JP2018108535A - Medicament dispensation management system, medicament dispensation management method, and medicament dispensation management program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medicament dispensation management system capable of reducing a load of medicament dispensing work on a nurse who dispenses medicaments for each dosing time to each of medicament dispensation groups such as a ward to which a plurality of patients belong.SOLUTION: The medicament dispensation management system outputs packaging data instructing to package medicaments to be prescribed for a plurality of patients for each preset medicament dispensation group unit for each identical dosing time, on the basis of input prescription data of the plurality of patients. When the packaging data is input in a medicament packaging device for packaging medicaments, the medicament packaging device packages the medicaments to be prescribed for the plurality of patients according to the package data for each medicament dispensation group unit for each dosing time.SELECTED DRAWING: Figure 10

Description

  The present invention relates to a drug distribution management system that reduces the burden of drug distribution work for nurses and the like in hospitals and nursing homes for the elderly.

In general, doctors prescribe medicines for multiple days according to the patient's condition at the time of the examination. Then, the patient takes the medicine every time of taking such as morning, noon, evening, and before sleep. On the other hand, medicines of patients admitted to hospitals and nursing care health facilities (old health facilities) may be managed by nurses or the like. For example, a nurse or the like keeps medicines for a plurality of days prescribed to a patient and distributes the medicines to the patient at each prescription time.
As a technique for reducing the burden on nurses and the like in such drug distribution work, for example, Patent Document 1 discloses a medication management system for packaging medicines every day or every dose period. . Thereby, since the nurse etc. should just distribute the medicine packaged for every day or every taking time, the effort which manages the medicine of several patients is reduced.
Further, in Patent Document 2, data to be batch processed is registered as a batch processing package data file, and the data is acquired by using a clinical department and a ward as search keys and processed as package data. It is described that.

JP 2010-5378 A JP 2001-87352 A

However, since multiple patients are admitted in each hospital room at hospitals and geriatric facilities, etc., nurses etc. should make sure that the medicines prescribed for each patient admitted to the hospital and geriatric facilities are correct for each hospital room. It is necessary to select and distribute medicines, and the burden placed on nurses and the like while worrying about the trouble and mistakes is great. On the other hand, since the techniques disclosed in Patent Document 1 and Patent Document 2 do not divide a plurality of patients' medicines at the same dose time, such a problem cannot be solved.
Accordingly, the present invention has been made in view of the above circumstances, and the purpose of the present invention is to distribute nurses or the like who deliver medicines to each of the medicine distribution groups such as hospital rooms to which a plurality of patients belong at every time of taking. An object of the present invention is to provide a medicine distribution management system capable of reducing the burden of medicine work and preventing mistakes in the medicine work.

In order to achieve the above object, the present invention provides the input of the plurality of pieces of packaging data instructing that medicines prescribed to a plurality of patients be packaged in units of a predetermined distribution group at the same dose time. It is comprised as a medicine distribution management system provided with the packaging data output means to output based on the prescription data of a patient.
As a result, when the packaging data is input to the medicine packaging device for packaging medicine, the medicine packaging device has the same medicine prescribed to a plurality of patients in the medicine distribution group unit according to the packaging data. It will be packaged every time it is taken.
According to the present invention, a nurse or the like can distribute the medicines of each patient packaged at the same dosage time in the medicine distribution group unit as they are, and the medicines of the patients belonging to each of the medicine distribution groups. The sorting operation can be omitted. Therefore, the burden of medicine distribution work for nurses and the like in hospitals and old health facilities is reduced, and mistakes in the medicine distribution work are prevented.
For example, it is conceivable to set a plurality of patients who are admitted to the same hospital room at a hospital and an old health facility as the same medicine distribution group. Thereby, the nurse or the like can distribute the medicines, which are packaged at the same dosage time in the medicine distribution group unit according to the packaging data, for each hospital room as they are.

  Here, it is conceivable that the medicine distribution management system includes group setting means for arbitrarily setting the medicine distribution group to which each of the patients belongs. Thereby, the user can set the said medicine distribution group arbitrarily and can define the packaging content of the pharmaceutical suitable for every hospital and a health-care facility. In addition, as said medicine distribution group, a hospital room, a ward, a medical department, a meal place, etc. can be considered.

  By the way, in general, the prescription data input by a doctor or the like to an electronic medical chart apparatus or the like relates to prescription of pharmaceuticals for one day or multiple days. Therefore, it is conceivable that the package data output means includes data generation means for decomposing the prescription data for each dose period and generating the package data. As a result, when the prescription data is related to prescription of one day or a plurality of days of pharmaceuticals from a host system such as an electronic medical record system and a dispensing management system, the package data is generated based on the prescription data. Can be output. In addition, the said data production | generation means produces | generates the said package data by combining each said medicine distribution group unit, for example after decomposing | disassembling each said prescription data for every taking time. In addition, the data generation means may generate the packaging data by combining the prescription data in units of the distribution group and then disassembling each time of taking.

  Further, a configuration in which the medicine distribution management system includes a medicine packaging device for packaging medicines is conceivable. In this case, it is considered that the packaging data output means outputs the packaging data to the medicine packaging apparatus. Thereby, in the said medicine distribution management system, the medicine prescribed to a plurality of patients with the said medicine packaging apparatus can be packaged for every said dosing time by the said medicine distribution group unit.

  Here, it is conceivable that the medicine packaging device is for packaging medicines into a plurality of medicine packages formed of a series of packaging materials. In this case, the sachet data is obtained by continuously slicing medicines prescribed to the plurality of patients into each medicine package in units of the medicine distribution group at the same dose time. That is, in the medicine packaging device, the medicines of the same dose of a plurality of patients belonging to the same medicine distribution group are continuously packaged in a series of the medicine packages. Thereby, a nurse etc. can use each of a series of said medicine packs as it is for the medicine distribution to each said medicine distribution group for every taking time.

  By the way, when the medicines of a plurality of patients are continuously packaged in a series of the medicine packages, there is a risk that the labor for examining the suitability of the medicines packaged in each medicine package may increase. Therefore, the medicine distribution management system includes a photographing unit for photographing an image of the medicine package after the medicine is packaged by the medicine packaging device, and an image of each medicine package photographed by the photographing unit. It is desirable to further comprise image generating means for generating an inspection image combined in units and image display means for displaying the inspection image. Thereby, even when the medicines of a plurality of patients are packaged for each prescription period in units of the distribution group, the inspector can easily check the packaged medicines.

  In particular, it is conceivable that the image generating means generates the inspection image obtained by combining the images of the medicine packages taken by the photographing means for each patient with the same prescription content. Thereby, since it is possible to continuously determine whether or not the medicines have the same content, it is possible to further reduce the labor of the inspection work by the inspector.

  On the other hand, it is conceivable that the medicine packaging device is for packaging medicines in a plurality of packaging parts provided in a blister pack. In this case, the sachet data is obtained by slicing medicines prescribed to the plurality of patients into one blister pack at the same dose period in units of the distribution group. That is, in the medicine packaging device, medicines of the same dosage time of a plurality of patients belonging to the same medicine distribution group are packaged together in one blister pack. Thereby, a nurse etc. can use each said blister pack as it is for the medicine distribution to each said medicine distribution group for every taking time.

  Further, the package data includes the empty medicine package or the packaging part corresponding to a patient for which there is no prescribed medicine in the packaging, and the medicine prescribed for the empty medicine package or the empty packaging part. It is desirable to indicate that there is no information. As a result, nurses and the like can clearly recognize that no drug delivery to the patient is necessary by referring to the medicine package or the packaging part, and it is not a loss of medicine or a packaging error. It becomes clear.

  By the way, in the present invention, the data of the plurality of patients that have been input is input into the packaging data instructing that the medicines prescribed to the plurality of patients are packaged at the same dose time in units of preset distribution groups. You may grasp as a medicine distribution management method characterized by performing the packaging data output process outputted based on prescription data. Moreover, you may grasp as a medicine distribution management program for functioning a computer as each means of the said medicine distribution management system. Furthermore, you may grasp as the computer-readable recording medium which recorded the said medicine distribution management program.

  ADVANTAGE OF THE INVENTION According to this invention, while reducing the burden of the medicine distribution work of the nurse etc. which distributes a medicine for every time of taking to each medicine distribution group such as a hospital room to which a plurality of patients belong, the mistake in the medicine distribution work is prevented. be able to.

The schematic diagram which shows schematic structure of the medicine distribution management system 1 which concerns on embodiment of this invention. The figure which shows the example of a display of the patient master edit screen 37A. The schematic diagram which shows schematic structure of the chemical | medical agent packaging apparatus 40 which concerns on embodiment of this invention. The schematic diagram which shows an example of the medicine package continuous body 72 obtained with the medicine packaging apparatus 40. FIG. The schematic diagram which shows schematic structure of the image inspection apparatus 50 which concerns on embodiment of this invention. The flowchart which shows an example of the procedure of the medicine distribution management process performed with the medicine distribution management apparatus 30 which concerns on embodiment of this invention. The figure which shows an example of the group prescription data produced | generated by the medicine distribution management process. The figure which shows an example of the packaging data produced | generated by the medicine distribution management process. The flowchart which shows an example of the procedure of the medicine packaging process performed with the medicine packaging apparatus 40 which concerns on embodiment of this invention. The schematic diagram which shows an example of the medicine package continuous body 72 obtained with the medicine packaging apparatus 40. FIG. The flowchart which shows an example of the procedure of the medicine packaging process performed with the medicine packaging apparatus 40 which concerns on embodiment of this invention. The figure which shows an example of the image 74 for inspection produced | generated by the medicine packaging process. The schematic diagram which shows an example of the blister pack 75 obtained with the medicine packaging apparatus 40. FIG.

  Embodiments of the present invention will be described below with reference to the accompanying drawings for understanding of the present invention. In addition, the following embodiment is an example which actualized this invention, Comprising: The thing of the character which limits the technical scope of this invention is not.

[Distribution management system 1]
As shown in FIG. 1, a medicine distribution management system 1 according to an embodiment of the present invention includes a server device 10, an electronic medical chart device 20, a medicine distribution management device 30, a medicine packaging device 40, an image inspection device 50, and the like. I have. The server device 10, the electronic medical record device 20, the medicine distribution management device 30, the medicine packaging device 40, and the image inspection device 50 are communicably connected via a communication network 60 such as a LAN or the Internet.
In addition, the said medicine distribution management system 1 may be provided with the said some server apparatus 10 for backup. Moreover, the said medicine distribution management apparatus 30 may serve as the functions of the said server apparatus 10 and the said electronic medical chart apparatus 20, etc. Furthermore, the medicine distribution management device 30 may be integrated with the medicine packaging device 40 and the image inspection device 50. The single medicine distribution management device 30 may be regarded as a medicine distribution management system according to the present invention.

[Server device 10]
The server device 10 includes a non-volatile storage device such as a hard disk or a flash memory that stores and stores an electronic medical record in which information related to each patient's medical care is recorded. Specifically, the server device 10 accumulates and stores the electronic medical records registered in the electronic medical record device 20. Note that the electronic medical record data relating to one-time (or one-day) medical treatment includes prescription data relating to medicines prescribed to patients.

[Electronic medical chart device 20]
The electronic medical record device 20 is a computer that displays or edits the electronic medical record recorded in the server device 10 in accordance with an operation input by a user such as a doctor or a nurse by executing various processes according to an electronic medical record program. is there. For example, a doctor uses the electronic medical record apparatus 20 to register prescription data regarding a medicine prescribed for a patient in the electronic medical record. Thereby, the prescription data is transmitted from the electronic medical chart device 20 to the medicine distribution management device 30. The prescription data may be read from the server device 10 by the medicine distribution management device 30. The prescription data is also transmitted to the medicine packaging device 40 or the image inspection device 50 as necessary.

[Medicine distribution management device 30]
The medicine distribution management device 30 is a computer including a CPU 31, a ROM 32, a RAM 33, a data storage unit 34, a communication interface 35, an operation input device 36, a display device 37, and the like. The drug distribution management device 30 is referred to as a “medicine distribution management device” for convenience of explanation, but a later-described drug distribution management program is installed in a computer that embodies a dispensing system that has been introduced in hospitals or pharmacies. It may be. That is, it is not necessary to newly introduce the medicine distribution management device 30 to the conventional dispensing system. Each component provided in the medicine distribution management device 30 is connected by a bus 38. The communication interface 35 includes a communication modem that performs data communication with the server device 10, the electronic medical record device 20, the medicine packaging device 40, the image inspection device 50, and the like via the communication network 60. Have.

  The CPU 31 is a processor that executes various arithmetic processes according to various control programs. The ROM 32 is a nonvolatile memory in which programs such as BIOS executed by the CPU 31 are stored in advance. The RAM 33 is a volatile memory or a non-volatile memory used for development of various control programs and temporary storage of data by the CPU 31.

The data storage unit 34 is a hard disk or the like in which various application programs executed by the CPU 31 and various data are stored.
Specifically, the data storage unit 34 stores a medicine distribution management program that causes the CPU 31 to execute each processing procedure such as a medicine distribution management process (see FIG. 6) described later. For example, the medicine distribution management program is written in C language (Microsoft C / C ++ and Visual C / C ++ (registered trademark)). This medicine distribution management program also corresponds to the present invention. Moreover, the said medicine distribution management program is installed from recording media, such as CD, DVD, BD, flash memory, for example. Here, a recording medium such as a computer-readable CD, DVD, BD, or flash memory in which the medicine distribution management program is recorded corresponds to the present invention. The data storage unit 34 in which the medicine distribution management program is installed also corresponds to the recording medium according to the present invention. By the way, this invention can also be grasped | ascertained as invention of the medicine distribution management method which performs each processing process with this medicine distribution management apparatus 30 in order to implement | achieve each function of the said medicine distribution management apparatus 30. FIG.

The data storage unit 34 stores various databases such as a pharmaceutical master and a patient master. The drug master includes drug code, drug name, JAN code (or RSS), drug bottle code, classification (drug form: powder, tablet, liquid medicine, topical medicine, etc.), specific gravity, drug type (ordinary drug, poison, Narcotics, powerful drugs, antipsychotics, therapeutics, etc.), compounding changes, excipients, and precautions. The patient master includes information such as the patient ID, name, sex, age, medical history, family information, clinical department, ward, and ward of each patient. These various databases are read or edited by the CPU 31.
Specifically, the CPU 31 executes a patient master editing process for editing the patient master according to the medicine distribution management program. FIG. 2 shows an example of a patient master edit screen 37A displayed on the display device 37 by the CPU 31 in the patient master edit process. The CPU 31 edits the patient master according to a user operation of the operation input device 36 according to the patient master edit screen 37A.
In the patient master edit screen 37 </ b> A shown in FIG. 2, a white spot is a place that can be arbitrarily input. Specifically, information of reading, name, date of birth, gender, ward, ward, and comment list can be arbitrarily input. In particular, the room name column 372 displays a room name set in advance corresponding to the number input in the input field 371. In the present embodiment, the hospital room name is an example of a medicine distribution group. The drug distribution group may include a ward, a department, a meal place, etc. in addition to a hospital room. In the present embodiment, “hospital room” is a concept including a room of a patient admitted to a hospital or a room of a resident occupying a health facility, and “patient” refers to a patient admitted to a hospital and a health facility. It is a concept that includes tenants.
When the registration key 373 displayed on the patient master edit screen 37A is operated, the CPU 31 registers the content displayed on the patient master edit screen 37A in the patient master, and ends the patient master edit process. To do. Here, the CPU 31 when arbitrarily setting the name of a room to which each patient belongs (drug distribution group) by executing the patient master editing process corresponds to the group setting means. When the cancel key 374 displayed on the patient master edit screen 37A is operated, the CPU 31 performs the patient master edit process without reflecting the content displayed on the patient master edit screen 37A to the patient master. finish.

The operation input device 36 is a user interface used by a user such as a pharmacist to input various information to the medicine distribution management device 30. The display device 37 is a display device such as a liquid crystal display or an organic EL display having a display screen for displaying various information.
Specifically, the operation input device 36 has a keyboard and a mouse (pointing device) used for inputting various information according to the display screen of the display device 37. “Operation”, “selection”, and “input” in the medicine distribution management device 30 are operations performed by a user such as a doctor, a nurse, a technician, and an office worker using the mouse or keyboard of the operation input device 36. Means. For example, the user can input prescription data into the medicine distribution management device 30 by operating the operation input device 36. The operation input device 36 may include a touch panel provided on the display device 37 or a voice operation input device that receives input of various types of information by voice recognition. Further, as described above, the input of the prescription data to the medicine distribution management device 30 may be performed by receiving prescription data transmitted from the electronic medical record device 20 or reading from the server device 10. Good. In addition, the medicine distribution management device 30 may include a barcode reader that reads prescription data from a barcode or QR code (registered trademark) described in a prescription.

[Medical packaging device 40]
Next, the said medicine packaging apparatus 40 is demonstrated, referring FIG.1 and FIG.3. As shown in FIGS. 1 and 3, the medicine packaging device 40 includes a control unit 41, a medicine container 42, a packaging unit 43, and the like. The medicine packaging device 40 is for packaging the medicine prescribed to the patient according to the packaging data output from the medicine distribution management device 30.

  The control unit 41 is a computer that includes a CPU, a ROM, a RAM (such as an EEPROM) and the like, and controls the medicine packaging device 40 in an integrated manner. The CPU is a processor that executes various arithmetic processes according to various programs. The ROM is a nonvolatile memory in which various programs such as a medicine packaging program executed by the CPU are stored in advance. The RAM is a volatile memory or a non-volatile memory used for development of various programs by the CPU and temporary storage of data in various arithmetic processes. Specifically, the control unit 41 executes a medicine packaging process (see FIG. 9) described later according to the medicine packaging program.

  The medicine storage unit 42 includes a plurality of tablet cassettes 421 in which a plurality of types of tablets are stored as medicines prescribed to a patient. The medicines in each of the tablet cassettes 421 are dispensed and supplied to the packaging unit 43 when the tablet feeder in which the tablet cassette 421 is mounted is controlled by the control unit 41 based on prescription information or the like. Here, the case where the medicine packaging device 40 is a tablet packaging device for packaging tablets supplied from each of the tablet cassettes 421 will be described as an example. However, the medicine packaging device 40 has a plurality of types. It is also possible to use another powder packaging machine that can package powders in random order.

  The packaging unit 43 includes a medicine packaging sheet 431, a sealing portion 432, and the like. The medicine pack sheet 431 is a roll-like sheet having translucency, and is a series of packaging materials used for packaging medicines supplied from the medicine container 42. The sealing part 432 packs a medicine in dosage units with the medicine package sheet 431 and seals it by welding or the like. Thereby, the said packaging unit 43 discharge | releases the medicine package continuous body 72 which has the some medicine package 71 formed continuously by the said medicine package sheet | seat 431, as shown in FIG. In addition, the medicine package continuous body 72 is formed with a cut dotted line 71A (perforation) for easily separating each of the medicine packages 71. In addition, since each medicine package 71 has translucency, the medicine stored in each medicine package 71 is visible from the outside. In addition, the packaging unit 43 includes a printing unit (not shown) that records a patient name, a medication time, and the like on each medicine package 71 according to a control instruction from the control unit 41.

[Image inspection device 50]
Next, the image inspection apparatus 50 will be described with reference to FIGS. 1 and 5. FIG. 5 is a diagram showing a schematic configuration of the image inspection device 50, where (A) is an external view and (B) is an internal configuration diagram. FIG. 5B shows a state in which the casing 50A and the introduction part 50B of the image inspection device 50 are removed.

  As shown in FIGS. 1 and 5, the image inspection device 50 includes a control unit 51, a display unit 52, an inspection unit 53, and the like. The image inspection device 50 checks the suitability of the medicine by comparing the medicine packaged in each medicine package 71 by the medicine packaging device 40 with the prescription data.

  The control unit 51 is a computer that includes a CPU, a ROM, a RAM (such as an EEPROM), and the like and controls the image inspection device 50 in an integrated manner. The CPU is a processor that executes various arithmetic processes according to various programs. The ROM is a non-volatile memory in which various programs such as an image inspection program executed by the CPU are stored in advance. The RAM is a volatile memory or a non-volatile memory used for development of various programs by the CPU and temporary storage of data in various arithmetic processes. Specifically, the control unit 51 executes an image inspection process (see FIG. 11) described later according to the image inspection program.

  The display unit 52 is a display unit such as a liquid crystal display or an organic EL display attached to the housing 50A. Specifically, the display unit 52 displays various information such as an image of each medicine package 71 and an inspection result in an image inspection process executed by the control unit 51.

As shown in FIG. 5B, the inspection unit 53 includes a transport unit 531, a photographing unit 532, an illumination device 533, a supply detection unit 534, a discharge detection unit 535, and the like.
The conveyance unit 531 is a belt conveyor or a roller conveyor that conveys the medicine package continuous body 72 placed on the introduction unit 50B (see FIG. 5A) provided to be exposed to the image inspection device 50. It is a conveying means. The introduction part 50B is connected to a discharge part (not shown) of the medicine package continuous body 72 in the medicine packaging apparatus 40, and the medicine package continuous body packaged by the medicine packaging apparatus 40. 72 is supplied to the introduction section 50B of the image inspection device 50 as it is.
The imaging unit 532 is an imaging unit that captures an image of each medicine package 71 of the medicine package continuous body 72 conveyed by the conveyance unit 531. The illumination device 533 is illumination means for illuminating the medicine package 71 to be imaged by the imaging unit 532.
The supply detection unit 534 and the discharge detection unit 535 are optical sensors that detect the medicine package continuous body 72 conveyed by the conveyance unit 531, and input a detection signal to the control unit 51. When the control unit 51 determines that the supply of the medicine pack continuum 72 is started based on the input of the detection signal from the supply detection unit 534, the control unit 51 starts an image inspection process described later. Further, when the control unit 51 determines that the rear end of the medicine package continuum 72 has passed based on the input of the detection signal from the discharge detection unit 535, the image inspection process described later is terminated.
In addition, the image inspection apparatus 50 includes vibration means (not shown) that generates vibration. When the control unit 51 determines that the medicine is in contact with or overlaps in the image in the medicine package 71 photographed by the photographing unit 532, the vibration means (not shown) causes the medicine to be overlapped. The package is vibrated to eliminate the contact or overlap of the drugs.

[Distribution management processing]
Hereinafter, with reference to the flowchart of FIG. 6, an example of the procedure of the drug distribution management process executed by the CPU 31 of the drug distribution management device 30 according to the drug distribution management program in the drug distribution management system 1 will be described. In the figure, S1, S2,... Indicate processing procedure (step) numbers executed by the CPU 31. Here, the CPU 31 when executing the medicine distribution management process corresponds to the package data output means.
The medicine distribution management process may be executed by the control unit 41 in the medicine packaging device 40 by installing the medicine distribution management program in the medicine packaging device 40. In this case, the control unit 41 corresponds to a packaging data output means, and the medicine packaging device 40 corresponds to a medicine distribution management system.
Furthermore, by installing the medicine distribution management program in the image inspection apparatus 50, the medicine inspection management process is executed by the control unit 51 in the image inspection apparatus 50, and the package data obtained as a result is stored in the image inspection apparatus 50. A configuration in which the medicine inspection device 50 inputs the image inspection device 50 is also conceivable. In this case, the control unit 51 corresponds to a package data output unit, and the image inspection device 50 corresponds to a medicine distribution management system. As described above, the medicine distribution management program can be installed in various devices included in the conventional dispensing system, so that the medicine distribution management system according to the present invention can be constructed using the existing equipment as it is. Is.
Moreover, the process of outputting the below-mentioned packaging data performed by said CPU31 in the said medicine distribution management process corresponds to a packaging data output process.

(Steps S1 and S2)
First, in step S1, the CPU 31 stores the prescription data in the data storage unit 34 in response to the input of prescription data related to prescription of a medicine to a patient (Yes side of S1) (S2). In addition, when the said prescription data is not input (No side of S1), the said CPU31 makes a process transfer to step S3.
Here, the prescription data is information relating to prescription of one or a plurality of days of pharmaceuticals for one or a plurality of patients input by the user such as a doctor using the electronic medical chart apparatus 20. Specifically, the prescription data includes at least a patient name (or patient ID), a drug name (or drug code), a usage such as a dose time, and a dose such as a prescription amount. Hereinafter, when simply referred to as “prescription data”, it refers to the prescription data input in step S1.
For example, when prescription data is input in response to a user operation of the operation input device 36 (Yes side of S1), the CPU 31 stores the prescription data in the data storage unit 34 (S2). In addition, the CPU 31 receives the prescription data transmitted from the electronic medical record device 20 when the prescription data is input to the electronic medical record device 20 by a user such as a doctor (Yes side of S1), and The data is stored in the data storage unit 34 (S2). It is also conceivable that the CPU 31 periodically reads the prescription data from the server device 10 (Yes side of S1) and stores it in the data storage unit 34 (S2).

(Step S3)
In step S3, the CPU 31 waits for an output request for packaging data instructing the medicine packaging device 40 to package the medicine (No in S3). The output request of the packaging data is performed according to a user operation on a prescription management screen displayed on the display device 37 by the CPU 31, for example. The packaging data will be described in the following steps S4 to S5.
Specifically, the user performs an operation for requesting output of package data for one or more days selected arbitrarily for all the rooms (drug distribution group) or one or more rooms selected arbitrarily. Is performed on the operation input device 34. Thereby, the CPU 31 determines that an output request for the packaging data has been made. And when the output request of the said packaging data is performed (Yes side of S3), the said CPU31 makes a process transfer to step S4.

Moreover, it replaces with said step S1-S3, and said CPU31 reads the said prescription data from the said server apparatus 10 according to user operation, memorize | stores it in the said data storage part 34, and after step S4 for the said prescription data It is also conceivable to execute processing.
For example, the user performs an operation on the operation input device 34 for requesting prescription data for one or more days selected arbitrarily for all the rooms or one or more rooms selected arbitrarily. . Thereby, the CPU 31 reads out prescription data corresponding to the user operation from the server device 10 and stores it in the data storage unit 34. And the said CPU31 performs the process for outputting the packaging data about the said prescription data (S4-S6).

(Step S4)
In step S4, the CPU 31 generates group prescription data in which the prescription data of each patient included in the output request for the package data is combined in units of hospital rooms to which the patient belongs.
FIG. 7 schematically shows an example of the group prescription data. In the group prescription data shown in FIG. 7, prescription data of a plurality of patients belonging to each room “Sakura” and “Maple” is grouped. Further, the group prescription data shown in FIG. 7 is displayed on the display device 37 by the CPU 31 in the step S4.

(Step S5)
In step S5, the CPU 31 generates package data obtained by disassembling each of the prescription data in units of hospital rooms at the same dose time based on the group prescription data generated in step S4. In this way, the CPU 31 when generating the package data by executing the steps S3 to S4 corresponds to a data generating means.
The sachet data instructs the medicine sachet device 40 to sachet medicines prescribed to a plurality of patients in the hospital room unit (distribution group unit) at the same dose time.
FIG. 8 schematically shows an example of the packaging data corresponding to the hospital rooms “Sakura” and “Maple”. Hereinafter, the case where the packaging data shown in FIG. 8 is generated in step S5 will be described as an example as appropriate.
In the packaging data shown in FIG. 8, the medicines prescribed to each of the patients belonging to each of “Sakura” and “Maple” are rearranged in each unit of the hospital room for each time of taking. In addition, the packaging data includes data (empty data) indicating that there is a patient for whom there is no medicine corresponding to the time of taking.
Of course, the contents of the packaging data are as shown in FIG. 8 if the medicine packaging device 40 is configured so that medicines prescribed to a plurality of patients are packaged in units of the hospital room at the same dose time. It is not limited to what is shown.

Note that the order of the steps S4 and S5 may be reversed.
That is, in step S4, the CPU 31 executes a data disassembling process for disassembling prescription data of a plurality of patients at each dose time. For example, when the prescription data is data related to prescription for three days, and the daily dose is three times after breakfast, lunch, and dinner, the CPU 31 stores each of the prescription data for three days. Break down into 9 dose unit data of 3 minutes x 3 times. Next, in step S5, the CPU 31 generates package data in which the unit dosage data is combined for each hospital room to which a patient corresponding to the unit dosage data belongs. The CPU 31 when executing the process for generating the package data in this way is also an example of the data generation means.

(Step S6)
In step S <b> 6, the CPU 31 outputs the packaging data to the medicine packaging device 40 via the communication network 60. As a result, in the medicine packaging device 40, medicines prescribed to a plurality of patients according to the packaging data are packaged in units of the hospital room at the same dose time.
Note that the output of the package data is not limited to that via the communication network 60. For example, it is conceivable to print out the packaging information indicating the packaging data as a barcode or QR code (registered trademark) by a printer or the like to which the medicine distribution management device 30 is connected. Accordingly, the medicine packaging device 40 can perform a packaging operation according to the packaging data by reading the packaging information from the printed sheet with a Harcode reader or the like.

[Chemical packaging]
Hereinafter, with reference to the flowchart of FIG. 9, an example of the procedure of the medicine packaging process executed by the control unit 41 of the medicine packaging apparatus 40 according to the medicine packaging program in the medicine distribution management system 1 will be described. Note that S11, S12,... Shown in the figure indicate processing procedure (step) numbers executed by the CPU 41.

(Step S11)
First, in step S11, the control unit 41 waits for input of the packaging data (No side of S11). When it is determined that the packaging data has been input (Yes in S11), the control unit 41 shifts the process to step S12 and executes the packaging operation according to the packaging data.

(Step S12)
In step S12, the control unit 41 sets the first room in the packaging data as a packaging target. Specifically, when the packaging data shown in FIG. 8 is input, the control unit 41 sets the hospital room “Sakura” as a packaging target in the first step S12. And when said step S12 is performed after the 2nd time, the said control part 41 will set the said 2nd or later hospital room as a packaging object in order. That is, when the packaging data shown in FIG. 8 is input, the control unit 41 sets a hospital room “maple” as a packaging target in the second step S12.

(Step S13)
In step S13, the control unit 41 starts packaging using the first prescription time corresponding to the hospital room selected as the packaging target in step S12 in the packaging data as the packaging target. Specifically, when the packaging data shown in FIG. 8 is input, the control unit 41 takes “February 4th (Saturday) after breakfast” in the hospital room “Sakura” in the first step S13. Start packaging with the time as the target of packaging. And when said step S13 is performed after the 2nd time, the said control part 41 will start a packaging as a packaging object in order about the said 2nd or later dosage time. That is, when the packaging data shown in FIG. 8 is input, the control unit 41 takes the “time after lunch on Saturday, February 4” of the hospital room “Sakura” in the second step S13. Start the packaging with the target of packaging. On the other hand, in step S13 for the fourth time, the control unit 41 starts packaging for the time for taking “after breakfast on Saturday, February 5” in the hospital room “Sakura”.

(Step S14)
Next, in step S14, the control unit 41 sequentially determines whether or not there is a medicine to be taken at the time of taking for each data included in the packaging data. And the said control part 41 makes a process transfer to step S141, when the pharmaceutical which should be taken at the time of taking does not exist in the said data, ie, the said data is empty data (No side of S14). On the other hand, if there is a medicine to be taken at the time of taking in the data, that is, if the data is not empty data (Yes in S14), the process proceeds to step S15.

(Step S15)
In step S <b> 15, the control unit 41 performs a normal packaging operation on the data included in the packaging data. Specifically, the control unit 41 prints a patient name and taking time on the medicine package 71 by the printing unit (not shown) of the packaging unit 43 and corresponds to the patient on the medicine package 71. Pack the medicine.

(Step S141)
On the other hand, in step S141, the control unit 41 classifies the empty medicine package 71 printed by the printing unit (not shown) of the packaging unit 43 that there is no medicine to be taken at the time of taking. Include in the package. Specifically, it is conceivable that “no medicine” is printed on the empty medicine package 71 together with the patient name and the time of taking it.
As described above, the sachet data in the present embodiment includes empty data corresponding to the case where there is no medicine to be taken at the time of taking, so that the empty data corresponding to a patient for which no prescribed medicine exists. The medicine package 71 is included in the package and indicates that there is no medicine prescribed for the medicine package 71.

(Step S16)
In step S16, the control unit 41 determines whether or not the packaging for the same dosing time started in step S13 is completed. Here, when it is determined that the packaging of the same dosing time has ended (Yes side of S16), the control unit 41 shifts the process to step S17. On the other hand, if it is determined that the packaging of the same dosing time has not ended (No side of S16), the control unit 41 returns the process to step S14.

(Step S17)
In step S <b> 17, the control unit 41 determines whether or not packaging for all doses for the same room set as the packaging target in step S <b> 12 has been completed. Here, when it is determined that the packaging of all the dose periods has been completed (Yes side of S17), the control unit 41 shifts the process to step S18. On the other hand, if it is determined that the packaging of all the doses has not been completed (No side of S17), the control unit 41 shifts the process to step S171.

(Step S171)
In step S <b> 171, the control unit 41 executes a package separation process for clearly indicating the timing at which the dosing time is switched.
For example, the separation process is to provide one empty medicine package 71. Thereby, in the said medicine package continuous body 72 obtained as a result of packaging by the said medicine packaging process, the timing of a change of dosing time can be grasped | ascertained easily. The empty medicine package 71 may be printed with various information for drug inspection and inspection related to the contents of each medicine package connected in front of it.
Moreover, the said division | segmentation process may cut | disconnect the said medicine package continuous body 72 once. Thereby, in the said medicine packaging apparatus 40, the said medicine package continuous body 72 for every taking time can be obtained automatically.
It should be noted that omitting the separation process may be considered as another embodiment.

(Step S18)
In step S18, it is determined whether or not packaging for all the rooms included in the packaging data has been completed. Here, when it is determined that the packaging of all the hospital rooms has been completed (Yes side of S18), the control unit 41 ends the series of the medicine packaging process and returns the process to Step S11. On the other hand, if it is determined that the packaging of all the hospital rooms has not been completed (No side of S18), the control unit 41 shifts the process to the step S12 and starts the packaging operation for the next hospital room.

FIG. 10 is a diagram schematically showing an example of the medicine package continuum 72 obtained as a result of packaging for the hospital room “Sakura” by the medicine packaging process. As shown in FIG. 10, in the medicine package continuum 72, medicines taken by a plurality of patients are continuously packaged at the same prescription time in the hospital room.
Here, in the medicine package continuum 72 shown in FIG. 10, the right end part and the left end part of the medicine package continuums 72A to 72F corresponding to the same prescription time are continuous. For example, in the medicine pack continuum 72 shown in FIG. 10, after breakfast on Saturday, February 4, after lunch, after dinner, after breakfast on Sunday, February 5, after lunch, after dinner Corresponding medicine package continuums 72A to 72F are continuous via empty medicine packages 71B. Specifically, in the medicine package continuum 72A, the medicines of Ichiro Yuyama, Ichiro Tanaka, Asako Kawada, Jiro Yuyama, Hanako Yamada, and Sueko Yamanaka to be taken after breakfast on February 4 (Saturday). Each medicine package 71 is packaged, and thereafter, the empty medicine package 71B is included.
In addition, as shown in FIG. 10, about the patient with the medicine which should be taken at the time of taking the subject, the patient name and the time of taking are described in the medicine package 71 in the step S15. On the other hand, for a patient for whom there is no medicine to be taken at the intended time of taking, “no medicine” is printed on the medicine package 71 together with the patient name and time of taking in step S141. This makes it possible to clearly recognize that there are no medicines to be taken when nurses etc. deliver medicines at the above-mentioned unit in each room, and it is clear that there is no loss of medicines or packaging errors. .
Further, the hospital room “maple” is similarly packaged, and the empty medicine package 71B is also provided at the boundary of the medicine package continuum 72 between the hospital room “Sakura” and the hospital room “maple”.

As described above, in the medicine distribution management system 1, when the packaging data is input from the medicine distribution management device 30 to the medicine packaging device 40, the medicine packaging device 30 performs the separation. Drugs prescribed to a plurality of patients according to the package data are packaged at the same dose period in the unit of the room.
As a result, nurses and the like can dispense medicines to a plurality of patients as they are using the medicine package continuum 72 (the medicine wrap continuums 72A to 72F) packaged at the same time in the room unit. The operation of selecting medicines for patients belonging to each of the hospital rooms can be omitted. Therefore, the burden of medicine distribution work for nurses and the like in hospitals and old health facilities is reduced, and mistakes in the medicine distribution work are prevented.

[Image inspection processing]
By the way, since the medicine package continuous body 72 after being packaged by the medicine packaging device 40 contains medicines of a plurality of patients alternately, it is difficult and difficult to carry out an inspection work for determining the suitability of the medicines. It is thought that the property increases. Therefore, in the image inspection device 50, the inspection unit described later is executed by the control unit 51, thereby reducing the burden of inspection work.
Hereinafter, an example of the procedure of the image inspection process executed by the control unit 51 of the image inspection apparatus 50 according to the image inspection program in the medicine distribution management system 1 will be described with reference to the flowchart of FIG. S21, S22,... Shown in the figure indicate processing procedure (step) numbers executed by the CPU 51.

(Step S21)
First, in step S21, the control unit 51 waits for the start of image inspection (Yes side of S21). Specifically, the control unit 51 determines that the image inspection is started on the condition that the supply detection unit 534 detects the supply of the medicine pack continuum 72. And if the said control part 51 judges that an image inspection starts (Yes side of S21), it will transfer a process to step S22. Of course, the determination of the start of the image inspection by the control unit 51 may be performed according to the presence or absence of the user operation for starting the image inspection in the image inspection apparatus 50.

(Step S22)
In step S <b> 22, the control unit 51 causes the transport unit 531 to transport the medicine pack continuum 72 by a predetermined amount, and the imaging unit 532 captures an image of each medicine pack 71 of the medicine pack continuum 72.
In addition, it is also conceivable as another embodiment that the photographing unit 532 photographs each medicine package 71 from both front and back surfaces. For example, the transport unit 531 that transports the medicine pack continuous body 72 supports and transports only the upper end portion of the medicine pack continuous body 72 and the lower end round belt that supports and transports only the lower end portion. A configuration comprising: In this case, in the medicine package continuum 72, the conveyance unit 531 does not become an obstacle in photographing from both the front and back sides of the medicine packaging location. Therefore, each of the medicine packages 71 can be imaged from both the front and back surfaces by providing the imaging units 532 on the front side and the back side of the medicine package continuous body 72 on the transport path of the medicine package continuous body 72, respectively. It becomes. Thereby, the filter process etc. which erase | eliminate the description character of the said medicine package 71 can be performed with high precision, and the identification precision of the pharmaceutical accommodated in each said medicine package 71 can be improved. Further, even when the medicines stored in the medicine package 71 overlap, it is possible to identify each of the medicines.

(Step S23)
In step S23, the control unit 51 determines whether or not the image capturing for all medicine packages has been completed. Specifically, the control unit 51 determines that the imaging of all the medicine packages has been completed on condition that the discharge detection unit 535 detects the passage of the end of the medicine package continuous body 72. Here, if the said control part 51 judges that the said image photography was complete | finished (Yes side of S23), it will transfer a process to step S24, and until the said image photography is complete | finished (No side of S23), The process returns to step S22.

(Step S24)
In step S24, the control unit 51 executes image processing for generating an inspection image 74 in which the images of the medicine packages 71 taken in step S22 are combined for each patient with the same prescription content. The said control part 51 when performing the process which concerns here corresponds to an image generation means.
Specifically, the control unit 51 reads the patient name and taking time described in each medicine pack 71 by a character recognition technology (OCR), and images of each medicine pack 71 according to the patient name and taking time. Sort and combine. In addition, the control unit 51 obtains the packaging data from the medicine packaging device 40, knows the patient name and the medication time corresponding to each medicine package 71 based on the packaging data, and the step It is also conceivable that the inspection image 74 is generated by recognizing each image of the medicine package 71 photographed in S22 in association with the photographing order. Note that the inspection image 74 generated in step S24 may not be combined for each of the same prescription contents, but may be simply combined for each patient.

  FIG. 12 is a diagram showing an example of the inspection image 74 in which the medicine pack images 73 of the medicine packs 71 photographed in step S22 are combined for each patient with the same prescription content. As shown in FIG. 12, in the inspection image 74, the medicine pack images 73 of the medicine packs 71 corresponding to the same patient are continuous for the same prescription content. Specifically, when the prescription content after breakfast on February 4th to 6th is the same for the patient “Ichiro Yuyama”, the inspection image 74 shows “February 4 (Sat.)” of the patient “Ichiro Yuyama”. ) After breakfast "," February 5 (Sun) after breakfast "," February 6 (Sun) after breakfast ", and so on, the medicine pack images 73 are continuous at the same dose period. In the inspection image 74, the medicine pack image 73 continues in the same manner for the subsequent prescription content “after Saturday, February 4” of the patient “Ichiro Yuyama”. Similarly, the inspection image 74 is generated for other patients.

(Step S25)
In step S25, the control unit 51 automatically collates the medicines packaged in each medicine package 71 based on the inspection image 74 and the prescription data generated in step S24. The control unit 51 acquires the prescription data from the server device 10, the electronic medical record device 20, the medicine distribution management device 30, or the medicine packaging device 40.
Specifically, in the step S25, the control unit 51, based on each of the medicine pack images 73 included in the inspection image 74, the patient name and taking time corresponding to each of the medicine pack images 73, and the The type and number of medicines stored in each medicine pack image 73 are recognized. In addition, the process should just employ | adopt the image recognition technique similar to the conventional image inspection apparatus. And the said control part 51 was recorded on the said prescription data with the combination of the patient name corresponding to each said medicine pack image 73, the time of taking, and the classification and number of the medicines accommodated in each said medicine pack image 73 Check whether it matches the data.

(Step S26)
Thereafter, in step S26, the control unit 51 causes the display unit 52 to display the inspection image 74 generated in step S24 and the collation result in step S25. Thereby, the inspector can inspect the medicine packaged by the medicine packaging device 40 by referring to the display of the display unit 52 and can grasp the comparison result, and there is no mistake. You can carry out medicine.

By the way, the structure which the said control part 51 does not perform the automatic collation in the said step S25 is also considered. That is, it is conceivable that the control unit 51 omits the process of step S25 and displays the inspection image 74 on the display unit 52 in the step S26. Thereby, the inspector can perform an inspection regarding the suitability of the medicines contained in each of the medicine packages 71 while referring to the inspection image 74 displayed on the display unit 52. At this time, in the inspection image 74, since the medicine pack images 73 are arranged for each patient with the same prescription content, the order of the medicine packs 71 in the medicine pack continuous body 72 in the imaging unit 532 (FIG. Compared with the case where each of the medicine pack images 73 photographed in 10) is inspected as it is, the labor for inspecting the medicine by the inspector is remarkably reduced.
Note that the control unit 51 is not limited to generating the inspection image 74 by combining the medicine pack images 73 for each patient with the same prescription content, for example, the medicine pack images 73 for each patient. It is also conceivable that the same prescription content is continuously displayed on the display unit 52 in order.

[Other Embodiments]
The medicine packaging device 40 described in the above embodiment is for packaging medicines in each medicine package 71 using the medicine package sheet 431, but other examples are also conceivable. Specifically, it is conceivable that the medicine packaging device 40 is for packaging a medicine in a plurality of packaging parts provided in a blister pack. Hereinafter, a case where the medicine packaging device 40 is a packaging device using a blister pack will be described. The packaging technique using the blister pack is disclosed in, for example, Japanese Patent Application Laid-Open No. 7-10103.
Here, the blister pack is a housing member in which a plurality of closed packaging parts are formed by joining a packaging member having a plurality of packaging regions with one side open to a flat member. Further, in the blister pack, a cut dotted line (perforation) for easily separating each of the packaging parts is formed.
When the medicine packaging device 40 is configured as described above, the packaging data output from the medicine distribution management device 30 is a single medicine for each patient at the same time of taking medicines prescribed to a plurality of patients. It is conceivable that they are packaged in the blister pack. In this case, the medicine packaging device 40 divides the medicine prescribed to a plurality of patients into one blister pack for each hospital room in accordance with the packaging data.

FIG. 13 is a diagram schematically showing an example of the blister pack 75 obtained as a result of packaging for the hospital room “Sakura”. As shown in FIG. 13, in the blister pack 75, medicines taken by a plurality of patients are packaged together at the same prescription time in the hospital room.
Specifically, in the blister pack 75 shown in FIG. 13 (A), Ichiro Yuyama, Ichiro Tanaka, Asako Kawada, Jiro Yuyama, Yamada, who should be taken after breakfast on Saturday, February 4, in the hospital room “Sakura” The pharmaceuticals of Hanako and Sueko Yamanaka are packaged in each of the packaging parts 76. In the blister pack 75 shown in FIG. 13B, the hospital room “Sakura” should be taken after lunch on Saturday, February 4th, Ichiro Yuyama, Ichiro Tanaka, Asako Kawada, Jiro Yuyama, Hanako Yamada, Each medicine of Sueko Yamanaka is packaged in each packaging part 76. In the blister pack 75, each of the packaging portions 76 can be easily separated by a cut dotted line 75A formed in the blister pack 75.

Further, in the medicine packaging device 40, in the blister pack 75, the patient name is written in each of the packaging sections 76 for the patient who has the medicine to be taken at the intended time of taking. On the other hand, for a patient for whom there is no medicinal product to be taken at the target dose, the empty packaging part 76 is provided, and “no medicine” is printed on the packaging part 76 together with the patient name. This makes it possible to clearly recognize that there are no medicines to be taken when nurses etc. deliver medicines at the above-mentioned unit in each room, and it is clear that there is no loss of medicines or packaging errors. . As described above, the sachet data in the present embodiment includes empty data corresponding to the case where there is no medicine to be taken at the time of taking, so that the empty data corresponding to a patient for which no prescribed medicine exists. The packaging portion 76 is included in the package and indicates that there is no medicine prescribed for the medicine package 71.
Even with the medicine packaging device 40 configured as described above, nurses or the like can dispense medicines to a plurality of patients as they are using the blister pack 75 that is packaged at the same time in the unit of the hospital room. Therefore, it is possible to omit the work of selecting medicines for patients belonging to each of the hospital rooms. Therefore, the burden of drug distribution work for nurses and the like in hospitals and old health facilities is greatly reduced, and mistakes in the drug distribution work are prevented.

  By the way, in addition to the medicines stored in the tablet cassette 421 in advance, the medicine packaging device 40 is used to supply powders, for example, powdered by a packaging paper in a powder medicine packaging device (not shown) to the blister pack 75. It is conceivable to provide a hand-wound unit that wraps together with the tablets. In this case, the control unit 41 causes the display unit to display the packaging unit 76 in which the powder is to be stored in the handing unit according to the packaging data. In the packaging unit 43, the powder supplied to the handing unit together with the tablets contained in the tablet cassette 421 is packaged in the packaging unit 76 of the blister pack 75 according to the packaging data. Thereby, in the said medicine packaging apparatus 40, the tablet and powder which are prescribed | regulated to a some patient can be accommodated in each packaging part 76 of the said blister pack 75 for every said dosing time unit by the said hospital room unit.

1: Drug distribution management system 10: Server device 20: Electronic medical record device 30: Drug distribution management device 31: CPU
32: ROM
33: RAM
34: Data storage unit 35: Communication interface 36: Operation input device 37: Display device 38: Bus 40: Drug packaging device 41: Control unit 42: Medicine container 43: Packaging unit 50: Image inspection device 51: Control unit 52: Display unit 53: Inspection unit 60: Communication network S1, S2, ...: Processing procedure (step) numbers S11, S12, ...: Processing procedure (step) numbers S21, S22, ...: Processing procedure (step) numbers

Claims (5)

Data output means for outputting output data indicating medicines prescribed to the plurality of patients based on prescription data of the plurality of patients,
The output data is a medicine distribution management system having a structure in which drug data included in the prescription data of each of the patients belonging to the medicine distribution group is rearranged in the same dosage time unit in a medicine distribution group set in advance. . The output data is packaging data instructing to individually package the medicines of each of the patients belonging to the medication group in the same dose period unit.
The medicine distribution management system according to claim 1. The output data includes data indicating that there is no medicine corresponding to the taking time for a patient for which there is no medicine corresponding to the taking time,
The medicine distribution management system according to claim 1 or 2. By computer
A drug distribution management method for executing a data output step of outputting output data indicating medicines prescribed to a plurality of patients based on prescription data of a plurality of patients,
The output data is a medicine distribution management method having a structure in which medicine data included in the prescription data of each of the patients belonging to the medicine distribution group is rearranged in the same dosage time unit in a medicine distribution group set in advance. . On the computer,
A drug distribution management program for executing a data output process for outputting output data indicating medicines prescribed to a plurality of patients based on prescription data of a plurality of patients,
The output data is a medicine distribution management program having a structure in which drug data included in the prescription data of each of the patients belonging to the medicine distribution group is rearranged in the same dosage time unit in a medicine distribution group set in advance. .