JP2019063383A - Medicine bag audit apparatus, medicine bag audit method, and medicine bag audit program - Google Patents

Abstract

To prevent pharmaceuticals from being put in a wrong medicine bag on a medication counter.SOLUTION: A medical bag audit apparatus 100 causes a storage unit 150 to store prescription information 151 that includes medicine bag identification information for identifying a medicine bag 34 in which pharmaceuticals are put, for each prescription content of a prescription 31, and names of the pharmaceuticals to be put in the medicine bag 34. A medicine bag printer 905 applies a medicine bag code 32 representing the medicine bag identification information to the medicine bag. A bar code reader 906 reads the medicine bag code 32 applied to the medicine bag 34, and a pharmaceutical code 33 of the pharmaceuticals to be put in the medicine bag 34 out of the pharmaceuticals dispensed on the basis of the prescription 31. A determination unit 130 determines whether or not the pharmaceuticals corresponding to the medicine code 33 are medicine bag adaptable pharmaceuticals to be put in the medicine bag 34 corresponding to the medicine bag code 32. A display unit 140 displays a determination result by the determination unit 130, on a display device 907.SELECTED DRAWING: Figure 1

Description

  The present invention relates to a medicine bag inspection device, a medicine bag inspection method, and a medicine bag inspection program. In particular, the present invention relates to a medicine bag inspection apparatus, medicine bag inspection method, and medicine bag inspection program used for medicine bag inspection at a medication counter.

For one prescription, medicines may be divided into medicine bags for each prescription content. In this case, at the medication counter, there is a risk that a mistake will occur in putting the medicine in the medicine bag.
Patent Document 1 discloses a technique for preventing a defect such as an exchange of medicine at the time of dispensing in a dispensing pharmacy, a double dispensing, or a dispensing failure.

JP 2003-284760 A

  In the technique of Patent Document 1, there is a problem that, if a plurality of medicine bags are required for one prescription, there is a possibility that the medicine may be incorrectly inserted into the medicine bags at the medication counter even if the medicine is picked correctly. is there.

  An object of the present invention is to prevent misplacement of a medicine into a medicine bag.

The medicine bag inspection device according to the present invention is
A storage unit for storing prescription information including medicine bag identification information for identifying a medicine bag into which a medicine is put for each prescription content of a prescription, and medicine names of medicines to be put in the medicine bag;
A medicine bag code giving unit for giving a medicine bag code representing the medicine bag identification information to the medicine bag based on the prescription information;
A medicine bag code reading unit for reading the medicine bag code given to the medicine bag;
A drug code reader for reading a drug code identifying a drug, the drug code being given to the drug placed in the medicine bag among the drugs dispensed based on the prescription;
A determination unit that determines whether a medicine corresponding to the medicine code is a medicine compatible with the medicine bag to be placed in a medicine bag corresponding to the medicine code, based on the medicine code, the medicine bag code, and the prescription information;
And a display unit for displaying the determination result by the determination unit on a display device.

The display unit is
A screen display unit which displays, on the display device, an inspection screen on which the medicine name of the medicine put into the medicine bag is displayed based on the medicine bag code and the prescription information when the medicine bag code is read by the medicine bag code reading unit When,
And a result display unit for acquiring the determination result from the determination unit and displaying the determination result in association with the medicine name displayed on the inspection screen.

The prescription information is
Dispensing information regarding dispensing of medicine is included in the content of the prescription,
The determination unit is
If it is determined that the medicine corresponding to the medicine code is the medicine that is compatible with the medicine bag, it is judged, based on the dispensing information, whether the medicine suitable for medicine bag is a confirmation medicine that should be visually confirmed.
The result display unit is
If the medicine that is compatible with the medicine bag is not the medicine that needs to be confirmed, a mark indicating normality is displayed on the inspection result corresponding to the medicine that is compatible with the medicine bag displayed on the inspection screen.

The result display unit is
If the determination unit determines that the medicine corresponding to the medicine code is not the medicine compatible with the medicine bag, an error message indicating that the medicine corresponding to the medicine medicine is not the medicine compatible with the medicine is displayed on the display device.

The result display unit is
When the medicine-bag-compatible drug is the medicine that needs to be confirmed, a mark prompting visual confirmation is displayed on the inspection result corresponding to the medicine-bag-compatible medicine displayed on the inspection screen.

The medicine bag inspection device
It has a drug table that associates drug names with drug codes,
The determination unit is
The medicine name corresponding to the medicine code is acquired from the medicine table based on the medicine code, and the medicine name corresponding to the medicine bag identification information represented by the medicine bag code is acquired from the prescription information based on the medicine bag code, If the medicine name corresponding to the medicine code is included in the medicine name corresponding to the medicine bag identification information, it is determined that the medicine corresponding to the medicine code is the medicine bag compatible medicine.

The determination unit is
The history of the audit for each medicine bag is stored in the storage unit as audit history information.

The display unit is
A history display unit is provided that displays the audit history information on the display device when receiving a request to display the audit history information.

  The medicine bag code is a two-dimensional bar code.

The medicine bag inspection method according to the present invention is provided with a storage unit for storing medicine prescription information including medicine bag identification information for identifying medicine bags into which medicines can be inserted for each prescription content of a prescription, and medicine names of medicines contained in the medicine bags. In the medicine bag inspection method of medicine bag inspection equipment,
A medicine bag code applying unit applies a medicine bag code representing the medicine bag identification information to the medicine bag based on the prescription information,
A medicine bag code reading unit reads the medicine bag code given to the medicine bag,
The drug code reading unit reads a drug code identifying a drug, which is given to the drug placed in the medicine bag among the drugs dispensed based on the prescription,
The determination unit determines, based on the medicine code, the medicine bag code, and the prescription information, whether the medicine corresponding to the medicine code is a medicine compatible with the medicine bag to be inserted into the medicine bag corresponding to the medicine code,
The display unit displays the determination result by the determination unit on a display device.

The medicine bag inspection program according to the present invention is provided with a storage unit for storing medicine prescription information including medicine bag identification information for identifying medicine bags into which medicines are to be put according to prescription contents and medicine names of medicines to be put in the medicine bags. In the medicine bag inspection program of medicine bag inspection equipment,
A medicine bag code giving process for giving a medicine bag code representing the medicine bag identification information to the medicine bag based on the prescription information;
Obtain the medicine code read from the medicine bag and a medicine code identifying the medicine, which medicine is read from the medicine put into the medicine bag among the medicine dispensed based on the prescription, and the medicine A determination process of determining whether the medicine corresponding to the medicine code is a medicine compatible with the medicine bag to be placed in the medicine bag corresponding to the medicine code based on the code, the medicine bag code, and the prescription information;
The medicine bag inspection device, which is a computer, executes display processing for displaying the judgment result of the judgment processing on a display device.

  In the medicine bag inspection device according to the present invention, the storage unit stores prescription information including medicine bag identification information identifying medicine bags into which medicines are to be put according to each prescription content, and medicine names of medicines put in medicine bags. The medicine bag code giving unit gives a medicine bag code representing medicine bag identification information to the medicine bag based on the prescription information. The determination unit acquires a medicine bag code read from the medicine bag and a medicine code read from a medicine dispensed as a medicine placed in the medicine bag. Then, the determination unit determines whether the medicine corresponding to the medicine code is a medicine-bag compatible medicine that can be placed in the medicine bag corresponding to the medicine-bag code. Therefore, according to the medicine bag inspection device according to the present invention, it is possible to prevent a mistake in putting medicine into the medicine bag.

1 is a configuration diagram of a medicine bag inspection device 100 according to Embodiment 1. FIG. FIG. 6 is a flowchart of medicine bag inspection processing S100 according to the first embodiment. FIG. 6 shows an example of prescription information 151 according to the first embodiment. FIG. 2 shows an example of a medicine bag 34 according to the first embodiment. FIG. 5 is a detailed flowchart of the audit process of step S130 of FIG. 2; FIG. 6 is a diagram showing an example of an error determination case when it is determined in step S302 in FIG. 5 that the medicine bag code 32 has not been read normally, an example of an error message, and an example of processing. The figure which shows the example of the audit | inspection screen 35 displayed in step S303. FIG. 6 shows an example of a medicine table 152 according to the first embodiment. The figure which shows the example which displayed the error message showing that the medicine corresponding to medicine code 33 is not a medicine bag compatible medicine on audit screen 35. FIG. 9 is a diagram showing an example of an error determination case when it is determined in step S306 that the medicine corresponding to the medicine code 33 is not a medicine that is compatible with the medicine bag, and an example of an error message and processing. FIG. 7 is a view showing a state in which a determination result is displayed on the audit screen 35 according to the first embodiment. FIG. 17 is a diagram showing a state in which the “cancel” button has transitioned to the “visual” button on the audit screen 35 according to the first embodiment. FIG. 6 is a view showing a display example of audit history information 153 according to the first embodiment. FIG. 16 is a view showing an example of a medicine bag management sheet 37 according to a modification of the first embodiment.

  Hereinafter, embodiments of the present invention will be described with reference to the drawings. In the drawings, the same or corresponding parts are denoted by the same reference numerals. In the description of the embodiment, the description of the same or corresponding parts will be omitted or simplified as appropriate.

Embodiment 1
*** Description of the configuration ***
An example of the configuration of the medicine bag inspection device 100 according to the present embodiment will be described using FIG.
The medicine bag inspection apparatus 100 is used, for example, at a dispensing counter of a dispensing pharmacy. The medicine bag inspection apparatus 100 has a function of inspecting whether a medicine dispensed by the pharmacist as a medicine to be put into the medicine bag is a medicine bag compatible medicine that should be put into the medicine bag. Further, the medicine bag inspection apparatus 100 has a function of displaying the result of medicine bag inspection and the history of medicine bag audits on the display.

  As shown in FIG. 1, the medicine bag inspection device 100 is a computer. The medicine bag inspection apparatus 100 includes hardware such as a processor 901, a memory 902, an auxiliary storage device 903, an input device 904, a medicine bag printer 905, a barcode reader 906, and a display device 907. The processor 901 is connected to other hardware via a signal line to control these other hardware.

The medicine bag inspection apparatus 100 includes, as functional components, a medicine code reading unit 10, a medicine code reading unit 20, a prescription information generating unit 110, a medicine code assigning unit 120, a judging unit 130, a display unit 140, and storage. And a unit 150. The display unit 140 includes a screen display unit 141, a result display unit 142, and a history display unit 143. The storage unit 150 stores prescription information 151, a medicine table 152, and audit history information 153.
The medicine bag code reading unit 10 and the medicine code reading unit 20 are provided in the barcode reader 906. Further, the functions of the prescription information generation unit 110, the medicine bag code addition unit 120, the determination unit 130, and the display unit 140 are realized by software. The storage unit 150 is provided in the memory 902.

  The processor 901 is an IC (Integrated Circuit) that performs arithmetic processing. The processor 901 is, for example, a CPU (Central Processing Unit).

  The memory 902 is a storage device that temporarily stores data. The memory 902 is, for example, a static random access memory (SRAM) or a dynamic random access memory (DRAM).

  The auxiliary storage device 903 is a storage device for storing data. The auxiliary storage device 903 is, for example, an HDD. Further, the auxiliary storage device 903 may be a portable recording medium such as an SD (registered trademark) memory card, a CF, a NAND flash, a flexible disk, an optical disk, a compact disk, a Blu-ray (registered trademark) disk, and a DVD. HDD is an abbreviation of Hard Disk Drive. SD (registered trademark) is an abbreviation of Secure Digital. CF is an abbreviation of Compact Flash. DVD is an abbreviation of Digital Versatile Disk.

  The input device 904 is, for example, a mouse, a keyboard, or a touch panel. The input interface to which the input device 904 is connected is, for example, a USB (Universal Serial Bus) terminal.

The medicine bag printer 905 is a printer for printing information such as a patient name, a medicine name which is a medicine name, medicine prescription contents, and a medicine bag code 32 for identifying the medicine bag 34 on the medicine bag 34.
The barcode reader 906 is a reader that reads barcodes such as a medicine bag code 32 applied to the medicine bag 34 and a medicine code 33 applied to medicine.

  The display device 907 is, for example, a display. The output interface to which the display device 907 is connected is, for example, a USB terminal or an HDMI (registered trademark) (High Definition Multimedia Interface) terminal. The display is, for example, an LCD (Liquid Crystal Display).

  The medicine bag inspection program is read into the processor 901 and executed by the processor 901. The memory 902 stores not only the medicine bag inspection program but also the OS (Operating System). The processor 901 executes the medicine bag inspection program while executing the OS. The medicine bag inspection program and the OS may be stored in the auxiliary storage device 903. The medicine bag inspection program and the OS stored in the auxiliary storage device 903 are loaded into the memory 902 and executed by the processor 901. A part or all of the medicine bag inspection program may be incorporated into the OS.

In the medicine bag inspection program, each process in which “part” of each part of the prescription information generation unit 110, the medicine bag code addition unit 120, the determination unit 130, and the display unit 140 is read as “process”, “procedure” or “process”, each procedure Alternatively, the computer executes each step. The medicine bag inspection method is a method performed by the medicine bag inspection apparatus 100 executing a medicine bag inspection program.
The medicine bag inspection program may be stored in a computer readable portable recording medium. Also, a medicine bag audit program may be provided as a program product.

*** Description of operation ***
The medicine bag inspection processing S100 according to the present embodiment will be described with reference to FIG.
The medicine bag inspection process S100 has a prescription information generation process of step S110, a medicine bag code addition process of step S120, and an inspection process of step S130.

<Prescription information generation process>
In step S110, the prescription information generation unit 110 receives the prescription 31 via the input device 904. The prescription information generation unit 110 generates the prescription information 151 based on the received prescription 31. The prescription information generation unit 110 stores the generated prescription information 151 in the storage unit 150.

An example of the prescription information 151 according to the present embodiment will be described with reference to FIG.
The prescription information 151 includes medicine bag identification information 511, a medicine name 512, and a prescription content 513.
The medicine bag identification information 511 is information for identifying the medicine bag 34 in which the medicine is put for each prescription content of the prescription 31. Specifically, the medicine bag identification information 511 is composed of a dispensing date, a reception number, and a medicine bag number. The dispensing date is the date of dispensing according to the prescription 31. The reception number is a serial number sequentially given to the prescription received on that day. The medicine bag numbers are sequential numbers given to medicine bags 34 corresponding to one prescription 31 in order. That is, when there are two medicine bags 34 corresponding to one prescription 31, the medicine bag numbers are given to the two medicine bags 34 as 1, 2 and so on. The medicine bag 34 can be uniquely identified by the dispensing date, the reception number, and the medicine bag number.
In addition, as a method of dividing the medicine bag 34 for each prescription content, the prescription information generation unit 110 has a method of dividing medicines according to the medicine taking method. Specifically, as shown in FIG. 3, the medicine taken after every meal is taken as medicine bag No. 1, and the medicine taken after lunch is taken as medicine bag No. 2. Alternatively, a method may be employed in which the medicine bag 34 is separated for each dose. Specifically, medicine taken in the morning, medicine taken in the daytime, and medicine taken in the night may be divided into different medicine bags. Other methods may be adopted as a method of separating the medicine bag 34 for each prescription content. As described above, the prescription information generation unit 110 divides medicines into groups and determines medicines for each medicine bag number according to some predetermined rule.
Further, in the prescription information 151, information related to the patient of the prescription 31 may be set in association with the reception number of the prescription 31. Alternatively, apart from the prescription information 151, a table may be provided in which the reception number of the prescription 31 is associated with the information on the patient of the prescription 31, and the information on the patient may be managed.

In the medicine name 512, the name of the medicine to be placed in the medicine bag 34 identified by the medicine bag identification information 511 is set. That is, the medicine name 512 is the name of the medicine determined by the pharmacist based on the prescription 31. The prescription information 151 according to the present embodiment adopts a method of managing medicines using medicine names. However, as long as the information can uniquely identify the medicine, it may not be the medicine name, and may be, for example, information such as a medicine identification code. Alternatively, both the drug name and the drug identification code may be set in the prescription information 151.
The prescription content 513 is information on the prescription of a medicine. The prescription content 513 includes a dosing method 513a, a number of prescription days 513b, and dispensing information 513c. The taking method 513a is an amount taken when taking it and once. The number of prescription days 513 b indicates how many days of medicine to prescribe. Further, the dispensing information 513c is information on dispensing of a medicine. For example, a drug that is packaged (or referred to as packaging) is described as "mixed". Moreover, even if it is the same medicine, when there are medicines in which the contents of one package are different, it is described as "multiple".

<Drug bag code assignment process>
In step S <b> 120, the medicine bag code adding unit 120 applies the medicine bag code 32 representing the medicine bag identification information 511 to the medicine bag 34 based on the prescription information 151. Specifically, the medicine bag code adding unit 120 generates the medicine bag code 32 from the medicine bag identification information 511 including the dispensing date, the reception number, and the medicine bag number, and the medicine bag code 32 generated using the medicine bag printer 905 Print on Specifically, the medicine bag code 32 is a two-dimensional bar code such as a QR (Quick Response) code. The medicine bag code 32 may be another code as long as the medicine bag identification information 511 can be represented.

FIG. 4 is a view showing an example of the medicine bag 34 printed based on the prescription information 151 of FIG.
In FIG. 4, the medicine bag 34 of medicine bag number 1 is shown. The medicine bag code giving unit 120 uses the medicine bag printer 905 to put one medicine bag 34 on the medicine bag code 32 indicating the dispensing date is September 19, 2017, accession number 10, and medicine bag number 1. Print. In addition, the medicine bag code adding unit 120 prints a medicine bag code 32 representing the reception number 10 and the medicine bag number 2 on another medicine bag 34 on September 19, 2017. That is, from the prescription of accession number 10 in FIG. 3, two medicine bags 34 are printed.

<Audit processing>
In step S130, the medicine bag inspection device 100 executes an inspection process.
Details of the audit process in step S130 according to the present embodiment will be described with reference to FIG. The flow of FIG. 5 represents an audit process for one drug code 33 read.
The pharmacist picks the medicine based on the prescription 31. Then, the pharmacist performs a medicine bag inspection at the medication counter, using the medicine bag 34 to which the medicine bag code 32 is given based on the prescription 31 and the dispensing medicine that has been picked.

  In step S301, the medicine bag code reading unit 10 reads the medicine bag code 32 attached to the medicine bag 34. Specifically, at the medication counter, the barcode reader 906 reads the bladder cord 32 of the bladder 34 held by the pharmacist over the scanner. The barcode reader 906 passes the read medicine bag code 32 to the determination unit 130.

In step S302, the determination unit 130 determines whether the medicine bag code 32 has been read normally. If the medicine bag code 32 is read normally, the process proceeds to step S303. If the medicine bag code 32 is not read normally, the process proceeds to step S304.
The determination method of whether the medicine bag code | cord 32 was read normally is performed as follows, for example. For each medicine bag identification information 511 of the prescription information 151, there is provided an audit state field for setting the inspection state. The audit status is set to audit not completed, under audit, or audited. The determination unit 130 refers to the inspection state of the medicine bag 34 corresponding to the medicine bag identification information 511 represented by the medicine bag code 32 acquired by the barcode reader 906.
If the audit state is not yet, the determination unit 130 determines that the medicine bag code 32 has been read normally, and the process proceeds to step S303.
If the audit state is audited or completed, the determination unit 130 determines that the medicine bag code 32 has not been read normally, and the process proceeds to step S304.
In step S304, the determination unit 130 causes the display device 907 to display an error message via the display unit 140.

FIG. 6 is a diagram showing an example of an error determination case when it is determined in step S302 in FIG. 5 that the medicine bag code 32 has not been read normally, an example of an error message and processing.
For example, if the audit status is audit completion, the determination unit 130 determines that the medicine bag code 32 of the medicine bag for which the audit has been completed is read, and displays the audit screen for which the audit is completed in step S304. Is completed. Do you want to audit again? Although the subsequent processing is omitted in the flow chart of FIG. 5, when performing the audit again ("Yes" to the error message), the audit processing is performed again. Also, if the audit is not performed ("No" for an error message), the audit screen is dismissed.
For example, when the audit state is under inspection, the determination unit 130 determines that the medicine bag code 32 currently being processed is read, and in step S304, an error message “The QR code (registered trademark) under inspection is read” Display Then, the determination unit 130 continues the audit process.
For example, when the determination unit 130 determines that the medicine bag code different from the medicine bag code 32 currently being processed is read, the error message “Another QR code (registered trademark) is read in the middle of the audit is read in step S304. Do you want to complete the current audit? Although the subsequent processing is omitted in the flow chart of FIG. 5, when completing the currently performed audit ("Yes" to the error message), the contents currently being processed are decided once, and the medicine bag code read Display the contents of. Also, in the case of "No" for the error message, nothing is done.

  In step S <b> 303, the determination unit 130 displays the audit screen 35 on the display device 907 through the screen display unit 141. The screen display unit 141 displays, on the display device 907, an audit screen 35 including the medicine name of the medicine to be put into the medicine bag 34 based on the medicine bag code 32 and the prescription information 151.

FIG. 7 shows an example of the audit screen 35 displayed in step S303.
Here, in the header portion of the audit screen 35, information on a patient, a dispensing date, a reception number, and the like are displayed. Then, in the body portion of the inspection screen 35, the medicine bag number, the medicine name of the medicine put into the medicine bag corresponding to the medicine bag number, the total amount of the medicine, and the dispensing information about the medicine are displayed.
For example, C and D in the prescription information 151 of FIG. 3 are described as "mixed" in the dispensing information 513c. In this case, the screen display unit 141 displays “mixing” in the dispensing information field of C-dispersion and D-dispersion on the audit screen 35. In addition, D powder in the prescription information 151 of FIG. 3 is described as “multiple” in the dispensing information 513 c. In this case, the screen display unit 141 displays “multiple” in the section of dispensing information of “D” on the audit screen 35.

In step S305, the medicine code reading unit 20 reads the medicine code 33 of the medicine to be put in the medicine bag among the medicines dispensed based on the prescription 31. The drug code 33 is a code for identifying a drug. Usually, the medicine is provided with a barcode identifying the medicine as a medicine code 33. A specific example of the drug code 33 is a GS1 (Global Standard One) code.
At the dosing counter, the pharmacist reads the drug code 33 of the dispensed drug to be placed in the drug bag 34 by the bar code reader 906. The barcode reader 906 passes the read medicine code 33 to the determination unit 130.

In step S306, based on the drug code 33, the drug bag code 32, and the prescription information 151, the determination unit 130 determines whether the drug corresponding to the drug code 33 is a medicine compatible with the medicine bag 34 corresponding to the medicine code 32 Determine
Specifically, the determination unit 130 acquires the medicine name corresponding to the medicine code 33 from the medicine table 152 based on the medicine code 33. Then, when the medicine name corresponding to the medicine code 33 is included in the medicine name corresponding to the medicine bag identification information 511 represented by the medicine bag code 32, the determination unit 130 determines that the medicine corresponding to the medicine code 33 corresponds to the medicine bag compatible medicine It is determined that

FIG. 8 is a diagram showing examples (a) and (b) of the medicine table 152 according to the present embodiment.
In (a) of FIG. 8, a table in which a medicine name and a GS1 code which is a medicine code are simply associated is shown as the medicine table 152.
As shown in (b) of FIG. 8, the medicine table 152 may be realized using two tables of a medicine master and a code conversion table.
The medicine table 152 may have any configuration as long as the medicine name and the medicine code (GS1 code) can be associated with each other.

If it is determined that the medicine corresponding to the medicine code 33 is a medicine bag compatible medicine, the process proceeds to step S307.
If it is determined that the medicine corresponding to the medicine code 33 is not a medicine bag compatible medicine, the process proceeds to step S308.

FIG. 9 is a diagram showing an example of displaying an error message indicating that the medicine corresponding to the medicine code 33 is not a medicine that is compatible with the medicine bag.
In step S308, the result display unit 142 displays an error message indicating that the medicine corresponding to the medicine code 33 is not a medicine compatible with medicine on the display device 907. At this time, the result display unit 142 displays an error message corresponding to the error determination case on the display device 907.

FIG. 10 is a diagram showing an example of an error determination case when it is determined in step S306 that the medicine corresponding to the medicine code 33 is not a medicine that is compatible with the medicine bag, and an example of an error message and processing.
For example, when the determination unit 130 determines that the medicine corresponding to the medicine code 33 is a medicine to be put in another medicine bag, “the medicine ○○○ is the medicine put in this medicine bag via the result display unit 142. An error message such as “No” is displayed on the display device 907. In this case, the determination unit 130 determines again in step S306, and it is determined that the medicine name corresponding to the medicine code 33 is included in medicine names 512 having the same accession number identified by the medicine bag identification information 511 and different medicine bag numbers. It is judged.
In addition, the determination unit 130 counts up the number of errors in the audit history information 153 for each medicine bag. The details of counting up the number of errors will be described later. Then, the determination unit 130 waits for the input of the next medicine code 33. At this time, the contents of the incident are input by the pharmacist in the column of the incident on the audit screen 35.
Further, for example, when the determination unit 130 determines that the medicine corresponding to the medicine code 33 is a medicine not related to the prescription 31 being processed, “different from the prescribed medicine via the result display unit 142. Or an error message such as “the medicine whose drug price code is set incorrectly” is displayed on the display device 907. In addition, the determination unit 130 counts up the number of errors in the audit history information 153 for each medicine bag. Then, the determination unit 130 waits for the input of the next medicine code 33. At this time, the contents of the incident are input by the pharmacist in the column of the incident on the audit screen 35.
Further, for example, when reading of the medicine code 33 fails due to a system error, the result display unit 142 displays an error message such as “data reading failed” on the display device 907. The determination unit 130 waits for the input of the next medicine code 33 without doing anything.
In addition, the input content of the incident column input by the pharmacist is appropriately selected from “drug difference”, “standard difference”, “maker difference”, “picking difference”, “input difference”, “drug bag difference”, etc. .

In step S307, the determination unit 130 determines, based on the dispensing information 513c, whether the medicine that is compatible with the medicine bag needs to be visually confirmed. Specifically, the determination unit 130 refers to the dispensing information 513 c of the prescription information 151 for the medicine that is compatible with the medicine bag. The determination unit 130 determines that the medicine that is compatible with the medicine bag is the medicine that needs to be confirmed, if it is described in the dispensing information 513c of the medicine that is compatible with the medicine bag.
If it is determined that the medicine that is compatible with the medicine bag is not a confirmation drug, the process proceeds to step S309.
If it is determined that the medicine that is compatible with the medicine bag is the medicine that requires confirmation, the process proceeds to step S310.

In step S309, step S310, and step S311, the result display unit 142 of the display unit 140 displays the determination result by the determination unit 130 on the display device 907. The result display unit 142 acquires the determination result from the determination unit 130, associates the determination result with the medicine name displayed on the inspection screen 35, and displays the result.
In step S309, the result display unit 142 displays a mark indicating normality in the column of the inspection result of the medicine bag compatible drug. In step S309, the medicine corresponding to the medicine code 33 being processed is a medicine that is compatible with the medicine bag and is not a confirmation medicine. Therefore, the medicine corresponding to the medicine code 33 being processed is a medicine that may be put into the medicine bag 34 as it is. In this case, the result display unit 142 displays a mark indicating that the medicine corresponding to the medicine code 33 being processed may be inserted into the medicine bag 34 in the field of the inspection result.

FIG. 11 is a diagram showing a state in which the determination result is displayed on the audit screen 35 according to the present embodiment.
FIG. 12 is a diagram showing a state in which visual inspection has been completed for a medicine that requires visual inspection in step S310 on the audit screen 35 according to the present embodiment.
In FIG. 11, A tablet 10 mg and B ointment are medicines that are determined to be compatible with the medicine bag and not required to be confirmed. Therefore, in the inspection results of Tablet A of 10 mg and B ointment, 表 す is set to indicate that it may be placed in the medicine bag 34. In the column of Incident of A tablet 10 mg, it is described as "standard deviation". This indicates that the previously read drug code 33 resulted in an error due to a specification difference from A tablet 10 mg. Thereafter, the drug code 33 of Tablet A of 10 mg is read correctly, which means that ◎ is set in the column of the audit result of Tablet A of 10 mg.

In step S310, the result display unit 142 displays a mark prompting visual confirmation in the column of the inspection result of the medicines that are compatible with the medicine bag. In step S310, although the medicine corresponding to the medicine code 33 being processed is a medicine compatible with medicine, it is a medicine which needs confirmation. That is, the drug corresponding to the drug code 33 being processed is the drug to be placed in the medicine bag 34, but it means that visual confirmation is required. In this case, the result display unit 142 displays a “visual” button for visually confirming the medicine corresponding to the medicine code 33 being processed in the visual column.
In step S 311, when the result display unit 142 receives visual confirmation, as shown in FIG. 12, the result display unit 142 displays a circle mark indicating that visual observation has been confirmed in the inspection result, and also displays a “cancel” button in the visual field. Display on The "cancel" button is a button used when the pharmacist cancels visual observation and performs again.

For example, as shown in the prescription information 151 of FIG. 3, C-sourcing and D-sourcing are medicines that have been packaged into one (also referred to as separated packaging). Such drugs are more likely to be replaced and require visual inspection. In addition, D powder exists in the same medicine with different contents. The possibility of mistaking such medicines is also high, so visual inspection is required. Therefore, a “visual” button for accepting confirmation of visual observation is displayed in the visual observation column of C-dispersion and D-dispersion. In addition, it is determined that the E capsule, which is not described in the dispensing information, is also a medicine requiring confirmation. For example, a list of medicines to be confirmed and required to be confirmed is set in advance, and the determination unit 130 determines the required medicine to be confirmed based on the prescription information 151 and the list of medicines to be confirmed and required. It is also good.
After the pharmacist visually confirms the target medicine, the pharmacist presses the “visual” button via the input device 904. When the “visual” button is pressed, the result display unit 142 changes the “visual” button to the “cancel” button as shown in FIG. 12 and displays a circle mark in the field of the audit result. For example, the “visual” button may be displayed in red to indicate attention, and the “cancel” button may be displayed in different colors, such as in green to indicate that confirmation has been made.

  As shown in FIG. 12, once all the medicines to be put into the medicine bag 34 of the medicine bag No. 1 have been inspected, all medicines to be put into the medicine bag 34 of the medicine bag No. 1 are put into the medicine bag 34. Then, a medicine bag audit is performed on the medicine bag 34 of the next medicine bag number 2 by the pharmacist.

<Process of storing audit history information>
Next, storage processing of the audit history information 153 by the determination unit 130 will be described.
The determination unit 130 stores the audit history of each medicine bag 34 in the storage unit 150 as audit history information 153. Further, when the display request 36 of the audit history information 153 is received, the history display unit 143 of the display unit 140 displays the audit history information 153 on the display device 907.

FIG. 13 is a diagram showing a display example of the audit history information 153 according to the present embodiment.
The history display unit 143 receives the display request 36 of the audit history information 153 via the input device 904. The display request 36 includes information such as the dispensing date which is the display range of the audit history information 153, the search condition of the audit history information 153, the display order, and the type of the audit result to be displayed. The history display unit 143 displays the audit history information 153 on the display device 907 in response to the display request 36.
In the display example of the audit history information 153 of FIG. 13, in the header portion, the dispensing date for specifying the display range, the search condition, the display order, and the area for specifying the type of the audit result to be displayed are displayed. Further, in the body portion, the display range inputted in the header portion, the search condition, the display order, and the audit history information 153 corresponding to the audit result are displayed.

Hereinafter, an example of storage processing of the audit history information 153 by the determination unit 130 will be described.
In step S303 of FIG. 5, the determination unit 130 displays the audit screen 35 corresponding to the medicine bag code 32, and generates one record corresponding to the medicine bag code 32 in the audit history information 153. In the record of the audit history information 153, information such as dispensing date, reception number, medicine bag number, printing time of medicine bag code 32, patient name, date of birth, and gender are set. In addition, the column of error 1 which indicates an error which is not the corresponding drug, the column of error 2 which indicates an error which is a medicine to be placed in another medicine bag, the column of errors which indicates other errors, and the visual column which indicates presence or absence of visual And a field of audit completion date and time. The initial values of the error 1, error 2, and error fields are 0. Also, the initial value of the visual field is "not yet".
In step S306 in FIG. 5, the determination unit 130 counts up the error 1, error 2, or error column whenever it is determined that the medicine code 33 is an error. Further, in step S311 in FIG. 5, when the determination unit 130 receives visual confirmation, the determination unit 130 changes the visual field from “not yet” to “eye”.
As described above, the determination unit 130 generates the audit history information 153 for each medicine bag 34.
In addition, the medicine bag 34 may be reprinted again due to a mistake in the drug name input of the drug determined by the pharmacist. In that case, the determination unit 130 accumulates the newly printed information and stores the information in the audit history information 153. Further, the reason for the reprinting may be received by inputting in the column of the incident on the audit screen 35 and may be stored in the audit history information 153.
Further, the history stored in the audit history information 153 may be set for each reception number, and the reception number and the medicine bag number may be stored in association with each other. For example, when the medicine bag numbers 1 to 6 of the reception number 10 are printed, and then the pharmacist notices that the drug name input is incorrect, and the medicine bag number 3 of the reception number 10 is printed, the history corresponding to the medicine bag numbers 1 to 6 of the reception number 10 Information and history information corresponding to medicine bag number 3 of accession number 10 are generated.

*** Other configuration ***
<Modification 1>
In the present embodiment, medicines for setting prescription information are managed by medicine names. However, management may be performed using a drug identification code that identifies a drug. That is, in the above description, even if the drug name is replaced with information that can identify the drug, such as a drug identification code, the present embodiment can be applied.

<Modification 2>
In the present embodiment, the configuration in which the medicine bag inspection device 100 includes the medicine bag printer 905 has been described. However, the medicine bag printer 905 may be configured outside the medicine bag inspection device 100. The medicine bag printer 905 may be connected to the medicine bag inspection apparatus 100 by a network such as a LAN.

<Modification 3>
In the present embodiment, the medicine bag code 32 is applied to the medicine bag 34. However, the medicine bag code 32 may be printed on the medicine bag management sheet 37 other than the medicine bag 34.
FIG. 14 is a view showing an example of a medicine bag management sheet 37 according to a modification of the present embodiment.
On the medicine bag management sheet 37, a medicine bag code 32 (QR code (registered trademark)) for each medicine bag and a medicine to be placed in the medicine bag are printed. The pharmacist may perform a medicine bag inspection using the medicine bag 34 to be audited, the medicine bag management sheet 37, and the dispensing medicine at the medication counter.

<Modification 4>
In the present embodiment, the functions of the prescription information generation unit 110, the medicine code assigning unit 120, the determination unit 130, and the display unit 140 in the medicine bag inspection device 100 are realized by software. However, as a modification, the functions of the prescription information generation unit 110, the medicine code adding unit 120, the determination unit 130, and the display unit 140 may be realized by hardware.

That is, in FIG. 1, the processor 901 may be replaced with a processing circuit.
The processing circuit is a dedicated electronic circuit that implements the functions of the prescription information generation unit 110, the medicine code adding unit 120, the determination unit 130, and the display unit 140. The processing circuit is specifically a single circuit, a complex circuit, a programmed processor, a parallel programmed processor, a logic IC, a GA, an ASIC, or an FPGA. GA is an abbreviation of Gate Array. ASIC is an abbreviation of Application Specific Integrated Circuit. FPGA is an abbreviation for Field-Programmable Gate Array.

  As another modification, some functions of the prescription information generation unit 110, the medicine code adding unit 120, the determination unit 130, and the display unit 140 may be realized by dedicated hardware, and the remaining functions may be realized by software. .

  The processor 901, the memory 902, and the processing circuit are collectively referred to as "processing circuitry". That is, the functions of the prescription information generation unit 110, the medicine bag code addition unit 120, the determination unit 130, and the display unit 140 are realized by processing circuitry.

*** Explanation of the effect of the present embodiment ***
In the medicine bag inspection device 100 according to the present embodiment, prescription information in which the medicine bag and the medicine to be placed in the medicine bag are associated, the medicine bag code given to the medicine bag, and the medicine code given to the medicine Determine if the drug is a drug bag compatible drug to be placed in the drug bag. Therefore, according to the medicine-bag inspection device 100 according to the present embodiment, it is possible to prevent an erroneous insertion of medicine into the medicine bag in the medication counter.

  According to the medicine bag inspection device 100 according to the present embodiment, the medicine bag inspection can be performed while displaying the inspection screen on the display, so that the patient can be given a sense of security.

  According to the medicine bag inspection device 100 according to the present embodiment, the judgment result can be displayed in association with the medicine name displayed on the inspection screen. Therefore, each time the GS1 code is read, the correctness of the medicine is checked. Can. In addition, every time the GS1 code is read, it is possible to notice a picking error or an input error in prescription information.

  According to the medicine bag inspection apparatus 100 according to the present embodiment, even if the medicine is a medicine that should be put in the medicine bag, if it is a medicine that needs confirmation, visual guidance is promoted, so that omission of visual confirmation can be prevented.

  According to the medicine bag inspection device 100 according to the present embodiment, the inspection history information for each medicine bag can be displayed on the display in response to the display request, so that it is easy to analyze the incident case.

According to the medicine bag inspection apparatus 100 according to the present embodiment, the medicine bag identification information 511 including the dispensing date, the reception number, and the medicine bag number can be stored in the medicine bag code 32 to prevent a mistake in putting medicine into the medicine bag. . Since the amount of information stored in the medicine bag code 32 is small, the size of the medicine bag code 32 can be limited, and pressure on the printing surface of the medicine bag 34 is reduced.
It is also possible to store information other than the medicine bag identification information 511 in the medicine bag code 32.

  In the first embodiment, each part of the medicine bag inspection apparatus 100 constitutes the medicine bag inspection apparatus 100 as an independent functional block. However, the configuration may not be as in the above-described embodiment, and the functional block configuration of the medicine bag inspection apparatus 100 is arbitrary. The functional blocks of the medicine bag inspection apparatus 100 are arbitrary as long as the functions described in the above-described embodiment can be realized. These functional blocks may be configured as the medicine bag inspection device 100 in any other combination or arbitrary block configuration. Moreover, the medicine bag inspection device 100 may be not a single device but a system configured of a plurality of devices.

Although the first embodiment has been described, a plurality of parts of this embodiment may be combined and implemented. Alternatively, one part of this embodiment may be implemented. In addition, these embodiments may be implemented in any combination in whole or in part.
The embodiments described above are essentially preferable examples, and are not intended to limit the scope of the present invention, its applications and applications, and various modifications can be made as necessary. .

  10 medicine bag code reading unit, 20 medicine code reading unit, 31 prescription, 32 medicine bag code, 33 medicine code, 34 medicine bag, 35 inspection screen, 36 display request, 37 medicine bag management sheet, 100 medicine bag inspection device, 110 prescription information generation unit, 120 medicine bag code assigning unit, 130 determination unit, 140 display unit, 141 screen display unit, 142 result display unit, 143 history display unit, 150 storage unit, 151 prescription information, 152 medicine table, 153 inspection history information, 511 medicine bag identification information , 512 medicine name, 513 prescription contents, 513a dosing method, 513b prescription days, 513c dispensing information, 901 processor, 902 memory, 903 auxiliary storage device, 904 input device, 905 medicine bag printer, 906 barcode reader, 907 display device.

Claims (11)

A storage unit for storing prescription information including medicine bag identification information for identifying a medicine bag into which a medicine is put for each prescription content of a prescription, and medicine names of medicines to be put in the medicine bag;
A medicine bag code giving unit for giving a medicine bag code representing the medicine bag identification information to the medicine bag based on the prescription information;
A medicine bag code reading unit for reading the medicine bag code given to the medicine bag;
A drug code reader for reading a drug code identifying a drug, the drug code being given to the drug placed in the medicine bag among the drugs dispensed based on the prescription;
A determination unit that determines whether a medicine corresponding to the medicine code is a medicine compatible with the medicine bag to be placed in a medicine bag corresponding to the medicine code, based on the medicine code, the medicine bag code, and the prescription information;
And a display unit for displaying the determination result by the determination unit on a display device. The display unit is
A screen display unit which displays, on the display device, an inspection screen on which the medicine name of the medicine put into the medicine bag is displayed based on the medicine bag code and the prescription information when the medicine bag code is read by the medicine bag code reading unit When,
The medicine bag inspection device according to claim 1, further comprising: a result display unit which acquires the determination result from the determination unit and associates the determination result with the medicine name displayed on the inspection screen. The prescription information is
Dispensing information regarding dispensing of medicine is included in the content of the prescription,
The determination unit is
If it is determined that the medicine corresponding to the medicine code is the medicine that is compatible with the medicine bag, it is judged, based on the dispensing information, whether the medicine suitable for medicine bag is a confirmation medicine that should be visually confirmed.
The result display unit is
The medicine bag inspection device according to claim 2, wherein a mark indicating normality is displayed on the inspection result corresponding to the medicine bag compatible medicine displayed on the inspection screen if the medicine medicine compatible medicine is not the confirmation medicine. The result display unit is
When the determination unit determines that the drug corresponding to the drug code is not the drug compatible drug, an error message indicating that the drug corresponding to the drug code is not the drug compatible with the drug code is displayed on the display device. The medicine bag inspection device according to 3. The result display unit is
4. The medicine bag inspection device according to claim 3, wherein a mark prompting a visual confirmation is displayed on the inspection result corresponding to the medicine bag compatible medicine displayed on the inspection screen when the medicine medicine compatible medicine is the medicine requiring confirmation. The medicine bag inspection device
It has a drug table that associates drug names with drug codes,
The determination unit is
The medicine name corresponding to the medicine code is acquired from the medicine table based on the medicine code, and the medicine name corresponding to the medicine bag identification information represented by the medicine bag code is acquired from the prescription information based on the medicine bag code, The medicine corresponding to the drug code is determined to be the drug compatible drug, when the drug name corresponding to the drug code is included in the drug name corresponding to the drug bag identification information. The medicine bag inspection device described in the paragraph. The determination unit is
The medicine bag inspection device according to any one of claims 1 to 6, wherein the history of the inspection for each medicine bag is stored in the storage unit as inspection history information. The display unit is
8. The medicine bag inspection device according to claim 7, further comprising: a history display unit that displays the inspection history information on the display device when receiving a display request for the inspection history information.   The medicine bag inspection device according to any one of claims 1 to 8, wherein the medicine bag code is a two-dimensional barcode. A medicine bag inspection method of a medicine bag inspection apparatus comprising: a storage unit for storing medicine prescription information including medicine bag identification information for identifying medicine bags into which medicines are put according to prescription contents of medicines and medicine names of medicines contained in the medicine bags;
A medicine bag code applying unit applies a medicine bag code representing the medicine bag identification information to the medicine bag based on the prescription information,
A medicine bag code reading unit reads the medicine bag code given to the medicine bag,
The drug code reading unit reads a drug code identifying a drug, which is given to the drug placed in the medicine bag among the drugs dispensed based on the prescription,
The determination unit determines, based on the medicine code, the medicine bag code, and the prescription information, whether the medicine corresponding to the medicine code is a medicine compatible with the medicine bag to be inserted into the medicine bag corresponding to the medicine code,
A medicine bag inspection method in which a display unit displays the determination result by the determination unit on a display device. In a medicine bag inspection program of a medicine bag inspection apparatus including a storage unit for storing medicine prescription information including medicine bag identification information for identifying medicine bags into which medicines are placed for each prescription content of a medicine prescription and medicine names of medicines contained in the medicine bags;
A medicine bag code giving process for giving a medicine bag code representing the medicine bag identification information to the medicine bag based on the prescription information;
Obtain the medicine code read from the medicine bag and a medicine code identifying the medicine, which medicine is read from the medicine put into the medicine bag among the medicine dispensed based on the prescription, and the medicine A determination process of determining whether the medicine corresponding to the medicine code is a medicine compatible with the medicine bag to be placed in the medicine bag corresponding to the medicine code based on the code, the medicine bag code, and the prescription information;
The medicine bag inspection program which makes the medicine bag inspection device which is a computer perform the display processing which displays the decision result by the above-mentioned judgment processing on a display.

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