JP2012176055A - Cassette, cart and drug management system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a drug management system, a cart and cassettes which are capable of administering drugs to each patient more safely by further reducing the possibility of generating errors in drug administration.SOLUTION: In the drug management system having a tray 4 in which a drug 3 is put, and a cassette 6 having a plurality of storage shelves 7 for storing a plurality of trays 4, opening and closing operation of the storage shelves 7 can be performed only when connected to an opening and closing operative device 15 for permitting to perform the opening and closing operation, and thereby, capable of providing the drug management system, the cart and the cassettes which administer drugs to each patient more safely by more reducing the possibility of generating errors in drug administration.

Description

  The present invention relates to a medicine management system using a medicine dispensing device that dispenses a medicine container in which medicine is placed based on a dispensing instruction in a hospital or the like, and in particular, a cassette and a cart used for the medicine management system. It is about.

  In recent years, hospitals have introduced a drug management system that picks up drugs from each patient based on prescription data for each patient and manages the drugs stored in each tray when taking out the drugs for each patient. (For example, refer to Patent Document 1).

In addition, as a conventional drug management system, a plurality of storage units for storing drugs for each drug,
A storage shelf for holding the plurality of storage units, an information receiving unit provided on the front surface of the plurality of storage units, and an information storage unit for storing predetermined information received by the information receiving unit And a personal data storage means carried by a person in charge of taking out the medicine, and receiving the personal data stored in the personal data storage means by the information receiving means, A drug management system is disclosed that is stored in an information storage means (see, for example, Patent Document 2).

JP 2002-269234 A JP 2003-144525 A

  2. Description of the Related Art Generally, a medicine dispensing device (hereinafter referred to as a medicine dispensing device) such as a medicine storage box or a tablet packaging dispensing device is installed outside a hospital room where a patient is hospitalized, such as a pharmacy (pharmacy) or a nurse station of a hospital. Therefore, in a conventional medicine management system, a medicine taken out from a medicine storage by a person in charge (such as a nurse) or a medicine dispensed by a medicine dispensing device is used by a person in charge (such as a nurse) in the pharmacy department of a hospital. (Pharmacies) or nurse stations, etc. are transported to hospital rooms, so it is necessary to carry the drugs from the location where managed drug storage and drug dispensing devices are installed to the patient's room where the patient actually administers the drug. .

As described above, in the conventional medicine management system, it is necessary to carry the medicine from the place where the medicine storage and the medicine dispensing apparatus are managed to the hospital room where the patient who actually administers the medicine exists. Due to factors such as errors, there has been a problem that drug administration mistakes (forgetting to administer drugs, etc.) may occur.
Therefore, the object of the present invention is to more safely administer drugs to each patient by further reducing the possibility of occurrence of drug administration errors.

  In order to achieve this object, the present invention provides a medicine management system having a medical instrument or a tray containing medicines and a cassette having a plurality of storage shelves for storing the plurality of trays. The opening and closing operation of the storage shelf can be performed only when connected to a device capable of opening and closing that allows the opening and closing operation to be performed.

  The present invention also provides a medical instrument or a tray in which a medicine is placed, a cassette having a plurality of storage shelves for storing a plurality of the trays, and a moving means for mounting the cassette and moving the cassette. The cart having the opening and closing operation of the storage shelf is possible when the cassette is mounted.

  Further, the present invention provides a cassette having a medical instrument or a tray in which a medicine is placed and a plurality of storage shelves for storing the plurality of trays, and the opening / closing operation of the storage shelf performs the opening / closing operation. The cassette is characterized in that it is possible only when connected to an openable / closable device that permits this.

  As described above, the intended purpose is achieved.

  As described above, the present invention provides a medicine management system including a medical instrument or a tray in which medicine is placed and a cassette having a plurality of storage shelves for storing the plurality of trays. Since the medicine management system is characterized in that the operation is possible only when connected to a device capable of opening and closing that allows the opening and closing operation to be performed, there is a possibility that a medicine administration error may occur. By lowering the ratio, the drug can be more safely administered to each patient.

In other words, the opening / closing operation of the medical device or the cassette for managing the tray in which the medicine is placed can be carried and the opening / closing operation of the storage shelf in which the tray is stored permits the opening / closing operation. By enabling only when connected to a capable device,
When storing medical instruments or trays containing drugs in the storage shelf at the pharmacy (pharmacy) or nurse station of the hospital, and in the ward of each patient in the ward (in some cases, next to each patient's bed) The storage shelf can be opened and closed only at the time of the administration of the medicine in (1).

  Therefore, from the pharmacy (pharmacy) or nurse station in the hospital to the time just before administration of the drug in the patient's ward of the ward (possibly next to the bed of each patient), medical instruments or drugs are placed. Open and close of the cassette storage shelf that manages the tray (that is, taking out a medical instrument or medicine from the cassette) can be prohibited, so that the above-mentioned medicine administration mistake (forgetting medicine administration, etc.) may occur. Can be further reduced. As a result, the drug can be administered to each patient more safely.

Schematic of the medicine management system in Embodiment 1 of the present invention Schematic of the cart in Embodiment 1 of the present invention FIG. 3A is a schematic diagram of a cassette according to Embodiment 1 of the present invention, FIG. 3A is a schematic diagram of a state where a storage shelf is closed, and FIG. 3B is a schematic diagram of a state where the storage shelf is opened. Figure The schematic which shows an example of the tray in which the chemical | medical agent was put for every patient in Embodiment 1 of this invention is shown, Fig.4 (a) is a perspective view, FIG.4 (b) is a top view. The schematic of the cassette in other embodiment of this invention is shown, Fig.5 (a) is the schematic of the cassette which provided the tray shelf where a storage shelf and a tray are common, FIG.5 (b), Schematic of cassettes that do not separate trays from storage shelves (non-separable)

  Hereinafter, an embodiment of the present invention will be described in detail with reference to the drawings.

(Embodiment 1)
[1] Configuration of Cassette, Cart, and Drug Management System The cassette, cart, and drug management system of this embodiment will be described with reference to FIGS. 1, 2, and 3.

  FIG. 1 shows a schematic diagram of a medicine management system according to Embodiment 1 of the present invention. FIG. 2 shows a schematic diagram of the cart in the first embodiment of the present invention. 3 shows a schematic diagram of the cassette according to the first embodiment of the present invention. FIG. 3 (a) is a schematic diagram showing a state where the storage shelf is closed, and FIG. 3 (b) is a diagram showing the storage shelf. The schematic of the state opened is shown. FIG. 4 is a schematic view showing an example of a tray in which a medicine is placed for each patient in Embodiment 1 of the present invention. FIG. 4 (a) is a perspective view, and FIG. 4 (b) is a perspective view. A top view is shown.

  First, the flow of the medicine 3 will be described.

  As shown in FIGS. 1, 2, 3, and 4, the medicine unit 2 of the hospital 1 extracts the medicine 3 for each patient (also shown in FIG. 4) based on the prescription data for each patient. A medicine dispensing device 5 for automatically selecting these medicines 3 and dispensing them to the tray 4 is installed. The tray 4 in which the medicine 3 is placed for each patient is stored in a desired storage shelf 7 in the cassette 6 by the medicine dispensing device 5. A cassette 6 in which a plurality of trays 4 each containing a medicine 3 for each patient are stored in each storage shelf 7 is placed on a carriage 8 and conveyed from the medicine section 2 to a nurse station 9. The cassette 6 unloaded from the carriage 8 is temporarily stored in the nurse station 9 and mounted on the cart 10 by a nurse in charge at a necessary time. The cassette 6 mounted on the cart 10 is delivered to each patient in the hospital room (bedside) 12 in the ward.

  Thereafter, the nurse in charge certifies his / her own information to the authentication system 13 of the cart 10 in order to authenticate whether or not the patient's medicine he / she is in charge is in the cart 10. Present. In the present embodiment, a system for authenticating whether or not a nurse is in charge is used with an identification card issued at a hospital. Thereafter, the nurse in charge who is authenticated by the authentication system 13 of the cart 10 inputs patient data to the authentication system 13 of the cart 10. The authentication system 13 outputs to the cassette 6 an opening / closing operation signal A for opening and closing the storage shelf 7 storing the tray 4 in which the patient's medicine 3 is placed.

  The cassette 6 that has received the opening / closing operation signal A opens the storage shelf 7 by driving a drive unit 14 (not shown in FIGS. 1, 2, and 3) that opens and closes the corresponding storage shelf 7. A person in charge (for example, a nurse) takes out the tray 4 from the opened storage shelf 7, and then administers the medicine 3 in the tray 4 to each patient. After the administration to the patient is completed, a person in charge (for example, a nurse) performs an operation for closing the storage shelf 7 of the cassette 6 in the authentication system 13 of the cart 10. The authentication system 13 outputs the opening / closing operation signal A to the cassette 6 again. The cassette 6 that has received the opening / closing operation signal A again closes the storage shelf 7 by driving a drive unit (not shown in FIGS. 1, 2, and 3) that opens and closes the corresponding storage shelf 7. is there.

  Here, in the present embodiment, the opening / closing operation of the storage shelf 7 in the cassette 6 can be performed only by a specific device (hereinafter referred to as an opening / closing operation enabling device 15 that permits the opening / closing operation to be performed). It is. In the present embodiment, the medicine dispensing device 5 and the cart 10 are used as the device 15 that can be opened and closed. That is, when the tray 4 containing the medicine 3 for each patient is put into the storage shelf 7 of the cassette 6 by the medicine dispensing device 5 installed in the medicine section 2, the cassette 6 is transported to the hospital room (bedside) 12. When the person in charge (for example, a nurse) opens the storage shelf 7 of the cassette 6 (ie, when the person in charge administers the drug 3 to the patient in the ward (bedside) 12 in the ward) after being released. The opening / closing operation of the storage shelf 7 of the cassette 6 is permitted.

  In addition, the trolley | bogie 8 in this embodiment is not set as the structure which can implement opening / closing operation | movement of the storage shelf 7. FIG. Further, the cassette 6 has a configuration in which the storage shelf 7 cannot be opened and closed in a single cassette 6 state (a configuration in which the storage shelf 7 cannot be opened and closed).

  Therefore, storage of the cassette 6 for managing the tray 4 containing the medicine 3 for each patient from the medicine section 2 of the hospital 1 to immediately before the administration of the medicine 3 in the ward (bedside) 12 of each patient in the ward. Since opening / closing of the shelf 7 (that is, taking out the medicine 3 from the cassette 6) can be prohibited, the possibility of occurrence of a previous medicine administration error (for example, forgetting to administer medicine) can be further reduced.

[2] Flow of Data (Information) in Cassette, Cart, and Drug Management System Next, the flow of data (information) in the drug management system in this embodiment will be described. As indicated by a dotted line in FIG. 1, prescription data (for example, electronic medical record) created by a doctor in the examination room 14 is input to the personal computer 11 and then temporarily stored in the server 16. Thereafter, the prescription data is output to the medicine dispensing device 5.

  The medicine dispensing device 5 dispenses the medicine 3 to the tray 4 based on the inputted prescription data. At that time, information (= tray number) for identifying each tray 4 is input to the medicine dispensing device 5 from a tray recognition display unit 17 (illustrated in FIG. 4) provided in the tray 4. In the present embodiment, a barcode is used by the tray recognition display unit 17, and a barcode reader is used to input information of the tray recognition display unit 17 to the medicine dispensing device 5.

  Further, the medicine dispensing device 5 stores the tray 4 in which the medicine 3 is put for each patient in the storage shelf 7 in the cassette 6. At this time, the medicine dispensing device 5 stores information (= cassette number) for identifying the cassette 6 and information for identifying the position of the storage shelf 7 (= storage) from the electronic memory 18 provided in the cassette 6. Shelf number) is entered. Further, the medicine dispensing device 5 stores the tray 4 in the storage shelf 7 in the cassette 6 and then stores the medicine administration information (patient information, the storage shelf 7 of the storage shelf 7) in the electronic memory 18 for each tray 4 stored. Location information [= storage shelf number], drug type and quantity, name of nurse in charge, patient ward / room information, drug administration status information [e.g. Etc.).

Thereafter, the cassette 6 in which the tray 4 containing the medicine 3 for each patient is stored in the storage shelf 7 is transported to the nurse station 9 and temporarily stored as described above.
At the nurse station 9, the nurse in charge is mounted on the cart 10 by the nurse in charge at a necessary time. The cassette 6 mounted on the cart 10 is delivered to each patient in a hospital room (bedside) 12 in the ward, and then administered to each patient.

  Here, in this embodiment, the cart 10 is provided with an external communication function (not shown, for example, wireless LAN = Wireless Local Area Network) that can communicate with the server 16, and the cassette 6 is mounted on the cart 10. In this state, information communication with the server 16 can be performed. Furthermore, as described above, the electronic memory 18 is provided in the cassette 6, and drug administration information necessary for drug administration for each tray 4 is recorded in the electronic memory 18.

With this configuration, in the present embodiment, the latest prescription data stored in the server 16 and the electronic memory in the cassette 6 at the nurse station 9 and the hospital room (bedside) 12 in the ward. It becomes possible to compare with the drug administration information necessary for the drug administration in 18. Therefore, before administering the drug to the patient, the nurse in charge can confirm whether or not the prescription has been changed after the drug is dispensed by the drug dispensing device 5, and as a result, the drug is administered to the patient. The safety can be further improved.
In the present embodiment, if the latest prescription data stored in the server 16 is different from the drug administration information necessary for the drug administration in the electronic memory 18 in the cassette 6, the corresponding cassette 6 A mechanism is provided to prevent the inner storage shelf 7 from being opened.

[3] Others In the present embodiment, what is put in the tray 4 has been described using only the drug 3 as shown in FIG. 4, but is not limited to the drug 3, For example, medical devices (injectors, infusion tubes, etc.) can be placed in the tray 4 and managed.

  In the present embodiment, the cassette 6 is one that can separate the tray 4 from the storage shelf 7 (shown in FIG. 3). However, as shown in FIG. 5A, the storage shelf and the tray are common. A cassette 20 provided with a tray shelf 19 may be used. Further, a cassette 23 in which the tray 22 is not separated from the storage shelf 21 as shown in FIG. 5B may be used. When a cassette 23 of a type in which the tray 22 is not separated from the storage shelf 21 as shown in FIG. 5B (non-separable type) cassette 23 is used, the tray recognition display unit 17 is unnecessary as compared with the cassette 6 shown in FIG. (The tray 22 is not separated from the storage shelf 21, so there is no need to bother identifying it), so that the manufacturing cost can be reduced, and as a result, an inexpensive cassette 6 can be provided. Furthermore, when the medicine 3 itself has an identification display unit that records medicine information by RFID method (for example, information on the type, content, etc. of the medicine 3), the tray 4 corresponds to the RFID method. An antenna (or reader) may be provided. According to this, mistakes in information input can be reduced, safety can be further improved, and inventory management can be performed reliably.

  In this embodiment, as described above, a system for authenticating whether or not the nurse is in charge of the identification card issued at the hospital is used. However, the present invention is not limited to this authentication system. In addition, for example, a system that can authenticate whether it is a nurse in charge such as a fingerprint authentication system, a face identification authentication system by image processing, an IC memory authentication system, an RFID (Radio Frequency IDentification) method, etc. Can do.

  In the present embodiment, as described above, the tray recognition display unit 17 (illustrated in FIG. 4) provided in the tray 4 uses a barcode, but is not limited to this barcode. A system in which the information (= tray number) for identifying each tray 4 such as the RFID described above can be recognized as data by the medicine dispensing device 5 and the cassette 6 can also be used.

  In the present embodiment, the cart 10 is used to transport the cassette 6 from the nurse station 9 to the ward (bedside) 12 in the ward, and then the cart 10 is mounted on the cart 10. Although the authentication system 13 of FIG. 1 has authenticated the nurse in charge, the storage shelf 7 has been opened and closed by inputting patient data to the authentication system 13 of the cart 10. In addition, the nurse in charge himself / herself carries the cassette 6 from the nurse station 9 to the ward (bedside) 12 in the ward, and then a personal information terminal (PDA = Personal Data Assistance) or personal computer prepared separately. After connecting the cassette 6 to the card, it is necessary to verify whether the nurse is in charge and The patient's wristband is provided with a patient recognition information display unit such as a barcode, and the patient's recognition information display unit is read by a reading device such as a barcode reader. It is also possible to perform opening / closing (that is, using a portable information terminal, a personal computer, or the like as the opening / closing operation enabling device 15 as described above).

In the present embodiment, if the latest prescription data stored in the server 16 and the drug administration information necessary for the drug administration in the electronic memory 18 in the cassette 6 are different from each other, A mechanism that prevents the storage shelf 7 from being opened is provided.
It is possible to provide a warning display unit that displays a warning that discharge is impossible, and it is also possible to provide a buzzer that sounds a warning sound.

  Moreover, in this embodiment, although the example which opens the storage shelf 7 of the cassette 6 by the chemical | medical agent delivery apparatus 5 as an opening / closing operation possible apparatus and pays out the chemical | medical agent 3 to a tray was shown, other opening / closing operations, such as a desktop type terminal, were shown. It is also possible to open the storage shelf 7 of the cassette 6 using a possible device and dispense the medicine 3 to the tray.

  INDUSTRIAL APPLICABILITY Since the present invention can more safely administer a drug to each patient by reducing the possibility of a drug administration error occurring, the present invention can be used for a drug management system in a hospital, a cart, and a cassette used therefor. .

DESCRIPTION OF SYMBOLS 1 Hospital 2 Drug department 3 Drug 4, 22 Tray 5 Drug delivery device 6, 20, 23 Cassette 7, 21 Storage shelf 8 Cart 9 Nurse station 10 Cart 11 Personal computer 12 Hospital room (bedside) in ward
13 Authentication System 14 Consultation Room 15 Openable / Closable Device (Drug Dispensing Device 5, Cart 10)
16 Server 17 Tray recognition display section 18 Electronic memory 19 Tray shelf A Open / close operation signal

Claims (8)

A tray with medical instruments or drugs,
A cassette having a plurality of storage shelves for storing a plurality of the trays;
In a drug management system having
The opening / closing operation of the storage shelf is possible only when connected to a device capable of opening / closing that permits opening / closing operation,
A drug management system characterized by Having a medicine dispensing device for dispensing medicine to the tray;
The medicine dispensing device is the device capable of opening and closing;
The drug management system according to claim 1. When the opening / closing operation signal for opening and closing the predetermined storage shelf is received, the predetermined storage shelf is opened and closed;
The drug management system according to claim 1. A cart having the cassette and moving means for moving the cassette;
The cart is the device capable of opening and closing;
The drug management system according to claim 1. A tray with medical instruments or drugs,
A cassette having a plurality of storage shelves for storing a plurality of the trays;
A moving means for mounting the cassette and moving the cassette;
In cart with
Opening and closing operation of the storage shelf is possible when the cassette is mounted;
A cart characterized by. Opening and closing the predetermined storage shelf when receiving an opening / closing operation signal for opening and closing the predetermined storage shelf;
The cart according to claim 5. A tray with medical instruments or drugs,
In a cassette having a plurality of storage shelves for storing a plurality of the trays,
The opening / closing operation of the storage shelf is possible only when connected to a device capable of opening / closing that allows the opening / closing operation to be performed,
A cassette characterized by When the opening / closing operation signal for opening / closing the predetermined storage shelf is received from the opening / closing operation enabling device, the predetermined storage shelf is opened / closed;
The cassette according to claim 7.

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