JP2019135633A - Pharmaceutical product management system and pharmaceutical product management method - Google Patents

Abstract

To provide a technology, for pharmaceutical products, such as vaccines and anesthetics, that can stock the appropriate amount, types, and quality of anesthetics and administer the anesthetics to patients.SOLUTION: A pharmaceutical product management system comprises: receiving means that temporarily receives one or more pharmaceutical products in use of the one or more pharmaceutical products; a first identifier that is given to each of the one or more pharmaceutical products; a second identifier that is given to the receiving means; identification means that identifies the one or more pharmaceutical products with the first identifiers and identifies the receiving means with the second identifier; and storage means that stores the one or more pharmaceutical products and the receiving means receiving the pharmaceutical products, which are identified by the identification means, in association with each other.SELECTED DRAWING: Figure 3

Description

  The present invention relates to a pharmaceutical management system and a pharmaceutical management method.

  In medical institutions such as pediatric clinics where children are treated and examined as patients, there are many opportunities to administer vaccines (vaccinations) to patients. And in such a medical institution, it is necessary to deal with the patient while confirming a number of check items with a limited staff, and inconveniences such as incorrect administration of vaccine, expiration, and inadequate temperature management may occur was there. Administering such a vaccine has been an important problem because it not only violates the standards stipulated by the Pharmacopoeia Law and vaccination rules, but may also lead to the health damage of the children who are patients.

  Many of the vaccines listed above are not very expensive, but they are limited in production and distribution by pharmaceutical manufacturers, are cold storage products, have a short expiration date, and cannot be returned. It was difficult to maintain. In addition, because there are few pharmaceutical manufacturers that supply products, the balance between supply and demand has been disrupted due to unexpected increases in demand or lack of certification, and in some cases, the required amount of vaccine has not been supplied to medical institutions. In addition, the burden of inventory on vaccines and disposal risks posed by local governments and medical institutions were also issues.

  Furthermore, as mentioned above, it is difficult to properly maintain the quantity and type of inventory at medical institutions, so it is easy for veterinarians who are patients to be vaccinated when their physical condition is good. There was a problem that the degree of freedom of going to hospital was low because he could not go. Thus, in medical institutions, there is an increasing demand for a technology that enables safe, safe and efficient patient administration, as well as the availability of vaccines of appropriate amounts, types and quality.

  On the other hand, a relatively large medical institution may have risks such as theft and security regarding the management of anesthetics during surgery. In addition, there is a fact that many burdens are imposed on the expiration date management (3 to 4 days after preparation) of the injection after mixing. Further, in medical institutions, there is a task of listing the types and amounts of anesthetics required for each operation in advance, setting them in the drug department, and preparing them in the operating room in advance. In addition, there is a task of confirming the use status (product, quantity, lot deadline, etc.) of the set anesthetic collected after the operation and replenishing the shortage for the next operation. And the pharmacy department, the SPD staff, etc. devote a lot of work time for the setting work of this anesthetic. Thus, in medical institutions, there is an increasing demand for a technology that enables stock and safe, efficient and efficient stock, quality, ordering, and billing management of an anesthetic with an appropriate amount, type, and quality.

Japanese Patent No. 6235650

  The present invention has been made to solve the above-mentioned problems, and its purpose is to make it possible to store an appropriate amount, type and quality of anesthetics and to administer them to patients, such as vaccines and anesthetics. Is to provide technology.

The present invention has been made to solve the above problems, and a storage means for temporarily storing one or a plurality of medicines,
A first identifier applied to each of the one or more medicinal products;
A second identifier applied to the storage means;
Identifying means for identifying the one or more pharmaceuticals by the first identifier and identifying the storage means by the second identifier;
Storage means for associating and storing the one or more medicines identified by the identification means and the storage means storing the medicines;
A pharmaceutical management system characterized by comprising:

  That is, in the present invention, the medicines are set and stored in the storage means, the medicines stored in the storage means are individually identified by the identification means, and the identification means is identified by the identification means. Alternatively, a plurality of medicines and the storage means storing the medicines are stored in association with each other. This makes it possible to efficiently perform management when using and replenishing the medicine.

The present invention further includes a third identifier that is given to a patient who has used the one or more medicines,
The identification means identifies the patient by the third identifier;
The storage means may store the one or more medicines identified by the identification means, the storage means storing the medicines, and the patient using the medicine in association with each other.

  According to this, it becomes possible to manage the medical supplies that are set and stored in the storage means in association with the patient to be further used. According to this, it is possible to reduce the risk of misidentifying a patient who uses a medicine managed in a set and to improve the accuracy of administration of the medicine to the patient.

  In the present invention, the medicinal product to the patient is stored on the basis of the relationship between the one or more medicinal products and the patient in which the medicinal product is used. You may make it further provide the plan preparation means which produces a use plan. According to this, it becomes possible to automatically create a subsequent use plan of a medicine based on accurate administration information to a patient, and an accurate plan can be made more efficiently.

  In the present invention, the medicine is a vaccine for vaccination, the storage means is a vaccination tray provided for each patient, and the third identifier is a patient card (diagnosis) given to the patient. Or a third identifier may be given to the ticket). According to this, by storing and managing the vaccine in the vaccination tray, physical misperception can be reduced, and the relationship between these and the patient who administers them can be automatically managed, and the vaccine It is possible to reduce the risk of misadministration.

  Further, in the present invention, the identifying means distinguishes the storing means before and after using the medicine and the medicine stored in the storing means, thereby using the medicine stored in the storing means. A used medicine detection means for detecting the used medicine may be further provided. According to this, it is possible to more easily determine and record whether or not an appropriate drug has been used for a patient, and improve the accuracy of drug management.

Further, in the present invention, based on the content detected by the used medicine detection means,
You may make it further provide the supplement information creation means which creates the information for supplement of the said used pharmaceutical. According to this, replenishment can be automatically promoted for the medicine excluded from the storage means by being used for the patient, and the stock of the medicine can be appropriately maintained.

  Further, in the present invention, the storage means stores stored medicine information which is information on a combination of medicines to be stored in the storage means, and the medicine stored in the storage means and the stored medicine information You may make it further provide the incorrect accommodation detection means which detects a difference. According to this, it becomes possible to automatically determine whether or not all of the medicines scheduled to be stored in the storage means are actually stored.

  Further, in the present invention, the apparatus may further include an availability determination unit that determines whether or not the drug is usable based on an expiration date and / or storage state of the drug stored in the storage unit. . According to this, it becomes possible to automatically prevent an unusable medicine from being erroneously administered to a patient due to the expiration of the use period or the inappropriate use state.

Further, in the present invention, environmental maintenance storage means for storing the pharmaceutical while maintaining the environmental conditions according to the pharmaceutical,
Storage environment detection means for acquiring information on the environmental conditions in the environment maintenance storage means;
Storage state detection means for detecting that the medicine is stored by the environmental maintenance storage means,
The availability determination unit may determine whether or not the medicine is usable based on detection information from the storage environment detection unit and the storage state detection unit.

  Here, as described above, strict environmental management is required for many types of pharmaceutical products. In addition, it is difficult to administer a drug that has been exposed to an environment that deviates from the environmental conditions required for that drug.

  On the other hand, in the present invention, it is assumed that the medicine is stored in an environmental maintenance storage means for storing the medicine while maintaining the environmental conditions corresponding to the medicine. Then, the environmental conditions in which the drug is required by the information from the storage environment detection means for acquiring information on the environmental conditions in the environmental maintenance storage means and the storage state detection means for detecting that the medicine is stored by the environmental maintenance storage means. Information on the time of exposure to an environment that is out of the range and the extent to which it is out of the required environmental conditions is obtained, and based on this information, it is determined whether or not the medicine can be used. According to this, it is possible to objectively evaluate the deterioration of the quality of the medicine based on clear data, and to determine whether or not the medicine can be used based on an accurate basis from the viewpoint of maintaining the quality. It becomes possible. In the present invention, the environmental conditions include, for example, ambient temperature, humidity, illuminance, atmospheric pressure, impact, vibration, and the like.

Further, in the present invention, an environmental maintenance transport means capable of transporting the pharmaceutical product while maintaining the environmental conditions corresponding to the pharmaceutical product, and a transport environment detection for acquiring information on the environmental condition in the environmental maintenance transport means And a conveyance state detection means for detecting that the medicine is being conveyed by the environmental maintenance conveyance means,
The availability determination unit determines whether the medicine is usable based on detection information by the storage environment detection unit, the transport environment detection unit, the storage state detection unit, and the transport state detection unit. It may be.

Here, in order to ensure that the above-mentioned medicines can be used reliably, the medicines are not only stored at the required environmental conditions in distributors and medical institutions, but also from manufacturers and distributors and distributors. Even while moving to a medical institution or the like, it is necessary to transport the medicine while maintaining the required environmental conditions. Furthermore, to accurately detect the time and / or degree of exposure to an environment outside the required environmental conditions after the drug is shipped from the manufacturer, the distributor In addition, it is necessary to check not only the storage state of pharmaceuticals in medical institutions, but also the state during transportation from manufacturers to distributors and from distributors to medical institutions.

  Therefore, in the present invention, an environmental maintenance transport means capable of transporting a medicine while maintaining the environmental conditions according to the medicine, and a transport environment detection means for acquiring information on the environmental condition in the environmental maintenance transport means, And a conveyance state detection means for detecting that the medicine is being conveyed by the environmental maintenance and conveyance means, wherein the usability determination means is the storage environment detection means, the conveyance environment detection means, and the storage state detection. From the detection information by the means and the transport state detection means, it is determined whether or not the medicine can be used.

  According to this, after the pharmaceutical product is shipped from the manufacturer, it is possible to more accurately detect the time when the pharmaceutical product is exposed to the environment outside the required environmental conditions and / or the degree of deviation from the required environmental condition. It becomes possible to determine whether or not the medicine can be used more accurately.

The present invention also includes storage means for temporarily storing one or a plurality of medicines,
A first identifier applied to each of the one or more medicinal products;
A second identifier applied to the storage means;
Identifying means for identifying the one or more pharmaceuticals by the first identifier and identifying the storage means by the second identifier,
The medicine management method may be characterized in that the one or more medicines identified by the identification means and the storage means storing the medicines are associated and managed.

  The present invention further includes a third identifier assigned to a patient who has used the one or more pharmaceuticals, wherein the identification means identifies the patient by the third identifier, and the identification means The pharmaceutical management method according to the above, characterized in that, based on the relationship between the identified one or more pharmaceuticals and the patient using the pharmaceutical, a plan for using the pharmaceuticals for the patient is created. Also good.

  In the present invention, the medicinal product is a vaccine for vaccination, the storage means is a vaccination tray provided for each patient, and the third identifier is applied to a patient card given to the patient. The pharmaceutical management method described above may be used. The vaccination tray may be in the form of a box or a shelf.

  Further, the present invention can be used among the medicines stored in the storage means by identifying the storage means before and after use of the medicine and the medicines stored in the storage means by the identification means. The pharmaceutical management method described above may be characterized in that the pharmaceutical is managed.

  Further, the present invention can be used among the medicines stored in the storage means by identifying the storage means before and after use of the medicine and the medicines stored in the storage means by the identification means. The pharmaceutical management method described above may be characterized in that information for supplementation of the used medicine is created based on the detected content.

  Further, the present invention stores stored medicine information that is information on a combination of medicines to be stored in the storage means, and detects a difference between the medicine stored in the storage means and the stored medicine information. Thus, the pharmaceutical management method described above may be characterized in that erroneous storage is detected.

  Further, the present invention is the above-mentioned pharmaceutical management method, wherein it is determined whether or not the medicine can be used based on an expiration date and / or storage state of the medicine stored in the storage means. May be.

  Further, the present invention provides an environmental maintenance storage means for storing the pharmaceutical product while maintaining environmental conditions corresponding to the pharmaceutical product, a storage environment detection means for acquiring information on the environmental condition in the environmental maintenance storage device, and the pharmaceutical product Whether or not the medicine can be used based on detection information by the storage environment detection means and the storage state detection means. The pharmaceutical management method described above may be characterized by determining whether or not.

  In addition, the present invention provides an environmental maintenance and transportation means capable of transporting the medicine while maintaining the environmental conditions according to the medicine, and a transportation environment detection means for acquiring information on the environmental condition in the environmental maintenance and transportation means. And a transport state detection means for detecting that the medicine is transported by the environmental maintenance transport means, the storage environment detection means, the transport environment detection means, the storage state detection means, The medicine management method described above may be characterized in that it is determined whether or not the medicine can be used on the basis of detection information by the transport state detection means.

  In the present invention, the above means can be used in combination as much as possible.

  According to the present invention, it is possible to maintain an appropriate amount, type, and quality of pharmaceuticals such as vaccines and anesthetics and to administer an appropriate amount, type, and quality to a patient.

It is a figure which shows about management of the pharmaceutical from the pharmaceutical manufacturer which concerns on the Example of this invention to a medical institution. It is a figure which shows the outline of the hardware constitutions of the basic server in the Example of this invention. It is a figure shown about management of the vaccine of the medical institution in Example 1 of this invention. It is a figure which shows the example of the vaccine administration schedule table in Example 1 of this invention. It is a flowchart about the first half part of the management of the vaccine of the medical institution in Example 1 of this invention. It is a flowchart about the latter half part of the management of the vaccine of the medical institution in Example 1 of this invention. It is a functional block diagram of the pharmaceutical management system in Example 1 of this invention. It is a figure shown about management of the anesthetic of the medical institution in Example 2 of the present invention. It is a figure shown about the anesthetic set table in Example 2 of this invention. It is a figure shown about the function of the distributor in Example 2 of this invention. It is a functional block diagram of the pharmaceutical management system in Example 2 of this invention.

[Example 1]
Hereinafter, Example 1 of the present invention will be described in detail with reference to the drawings. In FIG. 1, the distribution | circulation aspect of the pharmaceutical 5 in the pharmaceutical management system based on a present Example is shown. In FIG. 1, the actual distribution route of the medicine 5 is indicated by a solid line arrow, and the information route is indicated by a broken line arrow. In FIG. 1, block 1 indicates a pharmaceutical manufacturer, block 2 indicates a distributor, block 3 indicates a medical institution such as a hospital, a clinic, or an insurance pharmacy. A block 4 indicates a patient who receives a medicine in the medical institution 3. Note that the distributors in FIG. 1 may include all of the traders that intervene between the pharmaceutical manufacturer 1 and the medical institution 3 such as wholesalers and transporters. In addition, the pharmaceutical manufacturer 1 or the insurance pharmacy may play the role of the distributor 2 by itself.

  Since pharmaceuticals 5 such as vaccines produced by the pharmaceutical manufacturer 1 are required to be subjected to strict temperature control, they are purchased by the distributor 2 in a state of being stored in a cold storage container 6 capable of temperature management during movement. In addition, the medicine 5 is stored in the distributor 2 in a state in which the temperature is controlled in the refrigerated storage 7 until it is sold by the distributor 2. When the sales destination medical institution 3 or the like is decided, the medicine 5 is delivered from the refrigerated storage 7 and transported to the medical institution 3 again while being stored in the cold container 16. In the medical institution 3 or the like, the medicine 5 is taken out from the cold storage container 16 and stored in the refrigerated storage 17. Further, when administered to the patient 4, it is delivered from the refrigerated storage 17 and administered.

  In the present embodiment, the identification element 5a in which the ID of the medicine 5 is recorded is attached to the medicine 5 (the medicine itself or the medicine packaging). Moreover, the reading sensor 6a which can detect the identification information of the pharmaceutical 5 by the identification element 5a and the temperature sensor 6b which can acquire the internal temperature history information are attached to the cold storage container 6 as an environmental maintenance transportation means. The output signals of the reading sensor 6a and the temperature sensor 6b are transmitted to the information management device 8 by wireless communication and recorded as necessary. Thereby, the information about whether or not the medicine 5 having a predetermined ID is stored in the cold container 6 and the temperature history information in the cold container 6 can be recorded in real time.

  As a result, it is possible to detect that the drug 5 is reliably stored in the cold container 6 during the transfer of the drug from the drug manufacturer 1 to the distributor 2, and it is possible to detect the temperature history in the cold container 6. It has become. Similarly, the reading sensor 16a and the temperature sensor 16b can detect that the medicine 5 is reliably stored in the cold container 16 during the movement of the medicine 5 between the distributor 2 and the medical institution 3 or the like. Moreover, the temperature history in the cold container 16 can be detected.

  In the pharmaceutical management system shown in FIG. 1, the refrigerated storages 7 and 17 provided in the distributor 2 and the medical institution 3 also have the reading sensors 7a and 17a that can detect the identification information of the pharmaceutical 5 by the identification element 5a. Temperature sensors 7b and 17b that can acquire temperature history information are attached. The output signals of the reading sensors 7a and 17a and the temperature sensors 7b and 17b are transmitted and recorded in real time to the information management device 8 by wireless communication. Thereby, information on whether or not the medicine 5 having a predetermined ID is stored in the refrigerated storages 7 and 17 and the temperature history information in the refrigerated storages 7 and 17 can be recorded in real time. .

  In the above description, the identification element 5a and the reading sensors 7a and 17a constitute storage state detection means. The identification element 5a and the reading sensors 6a and 16a constitute transport state detection means. Moreover, the temperature sensors 6b and 16b are corresponded to a conveyance environment detection means. The temperature sensors 7b and 17b correspond to storage environment detection means. The refrigerated storages 7 and 17 in the present embodiment are not limited to the box type, and may be a room unit such as a cold storage room or a floor unit.

  Here, the identification element 5a may be, for example, an IC tag or an RFID tag (including both active and passive methods). In this case, the reading sensors 6a, 16a, 7a, and 17a are RFID readers. Also good. Further, the identification element 5a and the reading sensors 6a, 16a, 7a, and 17a may be configured by devices capable of short-range wireless communication such as Bluetooth (registered trademark). In addition, the identification element 5a may be a device that emits a magnetic field or light that can be identified by the ID of the medicine 5. In this case, the reading sensors 6a, 16a, 7a, and 17a are magnetic sensors and optical sensors. Also good. Furthermore, the identification element 5a does not have to actively transmit a signal such as an electromagnetic field or light, and may be, for example, a label printed with a bar code or a QR code (registered trademark). In this case, the reading sensors 6a, 16a, 7a, and 17a may be bar code readers or QR code (registered trademark) readers.

  Further, as described above, the reading sensors 6a, 16a, 7a, and 17a and the temperature sensors 6b, 16b, 7b, and 17b are provided with a communication function, and the information management device 8 has information on the ID and location of the medicine 5 and temperature history information. May be received in real time, and each information may be received and recorded in the information management device 8, but the reading sensors 6a, 16a, 7a, 17a and the temperature sensors 6b, 16b, 7b, 17b themselves, the cold storage containers 6, 16 Alternatively, the refrigerated storages 7 and 17 may be provided with a storage function so that each information is recorded and accumulated independently.

  In the present embodiment, with the above configuration, the distribution process from the pharmaceutical manufacturer 1 to the distributor 2 after the pharmaceutical 5 is manufactured, stored, and shipped (purchased from the distributor 2) by the pharmaceutical manufacturer 1, the distributor 2 In the storage process, the distribution process from the distributor 2 to the medical institution 3, and the storage process in the medical institution 3, the medicine 5 is surely stored in the cold storage containers 6, 16 or the refrigerated storage 7, 17 and is appropriate. It is possible to confirm whether or not temperature management has been performed.

  In addition, in the above, the pharmaceutical 5 may be subdivided into smaller units, as will be described later, one sheet, one tablet or one (in the case of a vial, ampoule, syringe, etc.), or the like. A plurality of types of medicines may be packaged in sets. In this case, the identification element 5a may be attached to each divided medicine or each divided case, for example.

  Here, the information management apparatus 8 of FIG. 1 is provided with a backbone server 8a and an intermediate server 8b as servers for managing information related to the distribution of the medicine 5 in the distributor 2. The core server 8a is information related to processing from the order of the medicine 5 from the medical institution 3 by the distributor 2 to the delivery of the medicine 5 to the medical institution 3, the information on the inventory of the distributor 2, the information on the packaging change and the recall. A server that manages information related to billing processing. It also manages information related to automatic replenishment, payout request, etc. when returning from the medical institution 3.

  On the other hand, the intermediate server 8b receives sales information (sales price, customer information, transaction conditions, etc.), which is information obtained from the core server 8a of the distributor 2, as well as from the cold storage container server 8c and the refrigerated storage server 8d described later. It is a server that manages information. The intermediate server 8b is information related to the ID, location or presence / absence (including positional information during transportation, inventory information in the refrigerated storage 7 and stock information due to withdrawal), etc. from the cold storage container server 8c and the refrigerated storage server 8d. In addition, the processing of the temperature history information and the information related to the return / resale process of the medicine 5 in this embodiment is performed, and sales information and the like are exchanged with the backbone server 8a.

Furthermore, the intermediate server 8b provides information to the pharmaceutical manufacturer 1 as necessary. For example, information and temperature history regarding the ID, location, or presence / absence (including position information during transportation, inventory information in the refrigerated storage 7 and inventory information by dispensing) from the cold storage container server 8c and the refrigerated storage server 8d Information is shared between the intermediate server 8b and the pharmaceutical manufacturer 1. Accordingly, it is possible to receive determination, advice, additional information, etc. from the pharmaceutical manufacturer 1 in determining whether or not the pharmaceutical 5 can be used. As a result, it is possible to improve the accuracy of the determination of availability and shorten the period required for the determination.

  The cold storage container server 8c is a server that collects information from the cold storage containers 6 and 16, and receives and stores output signals from the reading sensors 6a and 16a and the temperature sensors 6b and 16b in real time. For example, in the distribution route of the medicine 5 between the distributor 2 and the medical institution 3 in the present embodiment, more specifically, the container ID and the product identifier ID from the cold storage container 16 to the cold storage container server 8c. , Time information, position information, and temperature history information are transmitted. Further, shocks, network information, etc. may be transmitted. These pieces of information are transmitted from the cold storage container server 8c to the intermediate server 8b owned by the distributor 2.

  On the other hand, the refrigerated storage server 8d is a server that collects information from the refrigerated storages 7 and 17, and receives and stores output signals from the reading sensors 7a and 17a and the temperature sensors 7b and 17b in real time. For example, in this embodiment, the storage ID, product identifier ID, time information, position information, temperature, network information from the reading sensor 17a of the refrigerated storage 17 of the medical institution 3 to the refrigerated storage server 8d. , Warehousing and consumption information is sent. Then, similar information is transmitted from the refrigerated storage server 8d to the intermediate server 8b owned by the distributor 2.

  In addition, the place where each server in the information management apparatus 8 is installed is not particularly limited. For example, all of the servers 8a to 8d may be installed in the facility of the distributor 2, or the backbone server 8a and the intermediate server 8b are installed in the facility of the distributor 2, as shown in FIG. The server 8c may be installed in the facility of the management company of the cold storage containers 6 and 16, and the refrigerated storage server 8d may be installed in the management company of the refrigerated storage 7 and 17. In addition, each server in the information management device 8 is the same line as the system used by the medical institution 3 (electronic medical record, ordering system, receipt processing system, electronic medicine history, electronic medicine notebook, etc.), or an independent line. It may be connected by the Internet or a telephone line. All or some of the servers may be installed on the cloud.

  In the above pharmaceutical management system, the temperature of the pharmaceutical 5 is controlled using the cold containers 6 and 16 when the pharmaceutical 5 is moved between the pharmaceutical manufacturer 1 and the distributor 2 and between the distributor 2 and the medical institution 3. However, the environmental maintenance transportation means in the present invention is not limited to this. For example, the medicine 5 may be stored and transported directly in a refrigerator in a refrigerator car, a freezer in a freezer car, a dedicated vehicle for cold storage, a cargo bed of an aircraft, or a ship. However, in this case, it is desirable to manage and record the transfer time and temperature of the medicine 5 between the refrigerator car, the refrigerator car, and the refrigerator storages 7 and 17. The medical institution 3 purchased and returned to the distributor 2 or the pharmaceutical manufacturer 1 of the medicine 5 with the ownership, or the transportation of the medicine 5 from the insurance pharmacy to the insurance pharmacy, etc. It is desirable for the trucking business operator to implement it based on the Road Transportation Law and the Trucking Truck Business Law with facilities and systems. In addition, about the attachment place to the pharmaceutical 5 of the identification element 5a, the manufacturing factory and storage facility of the pharmaceutical manufacturer 1 may be sufficient, and the country is not specifically limited.

FIG. 2 is a schematic configuration diagram showing a hardware configuration of the backbone server 8a. As shown in FIG. 2, the backbone server 8a includes network interface devices such as a central processing unit (CPU) 80a, a random access memory (RAM) 80b, a hard disk drive (HDD) 80c, such as a network interface card (NIC) 80d. Prepare. The HDD 80c stores an OS (Operating System) and application software programs, and the CPU 80a executes these programs to provide the functions described in this specification. The backbone server 8a does not need to be configured by a single computer, and the backbone server 8a may be realized by a plurality of computers cooperating via a network. The intermediate server 8b, the cold storage container server 8c, and the refrigerated storage server 8d basically have the same hardware configuration. The same applies to management servers 43a and 53a described later.

  Next, consider a case where a vaccine 45, which is an example of a medicine 5, is administered to a patient 4 in a medical institution 3. In the medical institution 3 or the like, it is necessary to secure an appropriate amount, quality, and type of vaccine as an inventory, and to administer an appropriate amount, quality, and type of vaccine to the patient 4 at an appropriate time.

  In contrast, in this embodiment, as shown in FIG. 3, in the medical institution 3 or the like, a vaccination tray 46 is prepared for each patient, and the vaccine 45 to be administered to the patient 49 is stored in the vaccination tray 46. . Identification elements 45 a for identifying individual vaccines 45 are attached to the vaccines 45, and identification elements 46 a for identifying individual immunization trays 46 are attached to the immunization trays 46. The patient 49 is provided with a patient card 48 to which an identification element 48a is attached. The patient 49 can identify the patient 49, for example, by placing the patient card 48 on the neck. Here, the identification element 45a corresponds to a first identifier. The identification element 46a corresponds to a second identifier. The identification element 48a corresponds to a third identifier.

  Then, as a pre-inoculation check, the identification element 45a of the vaccine 45, the identification element 46a of the vaccination tray 46, and the identification element 48a of the patient card 48 are detected using a handy terminal type reading sensor 46b which is an example of identification means. These contents information are stored as a combination in the HDD of the management server 43a installed in the medical institution 3 or the like. Thus, it is possible to record patient-specific vaccine administration data indicating which vaccine was administered to a specific patient 49 at which time. The HDD of the management server 43a stores a vaccine administration schedule table that stores the patient name, the scheduled vaccine, and the administration time in association with each other, and compares the patient-specific vaccine administration data with the vaccine administration schedule table. Thus, it is possible to determine whether or not the vaccine is appropriately administered to the patient 49. FIG. 4 shows an example of a vaccine administration schedule table.

  Next, the pharmaceutical management process according to the present invention will be described with reference to the flowcharts shown in FIGS. When the management according to the present invention is executed, first, in S101, the patient 49 determines whether or not the vaccine administration time has come. More specifically, the child guardian who is the patient 49 may confirm it with, for example, a mother-child notebook or the like, and the medical institution 3 etc. determines the arrival of the vaccine administration time based on the data of the above-mentioned vaccine administration schedule table. The parent of the patient 49 may be contacted. Here, when it is determined that the vaccine administration time has not arrived, the process of S101 is repeatedly executed by returning to before S101. On the other hand, if it is determined that the vaccine administration time has arrived, the process proceeds to S102.

  In S102, the patient 49 visits the medical institution 3 or the like. In step S103, the patient 49 is confirmed. More specifically, the name, age, sex, past administration history, basic disease, allergies, physical condition such as body temperature at the visit, etc. are confirmed. In S104, a patient card 48 is lent to the patient 49. The patient card 48 can be worn from the neck of the patient 49 so that the patient 49 can wear the patient card 48. As described above, the identification card 48a on which the patient ID is recorded is mounted on the patient card 48, whereby the patient 49 is given the patient ID 48.

When it is determined in S101 that the vaccine administration time has come, the process of S105 is executed in parallel with the process of S102. In S105, the refrigerator storage 47 is unlocked. At that time, the worker ID is input from the input device of the refrigerated storage 47 and the unlocking is read by the reading sensor 47a, so that the worker ID and the unlocking date are transmitted to the refrigerated storage server 8d. . At that time, the operator ID and the unlocking date may be transmitted to the management server 43a of the medical institution 3 or the like.

  Next, in S106, the vaccine 45 to be administered this time is taken out from the refrigerated storage 17. At that time, the ID of the identification element 45a attached to the vaccine 45 is read by the reading sensor 17a and transmitted to the refrigerated storage server 8d. Here, at this time, the ID of the identification element 45a may also be transmitted to the management server 43a of the medical institution 3 or the like. In step S107, the extracted vaccine 45 is stored in the vaccination tray 46, which is an example of a storage unit.

  Next, in S108, the content of the identification element 48a of the patient card 48 is read by the handy terminal type reading sensor 46b. Further, the contents of the identification element 46a of the vaccination tray 46 and the contents of the identification element 45a of the vaccine 45 are read. Thereby, the patient ID of the patient 49, the vaccination tray 46 used for the patient 49, and the vaccine 45 administered to the patient 49 are related to each other in the HDD of the management server 43a of the medical institution 3 or the like. Remembered. Then, when the process of S108 is completed, the process proceeds to S109. Here, the HDD of the management server 43a constitutes a storage means.

  In S109, the relationship between the patient 49 related to the read patient ID, the vaccination tray 46 related to the read tray ID, and the vaccine 45 related to the read pharmaceutical ID is the relationship between the patient 49 according to the questionnaire obtained in S103. It is determined whether the information and the contents described in the vaccine administration schedule table as an example of a use plan prepared in advance for the patient 49 are consistent. If it is determined that the content read by the handy terminal type reading sensor 46b matches the information of the patient 49 and the content of the vaccine administration schedule table, the process proceeds to S110. On the other hand, if it is determined that the read content does not match the content of the vaccine administration schedule table, the process proceeds to S111. Further, the reading sensor 46b may be a stationary type or a gate type.

  In S111, the refrigerated storage 17 is unlocked again, and the vaccine 45 stored in the immunization tray 46 is re-stored in the refrigerated storage 17 in S112. And the process of S105-S109 is performed again. In S109, the processes of S105 to S119, S111, and S112 are repeatedly executed until it is determined that the content read by the handy terminal type reading sensor 46b matches the information of the patient 49 and the content of the vaccine administration schedule table. The Further, the reading sensor 46b may be a stationary type or a gate type.

  In S110, the vaccine 45 is administered to the patient 49. In S113, the data and the date when the vaccine 45 was administered to the patient 49 are transferred to the management server 43a and stored in the vaccine administration schedule table. In step S114, the administration server 43a issues the administration schedule table for the vaccine 45 for the next and subsequent times according to the contents of the vaccine administration schedule table. The management server 43a at this time corresponds to a plan creation means. This is handed to the child guardian who is patient 49. In S115, the schedule for the next visit is registered in the visit reservation system provided separately from the vaccine administration schedule table in the management server 43a. Here, the management server 43a constitutes a plan creation means.

After completing the administration of the vaccine 45 to the patient in S110, the process of S120 is executed in parallel with the process of S113. In S120, it is determined in the intermediate server 8b of the distributor 2 whether the number of stocks set in the refrigerated storage 17 is greater than or equal to the order point. Here, if the number of stocks set in the refrigerated storage 17 is greater than or equal to the order point, this routine is once terminated.

  On the other hand, if the stock quantity in the refrigerated storage 17 is less than the order point, the process proceeds to S121. In S <b> 121, the vaccine 45 to be stocked is shipped to the refrigerated storage 17. At that time, the product name, standard capacity, expiration date, storage environment and identifier ID of the vaccine 45 to be shipped are associated with each other. When S121 ends, the process proceeds to S122. In S122, it is determined whether or not the set number of vaccines 45 in the warehouse in the distributor 2 is greater than or equal to the order point. Here, when the number of vaccines 45 set in the warehouse of the distributor 2 is equal to or more than the order point, this routine is temporarily ended. On the other hand, when the stock number of vaccines 45 in the warehouse is less than the order point, the process proceeds to S123, and the vaccine 45 is ordered from the pharmaceutical manufacturer 1. In addition, after the vaccine 55 is shipped to the refrigerated storage 17 in S121, the vaccine 45 is delivered to the refrigerated storage 17 in S124 in parallel with the processing in S122. When the processing of S124 is finished, this routine is once finished.

  In S109 of the above flowchart, whether or not the vaccine 45 can be used may be determined from the read-out drug ID and the expiration date of the vaccine 45 and the temperature history before being stored in the refrigerated storage 47. If it is determined that the vaccine 45 cannot be used, the vaccine 45 is discarded and the process returns to S105. In this case, the management server 43a corresponds to an availability determination unit.

  As described above, in the present embodiment, in the medical institution 3 or the like, it is possible to reliably administer the vaccine 45 to be administered at that timing to the patient 49 based on the vaccine administration schedule table. Become. At the same time, the type, amount, and availability of the vaccine 45 can be determined. This makes it possible to prevent erroneous administration, expiration, and quality deviation administration of the vaccine 45 more reliably. In this embodiment, the medicine management system 10 includes the cold storage containers 6 and 16, the refrigerated storages 7 and 17 (47), the information management device 8, the management server 43a, the vaccination tray 46, and the handy terminal type reading sensor 46b. , Including a patient card 48. However, the present invention can also be applied to a system that does not perform temperature management of pharmaceuticals in the cold containers 6 and 16 and the refrigerated storage 7. That is, the system configuration used until the medicine 45 is stored in the refrigerated storage 47 of the medical institution 3 is not essential. Further, the reading sensor 46b may be a stationary type or a gate type. In addition, in FIG. 7, the example of the functional block diagram of the pharmaceutical management system 10 concerning a present Example is shown.

[Example 2]
Next, a second embodiment of the present invention will be described. In this embodiment, an example in which the present invention is applied to management of anesthetics in a relatively large medical institution will be described. In FIG. 8, it shows about the pharmaceutical management in a present Example. The anesthetic 55, which is an example of the pharmaceutical 5 in the present embodiment, is premised on the necessity of refrigeration storage. In this case, the refrigerated storage 17 is not necessarily required, or the power of the refrigerated storage 17 may be turned off, and the anesthetic 55 in the medical institution 3 is stored on the constant shelf 57. The constant shelf 57 is provided with a reading sensor 57a so that reading can be performed for taking out and storing the anesthetic 55 from the constant shelf 57.

In this embodiment, as an advance preparation for the operation, the anesthetic 55 used for the operation is taken out from the constant shelf 57. The anesthetic 55 is set in advance and stored in an anesthetic tray 56 as a storage means. A plurality of types of anesthesia trays 56 are prepared according to the type of surgery. That is, the anesthetic 55 set in a pattern according to the type of operation is stored in the anesthesia tray 56 for each operation. A plurality of anesthesia trays 56 are prepared for each type and stored side by side on a tray shelf (not shown).

  An anesthesia tray 56 including the set anesthetic 55 is read by a handy terminal type reading sensor 56b as an identification means when the production is completed. Thereby, the contents of the identification element 55a attached to each anesthetic 55 and the identification element 56a attached to the anesthesia tray 56 are read and transmitted to the management server 53a. In the management server 53a, it is determined whether or not the read result is consistent with the content of the anesthetic set table created in advance and stored in the HDD as the storage device. Further, the reading sensor 56b may be a stationary type or a gate type.

  More specifically, in addition to whether the combination of the ID of each anesthetic tray 56 and the ID of the stored anesthetic is a planned combination, the drug name, standard capacity, lot deadline, and quantity of each anesthetic 55 Is also confirmed. And when the read result is consistent with the contents of the anesthetic set table, it is stored in the tray shelf. At that time, the expiration date of the anesthetic is also confirmed from the data of the anesthetic set table, and if an expired anesthetic is mixed, that fact is notified. In this case, the management server 53a functions as a usability determination unit. FIG. 9 shows an example of an anesthetic set table. Here, the information on the anesthetic set table corresponds to stored medicine information. In this case, the management server 53a functions as an erroneous storage detection unit.

  When an operation is performed in the medical institution 3 or the like, an anesthesia tray 56 of a type corresponding to the operation to be performed is selected and carried to the operating room. At this time, since the combination of the anesthetics 55 to be used is determined according to the type of surgery, the anesthesia tray 56 including the combination of the anesthetics 55 actually used in the surgery is selected. Of the anesthetics 55 stored in the anesthesia tray 56, the necessary types and amounts of the anesthetic 55 are used in the operation, and the anesthesia tray 56 in a state in which the anesthetic 55 remaining unused is stored is operated. Returned from the room. The returned anesthesia tray 56 and the remaining anesthetic 55 are scanned again by the handy terminal type reading sensor 56b. Then, the contents of the identification element 56a of the anesthesia tray 56 and the identification element 55a of the remaining anesthetic 55 are read, and the contents are transmitted to the management server 53a and referred to the contents of the anesthetic set table stored in the HDD. As a result, the anesthetic 55 used in the operation is specified. In this case, the management server 53a constitutes used medicine detection means. Further, the reading sensor 56b may be a stationary type or a gate type.

  And the content of the anesthetic 55 used in the surgery specified here is determined. More specifically, for each operation, whether or not the anesthetic 55 is used is confirmed by information such as the name of the medicine, standard capacity, lot time limit, quantity, and the content of the anesthetic set table. After the used anesthetic tray 56 is replenished with the used anesthetic 55 from the constant shelf 57 and returned to the state before the operation, the anesthetic tray 56 is stored in the tray shelf. At that time, the management server 53a creates a list of anesthetics to be used for each operation and sends it to necessary departments related to ordering, inventory, billing, etc. by e-mail or the like. For example, the management server 53a transmits information on the anesthetic 55 to be replenished from the constant shelf 57 to the anesthetic tray 56 to the distributor 2 and the insurance pharmacy. Then, the anesthetic 55 is automatically replenished to the constant shelf 57 by the distributor 2 or the insurance pharmacy. Information on the anesthetic 55 to be replenished at that time is information for replenishment of the medicine, and the management server 53a at that time functions as a replenishment information creating means.

In addition, as an example of the function of the distributor 2 in the management of the pharmaceutical of the present embodiment, the one shown in FIG. 10 can be considered. The distributor 2 has a distribution center 2a, an insurance pharmacy 2b, and a call center 2c. Then, the anesthetic 55 is delivered from the pharmaceutical manufacturer 1 to the distribution center 2a of the distributor 2. In the distribution center 2a, the anesthetic 55 is paid out to the medical institution 3 as usual. Alternatively, the anesthetic 55 that is redundant and can be reused in the medical institution 3 is collected. The distribution center 2a also supplies the anesthetic 55 to the in-house insurance pharmacy 2b.

  The insurance pharmacy 2b unpacks the anesthetic 55 supplied from the distribution center 2a, sets the anesthetic 55 necessary for each operation, stores it in the anesthetic tray 56, and pays it out to the medical institution 3 or the like. In addition, a set of anesthetic 55 that is redundant and reusable in the medical institution 3 is collected. In the medicine part 3a of the medical institution 3 or the like, as described above, the content of the anesthetic 55 stored in each anesthetic tray 56 is confirmed by the handy terminal type reading sensor 56b, and then paid out to the operating room 3b. In addition, the anesthesia tray 56 after use is collected in the operation. In addition, the medicine server 3a uses the management server 53a to manage the expiration date of each anesthetic 55, confirm the used anesthetic 55 after surgery, and determine the anesthetic 55 to be replenished. Further, the reading sensor 56b may be a stationary type or a gate type.

  In addition to the above, the call center 2c of the distributor 2 may provide the medical institution 3 with services such as centralized inventory management, consultation based on data analysis, and proposals for leveling operations between hospitals. Good.

  As described above, in this embodiment, when an anesthetic used for surgery is set and managed, an anesthetic set can be produced according to the anesthetic set table so that there is no error. In addition, detection, replenishment, and ordering of anesthetics used in surgery can be performed automatically and more accurately. In this embodiment, the medicine management system includes the cold storage containers 6 and 16, the refrigerated storage 7, the constant shelf 57, the information management device 8, the management server 53a, the anesthesia tray 56, and the handy terminal type reading sensor 56b. Composed. However, the present invention can also be applied to a system that does not perform temperature management of pharmaceuticals in the cold containers 6 and 16 and the refrigerated storage 7. That is, the system configuration used until the medicine 55 is stored in the constant shelf 57 of the medical institution 3 is not essential. Further, the reading sensor 56b may be a stationary type or a gate type. In FIG. 11, the functional block diagram of the pharmaceutical management system 20 concerning a present Example is shown.

  Further, in the description of the present specification, the description has been made on the premise of a medicine such as a vaccine and an anesthetic. Etc. may be applied.

DESCRIPTION OF SYMBOLS 1 ... Pharmaceutical manufacturer 2 ... Distributor 3 ... Medical institution, etc. 4 ... Patient 5, 45, 55 ... Pharmaceutical 5a, 45a, 46a, 55a, 56a ... Identification element 6, 16 ... Cold container 6a, 16a ... Reading sensor 6b, 16b ... Temperature sensor 7,17,47 ... Refrigerated storage 7a, 17a, 47a ... Reading sensor 7b, 17b, 47b ... Temperature sensor 8 ... Information management device 8a ... Core server 8b ... Intermediate server 8c ... Cold storage container server 8d ... Refrigerated storage server 10, 20 ... Pharmaceutical management system 43a, 53a ... Management server 46 ... Vaccination tray 46b, 56b ... Handy terminal type reading sensor 56 ... Anesthetic tray 80a ... CPU
80b ... RAM
80c ... HDD
80d ... NIC

Claims (20)

Storage means for temporarily storing one or more pharmaceuticals;
A first identifier applied to each of the one or more medicinal products;
A second identifier applied to the storage means;
Identifying means for identifying the one or more pharmaceuticals by the first identifier and identifying the storage means by the second identifier;
Storage means for associating and storing the one or more medicines identified by the identification means and the storage means storing the medicines;
A pharmaceutical management system comprising: A third identifier assigned to a patient for whom the one or more medicinal products have been used;
The identification means identifies the patient by the third identifier;
The storage means stores the one or more medicines identified by the identification means, the storage means in which the medicines are stored, and the patient in which the medicine is used in association with each other. The pharmaceutical management system according to claim 1.   A plan creation for creating a use plan of a medicine for the patient based on the relationship between the one or more medicines and the patient using the medicine identified by the identification means, stored by the storage means The pharmaceutical management system according to claim 2, further comprising means. The medicinal product is a vaccine for vaccination, and the storage means is a vaccination tray provided for each patient,
The pharmaceutical management system according to claim 3, wherein the third identifier is given to a patient card given to the patient.   Use for detecting used medicines among the medicines stored in the storage means by identifying the storage means before and after use of the medicines and the medicines stored in the storage means by the identification means The medicine management system according to any one of claims 1 to 4, further comprising medicine detection means. Based on the content detected by the used medicine detection means,
The pharmaceutical management system according to claim 5, further comprising supplementary information creating means for creating information for supplementing the used pharmaceutical. The storage means stores stored medicine information which is information of a combination of medicines to be stored in the storage means,
The pharmaceutical management system according to any one of claims 1 to 6, further comprising erroneous storage detection means for detecting a difference between the medicine stored in the storage means and the stored medicine information. .   8. The usability determining means for determining whether or not the medicine can be used based on an expiration date and / or storage state of the medicine stored in the storage means. The pharmaceutical management system according to any one of the above. Environmental maintenance storage means for storing the medicine while maintaining the environmental conditions according to the medicine;
Storage environment detection means for acquiring information on the environmental conditions in the environment maintenance storage means;
Storage state detection means for detecting that the medicine is stored by the environmental maintenance storage means,
9. The medicine management according to claim 8, wherein the usability judging means judges whether or not the medicine can be used based on detection information by the storage environment detecting means and the storage state detecting means. system. An environmental maintenance transport means capable of transporting the medicine while maintaining environmental conditions according to the medicine; a transport environment detection means for acquiring information on the environmental condition in the environmental maintenance transport means;
A transport state detecting means for detecting that the medicine is transported by the environmental maintenance transport means;
Further comprising
The availability determination unit determines whether the medicine is usable based on detection information by the storage environment detection unit, the transport environment detection unit, the storage state detection unit, and the transport state detection unit. The pharmaceutical management system according to claim 9, wherein: Storage means for temporarily storing one or more pharmaceuticals;
A first identifier applied to each of the one or more medicinal products;
A second identifier applied to the storage means;
Identifying means for identifying the one or more pharmaceuticals by the first identifier and identifying the storage means by the second identifier,
A pharmaceutical management method, wherein the one or a plurality of medicines identified by the identification means and the storage means storing the medicines are managed in association with each other. A third identifier assigned to a patient for whom the one or more medicinal products have been used;
The identification means identifies the patient by the third identifier;
12. The drug management method according to claim 11, wherein the one or more drugs identified by the identification means and the patient using the drug are managed in association with each other.   13. The use plan of the medicine for the patient is created based on the association between the one or more medicines identified by the identification means and the patient using the medicine. The pharmaceutical management method described. The medicinal product is a vaccine for vaccination, and the storage means is a vaccination tray provided for each patient,
The medicine management method according to claim 12 or 13, wherein the third identifier is given to a patient card given to the patient.   Managing the medicines used among the medicines stored in the storage means by identifying the storage means before and after use of the medicines and the medicines stored in the storage means by the identification means. The pharmaceutical management method according to any one of claims 11 to 14, wherein:   By identifying the storage means before and after the use of the medicine by the identification means and the medicine stored in the storage means, the used medicine among the medicines stored in the storage means is detected, The medicine management method according to any one of claims 11 to 14, wherein information for supplementing the used medicine is created based on the detected content. Storing stored medicine information which is information of a combination of medicines to be stored in the storage means;
The drug management method according to any one of claims 11 to 16, wherein erroneous storage is detected by detecting a difference between the drug stored in the storage means and the stored drug information. .   18. The method according to claim 11, wherein whether or not the medicine is usable is determined based on an expiration date and / or a storage state of the medicine stored in the storage unit. Pharmaceutical management method. Environmental maintenance storage means for storing the medicine while maintaining the environmental conditions according to the medicine;
Storage environment detection means for acquiring information on the environmental conditions in the environment maintenance storage means;
Storage state detection means for detecting that the medicine is stored by the environmental maintenance storage means,
The medicine management method according to claim 18, wherein it is determined whether or not the medicine is usable based on detection information by the storage environment detection means and the storage state detection means. An environmental maintenance transport means capable of transporting the medicine while maintaining environmental conditions according to the medicine; a transport environment detection means for acquiring information on the environmental condition in the environmental maintenance transport means;
A transport state detecting means for detecting that the medicine is transported by the environmental maintenance transport means, and
The storage environment detection unit, the transport environment detection unit, the storage state detection unit, and the detection information by the transport state detection unit determine whether or not the medicine can be used. 19. The pharmaceutical management method according to 19.