JP2015143891A - Medication management system, and medication management device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medication management system and a medication management device for use in the medication management system that allow a visit pharmacy to know whether or not a patient has taken a medicine in real time even when a care facility staff or the patient has missed to take the medicine at a medication time, and can manage to take medicine.SOLUTION: A medication management system comprises: a medication management device 1; a transmission computer 12 that sets the device 1 and transmits data received from the device 1; and a reception computer 14 that displays the data received from the transmission computer 12. The medication management device 1 includes: a pocket 8 that houses a drug 8; a hole 6 that is bored at a location enclosed in the pocket; an infrared-ray sensor 7 that is provided at a location corresponding to the hole 6; and a control device 10 that controls the infrared-ray sensor 5.

Description

  The present invention relates to a medication management system and a medication management device used for managing medication to a patient who enters a care facility.

  In nursing homes, there are many patients who are taking medication, and pharmacists visit the nursing home under the direction of a doctor to explain how to take the medicine correctly, check the dosage, and check for side effects. There is a service provided by a pharmacist to make sure that drug therapy is being implemented properly.

  A pharmacist visits the facility (hereinafter referred to as a visiting pharmacy), so that the patient's medication status, the presence or absence of remaining medicine, and the medication can be grasped. By providing information, it is possible to provide a state that is most easily taken (suitable use / packaging, etc.) suitable for each patient.

  However, it is common for visiting pharmacies to visit the facility once every few days, and daily medication management is entrusted to the care facility staff, but the number of patients, types of drugs, and the number of doses are varied. Because it is different, there is a limit to the facility staff's management of “double-drinking” due to forgetting to drink or misunderstandings, and the burden on it is also large. Some drugs are quite expensive, and cases have been reported where such drugs are stolen by others.

  Therefore, it is necessary to prepare an environment in which medication can be managed even if the visiting pharmacy does not visit the facility every day due to personnel and cost restrictions, etc. .

  For example, a medication system for home medical care as disclosed in Patent Document 1 has been proposed as a means for managing whether or not medication is performed in accordance with a doctor's instruction.

JP-A-10-201827

  In the above medication system, a medication box is installed at the patient's home, and the medication prescribed by the doctor is divided and stored for each medication in the medication box. When it becomes, the patient is informed of the specified medicine using the display unit, detects whether the medicine has been taken out from the box, and if it is not detected, warns the patient and sends the information to the hospital side. When the information is collated with the medication management data and judged to be inappropriate, a warning instruction is sent to the patient, family, helper, etc. to prevent forgetting to take the medicine.

  However, the above-described medication system has a complicated apparatus configuration, increases the cost, and requires a space such as an installation location. In particular, care facilities need to be installed according to the number of patients, and cost and space issues are important.

  In addition, medicines have different forms and powder packaging materials (such as transparent bags and sheets), and storage locations vary in the environment such as the brightness of the room. It is also necessary to ensure that the presence or absence of medication is sensed.

  The present invention simplifies the structure of the main device constituting the medication system and reduces the cost, and by adjusting the setting for detecting the presence or absence of a drug for each device, the detection accuracy is always high even under different conditions. , A medication management system that can be wall-mounted and space-saving, and allows a visiting pharmacy, a care facility staff, and a patient to determine at a glance whether or not the patient has taken the medicine, and a medication management apparatus used therefor Is to propose.

  In order to achieve the above object, the first feature of the medication management system according to the present invention is that the medication time and day of the week are described on the front plate-like member, and each medication time and each day of the week are respectively corresponded. A pocket arranged at a position to be placed, a hole to be drilled at each position contained in the pocket, and a position corresponding to each hole, and detecting the presence or absence of medicine stored in the pocket And an infrared sensor that transmits a signal at a predetermined cycle, and functions as a power source of the infrared sensor, controls the infrared sensor based on settings, receives the signal transmitted by the infrared sensor, and performs information processing. A plurality of medication management devices including a control device for performing conversion to analog data, and giving a necessary command for setting the sensor to the control device. And receiving and recording the analog data information from the control device, examining the necessary data information, and transmitting the data information to the receiving computer via a public or dedicated line, and receiving the data information. And a receiving computer for displaying information on the presence or absence of medicine stored in the pocket on a display device.

  A second feature of the medication management system according to the present invention is that 28 or more pockets of the medication management device according to the first feature are disposed on the surface of the plate-like member.

  Furthermore, a third feature of the medication management system according to the present invention is that a pocket of the medication management device in the first or second feature is formed of transparent plastic or vinyl.

  Furthermore, a fourth feature of the medication management system according to the present invention is that the medication management device according to any one of the first to third features is formed in a housing shape that can be wall-mounted, and on the front thereof. Shows the dosing time of the day in the upper X-axis direction and the letters of the day of the week in the left Y-axis direction, and each pocket corresponds to each dosing time and each day of the week. It is that it is arranged at the position to be.

  A fifth feature of the medication management system according to the present invention is that the receiving computer according to any one of the first to fourth features can display individual data of each medication management device. The data of the respective medication management devices in which medicines are stored in the pockets can be extracted and displayed collectively based on predetermined conditions.

  Furthermore, the first feature of the medication management apparatus according to the present invention is that the presence or absence of a medicine is detected and used in a medication management system for managing the medication status of a patient at a remote place through a public line or a dedicated line. A medication management apparatus that transmits medication time and day of the week on the front plate-shaped member, and a pocket disposed at a position corresponding to each medication time and each day of the week, Infrared rays that are provided in positions corresponding to the respective holes included in the pockets and that transmit signals in a predetermined cycle by detecting the presence or absence of medicines stored in the pockets. It functions as a power source for the sensor and the infrared sensor, controls the infrared sensor based on settings, receives the signal transmitted by the infrared sensor, and performs information processing. There, in that it is composed of a control unit for converting the analog data.

  Further, a second feature of the medication management apparatus according to the present invention is that 28 or more pockets in the first feature are arranged on the surface of the plate-like member.

  Furthermore, a third feature of the medication management apparatus according to the present invention is that the pocket in the first or second feature is formed of transparent plastic or vinyl.

  Furthermore, a fourth feature of the medication management apparatus according to the present invention is that the medication management device according to any one of the first to third features is formed in a housing shape that can be wall-mounted. Shows the dosing time of the day in the upper X-axis direction and the letters of the day of the week in the left Y-axis direction, and each pocket corresponds to each dosing time and each day of the week. It is that it is arranged at the position to be.

  According to the present invention, even if a care facility staff or patient misses the medication at the time of medication, the visiting pharmacy can know in real time whether the patient has taken the medicine, so without visiting the facility. It is possible to promptly administer medication to patients and facility staff, and it is possible to achieve thorough management of drug administration.

  In addition, since the sensitivity of the sensor can be adjusted for each medication management device, it is possible to always accurately detect the presence / absence of a drug even if the environment and the type of the drug at the installation location are different.

  Furthermore, since data related to patient use can be collectively managed for each facility, the number of visits to the visiting pharmacy can be reduced, and the burden and cost of the visiting pharmacy and care facility can be reduced.

In addition, by providing a calendar and a transparent pocket on the surface of the device, the presence or absence of medicines in the device can be seen at a glance, and patients and facility staff can immediately grasp the presence or absence of medication.

  Furthermore, since the present invention simplifies the constituent parts, the cost is low, while the present invention can be configured as a wall-hanging type, so that space can be saved.

It is a front view in the Example of the medication management apparatus concerning this invention, and shows the state without a medicine. In the front view, a part of the medicine remains in the pocket. FIG. 2 is a vertical sectional view taken along line AA in FIG. 1. It is a bottom view of the medication management apparatus of FIG. 1 is a schematic view of a medication management system according to the present invention. It is the state figure which showed the screen of the computer in the state of FIG. 2 of a medication management apparatus.

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

  1 to 4 show an embodiment of the present invention. In the figure, reference numeral 1 denotes a medication management device, in which a front plate 2 is supported on a back plate 3 via a plurality of support columns 4 with a predetermined interval to form a housing. On the four sides of the housing, it is desirable to install a wall plate (not shown) between the front plate 2 and the back plate 3 from the viewpoints of dust prevention and aesthetics.

  The front plate 2 and the back plate 3 are rectangular plate-like members and are formed in the same size. A lightweight member is suitable, for example, acrylic or the like is conceivable.

  In the upper part of the front surface of the front plate 2, the daily medication times of “morning”, “daytime”, “night” and “before going to bed” are written in the X-axis direction. In addition, on the front left side of the front plate 2, letters of the day of the week such as “Month”, “Tue”, “Wed”, “Thu”, “Fri”, “Sat”, “Sun” are written in the Y-axis direction. Has been.

Pockets 5 are respectively disposed at positions corresponding to the respective medication times and days of the week on the front surface of the front plate 2. That is, in the illustrated example, 28 pockets 5 are attached to the surface of the front plate. The pocket 5 is a part into which a medicine dispensed at a visiting pharmacy is placed. In the illustrated example, the pocket 5 is made of plastic, but may be, for example, vinyl. The pocket 5 is preferably transparent so that the stored medicine can be discriminated.

  A circular hole 6 is formed in each position of the front plate 2 included in the pocket 5. An infrared sensor 7 is provided at a position corresponding to each circular hole 6 on the back surface of the front plate 2. The infrared sensor 7 is attached to each wiring board 9 installed on the back surface of the front plate 2. In this embodiment, eight or six sensors 7 are attached to one base 9.

  The sensor 7 is for detecting the presence or absence of the medicine 8 stored in the corresponding pocket 5. When there is no medicine 8 in the pocket 5, “medicine”, and when there is the medicine 8 in the pocket 5. It is determined that the drug has not been administered, and the information is transmitted to the control device 10 installed on the back surface of the front plate 2.

  The control device 10 is a power source for the sensor 7 and controls the sensitivity and the like of the sensor 7. Further, it receives a signal from the sensor 7, processes the signal, converts it to analog data, and transmits it to the transmission computer 12. The substrate 9 and the control device 10 are connected by a cable 11. Electricity is supplied from the control device 10 to the sensor 7, transmission of a control signal, and transmission of a sensing signal from the sensor 7 to the control device 10 through the substrate 9. Is done.

  The control device 10 is connected to the transmission computer 12 via the cable 13, and the transmission computer 12 accumulates and examines the data received from the control device 10, and sends necessary data to a network such as the Internet or a dedicated line. To the receiving computer 14.

The medicine stored in the pocket 5 has various forms such as powders, tablets, capsules, and the like, and the materials for wrapping the medicine are various, such as bags, sheets, transparent and colored. Moreover, brightness etc. differ also with the place where the medication management apparatus 1 is installed. Therefore, the sensitivity of the sensor 7 can be adjusted according to the installation status, and the setting is performed in the transmission computer 12 and / or the reception computer 14. Further, the period of the signal transmitted from the sensor 7 is set in the control device 10 in the transmission computer 12 and / or the reception computer 14.

  Furthermore, in the transmission computer 12 and / or the reception computer 14, initial setting is performed so that data management can be performed for each facility and for each patient, and by storing data from the medication management apparatus 1 corresponding to each patient, Medication management is now possible for all patients at the facility. For example, it is possible to collectively search for patients who have not taken out medicines within the taking time for each facility. It is also possible to collectively search for patients who have not taken out medicine from the device 1 within a certain period of time across the facility.

  FIG. 6 shows a state in which the transmission computer 12 and the reception computer 14 receive and display data relating to individual medication in FIG. In the figure, 15 is an example of the surface plate 2 displayed on the screen, 16 is a state when the medicine is stored in the pocket 5, and 17 is a state when the medicine is not stored in the pocket 5. Show. 17 is preferably displayed in a conspicuous color or state, and if the medicine has not been taken out of the pocket 5 even after the taking time has elapsed, it may be made to stand out by blinking or making a warning sound. . The screen can be switched and displayed for each patient.

  Next, the operation of the medication management apparatus 1 according to the present invention will be described. When the medicine 8 is in the pocket 5 (not administered), the sensor 7 senses through the circular hole 6, and the data is transmitted to the receiving computer 14 through the control device 10 and the transmitting computer 12. Is done. In this case, 16 states in FIG. 6 are displayed. The sensor 7 is set so that the medicine contained in the transparent bag as well as the light-tight bag can be detected. The data transmission interval can be freely set to several seconds, several tens of seconds, or several minutes.

  When the medicine 8 is taken out from the pocket 5 at the time of medication, the sensor 7 reacts through the circular hole 6, and data is transmitted to the reception computer 14 through the control device 10 and the transmission computer 12. In this case, the information is displayed in the state 17 in FIG.

  According to the present invention, it is possible to manage a patient's medication outside the nursing facility, so that the visiting pharmacy visits the nursing facility from about once every 2 to 3 days to about once every 1 to 2 weeks. This can be omitted, and the burden on the visiting pharmacy can be drastically reduced, and the care of the visiting pharmacy for the patient in the care facility can be further improved.

  The medication management system and medication management device according to the present invention can be applied not only to nursing homes but also to nursing care at hospitals and homes. Especially in the case of home nursing, confirmation of taking medication is also a safety confirmation. Therefore, elderly people living alone can contribute to a safe and secure life.

DESCRIPTION OF SYMBOLS 1 Medication management apparatus 2 Front plate 5 Pocket 6 Circular hole 7 Sensor 10 Control apparatus 12 Computer for transmission 14 Computer for reception

Claims (9)

The medication time and day of the week are indicated on the front plate-shaped member, and the pockets arranged at the positions corresponding to the respective medication times and the respective days of the week and the positions included in the pockets are punched. Functions as a power source for the infrared sensor, and an infrared sensor that is provided at a position corresponding to each hole and senses the presence or absence of a medicine stored in the pocket and transmits a signal at a predetermined cycle. And controlling the infrared sensor based on the setting, receiving the signal transmitted by the infrared sensor, performing information processing, and converting the analog data into a plurality of medication management devices,
Gives the control device necessary instructions for setting the sensor, receives and records the analog data information from the control device, reviews the necessary data information, and receives it via the public or a dedicated line A sending computer for sending to a sending computer;
A receiving computer that receives the data information and displays information on the presence or absence of a medicine stored in the pocket on a display device;
A medication management system consisting of 28 or more pockets of the medication management device are disposed on the surface of the plate-like member,
The medication management system according to claim 1. The pocket of the medication management device is formed of transparent plastic or vinyl;
The medication management system according to claim 1 or 2. The medication management device is formed in a wall-mountable case shape, and on the front side, the medication time of one day is written in the upper X-axis direction, and the characters of the day of the week in the left Y-axis direction Wherein each pocket is disposed at a position corresponding to each dosing time and each day of the week,
The medication management system according to any one of claims 1 to 4, wherein: The receiving computer can display individual data of each medication management apparatus and collectively extract the data of each medication management apparatus in which a medicine is stored in the pocket based on a predetermined condition. Displayable,
The medication management system according to any one of claims 1 to 5, wherein: A medication management device for detecting the presence or absence of a drug and transmitting the data to be used in a medication management system for managing the medication status of a patient at a remote location through a public line or a dedicated line,
The medication time and day of the week are indicated on the front plate-shaped member, and the pockets arranged at the positions corresponding to the respective medication times and the respective days of the week and the positions included in the pockets are punched. Functions as a power source for the infrared sensor, and an infrared sensor that is provided at a position corresponding to each hole and senses the presence or absence of a medicine stored in the pocket and transmits a signal at a predetermined cycle. And controlling the infrared sensor based on the setting, receiving the signal transmitted by the infrared sensor, performing information processing, and converting the analog data into analog data;
A medication management device comprising: 28 or more of the pockets are disposed on the surface of the plate-like member,
The medication management apparatus according to claim 6. The pocket is made of transparent plastic or vinyl;
The medication management device according to claim 6 or 7. The medication management device is formed in a wall-mountable case shape, and on the front side, the medication time of one day is written in the upper X-axis direction, and the characters of the day of the week in the left Y-axis direction Wherein each pocket is disposed at a position corresponding to each dosing time and each day of the week,
The medication management device according to any one of claims 6 to 8, wherein:

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