JP2015222531A - Medical supply management system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical product management system which can properly deliver a necessary medical supply in accordance with a surgery process during the surgery per medical product to use for the surgery.SOLUTION: In an operating theatre, there are provided: a locker which stores medical supplies (called product as well); a bar code reader 2 which reads a bar code printed on a package or the like when the medical supplies are stored to and delivered from the locker; a speaker which notifies delivery when the medical supplies are delivered; a mobile printer 4 outputting data of the delivered medical supplies; and an operation terminal 5 which controls operation of the input/output device and the locker. The operation terminal 5 is provided with: a storage processing part 540 managing storage of products and a sterilization exchange processing part 541 which manage storage of products; a delivery processing part 542, a return processing part 543, and a deletion processing part 544 which manage delivery of products; a stock movement processing part 545 and a stock exchange processing part 546 which adjust stock of products; and an arrangement processing part 547 which processes rearrangement of products.

Description

  The present invention relates to a medical product management system and a medical product management method.

In order to eliminate human error and errors, the management of medicines that are instructed based on prescriptions created by doctors when visiting a medical institution has been released. .
For example, in Patent Document 1, a prescription table is created by associating prescription data with pharmacist data stored in a storage unit, and the pharmacist data of the pharmacist identified by the responsible pharmacist identification unit when the drug is taken out from the drug shelf. A dispensing support device having a control means for referring to a prescription table and determining whether or not a pharmacist is permitted to dispense a medicine to be taken out from a medicine shelf is disclosed (see Reference 1). (See “Summary”).
With such a support device, the pharmacist identification means in charge is provided in each container of the medicine shelf so that the person who takes out the medicine is a pharmacist who is permitted to dispense. It is described that it is possible to reliably prevent a medicine from being taken out from a different container by mistake (see paragraph number [0033] of the same document 1).

On the other hand, the following management methods may be used for the management of medical products.
For example, assuming an operating room of a medical institution laid out as shown in FIG. 15, a locker for storing medical items is provided in the main operating room, and a similar locker is provided in the sub operating room. . Near the main operating room are a backyard for storing medical supplies, a preparation room for managing them, and the like.
When an operation is performed in the main operating room, the surgeon instructs a medical instrument such as a necessary catheter while watching the monitor and the subject. According to the instructions, the staff removes the catheter from the locker and hands it to the surgeon while confirming the voice so as to eliminate mistakes.
After the treatment, the manufacturer contacts the manufacturer while confirming the used medical product from the medical product package or the like, and the replenished medical product is stored in the locker, the backyard or the like.

  The applicant has filed a patent application for "a merchandise management system in a medical institution" in order to digitize such a medical product management method (Patent Document 2).

Here, the differences between the management of medicines and medical products in medical institutions are pointed out as follows.
First, in a medical site such as an operating room, a medicine handler such as a nurse or a pharmacist prepares medicines before the treatment (see paragraph number [0002] of Patent Document 3).
On the other hand, the medical product is necessary for the surgeon during the operation, and the necessary medical product may be determined depending on the progress of the operation, and may not be prepared in advance.
Second, even in the case of pharmaceutical products, human error is not allowed in the selection, but in the case of medical products that are required during surgery, human error is more strongly eradicated in order to be directly linked to human life. The
Thirdly, in Patent Document 1 relating to a pharmaceutical management system, the management location of the pharmaceutical is not particularly considered and is not described. On the other hand, in the case of a medical product, it is necessary for the surgeon during the operation and is placed in an operating room, a backyard or the like.

In view of these differences between medical products and pharmaceuticals, the applicant has further developed a medical product management system since the issues regarding the management method of medical products have become clearer.
In other words, to eliminate as much as possible the opportunity for “human” judgment to intervene in the management system, and to advocate the elimination of human error and error, and to achieve this, the accuracy of the management system will be improved, and doctors will perform surgery. We have developed a management system that can provide medical products that are used accurately, safely, quickly, and qualifyingly.

JP 2006-155599 A JP 2013-92848 A JP 2005-87308 A

In other words, the present invention relates to a medical product management system that can deliver necessary medical products accurately, safely, safely, quickly, and properly according to the progress of the treatment for medical products used by a doctor. I will provide a.
In addition, when it is restricted that staff other than medical institution staff are allowed to enter the medical field, only medical institution staff can deliver necessary medical products accurately, safely, safely, quickly, and appropriately. Provide a management system for medical products.

  In order to solve the above problems, in a medical product management system that manages medical products that are delivered based on the judgment of a doctor at the time of treatment, a warehousing processing unit that manages the warehousing of goods and an evacuation processing unit that manages the delivery of goods The warehousing processing unit compares the data of the medical product to be received with the data of the medical product immediately before the warehousing, determines whether or not they are the same product, and instructs the warehousing. The delivery processing unit is configured to notify the doctor of the medical product data by voice in the operating room when the medical product that has been processed is delivered during the operation. A medical product management system is provided (the invention according to claim 1).

  The delivery processing unit searches for the presence or absence in the order of "opened product", "product with a short sterilization period", and "product in own room" as priority of delivery of medical products. The medical product management system according to claim 1 (the invention according to claim 2).

  In the above invention, the operation terminal searches for a medical product that has entered a sterilization period and issues a delivery instruction. Instead, the operation terminal stores a medical product that is the same medical product to be replenished and has a long sterilization period. The medical product management system according to claim 1 or 2, further comprising a sterilization exchange processing unit for instructing (invention according to claim 3).

  In the above invention, when there are a plurality of operating rooms, the light emission color of the visual means required for the operation in each room and provided in the storage destination corresponding to the medical product to be delivered is different for each room. The medical product management system according to any one of claims 1 to 3, wherein the medical product management system is determined in advance (the invention according to claim 4).

  In the above invention, the operation terminal includes an inventory movement processing unit that searches for a vacant storage location in a frequently used operating room, searches for a medical product to be stored therein, and instructs the storage. The medical product management system according to any one of claims 1 to 4 (the invention according to claim 5).

  In the above invention, the operation terminal stores, for the same medical product, a product having a low sterilization date stored in an operating room or backyard that is used less frequently, and a product having a long sterilization date stored in an operating room that is used frequently. The medical product management system according to any one of claims 1 to 5, further comprising an inventory replacement processing unit that searches for the presence of the product and instructs the replacement thereof (the invention according to claim 6).

  In the above-mentioned invention, the operation terminal reads and compares the data of the medical product before the storage and immediately before the storage for the medical product to be stored, and displays the result of the determination of the identity on the display of the viewing means of the storage destination. The medical product management system according to any one of claims 1 to 6, which is reflected in a change (the invention according to claim 7).

According to the present invention, a medical product used by a doctor for surgery can be delivered accurately, safely, safely, quickly, and appropriately according to the progress of the treatment.
In addition, a medical product management system that can deliver necessary medical products accurately, safely, safely, quickly, and properly with only staff of medical institutions.

Configuration diagram showing an overview of a medical product management system according to the present invention (hereinafter referred to as the present system), Configuration block diagram of operation terminal of this system, A flowchart of the main routine of this system, Initial screen view of the operation terminal of this system, Screen display of treatment information input on the operation terminal of this system, Screen view of each business process menu of this system, The flowchart figure of the warehousing process of this system, Screen view of the process, Flowchart diagram of sterilization replacement processing of this system, The flowchart figure of the delivery process of this system, Screen view of the process, The flowchart figure of the delivery process of this system, Screen view of the process, Screen view of the process, The flowchart figure of the goods search process of the subroutine in the delivery process, Screen view of the process, The flowchart figure of the tray search process of the subroutine in the delivery process, Explanatory drawing explaining the lighting control of LED of this system, Flowchart diagram of return processing of this system, A flowchart of the deletion process of this system, The flowchart figure of inventory movement processing of this system, The flowchart figure of the stock replacement process of this system, FIG. A flow chart of arrangement (replacement) processing of this system, It is a layout figure of the operating room of a medical institution.

  As shown in FIG. 1, the present system according to the embodiment includes a locker 1 for storing a medical product М (hereinafter also simply referred to as a product) in the main operating room A, and the insertion of the product into the locker 1. From the barcode reader 2 that reads a barcode printed on a product package or the like at the time of delivery, the speaker 3 that notifies the delivery of the product from the locker 1 or the like, and the locker 1 or the like The mobile printer 4 that outputs the data of the goods that have been delivered, and the input / output device and the parent device and the child device as the operation terminal 5 that controls the operation of the locker 1 are provided.

  The sub operating rooms B and C or the backyard have the same configuration. In addition, the operating room D where there is no space for the locker 1 is provided with a barcode reader 2, a speaker 3, a mobile printer 4, a master unit 5, and a slave unit as necessary.

  In addition, a server 7 and a printer 8 that centrally manage the state of each locker 1 in the hospital are provided, and these devices are connected via a LAN (Local Area Network).

This system is basically configured for each medical institution, and in a large medical institution, it is configured for each specialized field such as each department.
Therefore, the configuration of the surgical department and the number of operating rooms in the system are not limited to the present embodiment.

  The bar code reader 2, the speaker 3 and the mobile printer 4 are preferably arranged on a control table provided in each locker 1, and the server 7 and the like are provided on a locker control table in the main operating room A. It is desirable to arrange.

The said medical goods are things other than a pharmaceutical, and are used for treatment, such as surgery of sickness and injury.
A bar code on which data such as a product code (JAN code), a sterilization time limit, and a lot number is written is printed on the product package.

The locker 1 is composed of a plurality of shelves or a plurality of trays arranged in a plurality of stages, and the configuration thereof is not particularly limited.
When a plurality of trays are arranged in a plurality of stages, each tray includes at least a main body for storing the product, a detection unit for detecting the presence or absence of the storage (whether the main body is opened or closed), An LED serving as a visual recognition means for visually recognizing the location at the time of entering / exiting and a button switch operated at the time of entering / exiting are provided (not shown).

As shown in FIG. 2, the operation terminal 5 includes input / output units (I / O input-output devices) 50 and 51 for inputting and outputting data, a communication unit 52 for transmitting and receiving data, and data thereof. A storage unit 53 that stores a program described in accordance with flowcharts of each drawing described below and other programs, and a central processing unit (CPU (Central Processing Unit)) 54 that processes the data according to the program are provided.
In this embodiment, a tablet terminal of a portable terminal is used as an operation terminal, and the portable terminal is associated with each operating room.
The operation terminal may be a smart phone or a personal computer (PC), and is not particularly limited as long as it has the configuration shown in FIG.

A touch panel (hereinafter also referred to as a screen or an input screen) is used as the input unit 50, and a liquid crystal display (hereinafter also referred to as a screen or a display screen) is used as the output unit 51.
The communication unit 52 is equipped with Bluetooth (registered trademark) that performs wireless communication at a very short distance, and also has a communication function using a wireless LAN.

The storage unit 53 includes a RAM (Random Access Memory), a ROM (Read Only Memory), an SD memory card, and the like.
In the data area of the storage unit 53, data relating to users of the system, various data relating to medical institutions, such as data relating to layouts of operating rooms, data relating to storage locations of goods, and various data relating to goods such as manufacturers In addition, data such as classification, type, product name, sterilization time limit, and various data related to the patient are stored. In addition, data on these processed and calculated data, for example, data of products linked to the tray at the storage location, data of products and cases linked to the patient ID, and the like are stored. Alternatively, each of the data sent from the server 7 is temporarily stored, and update data of these data is temporarily stored.
In addition, data read or written in relation to input / output is temporarily stored via an address for an input / output device such as the barcode reader 2.

  The central processing unit 54, by executing the program, receives a warehousing processing unit 540 and a sterilization replacement processing unit 541 that manage the warehousing of goods, a shipping processing unit 542 that manages the warehousing of goods, a return processing part 543, and A deletion processing unit 544, a stock movement processing unit 545 and a stock replacement processing unit 546 for adjusting the stock of the product, and an arrangement processing unit 547 for processing the rearrangement of the product are provided.

  The warehousing processing unit 540 is a necessary process for eliminating human error when replenishing the locker 1 with the received goods in a state where the operation is not performed in the operating room (hereinafter, normal time). Etc.

  The sterilization replacement processing unit 541 normally performs processing necessary for exchanging a product in the locker 1 whose sterilization deadline is near and a product whose sterilization deadline is long.

The unloading processing unit 542 performs necessary processing to eliminate a human error when unloading the product from the locker 1 during the operation from the start to the end of the operation (hereinafter, during operation) in the operating room. And the process of linking patients. In addition, processing such as displaying a list of products associated with the type of treatment immediately after the completion of the delivery of the product immediately after the end of the treatment (hereinafter referred to as the end of the treatment) is performed.
The operating terminal 5 being operated is given control of all lockers 1 of this system, and during that time, operations other than the exit processing by the exit processing unit 542 to the deletion processing unit 544 are restricted. .

  The return processing unit 543 performs necessary processing when returning unused products to the locker 1 at the end of treatment or at normal time.

  The deletion processing unit 544 performs necessary processing when there is an error in the delivery of the product at the end of the treatment or at the normal time.

  The stock movement processing unit 545 performs a necessary process when moving a product from another operating room or the like when there is a vacancy in the operating room locker 1 that is frequently used during normal operation. To organize the inventory of

  The stock replacement processing unit 546 normally performs necessary processing when replacing a product with a frequently used operating room when there is a product with a low sterilization deadline in the operating room or backyard with a low frequency of use. It is.

  The arrangement processing unit 547 performs a necessary process when changing the storage location of the product of the locker 1 at a normal time.

In the database of the server 7, in addition to the data stored in the storage unit 53, tables and the like such as patient data associated with the outgoing goods are stored.
The server 7 and the operation terminal 5 are linked to update data.
Although not shown, in this system, a management PC that manages a master serving as basic information of each data is connected via a LAN or the like.
The server 7 is a product connected to a terminal of a medical institution that manages data of a receipt (medical remuneration statement) via a wired or wireless LAN, etc., used in each operating room, and linked to a patient. Data can be reflected in the receipt.
Further, the server 7 is also connected to a terminal of a supplier or the like that supplies a product via a network so that data of the delivered product can be transmitted and reflected in the supply of the product.

When the program of this system is started, as shown in FIG. 3A, login authentication processing is executed (step 1). Thereafter, the processing proceeds to step 2, and various processing processes are performed by the processing units 540 to 547. Is called.
In the login authentication process, an initial screen as shown in FIG. 3B is displayed on the display screen 51, and palm vein authentication or password authentication is performed. The operation of each button on the screen 50 is enabled / disabled.

When a hospital staff such as a doctor succeeds in the login authentication, as shown in FIG. 3C, the screen transitions to a display screen 51 on which a dialog box for inputting a patient ID and a treatment type is displayed.
In this case, the patient ID list is displayed in conjunction with the ordering system stored in the server 7 or the like, and the patient ID can be selected from the list.
When the “next” button on this screen 50 is subsequently clicked, the process proceeds to step 2 where the exit processing unit 542 operates (details will be described later).
When the “menu” button on this screen 50 is clicked, a transition is made to a menu display screen 51 (hereinafter, menu screen) as shown in FIG. 3D.

  When login authentication of a staff other than the hospital staff (for example, MA (Medical Assistant), hereinafter referred to as staff) is successful, the menu screen is displayed.

On this menu screen, clicking on the “Receive”, “Sterilization / Replacement”, “Exit”, “Return”, “Delete”, “Move”, “Replace” or “Arrange” buttons will enable these various operations. Processing is started (step 2).
When each process is completed, the process by the present system is terminated and the initial screen is displayed again.

<Receiving process>
Here, the warehousing process procedure executed by the warehousing processing unit 540 when the “warehousing” button on the menu screen is tapped (clicked) will be described with reference to FIG. 4A.

  In this warehousing process, first, in step 10, the data of the message “Please read the product barcode” is output to the display screen 51, and upon receipt of the instruction, the barcode reader 2 enters the locker 1. When the barcode of the product to be (supplemented) is read, the data is written in the storage unit 53, and the process proceeds to step 12.

In step 12, the tray of the empty locker 1 to be stored is searched, the tray of the locker 1 of the operating room having the highest priority is searched, and the storage destination tray is displayed on the display screen 51 (see, for example, FIG. 4B). ).
For example, first, the availability of the locker 1 in the main operating room A is searched, and if there is no empty tray, the availability of the locker 1 in the sub operating room B is searched.

Here, when the “empty tray” button on the input screen 50 is clicked, based on the command, a control signal for blinking the LED of the corresponding storage tray is output, and the LED is controlled to blink (step). 14 and step 16), proceed to step 18.
In addition, when the LED is blinking, the tray of the locker 1 is controlled so that it cannot be opened. The same applies to the following processing.

  In step 18, an instruction message for reading the barcode of the product to be replenished is displayed, and after the read data is written, the process proceeds to step 20.

  In Step 20, the product data read in Step 18 is compared with the product data read in Step 10, and if they match (YES), the process proceeds to Step 22, and if they do not match (NO). If the error message is displayed, the process returns to step 18 to display the message “Please read the barcode of the product” again.

  In step 22, since the final confirmation of the goods received has been completed, in order to instruct the goods to be received, a signal for controlling the LED of the blinking tray to be changed to lighting is output, and the LED is lit and displayed. Proceed to 24.

  In this warehousing process, the barcode data of the product is read again immediately before warehousing, and the result is made visible by the LED lighting display, and the final confirmation of the warehousing product is performed, so that I try to eliminate human error.

  In step 24, when a button is stored in the tray whose LED is lit and pressed, the goods are stored, and the tray detection unit detects the warehousing, and sends the detection signal to the terminal 5, whereby the tray 5 is detected. Data relating to the product associated with is written in the storage unit 53 (steps 24 to 26), and the processing by the warehousing processing unit 540 is completed.

In this warehousing process, data (warehousing data) in which product data and storage location data are linked is generated and stored in the storage unit 53 of the operation terminal 5, the server 7, and the like. In this embodiment, the storage place linked to the product is a locker tray. However, the storage place is not limited to this. Each operating room, backyard, and lockers in those places, if any, are the lockers. May be.
According to the processing as described above, the barcode of the product to be replenished is read before and just before warehousing, and the result is reflected on the LED lighting display, so that the accuracy of warehousing that is the premise for the goods to be delivered is fully I am expecting.

<Sterilization replacement process>
Next, processing contents executed by the sterilization replacement processing unit 541 when the “sterilization replacement” button on the menu screen is pressed will be described with reference to FIG.

First, in step 40, a barcode reading instruction message is displayed for a product (new product) that is replenished and has a long sterilization time limit, and the process proceeds to step 42 after the reading.
In this step 42, a product with a near sterilization period is retrieved from the same products as the product, and a list of retrieved products is displayed on the display screen 51, and the process proceeds to step 44. Even when there is only one product, the product is displayed.
In this step 44, for example, when the button of the product (old product) with the closest sterilization period is clicked and selected, the command is received and the process proceeds to step 46, and the LED of the tray storing the old product is turned on. The signal to be output is output, the LED is turned on, and the process proceeds to step 48.
In this step 48, the button switch of the tray whose LED is lit is taken out, the old product is taken out, the tray is closed and the take-out is detected, and the process proceeds to step 50.

In step 50, a tray in which a new product is received is searched, and the LED of the tray is controlled to blink.
In the next step 52, the barcode of the new product is read and written, and the process proceeds to step 54.
Note that once the tray is closed, the barcode is controlled to be readable (the same applies to the following processing).
In step 54, the data read in step 40 is compared with the data read in step 52. If they match (YES), the process proceeds to step 56. If they do not match (NO), an error message is displayed. The screen 51 is output and the process returns to step 52.

In step 56, in order to instruct entry, a signal for controlling the LED of the blinking tray to be changed to lighting is output, the LED is turned on, and the process proceeds to step 58.
In step 58 to step 60, when a product is received by pressing the button switch of the tray whose LED is lit, the storage is detected, and the detection signal is input to the terminal 5 to store the product. The data regarding is written in the storage unit 53, and the processing by the sterilization replacement processing unit 541 ends.
Thus, the warehousing data is updated by the above processing and is stored in the storage unit 53 of the operation terminal 5, the server 7, and the like.

In such a sterilization replacement process, the sterilization deadline of the same product can be checked every time it is replenished at the time of warehousing, and a product with a near sterilization deadline can be trapped in advance. Expiration can be prevented in advance, and goods can be delivered safely.
Also in the sterilization exchange process, the product barcode is read before and just before warehousing, and the result is reflected in the LED lighting display. Every effort is made to ensure the accuracy of warehousing.

<Shipping process>
Next, in the login authentication process, when the “Next” button on the input screen 50 in FIG. 3C is clicked or the “Shipping” button on the menu screen is clicked, the exit processing unit 542 executes it. The processing will be described with reference to the flowcharts of FIGS. 6A and 6C.

Since the management location of products not managed by the locker may be clear in advance, in this process, it is first determined in step 80 whether or not to search for products. In this step, a dialog box with an inquiry message such as “Would you like to search for a product” is displayed, and if the “Yes” button is clicked (YES), go to step 82 to search for a product Processing is executed.
If the product is managed outside the locker and no product search is performed (NO), the process proceeds to step 96.

As shown in FIG. 7A, the product search process displays the product type on the display screen 51 in step 800 (see FIG. 7B, Terumo: registered trademark), and proceeds to step 802 to wait for the selection button to be clicked.
For example, if the “sheath” button is selected (YES), the process proceeds to step 806, and the “product name” or “manufacturer” button of the sheath is displayed on the screen 50 as “specific element 1”. Please select a selection method "message (see FIG. 7B) and go to step 808 to wait for the selection button to be clicked.

If the “maker” button or the “product name” button is clicked here, the process proceeds to step 810. If the “maker” button is clicked (YES), the process proceeds to step 812, where “specific element 2” is selected. If the “Product Name” button is pressed as “Specific Element 2” (NO), the process proceeds to Step 814, and the product name is displayed as Specific Element 3. It is displayed on the screen 51. Thereafter, in the same procedure, upon receiving a command for selecting a sheath diameter and a sheath length (steps 816 to 818), the process proceeds to a tray search process in step 84.
That is, in this product search process, the types of products related to medical products used in cardiovascular surgery are displayed, and specific elements are also extracted according to the characteristics of those medical products. It is not limited to these medical products.

The tray search process in step 84 is to search the storage location where the product searched in the product search process in step 80 is stored.
That is, as shown in FIG. 7C, first, in step 840, it is determined whether or not there is a product that has been opened and unused. If “Yes” (YES), the process proceeds to step 846 as it is. The tray of the locker 1 is searched and displayed.
On the other hand, if “No” (NO), the process proceeds to Step 842, where it is determined whether or not there is a product whose sterilization time is close. If “Close” (YES), the process proceeds to Step 846. The tray is detected and displayed.
On the other hand, if “No” (NO), the process proceeds to Step 844, where it is determined whether or not it is in the locker 1 of the operating room to be operated, that is, whether or not the product is the own room, and if “Yes” (YES). In step 846, the tray in the room is searched and displayed. On the other hand, if “NO” (NO), in step 846, detection and display of a tray in another room or detection and display outside the locker is performed.
That is, the storage location of the locker 1 or the like is displayed as the display screen 51, and the process returns to step 86 in FIG. 6A.

  In this tray search process, priority is given in the order of “opened product (detailed later)”, “product with near sterilization period”, “product in own room”. Without wasting, goods can be delivered rationally and appropriate storage management is ensured.

  In step 86, if the storage location button in step 846 is clicked and it is determined that the item is a product managed by the locker 1 (YES), the process proceeds to step 88. If it is determined that the product is managed in (NO), the process proceeds to step 96.

  In step 88, the LED of the locker 1 of the goods to be delivered is controlled to be turned on, and the process proceeds to step 90.

Here, the process of causing the LED to emit light is performed as follows.
As shown in FIG. 8, the emission color of the LED that emits light in each locker 1 in which commodities required in each operating room A to D are accommodated is determined in advance.
For example, when a necessary product is delivered during the operation in the operating room A, the LED emits light in “red” regardless of whether the product is stored in the locker 1 of the own room or the other room. . Similarly, regarding the products required in the operating rooms B to D, the LEDs emit light of “green”, “blue”, and “orange”, respectively.
For example, in the operating room A, when the exit process is performed during the operation, the opened product is in the locker 1 of the operating room B, and the locker 1 of the operating room B is displayed as the storage location in the step 846. The LED of the tray of the locker 1 in the operating room B emits red light (see FIG. 8).
Therefore, even if a product required in the operating room A is applied to a locker in another room, the red light emitting LED can be visually recognized and quickly and accurately delivered.
Such LED light emission processing may be performed in processing other than the exit processing.
In addition, the emission color may be changed for each process. For example, in the inventory movement process described later, the inventory movement process can be recognized by causing the LED of the operating room C of the movement source to emit light with the LED of the operating room A of the movement destination.

  Subsequently, when it is detected that the button switch on the tray of the product to be delivered has been pressed (step 90), the process proceeds to step 92, and the product name is notified by the speaker 3 in the operating room where the operation is performed (own room). The process proceeds to step 94. When the removal of the product is detected, the process proceeds to step 101.

In step 80 and step 86, when it is determined that the product is managed outside the locker and the process proceeds to step 96, in step and step 98, the barcode of the delivered product is read and If writing is executed and it is not recognized (NO), it is not possible to proceed to the next step so that the association between the product and the patient can be ensured.
In step 96 and step 98, when reading and writing of the barcode of the product is executed, the process proceeds to step 100, and the speaker 3 is controlled to notify the product, and the process proceeds to step 101.

In the above-mentioned delivery process, since information on the goods to be delivered for use in the operation is notified from the operating room speaker, the surgeon who concentrates on the operation is heard. It can be confirmed from. In addition, it is possible to grasp a mistake in shipping.
Moreover, in this process, the goods correctly received in the said warehousing process can be quickly delivered.
Furthermore, since the delivery process is performed for each product and the tray is opened and closed at every one place, a product delivery error can be reduced.

In step 101, a message “Do you want to continue to issue goods?” Is displayed as shown on the display screen 51 in FIG. 6B, and “Continue to search for goods” button and “End goods issue” button Is displayed, and it is determined whether any instruction is input.
Here, if it is detected that the “Continue Search for Product” button has been clicked (YES), each of the above-described steps 80 to 101 is repeated, while “Exit Product Exit” If it is detected that the button has been selected (NO), the process proceeds to step 102 in FIG. 6C.

In step 102, in order to confirm delivery at the present time, if the screen is shown as an example, a screen (CREST: registered trademark) as shown in FIG. 6D is displayed, and the process proceeds to step 104.
In step 104 to step 108, the user waits for any of the “complete” button, “add” button, or “product” selection button on the input screen 50 in FIG. 6D to be clicked. Is pressed, it is determined that there is no error in the contents of the delivery (YES), the process proceeds directly to step 126, the delivery information is finalized, and the treatment completion process for printing the usage record sheet is performed, and the delivery process is performed. End.

  However, if there is an error in the shipping information, and the error is a leakage of the shipping information, and it is determined in step 106 that the “add” button has been pressed, the process proceeds to step 110 and the product that was leaked The bar code is read, voice output processing for confirmation and processing for associating the product with the patient ID are performed, and the processing returns to step 104.

On the other hand, if there is an error in the shipping information, and the “product” button in which the error has been made is clicked, the process proceeds to step 112, and the display screen 51 as shown in FIG. Is displayed), and the process proceeds to step 114.
In the screen 50, when the “return” button is clicked without using the product during the operation, the return process is executed from step 116 to step 122, the process returns to the step 104, and the “delete” button is displayed. If it is clicked, the process proceeds to step 124 of the deletion process, and then returns to step 104. Therefore, return processing or deletion processing is performed for each product until the shipping information is accurately corrected.
This deletion process is due to the fact that the product has been damaged before use, or is defective, and has not been used.

In the return process, reading and writing barcodes of products such as unused and erroneous delivery (step 116), audio output (step 118), retrieval of warehousing trays and lighting of LEDs (step 120), and return of products Each control related to (Step 122) is performed.
Here, after searching the warehousing tray, from step 16 to step 22 of the warehousing process, the LED blinks, the barcode data is read and written, the data is checked, and the LED blinks. You may make it add each control, such as a change to lighting.

If the product to be returned is an opened product and an unused product (opened product), in the tray search process, the product becomes the highest priority product at the time of delivery, and the product is returned to the locker 1. In some cases, make it distinguishable from other products.
For example, if a command by the “return” button is read in step 114 and the returned product is an opened product at the stage of reading the barcode of the product in step 116, “whether it is opened and unused? A confirmation message and an inquiry dialog box are displayed, and when the “opened” button is clicked, the information is written and stored in the corresponding product data.
The same applies to the case where “opened and unused goods” are received in the following processing.

  In the deletion process, in step 124, a delivery list is displayed. When a product to be deleted is selected from the list, the product data selected from the delivery list is deleted, and the list is updated.

In the delivery process in which the above return process and deletion process are executed, the goods that have been delivered and actually used can be accurately reflected in the receipt, and unbilled or overcharged can be prevented. .
Moreover, the said warehousing data is updated by the above process, and is preserve | saved at the memory | storage part 53 of the said operation terminal 5, the said server 7, etc. FIG.

  In addition, when an omission in the delivery list is detected after the delivery is registered, after logging in with the administrator authority, the same processing procedure as the delivery process during the operation is followed.

<Return processing>
Next, contents processed by the return processing unit 543 when the “return” button on the menu screen is pressed will be described with reference to the flowchart of FIG. 9.
The return process here is performed after the operation in order to prevent a product returned without being used from being reflected in the receipt or the like, and is common to the return process performed immediately after the operation is completed. Is.

  In this process, first, the barcode of the product returned in step 170 is read and written, and the process proceeds to step 172, where a screen for selecting the returned product is displayed, and there is a “patient ID” button and “ The “Receipt” button is displayed.

  Here, when the “patient ID” button is pressed, the display proceeds to step 176 after the display control of the patient ID list associated with the product read in step 170 (step 174), and the patient ID is selected in the patient ID list. Is detected, and the process proceeds to Step 180.

  If the receipt barcode reading is selected in step 172, the reading and writing are performed in step 178, and the process proceeds to step 180.

  In step 180, a list of products used in the case for each patient is displayed. When the corresponding product button is clicked (step 182), the corresponding storage tray is searched. A signal for controlling blinking is output to the LED, and the LED blinks.

Thereafter, the process proceeds to step 184, where the barcode of the product is read and written, and the process proceeds to step 186.
In this step, the product data previously written in step 170 is compared, and if they match, the process proceeds to step 188, where the LED of the corresponding warehousing tray is changed from blinking to lighting. Encourage reading.

After that, when the LED button switch is pressed and the detection process of the return merchandise is performed (step 190 to step 192), the process proceeds to step 194, and the use list in which the merchandise record of the returned merchandise has been deleted, the delivery cancellation information Etc. are printed, and this processing is completed.
In connection with this process, the server 7 updates the receipt data to reflect the return of the product.

In this return process as well as the warehousing process, the barcode of the product to be returned is read before warehousing and immediately before warehousing, and the result is reflected in the LED lighting display, so that the warehousing that is the premise for warehousing the goods is accurate. We are committed to sex.
In addition, the said warehousing data is updated by the above process, and is preserve | saved at the memory | storage part 53, the said server 7, etc. of the said operating terminal 5. FIG.

<Delete processing>
Next, the contents processed by the deletion processing unit 544 when the “Delete” button on the menu screen is pressed will be described with reference to the flowchart of FIG.
The deletion process here is performed after the treatment, and is common to the deletion process performed immediately after the treatment.

When this process is started, in step 200, a screen for selecting a deleted product is displayed, on which a “patient ID” button and a “receipt” button are displayed.
Here, when the “patient ID” button is pressed, the process proceeds to step 202 and a patient ID input box is displayed. When the patient ID is entered there, the process proceeds to step 204 and the delivery information associated with the entered patient ID. One wing is displayed. When the corresponding product button is pressed here, based on the command, the process proceeds to step 208, the delivery record of the selected product is deleted, the delivery cancellation information, the use record, etc. are printed, and this process ends.
In step 200, when the barcode reading of the receipt is selected and the reading is executed, the outgoing information linked is retrieved based on the read outgoing record, and the content is displayed in the step 206. The following steps are performed.
In relation to this process, the server 7 updates the receipt data to reflect the deletion of the product.
In addition, the said warehousing data is updated by the above process, and is preserve | saved at the memory | storage part 53, the said server 7, etc. of the said operating terminal 5. FIG.

<Inventory movement>
Next, contents processed by the inventory movement processing unit 545 when the “move” button on the menu screen is pressed will be described with reference to the flowchart of FIG.
When this process is started, the list of all the lockers 1 that have been issued, that is, the unfilled trays of goods, is displayed in step 220, and the destination tray is selected based on the selection of the destination tray. move on.
In this step 222, merchandise movement candidates corresponding to the selected tray are displayed, and the process proceeds to step 224.

  Examples of merchandise transfer candidates include merchandise that is the same as merchandise delivered from an unsupplemented tray and that has a sterilization time limit and is stored in another room.

In step 224, when a product to be moved is selected from the movement candidates for the product, the process proceeds to step 226, and the LED of the locker 1 in the operating room where the product is stored is turned on.
The LED lighting control here may be the same as in the case of the delivery process shown in FIG. 8. For example, when the product to be moved is in the operating room C, the LED of the locker 1 is caused to emit red light. It may be.
Accordingly, when the LED emitting red light is visually recognized and the button switch of the locker 1 is pressed to take out the product to be moved (steps 228 to 230), the process proceeds to step 232, and the LED of the destination tray is blinked.

  Thereafter, the process proceeds to step 234, where the barcode of the delivered product is read, and it is determined whether or not it is the same as the product selected in step 224. If it is determined that the product is the same, the process proceeds to step 238. In order to instruct warehousing, a signal for controlling the LED of the corresponding warehousing tray from blinking to lighting is output, and the LED is turned on.

  Thereafter, when the button switch of the tray is pressed and the storage of the commodity is detected (step 240 to step 242), this process is finished.

In this inventory movement process, as with the warehousing process, it is judged whether or not the goods to be moved are the same based on the data, and human error due to the human judgment entering is eliminated, so the goods are issued. Every effort is made to ensure the accuracy of goods receipt.
In addition, the said warehousing data is updated by the above process, and is preserve | saved at the memory | storage part 53, the said server 7, etc. of the said operating terminal 5. FIG.

<Inventory replacement>
Next, the contents processed by the replacement processing unit 546 when the “replacement” button on the menu screen is pressed will be described with reference to the flowcharts of FIGS. 12 and 13.
When this process is started, in step 250, products that are incompatible with the sterilization period are searched, a list thereof is displayed, and the process proceeds to step 252.
An example of searching for products that do not conform to the sterilization date is a search based on the relationship between the priority of the operating room and the sterilization date of the product. Products with a shorter sterilization date are stored in the operating room with a lower priority of the operating room. There may be.
In step 252, when a product to be replaced is selected from the list display, the storage location of the product with the same sterilization time limit (hereinafter, far product) as that product is searched, and based on the search, step 254 is performed. Proceed and turn on the LED of the corresponding tray where the far commodity is stored.
Then, when a button on the tray is pressed to take out a far commodity (steps 256 to 258), the process proceeds to step 260 based on these detections.

In this step 260, a tray that stores the product to be replaced, that is, the product to be replaced, that is, the product (near product) whose sterilization time is close, is searched and the LED is controlled to be turned on.
Also in this stock replacement process, the lighting control of the LED may be performed as shown in FIG.
That is, for example, if a nearby product is stored in the backyard, the locker 1 emits red light.
Subsequently, in steps 262 to 264, each process of pressing the button switch of the tray and taking out the near commodity is controlled, and the process proceeds to step 266.

In this step 266, the tray of the locker 1 into which the far commodity is received, that is, here, the LED of the backyard locker 1 is blinked and the process proceeds to step 268.
In this step, the barcode of the far product is read and written, and the process proceeds to step 269, where it is determined whether or not the product matches the product selected in step 252, and the process proceeds to step 270. Since the LED changes to lighting, the button on the tray is pressed to store the far-off product (steps 272 to 274).

  Thereafter, the process proceeds to step 276, and this time, the LED of the near-item storage destination tray is controlled to blink. When the process proceeds to step 278, the barcode of the product is read and written, and the process proceeds to step 279. It is determined whether or not it matches with the product selected in step 280. If they match, the process proceeds to step 280, and the LED changes to illuminate in order to instruct entry, so the product is stored by pressing the button on the tray (step 280 to step 284), the process proceeds to step 286, and it is determined whether or not the processing has been completed. If it is completed, this process is terminated. If there is still a product to be replaced, the process returns to step 250, and thereafter, the processes in steps 252 to 286 are repeated for each product.

In this stock replacement process, a product whose sterilization time is close and a product which is far are exchanged.
In addition, for each product to be replaced, the barcode of the product is read before warehousing and immediately before warehousing, and the result is reflected in the LED lighting display, so the replacement of the sterilization period between the same products is reliably executed, Every effort is made to ensure the accuracy of goods receipt, which is the premise for the delivery of goods.
In addition, the said warehousing data is updated by the above process, and is preserve | saved at the memory | storage part 53, the said server 7, etc. of the said operating terminal 5. FIG.

<Placement processing>
Next, the contents processed by the arrangement processing unit 547 when the “arrangement” button on the menu screen is pressed will be described with reference to the flowchart of FIG.
When this process is started, in step 290, storage locker shelves and arrangement information in units of steps are displayed, and when the displayed shelves or steps are selected, the process proceeds to step 291 and the corresponding tray LED is turned on. Proceed to 292.

  Through this step 292 to step 296, the pressing of the button of each tray and the removal of the product are repeated until all the products on the selected shelf or stage are taken out, and all the removals are detected and “completed” (YES). Is made, and the process proceeds to Step 298.

In this step 298, trays that can be registered are displayed. When a tray is selected for each product, the LED of the corresponding tray blinks (step 299), and then the process proceeds to step 300, where the barcode of the product is displayed. Reading and writing are executed, and after the execution, the LED is changed from blinking to lighting display (step 301).
Thereafter, the process proceeds to step 302. From step 302 to step 306, the button of the tray is pressed and the product is stored for each product, and the processing from step 298 to step 306 is repeated for all the products registered for arrangement. Then, the storage is detected, a determination of “complete” (YES) is made, and this processing ends.
In addition, the said warehousing data is updated by the above process, and is preserve | saved at the memory | storage part 53, the said server 7, etc. of the said operating terminal 5. FIG.

The operational effects of the system configured as described above are as follows.
(1) In the warehousing process, the barcode of the product to be replenished is read before warehousing and immediately before warehousing, and the result is reflected in the lighting display of the LED as a visual check means. You can be assured of sex.
(2) The storage location of the product is managed by the master, and when the product is received, only the tray to which the product is linked can be stored, so that “erasure of input / output errors” can be achieved.
(3) In the sterilization replacement process, the sterilization deadline of the same product can be checked for each replenishment at the time of warehousing, which is a premise for the delivery of the product. In addition, the expiration of sterilization can be prevented in advance, and the goods delivered can be used with confidence.
(4) Even in the sterilization exchange process, the barcode of the product is read before and just before warehousing, and the result is reflected in the LED lighting display. It is possible to ensure the accuracy of warehousing, which is the premise for the delivery of goods.
(5) In the delivery process, when a product is selected on the operation terminal, the LED in the storage location lights up with the “color assigned in each treatment room” and the tray can be opened. Can be planned. That is, even if a product required in the operating room A hits a locker in another room, the red light emitting LED can be visually recognized and quickly and accurately delivered.
(6) In addition, a delivery process is performed for each product, and the tray is opened and closed for each location, so that product delivery errors can be reduced.
(7) Since the priority order in the delivery is the opened product, the product with a near sterilization period, and the product in the own room, efficient and effective use and optimization of the inventory in the medical institution can be achieved.
(8) During the operation, information on the goods that are delivered for use in the operation will be notified from the operating room speaker, so that the surgeon who is concentrating on the operation can confirm from the ear, It is possible to grasp a mistake in a delivery.
(9) Since the right of control of all lockers of the system is given to the terminal during the operation, no business other than the delivery of goods can be performed during that time, so the terminal can be delivered quickly and accurately.
(10) In the above-described delivery process, an accurate receipt product by the entry process can be quickly delivered, the product search time can be shortened, and the system does not depend on human judgment. By doing so, it is possible to “eliminate entry / exit mistakes”.
(11) In the exit process in which the return process and the delete process are executed, it is possible to accurately reflect the goods that have been exited and actually used in the receipt, thereby preventing unclaimed and overcharged. .
(12) In each process, the LED is turned on when reading the barcode of the incoming goods, and if there is no problem in the reading, the tray can be opened, so that “erasure of incoming / outgoing mistakes” can be achieved.
(13) Also, in the return process, similar to the warehousing process, the barcode of the product to be returned is read before warehousing and immediately before warehousing, and the result is reflected in the LED lighting display. Everything is taken into account for the accuracy of warehousing.
(14) For each product to be replaced, the barcode of the product is read immediately before and just before warehousing, and the result is reflected in the LED lighting display, so the replacement of the sterilization period between the same products is performed reliably. Every effort has been made to ensure the accuracy of goods receipt, which is the premise for product delivery.
(15) In the sterilization period replacement process, inventory transfer process, inventory replacement process, etc., the priority order of the treatment rooms is managed by the system, and it is possible to receive goods with a sterilization period close to the high priority treatment room. It is possible to optimize inventory in the company.

  The present invention is not limited to the embodiment described above. Each of the above-described configurations can be modified by those having ordinary knowledge in the art within the technical idea of the present invention.

A Main operating room B, C and D Sub operating room

1 Locker 2 Barcode reader 3 Speaker 4 Mobile printer 5 Operation terminal (master unit and slave unit)
7 Server 8 Printer 50, 51 Input / output unit 52 Communication unit 53 Storage unit 54 Central processing unit

540 Incoming processing unit 541 Sterilization replacement processing unit 542 Outgoing processing unit 543 Return processing unit 544 Deletion processing 545 Inventory movement processing unit 546 Inventory replacement processing unit 547 Arrangement change processing unit

Claims (7)

In the medical product management system that manages the medical products delivered at the discretion of the doctor during the procedure,
While having an operation terminal having a warehousing processing unit for managing the warehousing of products and a warehousing processing unit for managing the warehousing of products,
The warehousing processing unit compares the data of the medical product to be received with the data of the medical product immediately before the warehousing, determines whether or not the same product, and instructs the warehousing,
In the case where a medical product that has been processed for warehousing is delivered during the operation, the delivery processing unit notifies the doctor of the medical product data by voice in the operating room where the operation is performed. Medical product management system.   The delivery processing unit searches for the presence or absence in the order of "opened product", "product with a short sterilization period", and "product in own room" as priority of delivery of medical products. The medical product management system according to 1.   The operation terminal searches for a stored medical product whose sterilization date is close and instructs the warehousing. Instead, the operation terminal sterilizes the same medical product to be replenished and instructs the warehousing for a medical product whose sterilization date is far away. The medical product management system according to claim 1, further comprising an exchange processing unit.   When there are multiple operating rooms, the light emission color of the visual means required for the operation in each room and provided at the storage destination corresponding to the medical product to be delivered is predetermined for each room. The medical product management system according to claim 1, wherein the medical product management system is a medical product management system.   The operation terminal includes an inventory movement processing unit that searches for a vacant storage location in an operating room that is frequently used, searches for a medical product to be stored therein, and instructs the storage. The medical product management system according to any one of claims 1 to 4.   The operation terminal searches for the same medical product that a product with a low sterilization time is stored in an operating room or backyard with low usage frequency, and a product with a long sterilization time is stored in a high operating frequency operating room. The medical product management system according to any one of claims 1 to 5, further comprising an inventory replacement processing unit that instructs the replacement.   The operation terminal reads and compares the data of the medical product before warehousing and immediately before warehousing for the medical product to be warehousing, and reflects the result of the determination of the identity in the change in the display of the warehousing destination visual means. 7. The medical product management system according to claim 1, wherein the medical product management system is a medical product management system.