JP2010152701A - Pharmacist work support system and pharmacist work support program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To properly give information to patients, and to present points of patient observation. <P>SOLUTION: The pharmacist work support system is provided with: a patient prescription information storage means 22 for storing prescription information of prescriptions prescribed in association with patients; a follow-up sheet preparation information storage means 24 for storing information on side effects of drugs extracted from the prescription information and initial symptoms of the side effects; a table creation means 31 for extracting the side effects of the drugs from the prescription information, and for extracting the initial symptoms in association with the side effects, and for creating the initial symptom-specific side effect table by weighting the initial symptoms in descending order of the number of side effects; and an initial symptom selection means 32 for selecting a predetermined number of initial symptoms in descending order of the number of side effects from among the initial symptoms of the initial symptom-specific side effect table, and for outputting the selected initial symptoms and the side effects to follow-up sheets in association with the patients. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  The present invention relates to a pharmacist service support system and a pharmacist service support program for supporting a pharmacist's drug information providing service.

In recent years, the duties of pharmacists engaged in insurance dispensing are not limited to simply supplying pharmaceuticals, but are also required to be actively involved in information provision and patient observation for the purpose of ensuring the proper use of pharmaceuticals. ing. For this reason, medical institutions and pharmacies create a medication history (medicine history) and manage personal information such as treatment history such as medication history of patients. On the other hand, the Ministry of Health, Labor and Welfare and pharmaceutical manufacturers provide vast amounts of drug information, and computerization of drug histories (so-called electronic drug histories) has been promoted in order to respond to such information. (For example, refer to Patent Document 1 or 2).
JP 2003-99533 A JP 2003-223512 A

  However, the drug information provided by the conventional electronic drug history system described above is general information for a large number of unspecified people, and all of the information can be immediately applied to a specific patient. Not necessarily. Therefore, when providing information to individual patients, it is indispensable to comprehensively evaluate a lot of general drug information and process it into individualized information. The support function has been focused on the comprehensiveness of information, and little consideration has been given to information evaluation and personalization.

  Also, in pharmacist work, a major issue along with the individualization of information is speeding up of drug history creation and effective use thereof, but in many pharmacies, recording in the drug history is patient The important point of the dialogue with the memo is recorded and later written in the medical history or entered into the electronic drug history system. For this reason, a considerable amount of time is spent on these operations, and it is generally difficult to say that the degree of utilization is sufficient.

  The present invention has been made to solve the above-described problems. By comprehensively evaluating drug information and patient information, it is possible to accurately provide information to patients and systematize the points of patient observation. Therefore, it is an object of the present invention to provide a pharmacist service support system and a pharmacist service support program that can increase the utilization of the drug history and at the same time reduce the time required to create the drug history.

  In order to achieve the above object, a pharmacist service support system according to the present invention stores patient prescription information storage means for storing prescription information of a prescription associated with a patient, and stored in the patient prescription information storage means. Progress check sheet creation information storage means for storing information on side effects of drugs extracted from the prescription information and initial symptoms of the side effects, and drug history information for storing drug history information of the patients confirmed by the progress check sheets Extracting side effects of the drug from the prescription information stored in the storage means and the patient prescription information storage means, extracting initial symptoms in association with the side effects, and weighting the initial symptoms in descending order of the number of side effects A table creation means for creating an initial symptom side effect table and an initial symptom of the initial symptom side effect table created by the table creation means. Luo side effects in descending order and select the initial symptoms of a predetermined number, characterized in that it comprises an initial symptoms selecting means for outputting the selected initial symptoms and side effects to the elapsed confirmation sheet in association with the patient.

  Then, the pharmacist service support system according to the present invention is a drug history information record that records a confirmation history in the initial symptom side effect table for the initial symptom confirmed by the patient based on the progress confirmation sheet output by the initial symptom selection means. The initial symptom selection means selects a predetermined number of initial symptoms from the initial symptom excluding the initial symptom recorded in the confirmation history by the drug history information recording means in order of increasing side effects, and confirms the progress. It is preferable to output to a sheet.

  Further, in the pharmacist service support system according to the present invention, the drug history information recording unit confirms the initial symptom checked by the electronic pen on the progress confirmation sheet output by the initial symptom selection unit in the side effect table for each initial symptom. It is preferable to record the history.

  Furthermore, in the pharmacist service support system according to the present invention, the table creation means includes side effects common to a plurality of drugs among drugs prescribed to the patient, and side effects that may be enhanced by interaction, A side effect table for each initial symptom may be created by attaching a different evaluation index to each side effect listed in the manual for handling serious side effects by the Ministry of Health, Labor and Welfare.

  The pharmacist service support program according to the present invention includes a patient prescription information storage step for storing prescription information of a prescription prescribed in association with a patient, information on a side effect of a drug extracted from the prescription information, and an initial symptom of the side effect A history confirmation sheet creation information storage means for storing, a drug history information storage step for storing drug history information of the patient confirmed by the progress confirmation sheet, and extracting side effects of the drug from the drug information and The initial symptom is extracted in association with the initial symptom, and the initial symptom is weighted in descending order of the number of side effects to create an initial symptom-specific side effect table; A predetermined number of initial symptoms are selected in the descending order, and the selected initial symptoms and side effects are associated with the patient on the progress confirmation sheet. Characterized in that to execute the initial symptoms selecting step of force to the computer.

  The pharmacist service support program according to the present invention further includes a confirmation history recording step of recording a confirmation history in the side effect table for each initial symptom for the initial symptom confirmed by the patient based on the progress confirmation sheet, and the initial symptom selection step Preferably, in the step, a predetermined number of initial symptoms are selected from the initial symptoms excluding the initial symptoms whose confirmation history is recorded by the drug history information recording means in the order of most side effects, and output to the initial symptom confirmation check sheet. .

  Further, in the pharmacist service support program according to the present invention, the table creation step includes side effects common to a plurality of drugs among drugs prescribed to the patient, and side effects that may be enhanced by interaction, A side effect table for each initial symptom may be created by weighting the side effects listed in the manual for handling serious side effects and diseases by the Ministry of Health, Labor and Welfare as an evaluation index.

  According to the present invention, by comprehensively evaluating and individualizing drug information and patient information, it is possible to accurately provide information to the patient and systematize the points of patient observation. At the same time, and at the same time, the time required to create a drug history can be shortened.

  Hereinafter, embodiments of the present invention will be described with reference to the drawings.

  FIG. 1 is a schematic diagram showing the overall configuration of a pharmacist service support system according to an embodiment of the present invention. This pharmacist service support system 10 includes a database unit 20, a main control unit 30, an external database unit 40, An external database server 50, an input device 60, a display device 70, and a printer 80 are connected to each other, and a pharmacist work support program is stored in the main control unit 30 via a storage medium such as a CD-ROM. By installing it, it functions as a pharmacist work support system.

  The database unit 20 includes a patient attribute information storage unit 21, a patient prescription information storage unit 22, a drug history information storage unit 23, and a progress check sheet creation information storage unit 24.

  As shown in FIG. 2, the patient attribute information storage unit 21 acquires and stores patient information for identifying a patient from the patient attribute information storage unit 51 of the external database server 50, and also stores the patient information in an inquiry table (see FIG. 4). Acquires and stores information on patient attributes from the questionnaire information filled in. The patient information stored in the patient attribute information storage means 21 includes, for example, information such as the patient's name, gender, date of birth, insurance card number, and address, and is stored in the patient attribute information storage means 21. The information regarding the attributes of the patient in the questionnaire information to be included includes, for example, information on the patient's constitution, past medical history, consumption of liquor items such as drinking and smoking, occupation, and the like.

  As shown in FIG. 2, the patient prescription information storage unit 22 acquires prescription information of a prescription prescribed in association with a patient from the patient prescription information storage unit 52 of the external database server 50 and stores it. The prescription information of the prescription stored in this patient prescription information storage means 52 includes, for example, the type of prescription medicine, dose, usage, prescription date, prescription date, medical institution and doctor name, pharmacist name, medical department name , Points, and patient information.

  As shown in FIG. 3, the drug history information storage means 23 stores the drug information on the side effects of the drugs extracted from the prescription information stored in the patient prescription information storage means 22 and the initial symptoms of the side effects in the external database unit 40. Based on the initial symptom side effect table generated by acquiring from the drug information storage means 41 and the side effect / initial symptom information storage means 42 and the progress check sheet created by the progress check sheet information storage means 24, the pharmacist The medical history information such as the patient's medication status, presence / absence of other department visits, presence / absence of concomitant medications, presence / absence of physical condition change during taking, etc. is acquired and stored.

  The main control unit 30 extracts drug side effects by associating the patient prescription information stored in the patient prescription information storage means 22 with the external database unit 40 and extracts initial symptoms in association with the side effects, The initial symptom is weighted in the descending order of the number of side effects to create a side effect table by initial symptom, and the initial symptom from the initial symptom of the side effect table by initial symptom created by the table creation unit 31 The initial symptom selection means 32 for selecting a predetermined number of initial symptoms in the descending order and outputting them to the progress confirmation sheet, and the initial symptoms confirmed by the patient based on the progress confirmation sheet output by the initial symptom selection means 32 for each initial symptom Record the confirmation history in the side effect table, the patient's medication status, whether or not there are other departments, whether or not there are concomitant medications, Whether physical condition changes during use, is configured to include a medication history information recording means 33 for recording information such as the contents of providing information to patients pharmacists conducted.

  Next, the operation of the pharmacist service support system according to the embodiment of the present invention will be described with reference to the drawings.

  When the patient first visits the station, as shown in FIG. 5, first, in step 101, the patient information, prescription information, and the description content of the questionnaire in FIG. 20.

  Next, in step 102, the table creation unit 31 of the main control unit 30 extracts prescription drug side effects by associating the prescription information stored in the patient prescription information storage unit 22 with the external database unit 40, and the side effects. An initial symptom is extracted in association with each other, and the initial symptom is weighted in descending order of the number of side effects to create an initial symptom side effect table.

  For example, when the prescribed drugs are four drugs, amrodin, dioban, arten, and neopaston, many side effects such as leukopenia, malignant syndrome, thrombocytopenia, hallucination, etc. are extracted and The initial symptoms such as sore throat, headache, fever and dullness are extracted, and for malignant syndrome, initial symptoms such as rapid fever, muscle stiffness, limb shaking, convulsions, disturbance of consciousness, and dysphagia For thrombocytopenia, initial symptoms such as spotted bleeding on the limbs, easy bruising, gum bleeding, nosebleeds, difficulty in stopping menstruation are extracted, and there is no reality for hallucinations. Early symptoms such as the ability to see things or hear no sound are extracted.

  Then, as shown in FIG. 7, the side effects are rearranged for each initial symptom, and the initial symptom is weighted in descending order of the number of side effects, thereby creating an initial symptom side effect table. At this time, in the side effects table for each initial symptom, side effects that are common to multiple drugs, side effects that may be enhanced by interactions, and side effects that are listed in the manuals for serious side effects by the Ministry of Health, Labor and Welfare Etc. may be used as an evaluation index. (In Fig. 7, the side effect cell common to multiple drugs is colored gray, and the side effect that may be enhanced by interaction is marked with a white circle. Side effects are double circled).

  Next, in step 103, the initial symptom selection means 32 of the main control unit 30 selects a predetermined number of initial symptoms from the initial symptom in the initial symptom side effect table in descending order of side effects, and presents items to be confirmed to the patient. The initial plan is determined. The number of initial symptoms to be selected may be set in advance from the input device 60, or initial symptoms having a predetermined number or more of side effects may be automatically selected. In addition, when selecting the initial symptoms, if the number of side effects is the same as in the initial symptoms of “vertigo” and “jaundice” in FIG. An initial symptom including a side effect with a high rank may be preferentially selected, or an initial symptom including many side effects given the evaluation index may be preferentially selected.

  Next, at step 104, the initial symptom selection means 32, as shown in FIG. 8, selects the predetermined number selected at step 103 (in FIG. 8, it is dull, headache, loss of appetite, fever, dizziness) The five initial symptoms and side effects are output on the display device 70 as an initial symptom confirmation check sheet in association with the patient information and also output from the printer 80.

  Next, the pharmacist confirms each initial symptom described in this progress confirmation sheet to the patient, and a check box described at the beginning of each initial symptom is an electronic pen (for example, a digital pen DP-manufactured by Hitachi Maxell, Ltd.). If checked in 201), the drug history information recording means 33 automatically loads the confirmation history into the side effect table for each initial symptom for these initial symptoms. At this time, necessary information is supplementally input as drug history information by the pharmacist (step 105). Thus, the column of the initial symptom confirmed by the patient is distinguished from other initial symptoms by coloring or the like, and the column shows the date and time (FIG. 9) confirmed by the patient as shown in FIG. 20/4/15) is recorded, and progress confirmation sheet data for the next time is created (step 106). Then, an instruction manual for the medicine is given to the patient together with the medicine (see FIG. 10).

  Thereafter, when the same patient visits the station for the second time, as shown in FIG. 6, first, in step 201, patient information and prescription information are acquired from the external database server 50 and stored in the database unit 20. Further, in step 202, the initial symptom selection means 32 of the main control unit 30 selects a predetermined number of initial symptoms from the initial symptom in the side effect table by initial symptom in descending order of side effects, and at the same time, the pharmacist's judgment Will make the necessary corrections and determine the next plan.

  Next, in step 203, the initial symptom selection means 32 corrects the predetermined number of initial symptom and side effect data selected in step 202, and then outputs them on the display device 70 as an initial symptom confirmation check sheet in step 204. And output from the printer 80.

  Next, the pharmacist confirms each initial symptom described on this progress confirmation sheet to the patient, and when the check box described at the beginning of each initial symptom on the initial symptom confirmation check sheet is checked with the electronic pen, By the information recording means 33, a confirmation history is automatically taken into the initial symptom side effect table for these initial symptoms. At this time, necessary information is supplementally input as drug history information by the pharmacist (step 205). In this way, the column of the initial symptom confirmed by the patient is distinguished from other initial symptom by coloring etc., and the same operation is performed when the check sheet data for the next time is created and the patient visits the second time or later. Is repeated. Then, an instruction manual for the medicine is given to the patient together with the medicine (see FIG. 10).

As described above, according to the pharmacist service support system and the pharmacist service support program according to the embodiment of the present invention, the following excellent effects can be obtained.
(1)
By comprehensively evaluating and individualizing drug information and patient information, it is possible to accurately provide information to the patient and present points for patient observation. In other words, by overlapping multiple pieces of information that were conventionally handled individually, it covers all the adverse events (side effects, interactions, etc.) that can be a problem, and prioritizes adverse events that are more emphasized as a result of overlapping. Confirmation or information can be provided. Therefore, it is expected to avoid adverse events caused by pharmaceuticals, mainly serious side effects, and early detection, and to prevent serious adverse events.
(2) Output different check items for each patient on a progress check sheet on which a predetermined dot pattern is printed, and check with an electronic pen accordingly, thereby converting the information into digital information and storing it as drug history information be able to. Therefore, it is possible to record in accordance with the characteristics of individual patients in addition to the standard description items, and it is possible to shorten the time required for preparing the medicine history.
(3) As described above, adverse events that can be a problem are covered, and weighted using an evaluation standard defined for each pharmacy, it is possible to ensure work planning and systematicness. Therefore, matters to be confirmed each time are revealed to the patient, work efficiency and accuracy of confirmation can be improved, and the utilization of the drug history can be increased.
(4) By providing an interface that can be connected regardless of the manufacturer of the pharmacy backbone system, compatibility can be improved and versatility can be enhanced.

It is the schematic which shows the whole structure of the pharmacist work support system which concerns on embodiment of this invention. It is the schematic which shows the relationship between a database part and an external database server in the pharmacist business support system which concerns on embodiment of this invention. It is the schematic which shows the relationship between a database part and an external database server in the pharmacist business support system which concerns on embodiment of this invention. It is a figure which shows an inquiry form in the pharmacist work support system which concerns on embodiment of this invention. It is a flowchart which shows the effect | action in the case of the first visit station in the pharmacist work support system which concerns on embodiment of this invention. It is a flowchart which shows the effect | action in the case of the 2nd or subsequent visitor in the pharmacist work support system which concerns on embodiment of this invention. It is a figure which shows the side effect table according to the initial symptom created by the table creation means in the pharmacist work support system according to the embodiment of the present invention. It is a figure which shows the progress confirmation sheet | seat output by the initial symptom selection means in the pharmacist work support system which concerns on embodiment of this invention. It is a figure which shows the state which recorded the confirmation log | history in the side effect table classified by initial symptom created by the table creation means in the pharmacist work support system which concerns on embodiment of this invention. It is a figure of the description of the medicine delivered to a patient with a medicine in the pharmacist duties support system concerning an embodiment of the invention.

Explanation of symbols

DESCRIPTION OF SYMBOLS 10 Pharmacist work support system 21 Patient attribute information storage means 22 Patient prescription information storage means 31 Table preparation means 32 Initial symptom selection means 33 Drug history information recording means

Claims (7)

Patient prescription information storage means for storing prescription information of a prescription prescribed in association with a patient, information on drug side effects extracted from the prescription information stored in the patient prescription information storage means and initial symptoms of the side effects A history confirmation sheet creation information storage means for storing the drug history information storage means for storing the drug history information of the patient confirmed by the progress confirmation sheet;
Extracting side effects of prescription drugs stored in the patient prescription information storage means, extracting initial symptoms in association with the side effects, weighting the initial symptoms in descending order of the number of side effects, and determining an initial symptom side effect table Selecting a predetermined number of initial symptoms in descending order of side effects from the initial symptoms in the side effect table by initial symptom created by the table creating means, and selecting the selected initial symptoms and side effects An initial symptom selection means for outputting to a progress confirmation sheet in association with a patient, a pharmacist work support system, characterized by: The initial symptom confirmed by the patient based on the progress confirmation sheet output by the initial symptom selection means is recorded in the side-effect table for each initial symptom, and the patient's medication status, presence / absence of other departments, concomitant medications Further comprising a drug history information recording means for recording information such as presence or absence, presence or absence of physical condition change during taking,
The initial symptom selection means selects a predetermined number of initial symptoms from the initial symptom excluding the initial symptom recorded in the confirmation history by the drug history information recording means in order of increasing side effects, and outputs it to the progress confirmation sheet. The pharmacist work support system according to Item 1.   3. The pharmacist service according to claim 2, wherein the medicine history information recording unit records a confirmation history in the initial symptom side effect table for the initial symptom checked by the electronic pen on the progress confirmation sheet output by the initial symptom selection unit. Support system.   The table creation means is published in the manuals for the side effects common to multiple drugs among the drugs prescribed to the patient, side effects that may be enhanced by interaction, and serious side effect diseases by the Ministry of Health, Labor and Welfare. The pharmacist service support system according to any one of claims 1 to 3, wherein a side effect table for each initial symptom is created by weighting the side effects that have been used as an evaluation index. A patient prescription information storage step for storing prescription information of a prescription prescribed in association with a patient, and drug information regarding a drug side effect extracted from the prescription information and an initial symptom of the side effect are stored together with drug history information of the patient. Medicinal history information storage step,
A table creation step of extracting side effects of drugs from the drug information and extracting initial symptoms in association with the side effects, and weighting the initial symptoms in descending order of the number of side effects to create a side effect table by initial symptoms; ,
An initial symptom selection step of selecting a predetermined number of initial symptoms from the initial symptom in the initial symptom side effect table in descending order of the side effects, and outputting the selected initial symptom and side effect to the patient in association with the patient When,
Pharmacist work support program to make computer execute. A confirmation history recording step of recording a confirmation history in the side effect table for each initial symptom for the initial symptom confirmed by the patient based on the progress confirmation sheet,
In the initial symptom selection step, a predetermined number of initial symptoms are selected in descending order of side effects from the initial symptom excluding the initial symptom recorded in the confirmation history by the drug history information recording means, and output to the initial symptom confirmation check sheet The pharmacist service support program according to claim 5. The table creation step is included in the manuals for each side effect common to multiple drugs among the drugs prescribed to the patient, side effects that may be enhanced by interaction, and serious side effect diseases by the Ministry of Health, Labor and Welfare. The pharmacist service support program according to claim 5 or 6, wherein weighting is performed using the side effects that have been performed as an evaluation index to create a side effect table for each initial symptom.

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