JP2009274877A - Medicine management device - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To effectively manage an inventory of medicines used at a medical site. <P>SOLUTION: The medicine management devices 100a, 100b and 100c respectively manage the medicines and medical materials used at the medical site. The medicine management devices 100a, 100b and 100c accept input on a coming and going of these medicines, and generate data in various formes such as an operation history with every clinical nurse. The medicine management devices 100a, 100b and 100c transmit data generated in a medical information system 220, and the medical information system 220 is operated based on the data acquired from these respective medicine management devices 100a, 100b and 100c. The medicine management devices 100a, 100b and 100c share much required data by the medical information system 220. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  The present invention relates to a technique for managing medicines used in a medical field, and more particularly to a technique for managing medicine inventory.

  In a medical field such as an operating room, a medicine handler such as a nurse or a pharmacist prepares medicines such as injections and infusions before the treatment. In the treatment, extra chemicals are usually prepared in advance so as not to run out of chemicals.

  The chemicals that are actually used are entered into a form using a container discarded after the operation, or manually entered into a computer. In hospitals, billing operations and inventory management by using chemicals have been carried out in this way. For this reason, the burden of work for managing the billing and inventory of chemicals is large, and it was necessary for the hospital to always keep more than necessary chemicals so as not to cause the chemicals to run out of stock.

  In view of such a current situation, various proposals have been made to manage the inventory of medicines used in the medical field. As an example, there has been proposed an apparatus that stores medicines and automatically detects loading / unloading of the medicines to be stored. This apparatus automatically detects when a medicine handler performs loading and unloading of medicine stored in the apparatus. And since the count management of the chemical | medical agent stored by this is performed, at least about management of the chemical | medical agent stored by an apparatus, the significant labor saving was implement | achieved (for example, refer patent document 1, 2).

JP 2001-199508 A JP 2002-011072 A

  On the other hand, a system (hereinafter referred to as a “medical information system”) for managing medical operations in general based on various instructions from doctors is being introduced mainly in hospitals of relatively large scale. This medical information system is a system for integrated handling of information related to patient information management, surgery reservation, medicine order processing, logistics, electronic medical record, prescription management, medical accounting or hospital inventory medicine. The functions that the medical information system should have differ depending on the hospital to which the medical information system is to be introduced, but it is still a system that manages information related to medical work. In order to efficiently operate this medical information system, it is important to accurately and immediately grasp the usage status of medicines in the medical field. In particular, with regard to drug inventory management, it is extremely important to operate based on accurate on-site information.

  Although the above-mentioned apparatus saves management work for the medicine stored in the apparatus, it may not always be suitable for managing medicine in the entire hospital. However, if the medicine inventory management capability of the above-mentioned apparatus can be utilized in the medical information system, further efficiency of medical related work can be expected. In addition, human errors in medical practice often lead to medical accidents as they are. In the medical field, it is particularly important to reduce human errors associated with chemical management.

  This invention is made | formed in view of the said subject, The objective is to provide the technique for managing effectively the chemical | medical agent used in a medical field.

  In one embodiment of the present invention, when a medicine storage for storing a plurality of medicines used in a medical field and an operation for loading and unloading a mounting medicine, which is a medicine stored by a medicine handler, are performed, an operation targeted for the operation is performed. The medicine management device includes a detection mechanism that physically detects a medicine by distinguishing it from other mounted medicines, and a mounted medicine counter that counts a plurality of mounted medicines for each type. This device includes a loading / unloading / mounting medicine information recording unit that records loading / unloading / mounting medicine information, which is information related to the loading / unloading operation target drug, on a recording medium, a display unit that displays at least loading / unloading medicine information, Outgoing packaging medicine information, which is at least information related to delivery, is sent to the database, and the format conversion unit that converts the format, and the converted delivery packaging medicine information to the database so that the external database stores the information. A communication identification unit, a surgical identification information detection device that reads the surgical identification information assigned to each operation to be performed on the patient, at least an entry / exit mounting medicine information recording unit, a display unit, a format conversion unit, a surgical identification information detection device, and a communication A control unit that controls each of the units in an integrated manner. The communication unit further transmits the read operation identification information to an external database storing the operation content information corresponding to the operation identification information, and receives the content information corresponding to the read operation identification information from the database. . When an unmounted product that is not stored in the chemical hangar is loaded or unloaded by a chemical handler, an input / output unit that receives input about the unmounted product that is the target of the loading / unloading, and the target of the loading / unloading Unloading / unmounting product information recording unit for recording unloading / unloading / unmounting product information, which is information related to non-mounting products, and non-mounting product identification information detection for reading non-mounting product identification information previously given to non-mounting products And a device. The loading / unloading non-mounting product input unit receives the input when the non-mounting product identification information detecting device reads the non-mounting product identification information.

  “Mounted medicine” refers to a medicine that contains a medicine or a solubilizer for use, and that is stored in a medicine hangar. On the other hand, the “non-mounted product” is a concept of a pair of mounted chemicals, and refers to chemicals or drugs that are not stored in the chemical hangar. Hereinafter, when packaging chemicals and non-mounting chemicals are collectively referred to as “chemicals”. Furthermore, “medical material” to be described later is a medical product that is not stored in a drug storage such as a catheter or a syringe, and has a concept that does not include a drug. Medical materials are usually consumables. Hereinafter, when chemicals and medical materials are collectively referred to as “medicines”. Non-mounting chemicals and medical materials are collectively referred to as “non-mounting products”. The “recording medium” includes not only a fixed storage medium such as a hard disk or a floppy disk (registered trademark) but also a temporary recording medium such as a DRAM (Dynamic Random Access Memory).

  “Surgery identification information” refers to information for uniquely identifying a surgery to be performed, such as an identification number or a barcode. “Surgery identification information detection device” refers to a detection device such as a barcode reader. If the medicine management device acquires the operation identification information, it can acquire detailed information about the corresponding operation from the database using this information as a clue.

  “Non-mounted product identification information” refers to information for uniquely identifying a non-mounted product, such as an identification number or a barcode. This information may be identification information based on a standard such as JAN (Japan Article Number), or may be identification information set locally only in a hospital, for example. The “non-mounted product identification information detection device” may be a detection device such as a barcode reader. According to the aspect of the present invention, the input / output of the unmounted product can be simplified.

  Another aspect of the present invention is also a chemical management apparatus. This device includes a loading / unloading / mounting medicine information recording unit that records loading / unloading / mounting medicine information, which is information related to the loading / unloading operation target drug, on a recording medium, a display unit that displays at least loading / unloading medicine information, Outgoing packaging medicine information, which is at least information related to delivery, is sent to the database, and the format conversion unit that converts the format, and the converted delivery packaging medicine information to the database so that the external database stores the information. A communication identification unit, a surgical identification information detection device that reads the surgical identification information assigned to each operation to be performed on the patient, at least an entry / exit mounting medicine information recording unit, a display unit, a format conversion unit, a surgical identification information detection device, and a communication A control unit that controls each of the units in an integrated manner. The communication unit transmits the read operation identification information to an external database that stores the operation content information corresponding to the operation identification information, and receives the content information corresponding to the read operation identification information from the database. When an unmounted product that is not stored in the chemical hangar is loaded or unloaded by a chemical handler, an input / output unit that receives input about the unmounted product that is the target of the loading / unloading, and the target of the loading / unloading A loading / unloading non-mounting product information recording unit that records loading / unloading loading / unloading product information, which is information on the non-mounting product, on a recording medium is further provided. The loading / unloading non-mounting product input unit accepts input for each set item including one or more non-mounting products as one set. It further includes a quantity change input unit that accepts an input about the quantity change of the non-mounted product included in the set article by the chemical handler, and the entry / exit non-mounted product input part receives an input and controls the set article whose quantity has been changed. When the quantity change input unit receives an input about the quantity change, the unit causes the display unit to display the target non-mounted product by a display method different from the normal display.

  A “set article” is a module in which a plurality of non-mounting medicines and medical materials that are typically used in accordance with a certain surgical purpose are grouped. The set article may be classified for each department, for example. Since the chemical handler can handle such non-mounted products that are typically used in a lump, management becomes easier. As a result, it is effective in reducing human errors such as take-out errors, input errors, and billing errors. In addition, even in the same operation, it is difficult for a situation in which the contents of the drugs selected by the drug handler to differ greatly, so that it is possible to standardize medical treatment called a “clinical path (critical path)”. Also contribute.

  In an actual medical field, it may not always be appropriate to use the set article as it is. For example, in some surgeries, it may be assumed that a particular infusion is needed more than usual. In such a case, the medicine handler can select the medicine according to the situation by changing the quantity of the non-mounted products included in the set article. Especially, since the quantity is changed according to the situation based on the set goods, it is easier to input than selecting the necessary chemicals from the field, and it is also effective in suppressing human error. is there.

  When the chemical handler changes the quantity of the non-mounted product included in the set article, the chemical handler will notify the change by changing from the number set in the standard as the definition of the set article. Can be easily recognized. The display different from the normal display may be a display that can alert the drug handler by a change in color, font, or the like. In addition to the display, notification may be made by voice.

  It should be noted that any combination of the above-described constituent elements and a conversion of the expression of the present invention between a method, an apparatus, a system, a recording medium, a computer program, etc. are also effective as an aspect of the present invention.

  ADVANTAGE OF THE INVENTION According to this invention, the chemical | medical agent used in a medical field can be managed effectively.

It is a figure which shows the external appearance of the chemical | medical agent management apparatus in this Embodiment. It is a figure which shows the hardware constitutions containing the chemical | medical agent management apparatus in a hospital. It is a functional block diagram of a medicine management device. It is a figure which shows the login screen of a chemical | medical agent management apparatus. It is a figure which shows a worksheet reading screen. It is a figure which shows a worksheet. It is a figure which shows the medicine delivery initial screen displayed after the worksheet reading screen of FIG. It is a figure which shows the medicine delivery screen displayed when a nurse takes out the mounted medicine from the medicine storage after displaying the medicine delivery initial screen of FIG. It is a figure which shows the medicine delivery screen displayed when the mounted medicine taken out in the medicine delivery screen of FIG. 8 is returned. It is a figure which shows a set article selection screen. It is a figure which shows the set article input screen displayed after a set article is selected on the set article selection screen of FIG. It is a figure which shows the medicine delivery screen displayed at the time of double delivery. It is a figure which shows a maintenance screen. It is a figure which shows a catalog master maintenance screen. It is a figure which shows a totaling business screen. It is a figure which shows a chemical | medical agent replenishment log | history confirmation screen. It is a figure which shows a chemical | medical agent usage condition confirmation screen. It is a figure which shows a work performance confirmation screen. It is a figure which shows the data structure of a chemical | medical agent database. It is a figure which shows the data structure of a surgery database. It is a figure which shows the data structure of a patient database. It is a figure which shows the data structure of the delivery database. It is a flowchart regarding the process of a chemical | medical agent management apparatus.

  FIG. 1 is a view showing an appearance of a medicine management apparatus 100 in the present embodiment. The main body of the medicine management apparatus 100 is configured to be movable by a cart 116. The display device 102 is a device for displaying various types of information to a medicine handler such as a nurse. Hereinafter, a situation where a nurse uses the medicine management apparatus 100 will be described as an example. Here, the display device 102 receives an input from the nurse as a touch panel using a graphics button or the like on the screen. For input, an existing input device such as a keyboard or a mouse may be used.

  The bar code reader 104 is a device for reading various bar codes such as a bar code given to identify an unmounted product. The medicine storage 106 is a shelf for storing the mounted medicine. The medicine storage 106 is divided by a plurality of catalogs 108. Each catalog 108 is further divided by a plurality of cassettes 110. Each cassette 110 stores the same type of mounting chemicals. The cassette 110 normally assumes the storage of ampoules and vials containing injection drugs, but is not limited to this, and can store drugs contained in box-type containers, syringe-type injection drugs, external drugs, etc. Also good. Further, an adapter container based on a predetermined standard may be provided in order to store a medicine having a shape that cannot be stored in the cassette 110 as it is. Even a medicine having such a shape can be stored in the cassette 110 by being fitted in the adapter container. Each cassette 110 is provided with a mechanism for mechanically detecting the loading / unloading of the stored medicines by a known method. Thereby, the medicine management apparatus 100 detects the loading / unloading of each mounted medicine to be stored. Further, each cassette 110 is provided with a mechanism for mechanically counting the number of stored medicines stored by a known method. Thereby, the medicine management apparatus 100 counts the number of each mounted medicine stored. The known method here is, for example, a method disclosed in Japanese Patent Application Laid-Open No. 2001-199508. The catalog 108 and the cassette 110 will be described later in detail with reference to FIG.

  The medicine hangar 106 is usually protected by a protective means such as a shutter so that only certified nurses can take out the medicine. By a method described later, the control is performed so that the shutter is opened when the authentication of the nurse is completed. The medicine storage 106 is not necessarily installed in the medicine management apparatus 100 and may be installed outside the medicine management apparatus 100.

  The work table 118 is usually a table stored in the medicine management apparatus 100. The nurse can create a work space by pulling out the work table 118 during work. The multi-purpose drawer 112 is a drawer for mainly storing chemicals that do not fit in the chemical hangar 106, that is, non-mounted products. Non-mounted products are not necessarily stored in the multipurpose drawer 112. The printer 114 is a device for printing various information.

  FIG. 2 is a diagram illustrating a hardware configuration including the medicine management apparatus 100 in the hospital 200. A plurality of medicine management devices 100 such as medicine management devices 100a, 100b, and 100c are connected to the hospital 200 via a network 120. The network 120 may be a local area network (LAN) or a dedicated line. An integrated terminal 122 may be further connected to the network 120 in order to collect a plurality of medicine management apparatuses 100. The integrated terminal 122 is a terminal device for collecting data transmitted from the plurality of medicine management devices 100, and may collect these data and communicate with the medical information system 220. In addition, each medicine management device 100 may individually communicate with the medical information system 220 without going through the integrated terminal 122. Data communication is performed in accordance with a predetermined communication protocol common among the medicine management apparatus 100, the integrated terminal 122, and the medical information system 220.

  The medical information system 220 is a system configured for each hospital 200. The internal configuration of the medical information system 220 varies depending on the situation of the hospital 200. In the present embodiment, the medical information system 220 is assumed to be a system including a medical accounting system 230, an electronic medical record system 232, an inventory management system 234, an operation database 236, a delivery database 238, a patient database 240, and a medicine database 242. Will be explained.

  The medical accounting system 230 is mainly a system for managing the amount to be charged for each patient. The electronic medical chart system 232 is mainly a system for managing medical chart information for each patient. The inventory management system 234 is a system for mainly managing inventory of medicines in the entire hospital 200. In the present embodiment, the inventory management system 234 performs inventory management mainly based on information transmitted from each medicine management apparatus 100.

  The surgery database 236 is a database for storing information related to surgery. When a doctor performs an operation on a patient, information related to the planned operation is stored in the operation database 236. The outgoing database 238 is a database that stores information on chemicals delivered from the chemical management apparatus 100 during a predetermined period. The outgoing database 238 may store information on medicines used for each operation. The patient database 240 is a database for storing patient information. The medicine database 242 is a database for storing information on medicines. The data structures of these various databases will be described in detail later with reference to FIG.

  FIG. 3 is a functional block diagram of the medicine management apparatus 100. Each block shown here can be realized in hardware by an element such as a CPU of a computer or a mechanical device, and in software it is realized by a program including a data transmission / reception function. Describes functional blocks realized through collaboration. Therefore, those skilled in the art will understand that these functional blocks can be realized in various forms by a combination of hardware and software.

  The user interface processing unit 250 is in charge of processing related to the user interface. The user interface processing unit 250 includes a barcode input unit 252, a screen input unit 256, an input processing unit 258, an audio processing unit 254, and a screen display unit 260. The barcode input unit 252 receives a barcode input by the barcode reader 104. The barcode may be given to identify a non-implemented product or a nurse. The screen input unit 256 receives a screen touch input from the nurse to the display device 102. In addition, various input units may be provided. The input information received via these is sent to the input processing unit 258. The input processing unit 258 authenticates the nurse. In addition, the input processing unit 258 transmits only normal operation input to the control unit 262. The screen display unit 260 displays various types of information to the nurse using a GUI (Graphical User Interface). The voice processing unit 254 announces various types of voice guidance stored in a data storage unit (to be described later) according to instructions from the control unit 262. The voice processing unit 254 may accept input by a nurse's voice.

  The mechanism control unit 280 is a block that is mechanically configured, and includes a loading / unloading detection unit 282, a medicine storage unit 284, and a counting unit 286. The mechanism control unit 280 is a mechanism for performing inventory management of mounted chemicals. The medicine storage unit 284 stores the mounted medicine, and mainly corresponds to the medicine storage 106 in FIG. When the nurse performs the loading / unloading operation of the mounted medicine, the loading / unloading detection unit 282 detects the loading / unloading by a known method. The counting unit 286 counts the mounted chemicals for each type by a known method.

  The communication processing unit 270 is in charge of communication processing with the outside. The communication processing unit 270 includes a communication unit 272 and a format conversion unit 274. The communication unit 272 exchanges data with the integrated terminal 122 and the medical information system 220 in FIG. 2 by connecting to the network 120. When the communication unit 272 transmits data to the various databases shown in FIG. 2 via the network 120, the format conversion unit 274 determines the data format according to the communication protocol and the format in which the external database stores the data. Convert. The format converter 274 converts various data received from the outside into a format used by the medicine management apparatus 100. The data input / output unit 278 performs processing as an interface for data input / output between the control unit 262 and the data storage unit 276. In accordance with an instruction from the control unit 262, the data input / output unit 278 stores various information such as drug storage / refill history, replenishment history, usage history, information on nurses, definition of set articles, operation history, etc. in the data storage unit 276. Record in format. The data input / output unit 278 acquires information required by the control unit 262 from the data storage unit 276 in a predetermined format.

  The control unit 262 controls the user interface processing unit 250, the mechanism control unit 280, the communication processing unit 270, the print processing unit 290 and the data input / output unit 278, which will be described later, in an integrated manner. Based on the nurse's input received from the input processing unit 258 and information related to drug entry / exit detection in the mechanism control unit 280, the control unit 262 stores the drug in the data storage unit 276 via the data input / output unit 278. The entry / exit information is recorded or the communication processing unit 270 is instructed to transmit the information. The data storage unit 276 includes, for example, loading / unloading and replenishment of medicines managed by the medicine management apparatus 100, information on the usage status, information on nurses, definition information on set items, nurse work history, etc. Stores various information. The data structure of these various types of information will be described in detail when the user interface screen is described later. The control unit 262 causes the necessary information to be printed via the print processing unit 290 in accordance with an instruction from the nurse.

  Next, a user interface screen of the medicine management apparatus 100 will be described.

  FIG. 4 shows a login screen 300 that is an initial screen of the medicine management apparatus 100. The nurse inputs an ID number assigned to each medicine handler (here, a nurse) called a medicine handler ID in the medicine handler ID input area 316. The nurse also inputs a password for authenticating the nurse in the password input area 318. These inputs are performed by touching the numeric keypad 324, but may be input by a bar code assigned in advance. When the input processing unit 258 authenticates that the medicine handling user ID and password are correct, the name of the corresponding nurse is displayed in the medicine handling name display area 320, and the nurse is permitted to use the medicine management apparatus 100. The The data storage unit 276 stores information related to the medicine handler ID, password, and nurse name for each nurse, but a database included in the medical information system 220 may store the information.

  The stock mismatch display area 302, the end status display area 304, and the zero stock display area 306 display status information of the medicine management apparatus 100. The stock mismatch display area 302 displays whether or not the number of mounted medicines physically counted by the counting unit 286 matches the stock of mounted medicines stored in the data storage unit 276 of the medicine management apparatus 100. The control unit 262 grasps the stock amount of the mounted medicine by recording the loading / unloading information of the mounted medicine in the data storage unit 276 one by one. On the other hand, the stock amount of the mounting chemical is physically counted by the counting unit 286. Normally, they match, but there may be a case where they do not match due to a processing error or a mechanical failure. Such a problem occurs when the display of the stock mismatch display area 302 is “Yes”. As a result, an error related to the counting of the mounted chemical can be detected immediately. Usually, since the mounted chemicals often include expensive chemicals, it is important to detect management errors due to processing errors of the chemical management apparatus 100 at an early stage. The end state display area 304 displays whether or not the previous nurse has ended normally. If the system does not end normally, a message to that effect is displayed. The zero stock display area 306 displays the presence / absence of a mounted medicine whose stock is zero.

  The medicine delivery operation button 308, the total operation button 310, and the maintenance operation button 312 are a group of buttons corresponding to operations that should be performed by the nurse. The medicine delivery operation button 308 is a button for performing a medicine entry / exit operation. When the medicine delivery operation button 308 is touched, the screen shifts to the screen shown in FIG. The totaling work button 310 is a button for performing a totaling work. When the tabulation work button 310 is touched, the screen shifts to the screen shown in FIG. The maintenance work button 312 is a button for maintenance of the medicine management apparatus 100. When the maintenance work button 312 is touched, the process proceeds to FIG. When the end button 322 is touched, the processing of the medicine management apparatus 100 ends. In the input information display area 326, various types of information related to the input operation are displayed as guidance.

  FIG. 5 shows a worksheet reading screen 330 that is displayed when the medicine delivery operation button 308 is touched on the login screen 300. When a medicine is delivered, first, it is specified which surgery is performed to carry out the medicine delivery operation. In the operation ID input area 332, the nurse inputs an operation ID, which is an ID number assigned to each worksheet, for identifying an operation. The surgery ID may be read by the barcode reader 104. The worksheet is a sheet on which information related to the contents of the operation is described, and the operation ID is described on each worksheet. The worksheet and the surgery ID will be described in more detail with reference to FIG.

  When the surgery ID described on the worksheet is read, the medicine management apparatus 100 mainly receives information equivalent to the worksheet from the surgery database 236 via the communication unit 272 (hereinafter, this information is referred to as “surgery content information”). get. If the registration button 334 is touched after the surgery content information has been normally read, the screen shown in FIG. 7 is displayed. If the cancel button 336 is touched without reading the surgery ID, the screen shifts to the screen shown in FIG. 7 without reading the surgery content information. If the operation details information cannot be acquired normally and the cancel button 336 is touched, the screen similarly moves to the screen shown in FIG.

  FIG. 6 shows a worksheet 340 in the embodiment. Usually, a doctor determines the contents for each operation. Corresponding to the determined content, the surgical content information is mainly stored in the surgical database 236. The worksheet 340 is a sheet created based on the operation content information. After confirming the contents by looking at the worksheet 340, the nurse prepares for the operation. When the operation ID described in the operation ID column 350 is input on the worksheet reading screen 330, the medicine management apparatus 100 mainly obtains operation content information equivalent to that of the worksheet 340 from the operation database 236 as a clue. obtain.

  The patient ID column 342 indicates an ID number (hereinafter referred to as “patient ID”) given to each patient who is a target of surgery. Similarly, an ID number for identifying each patient, surgery, medicine to be described later, and the like is given. The medicine management apparatus 100 acquires necessary information from each database in the medical information system 220 using these ID numbers as clues. In the figure, the nurse, for example, in the patient name column 346, the patient name is “Harumi Sato”, the patient ID column 342, the patient ID is “9305277”, and the scheduled surgery column 348 is It turns out that it is "low rectal anterior resection".

  FIG. 7 shows a medicine delivery initial screen 360 displayed after the worksheet reading screen 330. The surgery ID area 380 displays the surgery ID input in the surgery ID input area 332. The patient name area 382 displays the patient name shown in the patient name column 346. This patient name is acquired from the medical information system 220 by the medicine management apparatus 100 using the operation ID acquired from the operation ID column 350 as a clue. In the worksheet reading screen 330, when the worksheet is not read, the patient name area 382 does not display the patient name.

  The entry / exit information display area 364 displays information related to various operations such as entry / exit of chemicals. The operation here refers to payout (shipping), return, and damage registration described later. The display method of the entry / exit information display area 364 will be further described with reference to FIG. 8 and subsequent figures. The outline will be described first with reference to FIG. The time column 366 displays the time when each operation is performed. The division column 368 indicates the type of operation. The kind of operation corresponds to the above-mentioned issue or return. The warning column 369 displays a warning given to each chemical. Some chemicals require sufficient care for handling, for example, because they are expensive or dangerous. The nurse can set a warning for each drug, as will be described later in connection with FIG. Based on the set warning, a warning is displayed in the warning column 369. In the warning column 369, there are three columns of warnings, which correspond to the warning level, that is, the importance of the warning. Important warnings are displayed to the right.

  The medicine name column 370 displays the name of the medicine to be operated. Not only the names of chemicals but also various information such as chemical standards may be displayed. The quantity column 374 indicates the quantity of chemicals to be operated. The unit column 376 shows the unit of chemicals to be operated. The display object switching button 378 switches the display of the entry / exit information display area 364. Each time the display object switching button 378 is touched, the history display of the entry / exit of the chemicals targeted for the operation and the display of the increase / decrease amount for each chemical targeted for the entry / exit are switched. Or the display object of the entry / exit information display area 364 may be switched sequentially, such as medicines that have been issued, returned chemicals, chemicals that have been registered for damage, and chemicals that have been subject to operation, The switching format may be user-definable.

  When one nurse is working and another nurse interrupts and works, the interrupting nurse touches the emergency interrupt button 384. As described above, when the medicine management apparatus 100 is operated, the nurse needs to be authenticated. However, while one nurse is working, another nurse may need to take out medicines from the same medicine management apparatus 100 urgently, for example, by an emergency operation. In this case, if the new nurse can leave the necessary medicines freely while the previous nurse is working, the authentication of the nurse will not be complete. On the other hand, if the work of the previous nurse is terminated, the previous nurse will be recorded in a halfway state, which is inconvenient for managing operation history data described later. In such a case, the new nurse can use the emergency interrupt button 384 to suspend the work of the previous nurse and temporarily save the work status before performing the work. When a new nurse completes the work, the previous nurse can resume the work based on the stored work status information.

  The page switching button 386 switches the page when the chemicals targeted for operation in the loading / unloading information display area 364 cannot be displayed on one screen. The category selection button 388 selects a non-mounted product based on the category. The category is a category in which non-implemented products are classified according to applications, such as “surgical drug”, “anesthetic”, “surgery”, and “otolaryngology”. When category selection button 388 is touched, a category selection screen (not shown) is displayed. On the same screen, the nurse searches for and selects a desired non-mounted product based on the category, and then performs input such as leaving or returning. With regard to the mounted medicine, its removal is automatically detected by the loading / unloading detection unit 282 by taking out the medicine from the medicine storage 106. For non-mounted products, a chemical ID, which is an ID number for identifying these by a barcode, is input by the barcode reader 104. Non-mounted products may be selected and input from the screen. In such a case, since many chemicals are classified into categories, it becomes easy to select a desired chemical.

  The set input button 390 is a button for inputting a set article (hereinafter simply referred to as “set input”). The set input means an input operation using a set article as a unit, which will be described in detail later with reference to FIG. The non-mounted product search button 392 is a button for calling a screen (not shown) for searching for non-mounted products. On this screen, the nurse searches for a desired medicine by using a character string search using a part of the name of the non-mounted product or a part of the medicine ID. Or you may search using the various information incidental to the chemicals mentioned later as a key. In this search, the installation location of the non-mounted product may be searched.

  The mounted medicine return button 394 displays a mounted medicine return screen (not shown). After the nurse calls this screen, the nurse confirms on the screen the mounted medicine to be returned from the list of mounted medicines delivered and returns it to the medicine storage 106. When it is confirmed that the medicine management apparatus 100 recognizes the return, the medicine delivery initial screen 360 is displayed again.

  The damage registration button 396 displays a screen (not shown) for registering chemical damage. When a nurse breaks a drug that is delivered, this screen is called to register the damage. In addition to chemicals actually used or returned, chemicals lost due to damage can be managed. Breakage here is a concept including disposal and loss, and means losing without carrying out. Since the nurse is identified by the medicine handler ID, the data input / output unit 278 records in the data storage unit 276 who is damaged by this registration. On the screen for registering the breakage, the breakage status and reason can be entered together.

  When the completion button 398 is selected, the screen returns to the login screen 300. At that time, a worksheet reading screen 330 may be displayed. That is, the nurse may read the worksheet after the work.

  FIG. 8 shows a medicine delivery screen 400 displayed when the nurse takes out the mounted medicine from the medicine storage 106 after the medicine delivery initial screen 360 is displayed. In the figure, the nurse has issued two packaged medicines “Perkami Injection”. When the entrance / exit detection unit 282 detects the removal of the “percami injection” in the medicine storage unit 284, the control unit 262 displays the entrance / exit information display area 364 shown in FIG. In addition, the control unit 262 instructs the data input / output unit 278 to record the loading / unloading of the mounted medicine in the data storage unit 276.

  The time column 366 displays the time when the leaving operation is performed. The division field 368 displays that the operation was a shipping operation. The medicine name column 370 displays “Perkami injection medicine” which is the name of the delivered medicine. The quantity column 374 displays that the number of delivered goods is two. The unit column 376 indicates that the extracted injection is an ampoule. When the nurse takes out the mounted medicine, the information regarding the taken-out mounted medicine can be confirmed in the storage information display area 364 in real time.

  When the nurse touches and selects the portion of the mounted medicine that has been delivered in the entry / exit information display area 364 and then touches the detailed drug information button 404, the nurse displays a screen (not shown) that displays detailed information about the mounted medicine. ) Is displayed. The nurse can obtain detailed information on the chemicals as shown in FIG. Actually, when the medicine detail information button 404 is touched, the medicine management apparatus 100 may acquire information on medicines from the medicine database 242. For example, in the warning column 369, more detailed information can be obtained about the chemicals for which a warning is displayed, so that the nurse can learn how to handle the chemicals while operating the chemical management apparatus 100. is there.

  FIG. 9 shows a medicine delivery screen 410 that is displayed when one of the two “Perkami injections” taken out on the medicine delivery screen 400 is returned. When returning the “Perkami Injection”, the nurse first calls a return screen (not shown), selects “Perkami Injection” which is the drug to be returned, and sets the number of return. Thereafter, when the nurse returns the “perkami injection” to the predetermined cassette 110, the entrance / exit detection unit 282 detects the return. The control unit 262 instructs the screen display unit 260 to display the information shown in the second line from the top of the entry / exit information display area 364. The classification column 368 displays that the target operation is a return operation. The quantity column 374 indicates that the number returned is one. According to the figure, it is understood that two “Perkami injections” were taken out, but one of them was returned. In this way, the operation of the nurse is displayed as a history.

  FIG. 10 shows a set article selection screen 420 displayed when the set input button 390 on the medicine delivery screen 410 is touched. The nurse can enter the entry / exit for the non-mounted product in addition to the mounted drug. Also in this case, the control unit 262 instructs the data input / output unit 278 to record these loading / unloading in the data storage unit 276. Furthermore, the nurse can input the loading / unloading as a set article. The nurse selects a desired set item from set items registered in advance on the set item selection screen 420. Information on the set article may be stored in the data storage unit 276 or may be acquired from an external database.

  The set classification area 422 indicates the classification of set articles (hereinafter simply referred to as “set classification”). In the figure, the set articles are classified for each medical department, but may be classified from various viewpoints such as the purpose of use. The set classification code column 424 shows an ID number for identifying a medical department. The set classification name column 426 shows the name of the department. The nurse selects a department by touching the desired department from the set classification area 422. In the figure, “Surgery” is selected. The set classification selection page 436 shows a page of the set classification area 422. In the figure, the set classification has 5 pages, of which the first page is displayed. The page switching button 438 changes the page. When the return button 439 is touched, the medicine delivery screen 410 is displayed.

  The set article selection area 428 indicates a set article that is classified in the department selected in the set classification area 422. When a predetermined set classification is selected in the set classification area 422, the set article selection area 428 displays a list of set articles included in the set classification. The set article code column 430 indicates an ID number for identifying the set article. The set article name column 432 indicates the name of the set article. The nurse selects a set item by touching a desired set item column from the set item selection area 428. The set item selection page 434 shows a page of the set item selection area 428. In the figure, a set item named “Surgery-Hernia” classified as “Surgery” is selected.

  FIG. 11 shows a set article input screen 440 displayed after a set article is selected on the set article selection screen 420. The set classification display field 442 displays “Surgery” which is the set classification selected in the set classification area 422. The set article display field 444 displays “surgery-hernia” which is the set medicine selected in the set article selection area 428. The set article content area 446 displays medicines included in the selected set article “Surgery-Hernia”. The set article “surgery-hernia” includes chemicals shown in the set article content area 446.

  The item code column 448 indicates a chemical ID. The medicine name column 450 indicates the name of the medicine. The constant column 452 shows constants of chemicals included in the set article. The quantity column 454 indicates the quantity of chemicals that are actually issued. As will be described later, this quantity can be changed at the time of delivery. The unit column 456 shows the unit of chemicals. In the figure, it is shown that the set article “surgery-hernia” includes, for example, a non-packaged medicine “saline solution” having an item code “1669”. The constant amount of “physiological saline solution” included in the set item “surgical-hernia” is “200 ml”, and “200 ml” is a delivery target.

  The quantity change button 458 is a button for changing the quantity of chemicals included in the set article. The constants of the chemicals included in the set article are predefined as shown in the constant column 452. However, in the medical field, even when a set article is delivered, there may be a case where more than a certain number is required, or there is no need for delivery as much as a certain number. The nurse changes the quantity of the actual delivery by using the quantity change button 458 for the medicine selected by touching from the set article content area 446. When the quantity of the chemicals included in the set article is changed by the quantity change button 458, the screen display unit 260 changes the display color in the set article content area 446 for the chemicals whose quantity has been changed. For example, the display background color of the chemicals is changed to yellow when it is changed to a constant or more, and the display background color of the chemicals is changed to red when it is changed to a constant or less. Alternatively, the voice processing unit 254 may notify by voice that the constant has been changed.

  When the set number button 462 is touched, a screen (not shown) for changing the number of set articles to be delivered is displayed. Further, the set number button 462 displays the number of set articles that are to be delivered. In the figure, two sets of set articles “surgery-hernia” are targeted for delivery. When the exit button 464 is touched, the input for exiting the set article is completed. When the return button 466 is touched, the set article selection screen 420 is displayed again.

  FIG. 12 shows a medicine delivery screen 470 that is displayed when a delivery of a non-mounted product “Nentra catheter” is entered after a set article “surgical-hernia” is entered to be delivered. As described above, the set article “Surgery-Hernia” includes the non-implemented drug “Nentra catheter”, but the nurse is also trying to deliver the same non-implemented drug. At this time, there is a possibility that the nurse has made a wrong operation. This is because the nurse does not input the delivery of the non-implemented medicine “Nentra catheter”, but rather adjusts the delivery quantity of the non-implemented medicine “Nentra catheter” included in the set item “Surgery-Hernia”. This is because it is considered to be an appropriate and natural operation. In such a case, the screen display unit 260 displays a double take-out warning display 472 to alert the nurse. Further, the voice processing unit 254 may notify the warning by voice.

  This completes the description of operations related to the delivery of chemicals. With regard to the loading / unloading of the mounted medicine, the operation is immediately displayed in the loading / unloading information display area 364 by removing the medicine from the medicine storage 106. Further, for non-mounted products, a non-mounted product search button 392 is used to search from registered chemical information, and input / output is performed by screen input. Alternatively, the loading / unloading may be input by reading a barcode given to the non-mounted product. Similarly, it is possible to input the loading / unloading by searching the registered set article information as a set article. In this way, the entry and exit of medicines managed by each medicine management apparatus 100 is entered. When a completion button 398 is touched, a series of operations is completed. When the operation is completed, information related to loading and unloading of chemicals accompanying the operation is stored in the data storage unit 276 by the data input / output unit 278. This information may also be sent to the medical information system 220. Further, the print processing unit 290 may print information relating to loading / unloading according to an instruction from the control unit 262.

  FIG. 13 shows a maintenance screen 480 displayed when the maintenance job button 312 is touched on the login screen 300. The maintenance screen 480 is a screen for performing various settings for the medicine management apparatus 100. The following settings are stored in the data storage unit 276 via the data input / output unit 278 according to instructions from the control unit 262. The data import button 482 is a button for acquiring setting data of the medicine management apparatus 100. The data export button 484 is a button for recording setting data of the medicine management apparatus 100. For example, the setting data may be recorded on a portable recording medium such as a floppy disk (registered trademark) or may be recorded on an external recording medium via a network. Thereby, even when installing a plurality of medicine management apparatuses 100 in a hospital, basic setting data can be easily copied.

  The unit configuration setting button 486 displays a screen (not shown) for setting the configuration of the medicine storage 106. Although the medicine management apparatus 100 is an apparatus having the medicine hangar 106, the medicine hangar 106 may be added separately. When the medicine management apparatus 100 controls a plurality of medicine storages 106, each medicine storage 106 is set as a “unit” and the configuration is set by the unit configuration setting button 486. Specifically, the arrangement of each unit, the number of catalogs 108 and cassettes 110 included in each unit, and the like are set. The voice master registration button 488 displays a screen (not shown) for registering a voice message. Multiple voice messages such as warnings and cautions regarding the handling of chemicals can be registered in advance. A medicine master registration button 490, which will be described later, may be set to link a desired message from the registered voice message for each medicine. In addition, the voice message may be not only related to chemicals but also operation guidance. These registered voice messages are announced by the voice processing unit 254.

  The medicine master registration button 490 displays a screen (not shown) for setting information related to medicine. For example, the size of the medicine to be mounted and the warning message described above are additionally set in the medicine information as incidental information. Information related to medicine is stored in the medicine database 242, but here, unique information as shown in FIG. 19 can be linked to the medicine management apparatus 100 as supplementary information. For example, information such as the size of chemicals is applicable. The warning text master registration button 492 displays a screen (not shown) for setting the warning text. Multiple warning texts such as warnings and cautions regarding the handling of chemicals can be registered in advance. In the medicine master registration button 490, the warning text set here can be set as incidental information in accordance with the medicine. The form category master registration button 494 displays a screen (not shown) for registering the form of medicines. The form refers to a classification relating to the form of chemicals such as tablets, capsules, injections, and devices. In the medicine master registration button 490, information related to the dosage form registered here can be linked and set as incidental information according to the medicine.

  The damage reason master registration button 496 displays a screen (not shown) for registering master information regarding the reason for chemical damage. As described above, the nurse can register the damage with the damage registration button 396 when the medicine is damaged. At that time, the nurse can register the reason for the damage. The reasons are, for example, “damage due to falling”, “spillage”, “discard due to foreign matter contamination”, “lost”, and the like. By registering typical damage reasons in advance using the damage reason master registration button 496, the nurse can easily register damage.

  The instruction category master registration button 498 displays a screen (not shown) for registering the medicine instruction category. The “instruction category” refers to a classification based on the nature of a drug such as “powerful drug”, “poisonous drug”, “psychotropic drug”, and the like. In the medicine master registration button 490, the instruction classification registered here may be linked as incidental information according to the medicine. The set classification master registration button 500 displays a screen (not shown) for registering a set classification. The set classification usually corresponds to a medical department as indicated by the set classification area 422 in FIG. A set item registration button 504 described later can be set by associating the set classification registered here with the set item as supplementary information. The non-mounted product master registration button 502 displays a screen (not shown) for registering a non-mounted product category (hereinafter simply referred to as “non-mounted product category”). “Non-implemented product category” is a category in which non-implemented products are classified mainly according to their use, such as “anesthetic”, “surgical material”, and “infusion”. In the medicine master registration button 490, the non-mounted product category registered here may be linked according to the non-mounted product.

  The set article registration button 504 displays a screen (not shown) for setting a set article. Specifically, the setting here is a setting relating to the identification ID of the set article, the set article name, the set classification, the type and constant of the included chemicals, and the like shown in the set article code column 430.

  The unit master registration button 506 displays a screen (not shown) for registering a unit of chemicals. Units are “A (ampoule)”, “B (bottle)”, “V (vial)”, “book”, “individual”, “set”, etc. Units can be defined. The category registration button 508 is a button for displaying a screen (not shown) for registering chemical categories. The warning category master registration button 510 displays a screen (not shown) for registering warning categories. The warning classification is a warning level, and there are three warning levels as shown in the category column 368. The warning texts registered by the warning text master registration button 492 are classified and registered by linking the warning levels.

  The set medicine classification master registration button 512 displays a screen (not shown) for registering the set medicine classification. The set chemical classification is a classification of non-mounted products. The classification policy for the set drug classification may be arbitrarily determined by the nurse, but may be classified based on the price of the drug, for example. In the set medicine classification master registration button 512, the display order when displaying the contents of the set article is also registered for each set medicine classification. For example, when the display order is set higher as the price of chemicals is higher, when displaying the contents of the set article on the set article input screen 440, the higher price medicine can be displayed on the previous page. it can. In addition, the medicine master registration button 490 determines which set medicine classification each medicine should be classified into.

  The medicine handler master registration button 514 displays a screen (not shown) for registering a nurse. This is data setting for authenticating and identifying the nurse, and as described above with reference to FIG. The registration of the nurse by the medicine handler master registration button 514 may be set only by an authorized administrator. The catalog information registration button 516 is a button for setting the contents of each catalog 108, and will be described in detail with reference to FIG. When the completion button 518 is touched, the login screen 300 is displayed again.

  FIG. 14 is a diagram showing a catalog master maintenance screen 530 displayed when the catalog information registration button 516 on the maintenance screen 480 is touched. The catalog list display area 532 displays information about each catalog 108 in the medicine storage 106. In the figure, it can be seen that the catalog 108 has four levels. As described with reference to the unit configuration setting button 486 in FIG. 13, a larger number of medicine storages 106 can be handled by increasing the number of medicine storages 106.

  The catalog code column 534 shows an ID number for identifying each catalog 108. The classification column 536 indicates the type of the container of the mounting chemical stored in each catalog 108. The “cassette” refers to an item stored in the drug storage 106 as a cassette-shaped mounted drug, such as an ampule or vial for injection. In addition, various medicines such as a box-type container, a syringe-type injection, and an external medicine may be stored. The catalog name column 538 is a catalog name corresponding to each medicine storage 106. Information indicated at 532 is set via the unit configuration setting button 486 described above.

  The catalog information area 540 shows the mounting chemical stored in the catalog selected in the catalog list display area 532. According to the figure, the catalog named “anesthetic cart 01” with catalog code “101” has 15 rows of cassettes. Then, nine types of mounting chemicals shown in the catalog information area 540 are stored.

  The edit button 542 is a button for editing the catalog information area 540. For the catalog selected in the catalog list display area 532, the mounted medicine to be stored shown in the catalog information area 540 can be edited. The new addition button 544 is a button for adding a medicine to be newly stored in the catalog information area 540. The delete button 546 is a button for deleting the mounted medicine registered in the catalog information area 540. The search button 548 is a button for searching for a mounted medicine to be added to the catalog information area 540. Information about the mounted medicine may be acquired from the medicine database 242 or may be acquired from the data storage unit 276. When the return button 550 is touched, the screen returns to the maintenance screen 480.

  FIG. 15 shows a total operation screen 560 displayed when the total operation button 310 in FIG. 4 is touched. The stock confirmation and ordering operation button 572 performs stock confirmation and ordering. Checking the stock here means checking the stock status of the chemicals managed by the chemical management apparatus 100. That is, it includes not only mounting chemicals but also non-mounting chemicals and medical materials to be managed. Usually, the medical information system 220 collectively orders medicines, but the medicine management apparatus 100 can also instruct the outside alone.

  The medicine replenishment operation button 574 displays a screen (not shown) for replenishing medicines. The nurse performs the replenishment work of chemicals after displaying this screen. About the method of replenishment, it is the same as that of the warehouse operation mentioned above. That is, on the screen displayed by the medicine replenishment service button 574, an input relating to the supplementation of medicines to be supplemented is performed. The medicine replenishment history confirmation button 576 displays a medicine replenishment history. This will be described in detail with reference to FIG. The after-replenishment return history confirmation button 578 displays a screen (not shown) for displaying a history of the returned chemicals that have been returned. That is, a history of chemicals that have been replenished but returned without being executed due to an ordering error or the like is displayed.

  The work performance confirmation task button 582 is a button for confirming the work performance for each nurse. This will be described in detail later with reference to FIG. The chemical usage and daily totaling button 584 is a button for confirming the usage status of chemicals. This will be described in detail later with reference to FIG. The medicine damage confirmation button 592 is a button for displaying a screen (not shown) for confirming the damaged medicine. The damage registration button 594 is a button for displaying a screen (not shown) for registering damage of chemicals. As described above, when the chemicals are delivered, the damage registration button 396 can register the damage. If the chemicals are damaged other than when the chemicals are delivered, the damage can be registered in the same manner via the damage registration button 594.

  The fraudulent act and inventory discrepancy confirmation business button 602 is a button for displaying a screen (not shown) for confirming the discrepancy between the fraudulent act and the stock. As described above, medicine delivery starts with the authentication of the nurse and completes a series of operations by delivering the required amount of medicine. However, there are cases where the system ends abnormally or when the above-mentioned inventory mismatch occurs. The so-called error occurrence state can be confirmed by the fraudulent act and inventory mismatch confirmation business button 602. The operation history confirmation task button 604 displays the operation history for each nurse in the format shown in the entry / exit information display area 364 of FIG. 9, for example. The mounted medicine operation history confirmation button 606 is a button for displaying a screen (not shown) for confirming the operation result of the mounted medicine. Here, the history of delivery, replenishment, return, breakage, etc. is displayed for each type of mounted chemical. When the completion button 608 is touched, the login screen 300 is displayed again.

  FIG. 16 shows a medicine replenishment history confirmation screen 610 that is displayed when the medicine replenishment history confirmation button 576 is touched on the totaling work screen 560. The result start date area 612 is the result start date of the medicine replenishment history, and the result end date area 614 shows the result end date. When the result start date area 612 or the result end date area 614 is touched, a date input screen (not shown) is displayed, which allows the date to be input. If a nurse name is entered in the person-in-charge area 616, a supplementary history for only that nurse is displayed. The replenishment history area 626 displays a medicine replenishment history. The replenishment date / time column 617 indicates the date and time when replenishment was performed. The person-in-charge column 618 displays the name of the nurse who performed the supplement and the medicine handler ID. According to the figure, on February 6, 2003, two nurses, “Fumiaki Yamashita” and “Yukihiro Kawakami”, replenished medicines twice.

  The search button 620 is a button for searching for a nurse name. The content confirmation button 622 displays the content and amount of the supplemented chemicals for the supplement selected by being touched in the supplement history area 626. When the return button 624 is touched, the totaling work screen 560 is returned.

  FIG. 17 shows a medicine usage status confirmation screen 630 that is displayed when the medicine usage and daily counting button 584 is touched on the totaling work screen 560. The medicine usage status confirmation screen 630 is a screen for confirming the usage status of chemicals in a predetermined period. The list target medicine selection area 632 switches the target of confirmation display between the mounted medicine and the set article. The aggregation start date area 634 is a start date of confirmation of the medicine usage status, and the aggregation end date area 636 is the end date. When the counting start date area 634 and the counting end date area 636 are touched, a date input screen (not shown) is displayed, and thus the date can be input. In the figure, the state of drug use on February 6, 2003 is confirmed. The chemical use status display area 638 displays chemicals used during this period.

  The medicine code column 640 shows a medicine ID. The medicine name column 642 shows the name and standard of the medicine. The outgoing number column 644 indicates the quantity of chemicals actually delivered. The return number column 646 indicates the quantity returned. The damage number column 648 indicates the number of chemicals registered as damaged among the delivered chemicals. The number-of-use column 650 indicates the quantity actually used among the delivered chemicals. The unit column 652 shows the unit of chemicals. In the same figure, four ampoules have been issued for the medicine “Aluminus Salin Injection 10% 2 ml” whose medicine code column 640 is “11349”, one of which has been returned. In addition, one of the remaining three is lost due to breakage. Therefore, the remaining two are actually used. Search button 656 is a button for searching for chemicals. When search button 656 is touched, a screen (not shown) for searching for chemicals based on character strings, categories, and the like is displayed. The print button 660 is a button for printing the usage status of the medicine shown in the medicine usage status display area 638. When the return button 670 is touched, the totaling work screen 560 is returned.

  FIG. 18 shows a work performance confirmation screen 680 displayed when the work performance confirmation business button 582 is touched on the total work screen 560. The work performance confirmation screen 680 is a screen for confirming the work status for each operation. The work start date area 682 is a start date to be checked, and the work end date area 684 is the end date. When the work start date area 682 or the work end date area 684 is touched, a date input screen (not shown) is displayed, and thus the date can be input. In the figure, the work results on February 6, 2003 are confirmed. If a nurse is entered in the person-in-charge area 686, only the work results relating to the nurse are displayed. If a surgery ID is entered in the surgery ID area 688, only the work results related to the surgery are displayed.

  The work performance area 690 displays the work performance for each operation. The operation ID column 692 displays an operation ID. The emergency work column 694 indicates that the work is an emergency interruption by the emergency interrupt button 384 in FIG. 7, and the work status column 696 indicates the status of the work. “Positive” in the figure indicates that the work has been completed normally. When the application software ends abnormally, a message to that effect is displayed. The person-in-charge column 698 displays the name of the nurse who performed the work corresponding to the operation and the medicine handler ID. The work start date / time column 700 displays the work start date / time.

  A search button 702 is a button for performing a search. When the search button 702 is touched, a screen (not shown) for searching for surgery, nurses, and the like is displayed. The search for the surgery is performed using the contents of the surgery, the name of the patient, the name of the doctor in charge, etc. in addition to the surgery ID. The search for nurses is performed using the drug handler ID and the nurse name as keys. The content confirmation button 704 is a button for confirming the detailed content of the work selected in the work performance area 690. Specifically, the screen is displayed by a method equivalent to the above-described medicine usage status confirmation screen 630. The work record print button 706 prints an operation history for each work selected in the work record area 690. Specifically, a history equivalent to that shown in the entry / exit information display area 364 of FIG. 9 is printed. When the return button 708 is touched, the total operation screen 560 is returned.

  As described above, the medicine management apparatus 100 acquires necessary information from various databases included in the medical information system 220. The data storage unit 276 of the medicine management apparatus 100 may store all information necessary for implementation. However, when operating a plurality of medicine management apparatuses 100, there are many data that can be used in common. In addition, since the medical information system 220 normally has much of the data required by the medicine management apparatus 100, the medicine management apparatus 100 exchanges data with the medical information system 220, thereby the medicine management apparatus 100 and The medical information system 220 can be operated in a complementary manner.

  The medicine management apparatus 100 processes and uses various data acquired from the medical information system 220. Further, new data generated by the medicine management apparatus 100 is transmitted to the medical information system 220. Hereinafter, the data structures of various databases included in the medical information system 220 illustrated in FIG. 2 will be described.

  FIG. 19 shows the data structure of the medicine database 242. The medicine database 242 is a database that stores information on medicines used in the hospital 200. Although the data structure for the cassette-type mounted medicine is shown in the figure, the medicine database 242 may store data about the whole medicine. Alternatively, data about chemicals requiring management, such as chemicals with a certain price or more, may be stored.

  The JAN code column 710 shows the JAN code of chemicals. The JAN code is usually a code for identifying a product consisting of four types of codes: country code, manufacturer code, product item code, and check digit. The medicine code column 712 is also a code for identifying medicines, but may be uniquely assigned to each hospital 200. The medicine name column 714 shows the names of medicines. The standard name column 716 shows the standard of chemicals. The medicinal effect column 718 indicates the medicinal effect of the chemicals. The instruction classification column 720 indicates the chemical instruction classification. The diameter column 722, the height column 724, and the cassette size column 726 are information regarding the size of the mounting chemical, and indicate the diameter, the height, and the size of the cassette, respectively. All of the data shown here need not be stored in the medicine database 242, and the data storage unit 276 of each medicine management apparatus 100 may store a part of the data.

  FIG. 20 shows the data structure of the surgery database 236. The surgery database 236 is a database that stores data related to surgery. The operation ID column 730 indicates an operation ID. The patient ID column 732 shows a patient ID. The scheduled surgery column 734 shows the contents of the scheduled surgery. The doctor in charge column 736 shows the name of the doctor in charge, and the surgeon column 738 shows the name of the surgeon. For the doctor in charge and the surgeon, an ID number for identifying the doctor may be used. The scheduled date column 740 shows the scheduled date of surgery. The data in the uppermost row in the figure corresponds to the worksheet 340 shown in FIG. That is, the surgery scheduled for the surgery ID “1005252” and the patient ID “9305277” is “low rectal anterior resection”. The doctor in charge and the surgeon are both “Kitamura Nosuke”, and the scheduled execution date is “July 31, 2003”.

  FIG. 21 shows the data structure of the patient database 240. The patient database 240 is a database that stores information about patients. A patient ID column 750 indicates a patient ID. Corresponds to the patient ID column 732 of the surgery database 236. The patient name column 752 indicates the name of the patient. The age column 754 indicates the patient's age, the sex column 756 indicates the patient's sex, and the blood type column 758 indicates the patient's blood type. The height column 760 shows the patient's height, and the weight column 762 shows the patient's weight. The hospitalization column 764 indicates whether the patient is hospitalized or going to hospital. The data in the uppermost row in the figure corresponds to the worksheet 340 shown in FIG. That is, the patient ID is “9305277”, the patient name is “Harumi Sato”, the age is “8 years old”, the sex is “female”, and the blood type is “B type”. The height is 127 cm and the weight is 26.3 kg.

  When the medicine management apparatus 100 reads the operation ID column 350 of the worksheet 340, data corresponding to the read operation ID “100236” is acquired from the operation database 236. In addition, data corresponding to “9305277” that is the patient ID acquired from the patient ID column 342 is acquired from the patient database 240. Thus, the medicine management apparatus 100 acquires data necessary for processing from the medical information system 220 using various ID numbers as clues.

  FIG. 22 shows the data structure of the outgoing database 238. The delivery database 238 is a database that stores the status of medicines delivered from each medicine management apparatus 100. The medicine management apparatus 100 transmits information regarding the delivery to the delivery database 238 at predetermined time intervals. The information relating to delivery is, for example, information in the format shown in FIG. The medicine management apparatus 100 may transmit the information to the delivery database 238 when a change occurs in the inventory of medicines to be managed. In the same figure, it shows based on the former embodiment.

  The model ID column 770 indicates a model ID that is an ID number for identifying each medicine management apparatus 100. The chemical name column 772 shows the chemical name. The chemicals shown here are chemicals managed for each chemical management apparatus 100. The medicine identification ID column 774 indicates a medicine identification ID. The classification column 776 is a classification of chemicals, and is “mounting chemical”, “non-mounting chemical”, or “medical material”. The outgoing number column 778 indicates the outgoing quantity of each chemical during a predetermined period. The unit column 780 indicates a unit of chemicals. The stock quantity column 782 indicates the stock quantity in each medicine management apparatus 100.

  With the delivery database 238, the inventory management system 234 can comprehensively grasp the status of medicines in the hospital 200. The electronic medical record system 232 manages electronic medical record information for each patient. The medical accounting system 230 mainly performs medical accounting processing based on information stored in the surgery database 236 and the patient database 240.

  FIG. 23 is a flowchart regarding processing of the medicine management apparatus 100. The medicine management apparatus 100 first authenticates the nurse on the login screen 300 (S10). The authenticated nurse selects one of “Removal of medicine”, “Total”, and “Maintenance” on the login screen 300 (S12). When the medicine delivery operation button 308 is touched and a medicine extraction operation is selected (Y in S14), a worksheet reading screen 330 is displayed. Here, the nurse inputs the operation ID described in the worksheet (S16).

  The control unit 262 receives the corresponding surgery content information from the medical information system 220 based on the read surgery ID (S18). If the data reception fails due to a failure of the network 120 or the like, an error notification is made and the medicine delivery initial screen 360 is displayed.

  When the corresponding surgery content information is received, the medicine delivery initial screen 360 is displayed (S20). As described above, the nurse performs a medicine extraction operation on this screen (S22). When all the processes are completed (Y in S24), the work content is recorded in the data storage unit 276 (S34), and the process is terminated. The recorded information may be transmitted to the database of the medical information system 220 as it is. Alternatively, the recorded information may be transmitted to the integrated terminal 122. Then, the integrated terminal 122 may collectively transmit the information acquired from each medicine management apparatus 100 to the hospital 200.

  On the other hand, when the total operation button 310 is selected on the login screen 300 (N in S14, Y in S28), the total operation screen 560 in FIG. 15 is displayed, and various total operations are performed (S30). If the maintenance job button 312 is selected on the login screen 300 (N in S28), the maintenance screen 480 in FIG. 13 is displayed and various setting tasks are performed (S32).

  As described above, in the embodiment, information related to loading and unloading of chemicals used in the medical field is efficiently accumulated in the medical information system 220. Therefore, it becomes easy to collectively manage the entry and exit of medicines in the entire hospital. In particular, information based on the inventory of chemicals managed by the medical information system 220 is generated on-site. The medicine management apparatus 100 is effective in accurately operating the medical information system 220 because it can effectively manage the loading and unloading of medicines generated at the site. Furthermore, as described above, the medicine management apparatus 100 has an intuitive user interface with regard to medicine entry / exit. Furthermore, since it has a mechanism for detecting human errors and system errors, it is more effective in suppressing mistakes in chemical management.

  The present invention has been described based on the embodiments. The embodiments are exemplifications, and it will be understood by those skilled in the art that various modifications can be made to combinations of the respective constituent elements and processing processes, and such modifications are within the scope of the present invention. .

  100 Drug Management Device, 102 Display Device, 104 Barcode Reader, 106 Drug Storage, 108 Catalog, 110 Cassette, 116 Cart, 120 Network, 122 Integrated Terminal, 200 Hospital, 220 Medical Information System, 230 Medical Accounting System, 232 Electronic Medical Record System, 234 Inventory Management System, 236 Surgery Database, 238 Delivery Database, 240 Patient Database, 242 Drug Database, 250 User Interface Processing Unit, 254 Audio Processing Unit, 256 Screen Input Unit, 260 Screen Display Unit, 262 Control Unit, 270 Communication Processing unit, 272 communication unit, 274 format conversion unit, 276 data storage unit, 278 data input / output unit, 280 mechanism control unit, 282 loading / unloading detection unit, 284 medicine storage unit, 86 Counting unit, 290 Print processing unit, 300 Login screen, 330 Worksheet reading screen, 360 Drug delivery initial screen, 420 Set item selection screen, 440 Set item input screen, 480 Maintenance screen, 530 Catalog master maintenance screen, 560 Totaling operation screen .

Claims (2)

When a medicine hangar that stores a plurality of medicines used at medical sites and a medicine handler performs an entry / exit operation of the mounting medicine that is the medicine to be stored, the mounting medicine that is the target of the operation is placed in another packaging A device comprising a detection mechanism for physically detecting and distinguishing from chemicals, and a mounting chemical counting unit for counting a plurality of mounting chemicals for each type,
A loading / unloading medicine information recording unit that records loading / unloading medicine information that is information on the mounting medicine that is the target of the loading / unloading operation on a recording medium,
A display unit for displaying at least the loading / unloading medicine information;
Among the loading / unloading medicine information, at least loading / unloading medicine information that is information related to shipping, a format conversion unit that converts the format so that an external database stores the information,
A communication unit that transmits the converted shipping information to the database;
A surgical identification information detection device that reads the surgical identification information given to each surgery to be performed on the patient;
A control unit that controls and controls each of at least the loading / unloading medicine information recording unit, the display unit, the format conversion unit, the surgery identification information detection device, and the communication unit,
The communication unit further transmits the read surgery identification information to an external database that stores content information of a surgery corresponding to the surgery identification information, and the database corresponds to the read surgery identification information. Receive content information,
When the non-mounting product that the chemical hangar does not store is loaded and unloaded by the drug handler, a loading / unloading non-mounting product input unit that receives input about the non-mounting product that is the target of the loading and unloading,
Unloading / unloading product information recording unit that records loading / unloading / unmounting product information, which is information on the non-mounting product that is the target of the loading / unloading, on a recording medium;
A non-mounting product identification information detecting device that reads the non-mounting product identification information given in advance to the non-mounting product,
The unloading / unmounting product input unit receives the input by the non-mounting product identification information detection device reading the non-mounting product identification information. When a medicine hangar that stores a plurality of medicines used at medical sites and a medicine handler performs an entry / exit operation of the mounting medicine that is the medicine to be stored, the mounting medicine that is the target of the operation is placed in another packaging A device comprising a detection mechanism for physically detecting and distinguishing from chemicals, and a mounting chemical counting unit for counting a plurality of mounting chemicals for each type,
A loading / unloading medicine information recording unit that records loading / unloading medicine information that is information on the mounting medicine that is the target of the loading / unloading operation on a recording medium,
A display unit for displaying at least the loading / unloading medicine information;
Out of the loading / unloading medicine information, at least loading / unloading medicine information that is information related to shipping, a format conversion unit that converts the format so that an external database stores the information;
A communication unit that transmits the converted shipping information to the database;
A surgical identification information detection device that reads the surgical identification information given to each surgery to be performed on the patient;
A control unit that controls and controls each of at least the loading / unloading medicine information recording unit, the display unit, the format conversion unit, the surgery identification information detection device, and the communication unit,
The communication unit further transmits the read surgery identification information to an external database that stores content information of a surgery corresponding to the surgery identification information, and the database corresponds to the read surgery identification information. Receive content information,
When the non-mounting product that the chemical hangar does not store is loaded and unloaded by the drug handler, a loading / unloading non-mounting product input unit that receives input about the non-mounting product that is the target of the loading and unloading,
A warehousing / unmounting product information recording unit that records the warehousing / unmounting product information that is information on the non-mounting product that is the object of the warehousing and loading into a recording medium;
The entry / exit unmounted product input unit accepts the input for each set article that is a set of one or more unmounted products,
A quantity change input unit for receiving an input about a quantity change of a non-mounted product included in the set article by the medicine handler;
The entry / exit unmounted product input unit accepts the input for the set item whose quantity has been changed,
When the quantity change input unit receives an input about the quantity change, the control unit causes the display unit to display the target non-mounted product by a display method different from the normal display. Chemical management device.

Images