The reception side terminal
An information processing terminal having a function of accepting input of at least a patient's name, date of birth, sex, and patient ID, which is the patient information, and issuing an instruction to issue first code information indicating the patient ID;
A wristband issuing printer that issues a wristband with the first code information indicating the patient ID when receiving the issuing instruction;
The drug compounding terminal is
A scanner for reading the two-dimensional code of the prescription;
A label issuing printer for issuing an identification label attached with second code information according to the content of the two-dimensional code read by the scanner according to the number of labels issued;
When the identification label is affixed to the drug and a medical action is performed on the patient by the drug, the first code information of the wristband and the second code information of the identification label are obtained by the verification scanner. The medical malpractice prevention system according to claim 1, wherein the medical malpractice system is collated. A process of accepting input of patient information indicating at least a patient's name, date of birth, sex, and patient ID;
A step of issuing a wristband with first code information indicating the patient ID;
A step of issuing a prescription with a two-dimensional code having patient related information in which prescription content is added to the patient information;
A step of issuing second code information according to the content of the two-dimensional code of the prescription for attaching to the medicine according to the type of medicine described in the prescription;
A medical malpractice comprising a step of collating first code information indicating the patient ID with second code information attached to the medicine when a medical action is performed on the patient by the medicine; Prevention method.

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