JP2013248236A - Medication management instrument and medication management method - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medication management instrument capable of classifying medicaments according to the medication time and easily and surely extracting only the medicament to be administered to permit the allotment of medicaments.SOLUTION: A medication management instrument capable of subdividing and storing medicaments to be allotted for a plurality of medicament allotment times that compose one cycle, for a medication object, includes a medication unit container that stores medicaments to be allotted for one medicament allotment time and has an object identification means for indicating the medication object; a cycle unit container that stores a plurality of unit containers that belong to the same cycle; and an object unit container that stores a plurality of cycle unit containers corresponding to a plurality of cycles for the same medication object.

Description

  The present invention relates to a medicine management tool and a medicine management method used for classifying and appropriately distributing, that is, dispensing medicines to be delivered to a plurality of patients in a medical facility, for example.

For example, in a facility such as an inpatient facility or a nursing home, it is necessary to deliver a required medicine to a plurality of patients, that is, to a drug subject, in a required cycle.
When dispensing in this way, for example, a pharmacist or nurse, etc., subdivides the medicines to be delivered to each medication target in advance from one of many types and many medicines. In addition, the subdivided medicines are dispensed to each corresponding drug subject so that they can be taken or used at the prescribed dispensing time.

The work of subdividing medicines into the types and amounts to be taken at one time of dispensing according to the subject of administration requires work and requires time.
If this subdivision work is carried out at the time of drug distribution, especially during a time zone where there is a high possibility of sudden work other than the subdivision work, attention will be distracted and a drug accident may occur.

Therefore, various ideas have been made in order to reduce the risk of such erroneous drug accidents.
For example, in a ward that accommodates a large number of hospitalized patients, all the inpatients are subdivided into drugs that are needed for the next day, for example, one cycle before morning, noon, evening, and sleep. The drug is delivered from the pharmacy to the ward.
And, on the night before the day when a large amount of medicines were delivered to the ward, the nurses of the ward, for example, subdivide one week from the next day, so that the subdivision work becomes diffuse. By reducing as much as possible, we aim to reduce accidental drug accidents.

However, in the above case, there is a problem that even if the subdivision work itself is properly performed, it is difficult to judge the state of distribution from the subdivided medicine remaining at hand or to confirm that the medicine has been forgotten. .
For the above problem, a medicine tray as described in Patent Document 1 has been proposed.

In this medication tray, one tray is dedicated to one medication subject, and, for example, one tray (one cycle divided into four rooms) corresponding to a plurality of medication delivery times is included in the tray. A plurality of cases, for example, seven rows corresponding to one week are accommodated.
This medication tray can subdivide the drug for one week at a time, and if you look at the medication tray, you can easily check the medication delivery status for the medication subject. Can be implemented appropriately.
In addition, since one week's worth of pharmaceuticals can be concentrated and subdivided at a time, the effect of reducing errors in subdivision work by nurses and the like can also be expected.

  However, if one cycle of medicines is divided into a series of cases that are divided according to the time of medication, for example, if necessary medicines are delivered to all medication targets in the ward after breakfast, You will go to each room with the medicine to be dispensed from the tray.

At this time, if a series of cases in which medicines to be dispensed at multiple dosing timings are extracted as they are, unnecessary medicines will be carried around, and waste will be increased, and incorrect medicines and cases will be traced. There is also a risk that a mistake may occur when returning to.
For this reason, usually, the medicine to be dispensed is taken out from each medication tray and transferred to a medicine delivery tray or the like having a section corresponding to the subject of medication, and the medicine is moved to each hospital room and delivered. .

However, in this case, when transferring the drug from the drug delivery tray to the drug distribution tray, it will be necessary to grab and move several exposed drugs, so that the drug may spill from the hand, There was a problem that there was a risk of mixing medicines for administration.
In addition, it is not easy to accurately transfer from a prescribed medication tray to a required compartment of a distribution tray having a large number of compartments. There was a problem that it was impossible to dispense properly.

JP 2007-307104 A

  The present invention was made for the purpose of solving the above-mentioned problems, classifying medicines according to the timing of administration, and extracting only the medicines to be administered from the classified medicines easily and reliably, The purpose is to provide a medication management tool that enables drug distribution.

In order to achieve the above object, a medication management tool according to the invention of claim 1 is provided:
A drug management tool that is composed of a plurality of drug delivery times in one cycle, and that can be subdivided and accommodated for a drug subject to be delivered at a plurality of drug delivery times,
A medication unit container containing a medicine to be dispensed at one delivery time and having a target identification means for indicating a medication target;
A cycle unit container containing a plurality of drug unit containers belonging to the same cycle;
And a target unit container for storing a plurality of periodic unit containers corresponding to a plurality of periods for the same administration target.

  The invention according to claim 2 is the invention according to claim 1, and contains a medicine unit container that contains a medicine to be delivered at a prescribed medicine delivery time extracted from at least one target unit container. It has an administration time unit container.

  The invention according to claim 3 is characterized in that, in the invention according to claim 1 or 2, the object identifying means of the medicinal unit container is detachably provided in at least a part of the plural medicinal unit containers. And

  The invention according to claim 4 is the thin plate-like member that displays the identification information that can be accommodated in the medicine unit container by the object identification means of the medicine unit container in the invention according to any one of claims 1 to 3. It is characterized by being.

In order to achieve the above object, the invention according to claim 5 provides:
A medication management method for delivering a required drug to a drug target at a required cycle,
The identification information of the drug target is displayed on the drug unit container that can contain the drug to be delivered, and the drug to be delivered to the drug target at the prescribed drug delivery time is displayed on the corresponding drug unit container. An arrangement in which a plurality of medicinal unit containers corresponding to the same medicinal object are accommodated in a periodic unit container and a plurality of periodic unit containers corresponding to the same medicinal object are accommodated in the target unit container Steps,
An extraction step for extracting a drug unit container containing a medicine to be delivered at a predetermined drug delivery time from the target unit container; and
A dispensing step of dispensing a drug to a drug target via the extracted drug unit container.

The invention according to claim 6 is the invention according to claim 5,
The extraction step is
Extracting a medicinal unit container corresponding to a predetermined drug delivery time from at least one target unit container, and arranging the extracted plurality of medicinal unit containers in the administration time unit container;
The dispensing step is
It is a step of delivering a drug to a drug target via a drug unit container arranged in the administration time unit container.

The invention according to claim 7 is the invention according to claim 5 or 6,
The process of displaying the identification information of the drug target included in the placement step,
At least a process of storing the object identification means in a part of the unit of medicine unit in which the medicine to be distributed next time is stored,
After the end of the dispensing step, the target identifying means stored in the administered unit container after the dispensing is the earliest scheduled dispensing unit container among the dispensing unit containers that do not contain the target identifying means. Including a re-identification step.

  According to the first aspect of the present invention, the medication unit container is aggregated into the periodic unit container every period, and further, the periodic unit container is aggregated into the target unit container that can accommodate a predetermined period. In addition, it is possible to intensively carry out subdivision of drugs over multiple cycles, easily check the status of drug distribution for each drug target, and to determine the drug to be distributed at the time of drug distribution. Each container can be extracted from the target unit container and managed and distributed, making it easy to extract and sort out the medicines to be distributed and prevent accidental drug accidents during distribution. it can.

  According to the invention according to claim 2, the medicines to be dispensed at a predetermined drug delivery time are extracted from the plurality of target unit containers together with the drug delivery unit containers, and are collected in the administration time unit container. Since the medicine can be delivered to the subject to be held, it is not necessary to carry a medicine that does not require the medicine delivery, and the medicine delivery work is facilitated.

  In addition, at the time of dispensing, since the dispensing unit containers that are not used for dispensing are not arranged side by side in the dispensing unit containers that are used for dispensing, the dispensing unit containers that are used for inappropriate dispensing periods are not distributed. There is no worry about taking medicine.

  According to the invention according to claim 3, it is not necessary to fix the target identification means such as the name or identification code of the drug target in the drug unit container, and management and reuse of the used drug unit container can be avoided. It becomes easy and operation cost can be suppressed.

  In addition, by attaching the target identification means detachably to only some of the drug unit containers, the target identification means are collected from the dispensed drug unit containers, and the dispensing status and taking state are determined from the collection status. Can be confirmed, and the number of object identification means created individually for each drug target can be reduced, so that the operation cost can be suppressed.

  According to the invention which concerns on Claim 4, object identification is carried out, for example by printing identification information or sticking the adhesive tape on which identification information was printed on thin plate upper members like a resin-made sheet | seat or a resin-made card | curd. Means can be created easily and at low cost.

  According to the invention which concerns on Claim 5, a medication unit container is aggregated by the period unit container for every period, Furthermore, the period unit container is aggregated by the object unit container which can accommodate a predetermined period. In addition, it is possible to intensively carry out subdivision of drugs over multiple cycles, easily check the status of drug distribution for each drug target, and to determine the drug to be distributed at the time of drug distribution. Each container can be extracted from the target unit container and managed and distributed, making it easy to extract and sort out the medicines to be distributed and prevent accidental drug accidents during distribution. it can.

  According to the invention according to claim 6, medicines to be dispensed at a predetermined drug delivery time are extracted from the plurality of target unit containers together with the drug delivery unit container, and are collected in the administration time unit container. Since the medicine can be delivered to the subject to be held, it is not necessary to carry a medicine that does not require the medicine delivery, and the medicine delivery work is facilitated.

  In addition, at the time of dispensing, since the dispensing unit containers that are not used for dispensing are not arranged side by side in the dispensing unit containers that are used for dispensing, the dispensing unit containers that are used for inappropriate dispensing periods are not distributed. There is no worry about taking medicine.

  According to the invention according to claim 6, medicines to be dispensed at a predetermined drug delivery time are extracted from the plurality of target unit containers together with the drug delivery unit container, and are collected in the administration time unit container. Since the medicine can be delivered to the subject to be held, it is not necessary to carry a medicine that does not require the medicine delivery, and the medicine delivery work is facilitated.

  In addition, at the time of dispensing, since the dispensing unit containers that are not used for dispensing are not arranged side by side in the dispensing unit containers that are used for dispensing, the dispensing unit containers that are used for inappropriate dispensing periods are not distributed. There is no worry about taking medicine.

  According to the invention according to claim 7, the object identification means such as the name and identification code of the drug target is fixed to the drug unit container, or a large number of drug unit containers and identification information are prepared in a one-to-one relationship. It is no longer necessary to manage and reuse the used drug unit container, and the operation cost can be suppressed.

  In addition, by attaching the target identification means detachably to only some of the drug unit containers, the target identification means are collected from the dispensed drug unit containers, and the dispensing status and taking state are determined from the collection status. Can be confirmed, and the number of object identification means created individually for each drug target can be reduced, so that the operation cost can be suppressed.

FIG. 1 is a side view of an embodiment of a medication management tool according to the present invention. FIG. 2 is a front view of the medication management tool shown in FIG. 1 as viewed from the AA direction. FIG. 3 is an explanatory diagram illustrating a state in which the periodic unit container of FIG. 2 is accommodated in the target identification container. FIG. 4 is an explanatory view showing a state in which the medication unit container is accommodated in the periodic unit container of FIG. 3. FIG. 5 is an explanatory view showing a state in which the object identification means is accommodated in the medication unit container of FIG. 6 is a top view of the medicated unit container of FIG. 7 is a cross-sectional view taken along line BB in FIG. 8 is a cross-sectional view taken along the line CC of FIG. FIG. 9 is a top view of the medicated unit container shown in FIG. 4 as seen from the DD direction. 10 is a cross-sectional view taken along line EE in FIG. 11 is a cross-sectional view taken along line FF in FIG. 12 is a top view of the target unit container of FIG. 13 is a GG cross-sectional view of the target unit container shown in FIG. FIG. 14 is a top view illustrating a state in which the periodic unit container is accommodated in the target unit container illustrated in FIG. 12. FIG. 15 is a flowchart illustrating a method for implementing a medication management method using the medication management tool according to the first embodiment. FIG. 16 is a flowchart showing a method for carrying out another medication management method according to the present invention. FIG. 17 is a flowchart showing a method for carrying out yet another medication management method according to the present invention.

  In the present invention, a plurality of medicinal unit containers that contain a medicine to be delivered at one time of drug delivery are accommodated in a periodic unit container, and a periodic unit container that contains a plurality of medicated unit containers is a target unit container. By storing multiple drugs, drugs delivered at the time of drug delivery can be taken out together with the drug unit container so that it can be delivered to patients, etc. Can be easily performed.

First, based on FIGS. 1-5, the outline | summary of the medication management tool which concerns on this invention is demonstrated.
In the figure, 1 is a medication management tool according to the present invention, 2a to 2d are medication unit containers, 3 is a target identification means, 4 is a periodic unit container, 5 is a target unit container, As will be described below, the drug unit containers 2a to 2d, the target identifying means 3, the periodic unit container 4, and the target unit container 5 are provided.

The medication unit containers 2a to 2d contain medicines to be dispensed at one delivery time.
In the present specification, the medicine to be delivered at one delivery time is specifically divided into four times, morning, noon, evening, and sleep, for the patient. In this case, the medicines to be dispensed at one time are shown in the morning, noon, evening, and before sleep.

The object identification means 3 is a thin plate-like member, that is, a sheet that can be accommodated in each of the drug unit containers 2a to 2d, and has flexibility or flexibility.
This object identification means 3 is a resin sheet, for example.
In the drawing, the object identification means 3 has the same thickness as that of the wall portion constituting the medicated unit container 2 in order to simplify the drawing, but in actuality, it is a sheet-like sheet thinner than that shown in the drawing. It is a member.

As shown in FIG. 5, an identification label 30 is affixed to the identification means 3 as means for identifying the subject to be administered.
The identification label 30 is filled with or printed with identification information such as a name of a drug target, a code assigned to the drug target, a room number, a bed number, and a management barcode.
In addition to the above-described identification information, the display provided in the identification means 3 can also include information related to precautions such as the presence of liquid medicine and the prohibition of drugs.

Moreover, this identification label 30 can be affixed to the object identification means 3 through the adhesive layer which can be affixed and peeled off, and can be appropriately affixed according to the administration of the medicine.
Further, the identification label 30 is provided at a position where it can be visually recognized from the outside of the medicated unit containers 2 a to 2 d in a state of being accommodated in the identification means 3.

The cycle unit container 4 is a container having an open upper surface for accommodating a plurality of drug unit containers belonging to the same cycle.
In this specification, the same cycle indicates, for example, a cycle for one day, specifically, four times of morning, noon, evening, and before sleep as one unit.
In the present embodiment, the cycle unit container 4 can accommodate four drug unit containers 2a to 2d corresponding to one cycle in a horizontal row.

The target unit container 5 accommodates a plurality of periodic unit containers 4.
The target unit container 5 can accommodate the number of periodic unit containers 4 required for one week or 10 days, for example.

  And the medication management tool 1 in the present embodiment has a plurality of periodic unit containers 4 each containing a target identifying means 3 and containing four medication unit containers 2 in a horizontal row on the target unit container 5. It is used in a state where it is placed and accommodated.

Next, based on FIGS. 6-14, the structure of said medication management tool 1 is demonstrated concretely.
First, the medicated unit containers 2a to 2d will be described.
The medication unit containers 2a to 2d belonging to the same cycle are made of resin and have the same shape.
On the other hand, these drug unit containers 2a to 2d have different colors such as red, blue, yellow, and green so that it can be determined at which time in the cycle the drug is dispensed. Formed with.

Hereinafter, the shape of the medication unit containers 2a to 2d will be described.
In addition, since the medication unit containers 2a to 2d have the same shape as described above, the medication unit container 2d will be described, and description of the shapes of the other medication unit containers 2a to 2c will be omitted.
In the following description, the up, down, left, and right directions indicate the up, down, left, and right directions in a state where the medication management tool 1 is placed on a horizontal plane.

The medicated unit container 2d includes a substantially rectangular bottom surface portion 2d-1, a front surface portion 2d-2 rising from one edge of the bottom surface portion 2d-1, and a bottom surface portion 2d-1 facing the front surface portion 2d-2. Rises from one edge, rises upward from the height of the front face 2d-2 and protrudes upward from the other pair of edges of the bottom face 2d-1, rises from the front face 2d- 2 has a pair of side portions 2d-4 and 2d-5 having the same height as 2.
In the medicated unit container 2d, the space surrounded by the bottom surface portion 2d-1, the front surface portion 2d-2, the back surface portion 2d-3, the side surface portions 2d-4, and 2d-5 is used as a space for storing medicines and the like. .

  Further, the medicated unit container 2d is provided as a mechanism for holding the object identification means 3 on the container inner surface side of the back surface portion 2d-3 and in the vicinity of the side surface portions 2d-4 and 2d-5. The pair of inclined ribs 2d-30, 2d-31 and the pair of side surface portions 2d-4, 2d-5 on the container inner surface side, and the back surface portion 2d through a gap between the back surface portion 2d-3 -3, and the sandwiching ribs 2d-40 and 2d-50 projecting along -3.

The sandwiching ribs 2d-40 and 2d-50 are configured so as to be able to hold the sheet-like object identification unit 3 with the gap between the sandwiching ribs 2d-40 and 2d-50.
In addition, this “clamped state” is not limited to a state in which the clamping ribs 2d-40, 2d-50 and the back surface portion 2d-3 are tightly fitted, but simply between the gaps. It also includes conditions that exist and are difficult to drop off.

As shown in FIGS. 7 and 8, the protruding width of the inclined ribs 2d-30 and 2d-31 is wide on the bottom surface portion 2d-1 side, and gradually becomes narrower as it goes upward.
For this reason, of the constituent surfaces of the inclined ribs 2d-30 and 2d-31, the surface facing the front surface portion 2d-2 moves away from the front surface portion 2d-2 as it proceeds upward, and finally the back surface portion 2d-. 3 is an inclined surface coinciding with the inner surface.
Further, the height of the upper portion of the inclined surface is configured to be lower than the height of the upper portions of the sandwiching ribs 2d-40 and 2d-50 when the bottom surface portion 2d-1 is used as a reference surface.

The object identification means 3 has a width substantially the same as the width inside the medication unit container 2d.
The object identifying means 3 is accommodated in the medicinal unit container 2d so as to slide downward along the inner surface of the back surface portion 2d-3 of the medicated unit container 2d as shown in FIG.
Thus, when the object identification means 3 is accommodated in the medication unit container 2d, first, both ends of the object identification means 3 are guided between the sandwiching ribs 2d-40, 2d-50, and the back surface portion 2d-3. In the state, go down.

  As already described, the thickness of the object identification means 3 is described as being thicker for the sake of convenience, but in actuality, it is thinner than shown in the drawings, and the sandwiching ribs 2d-40, 2d-50 and the back surface portion 2d-3. Is provided with play that does not hinder the vertical movement of the object identification means 3.

  As the object identification means 3 advances downward, the lower end of the object identification means 3 is gradually pushed inward of the medicated unit container 2d by the inclined ribs 2d-30 and 2d-31. At this time, the object identification means 3 Both ends of the object are pressed against the back surface part 2d-3 by the sandwiching ribs 2d-40 and 2d-50, so that the object identification means 3 is finally bent as shown in FIGS. In the state, it is held in the medication unit container 2d.

  Thus, the object identification means 3 is bent by the inclined ribs 2d-30, 2d-31, and as a result, is pressed against the clamping ribs 2d-40, 2d-50 by the restoring force, and the frictional force thereof. Inadvertent withdrawal is prevented by using.

  Further, the degree of bending of the object identification means 3 is large at the lower end and the frictional force is strong near the bottom surface 2d-1, so that the object identification means 3 accommodated in the medicinal unit container 2d is slightly upward. It can be easily pulled out by simply sliding it.

The positions of the inclined ribs 2d-30 and 2d-31 are determined according to the positions of the sandwiching ribs 2d-40 and 2d-50 and the protruding length.
The positions of the inclined ribs 2d-30 and 2d-31 can be improved by bringing the holding ribs 2d-40 and 2d-50 closer to the holding ribs 2d-40 and 2d-50. The inclination of the inclined ribs 2d-30 and 2d-31 and the inclination angle are determined by the flexibility of the object identification means 3, the protruding width of the holding ribs 2d-40 and 2d-50, and the holding rib 2d-40. In accordance with the relative position to 2d-50, the object identifying means 3 is adjusted to be bent so as to be pressed against the sandwiching ribs 2d-40 and 2d-50.

The periodic unit container 4 is a container having an open upper portion composed of a substantially rectangular bottom surface portion 4a and wall surface portions 4b to 4e rising from the periphery of the bottom surface portion 4a.
As shown in FIG. 4, the periodic unit container 4 accommodates four drug unit containers 2a to 2d arranged in a horizontal row.
Moreover, the height of the upper edge of wall surface part 4b-4d is a thing lower than the height of the upper edge of the front part of accommodated medicine unit container 2a-2d.

The target unit container 5 is a tray-shaped container, and can be stored in a drawer shape in a storage shelf, cabinet, container, cart, or the like (not shown).
The target unit container 5 rises from a rectangular bottom surface portion 5a and one edge portion of the bottom surface portion 5a, and faces a front surface portion 5b having a folded portion 5b-1 for a grip at the upper end, and the front surface portion 5b. As described above, it has a back surface portion 5c rising from the edge portion of the bottom surface portion 5a and a pair of side surface portions 5d and 5e rising from the remaining pair of edge portions of the bottom surface portion 5a.

In the present embodiment, the target unit container 5 is obtained by bending a metal plate cut into a required shape.
In the present embodiment, the height of the upper edge of the back surface portion 5c and the side surface portions 5d and 5e is configured to be lower than the height of the upper edge of the front surface portion 5b.
With this configuration, the dispensing unit containers 2a to 2d and the periodic unit container 4 can be easily taken in and out.

In the present embodiment, the upper edges of the side portions 5d and 5e are bent so as to project horizontally toward the outside of the container.
By this bending, the strength of the target unit container 5 is improved, and the bent portion can be guided to a rail of a storage shelf (not shown) and used as a drawer.

As shown in FIG. 14, the periodic unit containers 4 can be sequentially arranged on the bottom surface portion 5 a of the target unit container 5 from the front surface portion 5 b side to the back surface portion 5 c side.
It should be noted that a label (not shown) for identifying a medicinal target similar to that affixed to the target identification means 3 may be affixed to the front surface 5b of the target unit container 5, for example, the outer surface or the upper surface. Although desirable, the subject identification means 3 can identify the medication target and is not essential.
Moreover, in the state which can confirm the content of a card | curd in the position which can be visually recognized when the target unit container 5 is seen from the front of the front part 5b of the target unit container 5 or the folding | returning part 5b-1, It is recommended to provide a card holder (not shown) that accommodates the card.

In this card holder, for example, identification information such as the name and room number of the medicinal object is described, and when the medicinal object corresponding to the target unit container 5 is changed, the medicinal object is replaced by replacing this card. Can be easily changed.
In addition, it is recommended that this card be configured so that it can be updated by attaching a label with the necessary information printed on the plate, and if necessary, by replacing the label. Information may be directly entered.
The state shown in FIG. 1 shows a state in which the medicated unit container 2 is accommodated in the periodic unit container 4 accommodated in the target unit container 5.

Next, a medication management method using the medication management tool 1 will be described.
First, an identification label 30 in which the name of a patient who is a subject to be dispensed, for example, a patient who is to be dispensed a pharmaceutical, is affixed to the medication unit containers 2a to 2d that can accommodate the medicine to be dispensed. The object identification means 3 is accommodated, a plurality of drug unit containers 2a to 2d corresponding to the same drug target are accommodated in the cycle unit container 4, and a predetermined period corresponding to the same drug target, for example, one week Or the periodic unit container 4 corresponding to 10 days is accommodated in the same target unit container 5, and the medicines to be inquired at the time corresponding to each drug unit container 2 a to 2 d are stored in each drug unit container 2 a to 2 d. It arrange | positions in the accommodated state (S100).

  In the above arrangement, the accommodation order of the medicines, medication unit containers 2a to 2d, and periodic unit container 3 can be appropriately set by the placement operator. As a result, the medicines are placed on the target unit container 5 on the target unit container 5. The medicine unit containers 2a to 2d in which the medicines are stored may be stored and arranged in the order of medicines in a state where they are classified for each peripheral unit container 3.

At this time, the medicated unit containers 2a to 2d arranged in each periodic unit container 3 are red (morning), blue (daytime), yellow (from the left side when viewed from the front surface 5b side of the target unit container 5. They are arranged in the order of evening) and green (before sleep).
And the medicinal product to be administered is accommodated in each of the medicinal unit containers 2a to 2d in order from the front side 5b of the target unit container 5 in the order of early dosing cycle.

  Next, prior to the dispensing of the dispensed medicine, the medicine unit container in which the medicine to be dispensed is accommodated is extracted by being extracted from the periodic unit container 4 accommodated in the object unit container 5 (S101). ).

Next, the extracted medication unit container is dispensed to a medication target, for example, a corresponding patient (S102).
This medicine distribution is performed, for example, by depositing a medicine unit container or delivering only a medicine taken out from the medicine unit container to a medicine target.

  According to the above embodiment, the medication unit container is aggregated into the periodic unit container every period, and further, the periodic unit container is aggregated into the target unit container that can accommodate a predetermined period, so that multiple periods It is possible to intensively carry out subdivision of pharmaceuticals over a long period of time, and to easily check the state of drug distribution for each drug target. It can be extracted from the target unit container and managed and distributed, and the extraction and selection of medicines to be distributed can be made very easy, thereby preventing the occurrence of accidental drug accidents during distribution.

  In addition, each drug unit container is classified according to the periodic unit container, so that the arrangement arrangement of the drug unit containers on the target unit container is broken even after the drug unit container is extracted for dispensing. However, it is possible to easily and accurately confirm the casting status for each drug target by simply looking at the target unit container.

Next, a medication management method according to Example 2 will be described.
In addition, since this Example changes a part of structure of the method of Example 1, description is abbreviate | omitted about the structure which is common in Example 1. FIG.
This embodiment uses a medication management tool 1 shown in the first embodiment and a dosing time unit container (not shown) that can collectively arrange the medication unit containers extracted from a plurality of target unit containers.

This administration time unit container is a tray-shaped or top-opening box-shaped container, and can accommodate a plurality of medication unit containers collectively.
This medication management method is assumed to be used in, for example, a ward that manages a plurality of inpatients, a care welfare facility that manages the health of a plurality of residents, and the like.
In this medication management method, first, medicines to be dispensed are arranged for each medication target as in Example 1 (S200).

  Next, prior to the dispensing of the medicinal product, the medicinal unit containers each containing the medicinal product to be dispensed are extracted from the target unit containers 5 corresponding to a plurality of medicinal subjects. (S201).

Next, the extracted medication unit container is collected and arranged in the administration time unit container (S202).
For this reason, in the administration time unit container, a plurality of medicinal unit containers containing medicines to be delivered to different medicinal subjects at the same time are arranged.

  Next, a medication target, for example, a administration time unit container in which a medication unit container is placed is placed or placed on a cart, and a nurse or the like goes around the ward of the ward, bedside, nurse station, The drug is delivered directly to the subject to be received at the examination room or delivered via the administration time unit container (S203).

  According to the above embodiment, in addition to the effects in the first embodiment, the medicines to be dispensed at a predetermined drug delivery time are extracted from the plurality of target unit containers together with the drug delivery unit containers, and are collected in the administration time unit container. Since it becomes possible to deliver a drug to a subject to be administered with the administration time unit container, it is not necessary to carry a medicine that does not require a drug distribution, and the drug distribution work is facilitated.

  In the above embodiment, the administration time unit container is set in a cart or the like. For example, the placement unit corresponding to the administration time unit container is provided in the cart itself, and the extracted drug unit is provided. The container may be set directly on the cart.

Next, a medication management method according to Example 3 will be described.
In addition, since this Example changes a part of structure of the method of Example 2, description is abbreviate | omitted about the structure which is common in Example 1. FIG.
In this embodiment, the medication management tool 1 shown in Embodiment 1 is used, but only the number of target identification means 3 corresponding to one cycle, that is, four is used.

  In this medicinal management method, first, the object identifying means 3 on which information for identifying a medicinal object is displayed is accommodated in a medicinal unit container belonging to the most recent cycle. If starting from medication, the immediate first cycle of the medication unit container contains the object identification means 3 only for evening and before sleep, and for morning and noon for which no medication is required. The drug unit container does not contain the target identification means 3, and the remaining target identification means 3 are medicines to be administered according to the drug target in a state where they are accommodated in the next cycle morning and noon drug unit containers. Is arranged (S300).

In this medicine arrangement, the object identification means 3 is not accommodated in all of the drug unit containers in which the medicines are to be arranged. Therefore, in order to prevent erroneous medicine, the object identification means 3 is accommodated. It is recommended that the medicines be placed in sequence in the given unit container.
In this case, the accommodation time of the object identification means 3 may be before or after the placement of the medicine.

  Next, prior to the dispensing of the medicinal product, the medicinal unit containers each containing the medicinal product to be dispensed are extracted from the target unit containers 5 corresponding to a plurality of medicinal subjects. (S301).

Next, the extracted medication unit container is collected and arranged in the administration time unit container (S302).
For this reason, in the administration time unit container, a plurality of medicinal unit containers containing medicines to be delivered to different medicinal subjects at the same time are arranged.

  Next, as in Example 2, the drug is dispensed through the administration time unit container (S303).

  Next, the target identifying means 3 is collected from the dispensed drug unit container, and the collected target identifying means 3 is accommodated in the target unit container 5 corresponding to the target identifying means 3, and the target identifying means is Among the drug unit containers that are not stored, the drug unit container that is scheduled to be dispensed earliest is stored, and the drug unit container is re-identified (S304).

  Next, when dispensing from the medicinal unit container arranged in the first row in front of the target unit container 5, that is, the latest one cycle, is completed, the cycle unit container 4 for that one cycle is targeted. Taking out from the identification means 3, the periodic unit container 4 is moved up and moved together toward the front surface 5b side of the target unit container 5, and all the drug unit containers on the target unit container 5 are relatively moved (S305).

According to the above embodiment, in addition to the effects of the first embodiment and the second embodiment, the target identification means such as the name and identification code of the drug target is fixed to the drug unit container, or the drug unit container and identification information. It is no longer necessary to prepare a large number of one-to-one relationships, and management and reuse of used drug unit containers can be facilitated, and operation costs can be suppressed.
Further, in this embodiment, if the target identifying means collected from the used medicine unit container is managed, it is possible to check the medicine distribution leakage.

Although the present invention is configured as described above, the present invention is not limited to the above embodiments.
For example, the object identification means does not need to be a member independent of the drug unit container, and may be, for example, an identification label attached directly to the drug unit container. It may be a display of identification information directly written on the container.
Further, the identification information displayed on the object identification means may be a display directly entered on the sheet-like object identification means or a print display.

In this case, this display may be reused using erasable ink, but from the viewpoint of hygiene, it is disposable for one subject, and the collected used sheet is used as a raw material for the subject identification means. May be reproduced.
Moreover, you may make it a subject identification means latch to a medication unit container via the adhesion means provided in at least one of a subject identification means and a medication unit container.
Moreover, the object identification means may be provided in all the medication unit containers, and conversely, it may be provided in some of the medication unit containers.

Furthermore, you may make it provide with two or more object identification means with respect to one medication unit container.
In this case, at least one target identification means is provided with a locking means, for example, a clip or a pinch, for the drug unit container, and the target identification means is attached to the drug unit container via this locking means. It is recommended to be able to stop.
The target identification means added as a retrofit displays the start time and end time of the time when the medication content is changed, for example, when the medication content is temporarily changed due to changes in the patient's condition, etc. A label is attached or the information is directly written.

In addition, the retrofitting target identification means may be configured such that at least a part of the target identification means protrudes outward from the row of drug unit containers when housed or locked in the drug unit container. Recommended.
In this case, information is displayed on the protruding portion.For example, when alert information is displayed there, the alert information flag is set on the target unit container. There is no risk of overlooking information.

Further, in this embodiment, the object identification means is configured to be accommodated in a state of being locked to the medicine unit container, but the object identification means is simply not via the locking means, similarly to the medicine, It may be accommodated in a medicated unit container, and in this case, flexibility is not required for the object identification means.
Moreover, you may make it make object identification means and a medication unit container closely_contact | adhere via static electricity.
In addition, the drug administration target in the present invention is not limited to humans, and may be animals, for example, and may indicate a specific group having common characteristics or characteristics.

In addition, different administration time unit containers may be used for each specific range, such as, for example, every ward, every room, every department, every ward area.
In the above embodiment, the number of drug unit containers for one cycle is four, but it may be three or less or five or more as required.

Further, the shape of the medicinal unit container is not limited to the above embodiment, and for example, the shape and number of the various ribs may be any shape that can bend and lock the object identification means. Even if the upper surface is partially inclined, the inclination angle may be changed halfway.
Further, instead of the inclined rib, for example, a convex portion such as a projection having a substantially spherical convex surface is provided, and the target identifying means is bent by this convex portion and locked to the medicine unit container. Good.

In addition, in the above description, the explanation has been mainly made from the placement of medicines to the delivery of medicines. However, when the medicine is advanced and the medicines to be further administered are replenished, the medicine unit container in which the medicines are already placed. After that, the medicines to be replenished can be arranged.
In addition, the pre-dispensed drug unit container and the cycle unit container corresponding to the completed cycle may be sequentially removed from the target unit container until the next pharmaceutical product is replenished. The medicine unit container may be returned to the original position of the original periodic unit container, and when the period ends, the periodic unit container may be rearranged in the last row of the target unit container.

  In the above embodiment, the target unit container can be housed in a cabinet or the like so that it can be pulled out. However, the target unit container may be simply stored side by side on a storage shelf. Any device may be used as long as it can accommodate a medicine unit container and a periodic unit container.

In addition, a lid may be provided at the opening of the medicine unit container so that the stored medicine, target identification means, etc. do not fall off carelessly.
Further, the processes and steps constituting the management method shown in the above embodiment may be combined with each other.
Moreover, the material of each component is not limited to the above-described embodiment as long as it can be processed into a shape having a function necessary for the present invention.

  The present invention makes it possible to easily and reliably classify medicines to be dispensed to a large number of hospitalized patients, in particular, according to the subject of administration, sort them according to the time of administration, and dispense medicines. Can reduce the burden on the patient, etc., and can protect the subject of drug administration from the danger due to erroneous drugs, and is highly available in the pharmaceutical industry.

DESCRIPTION OF SYMBOLS 1 Drug administration tool 2a Drug unit container 2b Drug unit container 2c Drug unit container 2d Drug unit container 2d-1 Bottom surface part 2d-2 Front surface part 2d-3 Back surface part 2d-30 Inclined rib 2d-31 Inclined rib 2d-4 Side surface portion 2d-40 Clamping rib 2d-5 Side surface portion 2d-50 Clamping rib 3 Target identification means 30 Identification label 4 Periodic unit container 4a Bottom surface portion 4b Wall surface portion 4c Wall surface portion 4d Wall surface portion 4e Wall surface portion 5 Target unit container 5a Bottom part 5b Front part 5b-1 Folded part 5c Back part 5d Side part 5e Side part

Claims (7)

A drug management tool that is composed of a plurality of drug delivery times in one cycle, and that can be subdivided and accommodated for a drug subject to be delivered at a plurality of drug delivery times,
A medication unit container containing a medicine to be dispensed at one delivery time and having a target identification means for indicating a medication target;
A cycle unit container containing a plurality of drug unit containers belonging to the same cycle;
The above-mentioned medication management tool comprising: a target unit container for accommodating a plurality of periodic unit containers corresponding to a plurality of cycles for the same medicinal subject.   The medication management tool according to claim 1, further comprising a dosing time unit container containing a medicinal unit container extracted from at least one target unit container and containing a medicine to be dispensed at a predetermined drug delivery time.   The medication management tool according to claim 1 or 2, wherein the target identification means of the medication unit container is detachably provided in at least a part of the plurality of medication unit containers.   The medicinal management tool according to any one of claims 1 to 3, wherein the target identifying means of the medicinal unit container is a thin plate-like member that displays identification information and can be accommodated in the medicinal unit container. A medication management method for delivering a required drug to a drug target at a required cycle,
The identification information of the drug target is displayed on the drug unit container that can contain the drug to be delivered, and the drug to be delivered to the drug target at the prescribed drug delivery time is displayed on the corresponding drug unit container. An arrangement in which a plurality of medicinal unit containers corresponding to the same medicinal object are accommodated in a periodic unit container and a plurality of periodic unit containers corresponding to the same medicinal object are accommodated in the target unit container Steps,
An extraction step for extracting a drug unit container containing a medicine to be delivered at a predetermined drug delivery time from the target unit container; and
A drug distribution step of distributing a drug to a drug target via the extracted drug unit container. The extraction step is
Extracting a medicinal unit container corresponding to a predetermined drug delivery time from at least two target unit containers, and arranging the extracted plurality of medicinal unit containers in the administration time unit container;
The dispensing step is
The medication management method according to claim 5, which is a step of delivering a drug to a drug subject via a medication unit container arranged in an administration time unit container. The process of displaying the identification information of the drug target included in the placement step,
At least a process of storing the object identification means in a part of the unit of medicine unit in which the medicine to be distributed next time is stored,
After the end of the dispensing step, the target identifying means stored in the administered unit container after the dispensing is the earliest scheduled dispensing unit container among the dispensing unit containers that do not contain the target identifying means. The medication management method according to claim 5, further comprising a re-identification step stored in

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