JP2021009730A - Medication guidance assistance system and medication guidance assistance program - Google Patents

Abstract

To provide a medication guidance assistance system and a medication guidance assistance program capable of assisting administration instruction work by a pharmacist.SOLUTION: The medication guidance assistance system 10 includes a display processing part 111 which can display a guidance item corresponding to a medicine included as a prescription medicine in a plurality of pieces of prescription data issued in a plurality of medical departments corresponding to one patient on a display screen, a reception processing part 112 which can receive a confirmation operation for each of the guidance items displayed by the display processing part 111, and a recording processing part 113 which classifies and records the confirmation result of each of the guidance items received by the reception processing part 112 for each of the medical treatment departments.SELECTED DRAWING: Figure 1

Description

The present invention relates to a medication guidance support system and a medication guidance support program that support medication guidance work performed by a pharmacist at a medical institution such as a hospital.

In medical institutions such as hospitals, prescription data is issued by inputting medical examination records and prescription contents into an electronic medical record system, etc., and drugs are dispensed based on the prescription data and delivered to patients. As for prescription data, a prescription audit system that automatically determines the suitability of the prescription content is known (see, for example, Patent Document 1).

Japanese Unexamined Patent Publication No. 2013-125377

By the way, when a pharmacist delivers a drug to a patient, the pharmacist performs medication guidance work including confirmation work of one or a plurality of predetermined guidance items corresponding to the drug and recording work of recording the confirmation result. For example, in medication guidance work, when a drug that may cause drowsiness is prescribed to a patient, precautions for driving a car or the like are communicated to the patient. In addition, the medication guidance work includes the act of the pharmacist self-confirming whether or not there is a problem with the patient's test results.

An object of the present invention is to provide a medication guidance support system and a medication guidance support program capable of supporting medication guidance work by a pharmacist.

The medication guidance support system according to the present invention is a display process capable of collectively displaying predetermined guidance items for drugs included as prescription drugs in a plurality of prescription data issued by a plurality of clinical departments corresponding to one patient. A unit, a reception processing unit capable of accepting confirmation operations for each of the guidance items displayed by the display processing unit, and a confirmation result for each of the guidance items received by the reception processing unit are recorded for each prescription data. It is provided with a possible recording processing unit.

The medication guidance support program according to the present invention collectively displays predetermined guidance items for drugs included as prescription drugs in a plurality of prescription data issued by a plurality of clinical departments corresponding to one patient on a computer. A display step, a reception step that accepts a confirmation operation for each of the guidance items displayed by the display step, and a recording step that records confirmation results for each of the guidance items received by the reception step for each prescription data. To execute.

According to the present invention, a medication guidance support system and a medication guidance support program capable of supporting medication guidance work by a pharmacist are realized.

FIG. 1 is a block diagram showing a configuration of a medication guidance support system according to an embodiment of the present invention. FIG. 2 is a diagram showing an example of guidance information used in the medication guidance support system according to the embodiment of the present invention. FIG. 3 is a flowchart showing an example of a procedure of medication guidance support processing executed by the medication guidance support system according to the embodiment of the present invention. FIG. 4 is a diagram showing an example of a display screen displayed by the medication guidance support system according to the embodiment of the present invention. FIG. 5 is a diagram showing an example of a display screen displayed by the medication guidance support system according to the embodiment of the present invention. FIG. 6 is a diagram showing an example of a display screen displayed by the medication guidance support system according to the embodiment of the present invention. FIG. 7 is a diagram showing an example of a display screen displayed by the medication guidance support system according to the embodiment of the present invention. FIG. 8A is a diagram showing an example of a display screen displayed by the medication guidance support system according to the embodiment of the present invention. FIG. 8B is a diagram showing an example of a display screen displayed by the medication guidance support system according to the embodiment of the present invention.

Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings for the purpose of understanding the present invention. The following embodiment is an example embodying the present invention, and does not limit the technical scope of the present invention.

[Medication guidance support system 10]
As shown in FIG. 1, the medication guidance support system 10 according to the embodiment of the present invention includes a server 1, a client terminal 2, a printer 3, and the like. The server 1, the client terminal 2, and the printer 3 are connected wirelessly or by wire via a communication network 4. The communication network 4 is a LAN, WAN, Internet, intranet, or the like. Further, a higher-level system 5 for inputting prescription data indicating prescription contents, patient data indicating patient information, and the like into the server 1 is connected to the server 1 via the communication network 4. The host system 5 is an electronic medical record system, an ordering system, a receipt system, or the like. The server 1 may be configured to actively read the prescription data and the patient data from the higher-level system 5.

The prescription data includes, for example, prescription issuance date (issue date), order number, prescription classification, BCD, user ID, user name, clinical department, user birth date, drug information (drug code, drug name). , Dosage, etc.), dosage form information (internal use, external use, etc.), usage information (including time of administration), clinical type (outpatient, hospitalization, etc.) and other information are included. When one patient visits a plurality of clinical departments on the same day and a drug is prescribed in each of the clinical departments, the prescription data is issued for each clinical department for that patient. Further, in the medication guidance support system 10, when an operation for starting dispensing based on the prescription data or an operation for inputting the medication date is performed, the operation date or the medication date is registered as the medication date in the prescription data. ..

[Printer 3]
The printer 3 is a color printer or a monochrome printer capable of executing a printing process of recording information included in print data input from the server 1 or the client terminal 2 via the communication network 4 on a sheet such as paper. It is an image forming apparatus of. For example, in a medical institution such as a hospital or a pharmacy, a prescription based on the prescription data may be printed by the printer 3. The printer 3 is also used in the medication guidance support system 10 for printing guidance items and the like described later.

[Server 1]
The server 1 is a computer including a control unit 11, a storage unit 12, a communication I / F 13, a display device 14, an operation device 15, a drive device 16, and the like. The server 1 may be provided outside a medical institution such as a hospital or a pharmacy in which the medication guidance support system 10 is used. Further, the server 1 may be an information processing device such as a smartphone, a tablet terminal, or a laptop computer.

The control unit 11 includes control devices such as a CPU, ROM, RAM, and EEPROM (registered trademark). The CPU is a processor that executes various arithmetic processes. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and EEPROM are used as temporary storage memories (working areas) for various processes executed by the CPU. Then, the control unit 11 uses the CPU to execute various processes according to various control programs stored in advance in the ROM, the EEPROM, or the storage unit 12.

The storage unit 12 is a non-volatile storage unit such as a hard disk or SSD that stores various control programs and various data executed by the control unit 11. Further, the storage unit 12 includes a program storage unit 121, a master storage unit 122, and an information storage unit 123.

The program storage unit 121 is a storage area in which a medication guidance support program for causing the control unit 11 to execute a medication guidance support process (see FIG. 3) described later is stored.

The master storage unit 122 is a storage area in which various master information such as a drug master, a patient master, a pharmacist master, and a clinical department master is stored. For example, in the drug master, for various drugs, drug code (YJ code, etc.), drug name, JAN code, RSS code, medicine bottle code, dosage form, unit, specific gravity, drug type, formulation change, excipient drug , Notes and other information is included. The patient master includes information about each patient, such as patient name, patient ID, gender, age, alcohol drinking, smoking, and disease name. The clinical department master includes information on various clinical departments of the medical institution in which the medication guidance support system 10 is used. The control unit 11 can update various master information stored in the master storage unit at any time based on the information acquired from the higher-level system 5. Further, the control unit 11 can edit various master information according to a user operation using the server 1 or the client terminal 2.

The information storage unit 123 is a storage area in which various information such as the prescription data, drug history information, and guidance information D11 are stored. The prescription data is acquired from the higher-level system 4 and stored in the information storage unit 123. The drug history information is information indicating the medication history of each patient, and the control unit 11 updates the drug history information based on the prescription data. As a result, the control unit 11 can grasp the medication history of each patient.

As shown in FIG. 2, in the guidance information D11, the identification information of the medicine prescribed to the patient and one or more guidance items to be confirmed when the pharmacist delivers the medicine to the patient are stored in association with each other. There is. The drug identification information is, for example, a drug name, a drug code, a YJ code, or the like.

Specifically, as shown in FIG. 2, in the guidance information D11, the guidance item "pointed out precautions for driving a car, etc." and the drug code "YJ0000000001" indicating the type of drug, "YJ0000000002" and "YJ0000000004" are associated with each other. Similarly, in the guidance information D11, the guidance item "pointed out precautions when ingesting alcohol" and the drug codes "YJ0000000001", "YJ0000000002", and "YJ0000000003" indicating the type of drug are displayed. It is associated. Further, in the guidance information D11, the guidance item "explained the onset time of side effects" is associated with the drug codes "YJ0000000004", "YJ0000000005", and "YJ0000000006" indicating the type of drug. ing. As a result, the control unit 11 can specify the content of the instruction item corresponding to each drug based on the instruction information D11.

The communication I / F 13 is a network card that executes data communication wirelessly or by wire with the client terminal 2 and an external device such as the printer 3 via the communication network 4 according to a predetermined communication protocol. It is a communication interface having the above.

The display device 14 is a display unit such as a liquid crystal display or an organic EL display that displays various information according to a control instruction from the control unit 11. The operation device 15 is an operation unit operated by a user to input various information to the server 1. Specifically, the operation device 15 includes a keyboard and a mouse (pointing device) that accept input operations on various operation screens displayed on the display device 14. Further, the operation device 15 may include a touch panel that accepts touch operations on various operation screens displayed on the display device 14, or a voice input device that accepts input of various information by voice recognition.

The drive device 16 can read the medication guidance support program from a computer-readable recording medium 161 in which the medication guidance support program is recorded non-temporarily. The recording medium 161 is a CD, DVD, BD, USB memory, or the like, and the drive device 16 is a CD drive, a DVD drive, a BD drive, a USB port, or the like. Then, in the server 1, the medication guidance support program read from the recording medium 161 by the control unit 11 using the drive device 16 is installed in the program storage unit 121 of the storage unit 12.

The control unit 11 of the server 1 includes a display processing unit 111, a reception processing unit 112, and a recording processing unit 113. Specifically, the control unit 11 executes various processes such as the medication guidance support process (see FIG. 3) described later according to the medication guidance support program, thereby performing the display processing unit 111, the reception processing unit 112, and the reception processing unit 112. It functions as the recording processing unit 113. That is, in the present embodiment, the server 1 alone is the medication guidance support system according to the present invention.

In addition, it is considered as another embodiment that a part or all of the functions of the server 1 are provided in the client terminal 2. For example, a part or all of the medication guidance support program is installed in the client terminal 2, and the control unit 21 of the client terminal 2 appropriately acquires necessary information from the server 1 and will be described later. It is also conceivable to carry out medication guidance support processing (see FIG. 3).

The display processing unit 111 can collectively display predetermined guidance items for drugs included as prescription drugs in a plurality of prescription data issued by a plurality of clinical departments corresponding to one patient. The guidance item is a matter to be confirmed when the drug is administered to the patient, and is set for each type of the drug and registered in the guidance information D11. Although details will be described later, the display processing unit 111 has a first display screen (see FIG. 5) in which a plurality of the guidance items corresponding to the medicines prescribed in the plurality of clinical departments are collectively displayed, and the clinical department. It is also possible to switch and display the second display screen (see FIGS. 6 and 7) in which the instruction item is extracted and displayed for each time. The first display screen or the second display screen is displayed on the display device 14 of the server 1 or the display device 24 described later included in the client terminal 2. The display processing unit 111 may not be able to display the second display screen, and may be able to display only the first display screen. Further, the control unit 11 can also print the contents of the instruction item displayed on the first display screen or the second display screen by the printer 3 according to the user operation. As a result, the pharmacist can perform the medication guidance work using the printed matter.

The reception processing unit 112 can receive confirmation operations for each of the guidance items on each of the first display screen or the second display screen displayed by the display processing unit 111. Specifically, the reception processing unit 111 accepts an operation of setting the confirmation result of each of the instruction items as confirmed or unconfirmed according to the user operation on the server 1 or the client terminal 2.

The recording processing unit 113 can record confirmation results for each of the guidance items received by the reception processing unit 112 for each prescription data. More specifically, the recording processing unit 113 divides the confirmation results for each of the instruction items for each prescription data and stores them in a storage unit such as the storage unit 12, or records them on a sheet by the printer 3. At least one of the printing processes to be performed is possible.

[Client terminal 2]
The client terminal 2 is a personal computer including a control unit 21, a storage unit 22, a communication I / F 23, a display device 24, an operation device 25, a drive device 26, and the like. Each of the client terminals 2 is an operation terminal that is arranged in a medical institution where the medication guidance support system 10 is used and is operated by a user such as a pharmacist. For example, the client terminal 2 is provided at a medication window or the like where a drug is delivered to a patient at the medical institution, and is used by a pharmacist or the like who performs medication guidance work. The client terminal 2 may be an information processing device such as a smartphone, a tablet terminal, or a laptop computer.

The control unit 21 includes control devices such as a CPU, ROM, RAM, and EEPROM. The CPU is a processor that executes various arithmetic processes. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and EEPROM are used as temporary storage memories (working areas) for various processes executed by the CPU. Then, the control unit 21 uses the CPU to execute various processes according to various control programs stored in advance in the ROM, the EEPROM, or the storage unit 22.

The storage unit 22 is a non-volatile storage unit such as a hard disk or SSD that stores various control programs and various data executed by the control unit 21. Specifically, the storage unit 22 includes a program storage unit 221 in which application programs such as an operating system (OS) and browser software are stored. The browser software causes the display device 24 to display various operation screens and the like by accessing the server 1 via the communication network 4, and also performs an input operation on the operation screen using the operation device 25. This is application software for transmitting to the server 1. For example, when the control unit 21 inputs address information such as a URL (Universal Resource Locator) corresponding to the server 1 at a predetermined position on the operation screen displayed by the browser software, the control unit 21 is based on the address information. To access the server 1.

The communication I / F 23 is a network card or the like that executes data communication wirelessly or by wire with the server 1 and an external device such as the printer 3 via the communication network 4 according to a predetermined communication protocol. It is a communication interface having.

The display device 24 is a display unit such as a liquid crystal display or an organic EL display that displays various information according to a control instruction from the control unit 21. The operation device 25 is an operation unit operated by a user to input various information to the client terminal 2. Specifically, the operation device 25 includes a keyboard and a mouse (pointing device) that accept input operations on various operation screens displayed on the display device 24. Further, the operation device 25 may include a touch panel that accepts touch operations on various operation screens displayed on the display device 24, or a voice input device that accepts input of various information by voice recognition.

The drive device 26 can read the OS or the browser software from a computer-readable recording medium 261 on which the OS or the browser software is recorded. The recording medium 261 is a CD, DVD, BD, USB memory, or the like, and the drive device 16 is a CD drive, a DVD drive, a BD drive, a USB port, or the like. In the client terminal 2, the OS or the browser software read from the recording medium 261 by the control unit 21 using the drive device 26 is installed in the program storage unit 221 of the storage unit 22.

Then, in the medication guidance support system 10, the guidance item corresponding to the medicine prescribed to the patient based on the prescription data is displayed on the client terminal 2 in response to the operation of the client terminal 2 by the user. The client terminal 2 controls the screen display based on the data transmitted from the server 1, or controls the screen display by referring to the data stored in the storage unit 11 of the server 1. Further, the server 1 can accept confirmation operations for each of the instruction items in response to the operation of the client terminal 2 by the user. Specifically, in the present embodiment, the server-client system is configured by the server 1 and the client terminal 2, and the server 1 displays and prints the instruction item in response to a user operation of the client terminal 2. The case of doing so will be described. Therefore, the "display", "operation", "selection", and "input" described below are performed by using the display device 24 and the operation device 25 of the client terminal 2.

On the other hand, it is also conceivable that the instruction item corresponding to the medicine prescribed to the patient based on the prescription data is displayed on the display device 14 of the server 1 in response to the operation of the operation device 15 of the server 1 by the user. Be done. In this case, the server 1 can accept the confirmation operation of each of the instruction items in response to the operation of the operation device 15 by the user.

[Medication guidance support processing]
Next, the medication guidance support process executed by the control unit 11 of the server 1 will be described with reference to the flowchart of FIG. For example, the control unit 11 executes the medication guidance support process when the execution start operation of the medication guidance support program is performed by using the client terminal 2. When the execution start operation of the medication guidance support program is performed from the plurality of client terminals 2, the control unit 11 performs the medication guidance support process corresponding to each of the client terminals 2 substantially in parallel. Execute. Further, the present invention may be regarded as an invention of a medication guidance support method for supporting a pharmacist's medication guidance work by executing the medication guidance support process by a computer such as the server 1.

<Step S11>
First, in step S11, the control unit 11 causes the client terminal 2 to display a patient list screen P1 on which a list of patients waiting for medication is displayed. The display process of step S11 is executed by the display process unit 111 of the control unit 11. Specifically, the control unit 11 causes the client device 2 to display the patient list screen P1 by transmitting the display data of the patient list screen P1 to the client device 2. It is also conceivable that the control unit 11 transmits data necessary for displaying the patient list screen P1 to the client device 2, and the control unit 21 displays the patient list screen P1 based on the data. Be done.

Here, FIG. 4 is a diagram showing an example of the patient list screen P1. The control unit 11 causes the client terminal 2 to display the medication guidance screen P2, which will be described later, by operating the operation key K12 on the patient list screen P1. Further, the control unit 11 causes the client terminal 2 to display the patient list screen P1 by operating the operation key K11 while another display screen such as the medication guidance screen P2 is displayed.

As shown in FIG. 4, the patient list screen P1 displays a list of information on each patient waiting for medication. More specifically, on the patient list screen P1, a display area K31 indicating whether or not medication guidance has been executed, an operation unit K32 for switching the presence or absence of selection, and a previous prescription are associated with each patient. A display area K33 or the like indicating whether or not there has been a change from the drug is displayed. The control unit 11 extracts patient information displayed on the patient list screen P1 based on search conditions such as a search period input to the search operation unit K21.

<Step S12>
In step S12, the control unit 11 determines whether or not an operation for initiating medication instruction to the patient has been performed. Specifically, when the operation key K12 is operated by the control unit 11 in a state where one or a plurality of patients are selected by the operation of the operation unit K32 on the patient list screen P1. , It is determined that the operation for starting the medication instruction has been performed. Then, when it is determined that the operation for starting the medication guidance has been performed (S12: Yes), the process proceeds to step S13, and if the operation for starting the medication guidance has not been performed (S12: No). ), The process waits in step S12. Even if the operation for starting the medication instruction is not performed, if another operation key is operated on the patient list screen P1, the process corresponding to the operation key is executed. However, the description thereof is omitted here.

<Step S13>
In step S13, the control unit 11 causes the client terminal 2 to display the medication guidance screen P2 with the patient selected by the operation unit K32 as a selection candidate. That is, the control unit 11 can display the medication guidance screen P2 corresponding to the patient selected on the patient list screen P1. The selection of the patient to be displayed on the medication guidance screen P2 is not limited to the check operation using the operation unit K32, and for example, the control unit 11 can use the patient identification information (patient name, patient ID) or the like. The patient to be displayed on the medication guidance screen P2 may be selected according to the input operation. The display process in step S13 is executed by the display process unit 111 of the control unit 11. Specifically, the control unit 11 causes the client device 2 to display the medication guidance screen P2 by transmitting the display data of the medication guidance screen P2 to the client device 2. It is also conceivable that the control unit 11 transmits data necessary for displaying the medication guidance screen P2 to the client device 2, and the control unit 21 displays the medication guidance screen P2 based on the data. Be done.

Here, FIG. 5 is a diagram showing an example of the medication guidance screen P2. On the medication guidance screen P2, an operation unit K41 for selecting a patient to be instructed from the patients selected by the operation unit K32 on the patient list screen P1 is displayed. Hereinafter, the patient selected by the operation unit K41 will be referred to as a target patient. Then, the control unit 11 displays individual information such as physical information of the target patient on the medication guidance screen P2, and displays the guidance item corresponding to the medicine prescribed to the target patient. When the selection candidate of the patient selected on the patient list screen P1 is one, the control unit 11 displays the guidance item with the patient as the target patient. Further, the control unit 11 may select a target patient to be displayed on the medication guidance screen P2 according to an input operation such as patient identification information (patient name, patient ID).

As shown in FIG. 5, on the medication guidance screen P2, for each of the guidance items, an operation unit K61 that receives a confirmation operation of the guidance item, a display area K62 that displays the contents of the guidance item, and the guidance item. A display area K63 or the like on which other supplementary information related to the above is displayed is displayed. The supplementary information includes the name of the drug or the name of the patient's disease, which is the instruction item.

Then, the control unit 11 responds to the reception of the operation signal transmitted from the client terminal 2 when the confirmation operation of the guidance item on the medication guidance screen P2 is performed on the client terminal 2. Accept confirmation operations. The reception process for accepting the confirmation operation of the guidance item is executed by the reception processing unit 112 of the control unit 11. Further, the control unit 21 of the client terminal 2 when accepting the confirmation operation of the instruction item may be regarded as the reception processing unit.

By the way, in a medical institution such as a hospital or a pharmacy, when a pharmacist delivers a drug to a patient, a pharmacist confirms one or a plurality of the above-mentioned guidance items predetermined in accordance with the drug, and records the confirmation result. Perform medication guidance work including work. For example, in the medication guidance work, when a drug that may cause drowsiness is prescribed to a patient, precautions for driving a car or the like are conveyed to the patient. In addition, the medication guidance work includes an act of a pharmacist self-confirming whether or not there is a problem with a patient's test result. On the other hand, in the medication guidance support system 10 according to the present embodiment, it is possible to support the medication guidance work by the pharmacist.

In particular, at the medical institution, one patient may receive medical treatment in a plurality of clinical departments on the same day, and prescription data may be issued to the patient in the plurality of clinical departments on the same day. In this case, in general, the pharmacist records the confirmation result for each of the guidance items corresponding to the plurality of medicines dispensed based on the plurality of prescription data for each clinical department or prescription data. In addition, when one patient received medical treatment in a plurality of clinical departments on different days and prescription data was issued to the patient in the plurality of clinical departments, the drug was dispensed based on the plurality of prescription data. The same applies when receiving multiple drugs at once, that is, when the dosing dates are the same. Therefore, when a patient receives a prescription for a drug from a plurality of clinical departments, there is a problem that the medication guidance work becomes troublesome and the work efficiency of the pharmacist deteriorates. On the other hand, in the medication guidance support system 10 according to the present embodiment, it is possible to improve the efficiency of the medication guidance work of the pharmacist when the patient receives prescriptions of the medicine from a plurality of clinical departments.

Specifically, in step S13, as shown in FIG. 5, the control unit 11 corresponds to each drug included as a prescription drug in the prescription data issued by one or a plurality of clinical departments for the target patient. The instruction items are collectively displayed in the display area P21 of the medication instruction screen P2. Here, the control unit 11 displays the guidance item corresponding to each drug included in the prescription data for one or more prescription data having the same issue date among the prescription data corresponding to one patient. It is displayed collectively on P21. Further, the control unit 11 displays the instruction item corresponding to each drug included in the prescription data in the display area P21 for one or a plurality of prescription data having the same dosing date among the prescription data corresponding to one patient. It may be possible to display them collectively in.

Further, it is conceivable that the control unit 11 collectively displays the unconfirmed instruction items for the prescription data in which the unconfirmed instruction items exist among the prescription data in the display area P21. Specifically, the control unit 11 ends the medication guidance for the prescription data when all the guidance items corresponding to each drug included in the prescription data have been confirmed for each prescription data. It is determined that this has been done, and that fact is recorded in association with the prescription data. As a result, the control unit 11 can collectively display the unconfirmed instruction items for the prescription data in which the unconfirmed instruction items exist among the prescription data in the display area P21.

Further, as shown on the patient list screen P1, the control unit 11 has confirmed the guidance items for all the prescription data of the patients corresponding to the display area K31 in each of the display areas K31. It is possible to indicate that the patient is a patient. For example, on the patient list screen P1, an operation key for switching whether or not to display the information of the patient whose guidance item has been confirmed for all the prescription data is displayed, and the control unit 11 responds to the operation key. It is possible to switch whether or not to display the information of the patient whose guidance item has been confirmed for all the prescription data.

Further, the control unit 11 causes the medication guidance screen P2 or the like to display an operation screen for allowing the user to select the prescription data to be displayed of the guidance item among the plurality of prescription data corresponding to the target patient. Is also possible. Then, the control unit 11 collectively displays the guidance items in the display area P21 of the medication guidance screen P2 for one or more of the prescription data selected by the user operation on the selection screen. As a result, a user such as a pharmacist can arbitrarily switch whether or not to display the guidance item for each of the prescription data, which enhances convenience.

Hereinafter, in the present embodiment, the prescription data corresponding to the target patient includes prescription data in which the clinical department is "internal medicine" and the prescription drug is "TS-1 capsule", and prescription data in which the clinical department is "surgery". The case where the prescription data in which the drug is "Contomin tablet", "Itrol tablet", and "Loxonin tablet" is stored as unprocessed data in the storage unit 12 of the server 1 will be described as an example. The prescription data stored in the storage unit 12 of the server 1 is erased at the time of the instruction completion operation in the client terminal 2, or is stored in the storage unit 12 as processed data.

In addition, the control unit 11 is a drug prescribed to the target patient that has been changed from the previous time, or the target patient, based on the drug history information of the target patient stored in the storage unit 12. Determine if there are any newly added and prescribed medications. Then, the control unit 11 indicates that if there is a drug prescribed to the target patient that has been changed from the previous time or a drug newly added to the target patient and prescribed. Guidance items for which the suitability of the above should be confirmed are displayed in the display area P21 of the medication guidance screen P2. That is, the control unit 11 can notify the user that when a drug that was not prescribed at the time of the previous prescription is newly prescribed for the target patient, it is necessary to give medication guidance to that effect. is there.

In this way, even when prescription data is issued in a plurality of clinical departments for one patient, the pharmacist refers to the medication guidance screen P2 and collectively confirms the guidance items corresponding to the plurality of drugs. It is possible to efficiently perform prescription guidance work. When the pharmacist confirms the guidance item and operates the operation unit K61 corresponding to the guidance item on the medication guidance screen P2, the control unit 11 checks the operation unit K61 to that effect. Is recorded as a confirmation result. In addition, the control unit 11 highlights the instruction item in yellow or the like until the pharmacist operates the operation unit K61 corresponding to the instruction item on the medication instruction screen P2, and the pharmacist highlights the instruction item. When the operation unit K61 corresponding to the instruction item is operated on the instruction screen P2, the highlight display of the operation unit K61 may be terminated and that fact may be recorded as a confirmation result.

Specifically, the control unit 11 records as a confirmation result that the instruction items corresponding to the check boxes have been confirmed in response to the operation of the check boxes corresponding to the instruction items in the operation unit K61. To do. Here, the control unit 11 causes the operation unit K61 to display a check box for a lower item corresponding to each of the instruction items and a check box corresponding to one or a plurality of upper items for the instruction item. That is, for each of the higher-level items, one or more of the above-mentioned instruction items classified in advance into the higher-level item are hierarchically displayed as lower-level items. For example, the check boxes of the upper item "common item" and the check boxes of "explanation / guidance by drug information" and "confirmed that there is no problem by confirming the test result" are displayed hierarchically. The correspondence between the upper item and the lower item is registered in advance in, for example, the guidance information D11. Further, the hierarchical structure of the instruction items is not limited to two stages, and may be three or more stages.

Then, the control unit 11 may link the operation of one check box of the upper item and the lower item with the other check box. Specifically, when the control unit 11 is operated to check the check box of the lower item, the control unit 11 checks the check box. As a result, the control unit 11 can finely input whether or not there is a confirmation operation for each of the subordinate items by individually operating the check boxes of the subordinate items. On the other hand, when the control unit 11 is operated to check the check box of the upper item, the control unit 11 checks the check box and checks each of the lower items classified into the upper item. Also check the box. As a result, the control unit 11 can accept the operation of the check box of the upper item as a batch check operation of the check boxes of each of the lower items classified into the upper item, and the pharmacist can perform the confirmation work. Work efficiency is improved. Further, when the control unit 11 is operated to check the check boxes of all the lower items classified into the higher items, the check boxes of the higher items in which the lower items are classified are checked. Also check for. As a result, when an operation for checking each check box of the lower item is individually performed, it is possible to omit the subsequent operation for checking the check box of the higher item. .. Further, the control unit 11 has performed an operation for unchecking one of the check boxes of the lower items classified into the higher items while the check boxes of the higher items are checked. In that case, uncheck the check box of the lower item and uncheck the check box of the higher item. As a result, when an operation for unchecking the check boxes of the lower-level items is individually performed, it is possible to omit the subsequent operation of unchecking the check boxes of the higher-level items.

Further, the mode in which the guidance items are collectively displayed is not limited to the mode in which all the guidance items are displayed on the same screen at the same time. For example, when the number of the instruction items is so large that they cannot be displayed in the display area P21 at the same time, each of the instruction items may be scroll-displayable by a scroll operation in the display area P21. When only one prescription data is issued for the target patient, the control unit 11 displays the guidance item corresponding to one or a plurality of drugs included in the prescription data on the medication guidance screen P2. It is displayed in the area P21.

Further, as shown in FIG. 5, the control unit 11 includes the drug in the prescription drug in association with identification information such as the name of the drug displayed in the display area K63 of the display area P21. It is conceivable to display the clinical department from which the prescription data is issued. For example, in FIG. 5, "Surgery" is displayed in parentheses for "Contomin tablets", "Itrol tablets", and "Loxonin tablets", and "Internal medicine" is written in parentheses for "TS-1 capsules". It is displayed in association with. As a result, the pharmacist can easily grasp the clinical department in which the medicine that is the cause of the need for guidance of the guidance item is prescribed. Therefore, for example, when making a question inquiry about a drug, it is possible to easily grasp the clinical department that prescribed the drug without having to switch to another tab key such as the tab key K52 or the tab key K53. Is. The information of the clinical department is not limited to the medicine, and may be displayed in association with the guidance items, for example.

By the way, when the same drug is included in the prescription data issued by a plurality of clinical departments and the instruction item corresponding to each of the drugs is displayed, the same instruction item is displayed more than once, and the pharmacist. It takes time and effort to confirm by. Similarly, even if the chemicals are different, if the guidance items common to the plurality of medicines exist and the guidance items corresponding to each of the medicines are displayed, the same guidance items are displayed more than once. As a result, it takes time and effort for the pharmacist to confirm. On the other hand, the control unit 11 collectively displays the guidance items corresponding to each of the drugs included in the prescription data issued by a plurality of clinical departments for one patient on the medication guidance screen P2. Only one of the above-mentioned instruction items that overlaps with the patient is displayed. As a result, even if the same drug is included in the prescription data issued by a plurality of clinical departments, or even if the guidance items of different drugs are common, the pharmacist can perform one of the guidance displayed on the medication guidance screen P2. Since the confirmation work may be performed on the item, the confirmation work can be performed efficiently.

<Step S14>
By the way, when the prescription data issued by a plurality of clinical departments exists for the target patient, the control unit 11 displays a tab key of the number obtained by adding 1 to the number of the clinical departments on the medication guidance screen P2. Let me. For example, in the medication guidance screen P2 of FIGS. 5 to 7, there is prescription data issued by two clinical departments, internal medicine and surgery, for the target patient, and three tab keys K51 to K53 are displayed. ing. Here, the tab key K51 is an integrated display operation unit for displaying the display unit P21 in which guidance items corresponding to each of the medicines prescribed in a plurality of clinical departments are collectively displayed, and the tab key K52 and the tab key K51. The tab key K53 is an individual display operation unit for individually displaying guidance items corresponding to the medicines prescribed in each clinical department. In this embodiment, the case where the corresponding tab key is displayed for each clinical department will be described, but as another embodiment, the corresponding tab key for each prescription data may be displayed.

Then, in step S14, the control unit 11 determines whether or not any of the tab keys K51 to K53 has been selected for the client terminal 2. Here, if it is determined that any of the tab keys K51 to K53 has been selected (S14: Yes), the process proceeds to step S15, and if the tab keys K51 to K53 have not been selected. (S14: No), the process is returned to step S14.

<Step S15>
In step S15, the control unit 11 executes a tab switching display for updating the display of the medication guidance screen P2 in response to the tab key determined to have been operated in step S14 among the tab keys K51 to K53.

Specifically, when the tab key K51 is operated, the control unit 11 causes the display unit P21 to be displayed on the medication guidance screen P2. If the display unit P21 is already displayed on the medication guidance screen P2, that state continues.

On the other hand, when the tab key K52 is operated, the control unit 11 extracts the instruction item corresponding to the medicine prescribed in the internal medicine indicated by the tab key K52 from among the plurality of clinical departments, as shown in FIG. Then, it is displayed in the display area P22 of the medication guidance screen P2. Similarly, when the tab key K53 is operated, the control unit 11 sets the instruction item corresponding to the surgically prescribed medicine indicated by the tab key K53 among the plurality of clinical departments, as shown in FIG. It is extracted and displayed in the display area P23 of the medication guidance screen P2. As a result, the pharmacist can also handle the operation of confirming each of the guidance items for each clinical department such as internal medicine or surgery with reference to the display area P22 or the display area P23. The versatility of the medication guidance support system 10 is increased.

<Step S16>
In step S16, the control unit 11 determines whether or not a recording operation has been performed for the confirmation result of each of the guidance items. Specifically, on the medication instruction screen P2, a registration key K71 for recording the confirmation result of the instruction item in the storage unit 12, and a print key for printing the confirmation result of the instruction item with the printer 3. K72 and the like are displayed. Then, the control unit 11 determines that when the registration key K71 or the print key K72 is operated, a recording operation for the confirmation result of each of the instruction items is performed. Here, when it is determined that the recording operation for the confirmation result of each of the guidance items has been performed (S16: Yes), the process proceeds to step S17, and the recording operation for the confirmation result of each of the guidance items is performed. If not (S16: No), the process returns to step S15.

<Step S17>
In step S17, the control unit 11 executes a recording process for the confirmation result of each of the guidance items. The recording process in step S17 is executed by the recording processing unit 113 of the control unit 11. Specifically, when the registration key K71 is operated, the control unit 11 executes a registration process of recording the confirmation result of each of the instruction items in the storage unit 12. Further, when the print key K72 is operated, the control unit 11 executes a printing process of recording the confirmation result of each of the instruction items on paper by the printer 3.

More specifically, when recording the confirmation result of each of the instruction items in the step S17, the control unit 11 records each of the instruction items in association with each of the prescription data. That is, even when the control unit 11 performs a confirmation operation for each of the guidance items in a state where the tab key K51 is selected and the display area P21 is displayed on the medication guidance screen P2, the control unit 11 said. In step S17, the confirmation results of each of the guidance items are not collectively recorded in association with the patient, but are associated and recorded for each of the prescription data. Here, the control unit 11 confirms a guidance item common to a plurality of drugs among the guidance items displayed in the display area P21 (see FIG. 5) of the medication guidance screen P2 (check operation of the operation unit K61). ) Is performed and the registration process is executed, the fact that the guidance item has been confirmed is individually recorded in association with each of the prescription data including the drug corresponding to the guidance item. For example, in step S17, the control unit 11 displays the confirmation screen P3 for the presence / absence of recording reflection for each clinical department in order, and the confirmation result of each of the guidance items according to the confirmation operation on each confirmation screen P3. It is conceivable to execute a process of recording each of the prescription data. Further, the method of recording the confirmation result of each of the guidance items in step S17 is not limited to this as long as the correspondence between the confirmation result and the prescription data can be specified, and for example, the confirmation result can be stored. As another embodiment, it is conceivable to store the patient identification information (patient name, patient ID), the date, and the clinical department without associating with the prescription data. In this case, the control unit 11 can specify the prescription data based on the patient's identification information, the date, and the clinical department associated with the confirmation result, and the confirmation result and the prescription data It is possible to identify the correspondence between.

Here, FIGS. 8A and 8B are views showing an example of the confirmation screen P3. In the confirmation screen P3 shown in FIG. 8A, the confirmation result of the guidance item for the drug whose issuing clinical department is “internal medicine” is displayed in the display area P31, and the confirmation result is recorded. Execution key K91 of is displayed. Then, when the execution key K91 is operated, the control unit 11 executes a recording process for recording the contents displayed in the display area P31.

Similarly, on the confirmation screen P3 shown in FIG. 8B, the confirmation result of the guidance item for the drug whose issuing clinical department is surgery is displayed in the display area P31, and the confirmation result is recorded. Execution key K91 of is displayed. Then, when the execution key K91 is operated, the control unit 11 executes a recording process for recording the contents displayed in the display area P31.

For example, when the confirmation result of the instruction item is printed, it is conceivable that the printing process of being recorded on paper in the form of the display area P31 of FIGS. 8A and 8B is executed. As a result, the pharmacist can obtain a printed matter in which the confirmation result of each of the instruction items is printed for each of the prescription data. When the confirmation result of the instruction item is recorded in the storage unit 12, the text information shown in the display area P31 of FIGS. 8A and 8B is the prescription as the drug history information of the storage unit 12. It is conceivable that a recording process that is recorded in association with the data is executed. As a result, the pharmacist can confirm the confirmation result of each of the instruction items for each of the prescription data by referring to the drug history information using the server 1 or the client terminal 2.

As described above, in the medication guidance support system 10, each of the guidance items corresponding to the medicines prescribed in the plurality of clinical departments is displayed in the display area P21 (see FIG. 5) of the medication guidance screen P2. It is possible to collectively perform the confirmation work of each of the guidance items or the recording work of the confirmation result of each of the guidance items in the state. Therefore, the efficiency of the medication guidance work by the pharmacist can be improved as compared with the case where the confirmation work of each of the guidance items or the recording work of the confirmation result of each of the guidance items is individually performed for each clinical department or prescription data. ..

As shown in FIG. 5, on the medication guidance screen P2, an operation unit K81 for registering an additional drug such as a brought-in drug is displayed. Then, when an additional drug such as a brought-in drug is selected by the operation of the operation unit K81, the control unit 11 also collects the instruction items corresponding to the brought-in drug in the display area P21 of the medication instruction screen P2. Display it. Further, the control unit 11 displays, for example, the tab keys corresponding to the brought-in medicine in addition to the tab keys K51 to K53, and when the tab key is selected, the instruction item corresponding to the brought-in medicine is extracted. Then, it is conceivable to display it on the medication guidance screen P2.

Each of the guidance items is classified into "S", "O", "A", and "P" categories, and the control unit 11 classifies the confirmation results of the guidance items into the categories. It is also possible to record it. In addition, "S" is subjective information (Subjective Information), and is information about a symptom which a patient feels subjectively. “O” is objective information, such as information obtained from physical examination, test results, and prescription data. “A” is evaluation information (Assessment Information), which is information related to evaluation as a pharmacist, which can be considered from the information of the subjective information “S” and the objective information “O”. “P” is plan information (Plan Information), which is information on medication and treatment plans. In addition, "P" is an educational plan (EP: Educational Plan) that is information on medication guidance or medication explanation, an intervention plan (CP: Care Plan) for patient drug treatment, observation of side effects of medication, etc. It may be classified as an Observation Plan (OP).

In addition, in the present embodiment, a configuration has been described in which predetermined guidance items for drugs included as prescription drugs are collectively displayed in a plurality of prescription data issued by a plurality of clinical departments corresponding to one patient. On the other hand, when multiple prescription data are issued from one clinical department for one patient, a configuration in which predetermined guidance items for the drugs included as prescription drugs in the prescription data are collectively displayed is also another technical idea. Can be considered as.

[Supplementary note of invention]
Hereinafter, the technical idea of the invention extracted from the above-described embodiment will be added. It is also possible to select and arbitrarily combine each configuration and each processing function described below.

[Appendix A1]
A display processing unit that can collectively display predetermined guidance items for drugs included as prescription drugs in multiple prescription data issued by multiple clinical departments corresponding to one patient.
A reception processing unit that can accept confirmation operations for each of the guidance items displayed by the display processing unit, and
A recording processing unit capable of recording confirmation results for each of the guidance items received by the reception processing unit for each prescription data, and a recording processing unit.
Medication guidance support system equipped with.

[Appendix A2]
The display processing unit can switch between a first display screen in which the guidance items are collectively displayed and a second display screen in which the guidance items are displayed for each clinical department.
The reception processing unit can receive confirmation operations on each of the first display screen and the second display screen.
The medication guidance support system described in Appendix A1.

[Appendix A3]
The display processing unit displays the identification information of the drug corresponding to the guidance item in association with the guidance item.
The medication guidance support system according to Appendix A1 or A2.

[Appendix A4]
The display processing unit displays the clinical department of the issuer of the prescription data in which the drug corresponding to the guidance item is included as a prescription drug in association with the medical item or the drug.
The medication guidance support system according to any one of Supplementary A1 to A3.

[Appendix A5]
The recording processing unit can execute at least one of a storage process for storing the confirmation result for each of the instruction items in the storage unit for each prescription data and a printing process for recording the confirmation result on the sheet by the image forming apparatus.
The medication guidance support system according to any one of Supplementary A1 to A4.

[Appendix A6]
When a drug that has not been previously prescribed for the patient is added to the prescription data, the display processing unit displays an item related to the addition of the drug as the guidance item.
The medication guidance support system according to any one of Supplementary A1 to A5.

[Appendix A7]
The display processing unit collectively displays the guidance items for the plurality of prescription data having the same issue date or the plurality of prescription data having the same medication date.
The medication guidance support system according to any one of Supplementary A1 to A6.

[Appendix A8]
The display processing unit collectively displays the unconfirmed guidance items for the prescription data in which the unconfirmed guidance items exist among the plurality of prescription data having the same issue date or the plurality of prescription data having the same medication date. To do
The medication guidance support system described in Appendix A7.

[Appendix A9]
The display processing unit collectively displays the instruction items for one or a plurality of the prescription data selected by the user operation.
The medication guidance support system according to any one of Supplementary A1 to A8.

[Appendix A10]
On the computer
A display step that collectively displays predetermined guidance items for drugs included as prescription drugs in multiple prescription data issued by multiple clinical departments corresponding to one patient.
A reception step that accepts confirmation operations for each of the guidance items displayed by the display step, and
A recording step in which confirmation results for each of the guidance items received by the reception step are classified and recorded for each clinical department, and
Medication guidance support program to carry out.

[Appendix B1]
A display processing unit that can collectively display predetermined guidance items for drugs included as prescription drugs in multiple prescription data corresponding to one patient, and
A reception processing unit that can accept confirmation operations for each of the guidance items displayed by the display processing unit, and
A recording processing unit capable of recording confirmation results for each of the guidance items received by the reception processing unit for each prescription data, and a recording processing unit.
Medication guidance support system equipped with.

1 Server 11 Control unit 111 Display processing unit 112 Reception processing unit 113 Recording processing unit 12 Storage unit 13 Communication I / F
14 Operation device 15 Display device 16 Drive device 2 Client terminal 21 Control unit 22 Storage unit 23 Communication I / F
24 Operation device 25 Display device 26 Drive device 3 Printer 4 Upper system 10 Medication guidance support system

Claims (3)

A display processing unit that can display predetermined guidance items for multiple drugs corresponding to one patient,
A reception processing unit that can accept confirmation operations for each of the guidance items displayed by the display processing unit, and
A recording processing unit capable of recording confirmation results for each of the guidance items received by the reception processing unit,
With
The display processing unit displays one instruction item for the duplicate instruction item.
Medication guidance support system. The plurality of drugs are drugs contained in any one or more of a plurality of prescription data issued by a plurality of clinical departments.
The medication guidance support system according to claim 1. On the computer
A display step that displays predetermined guidance items for multiple drugs corresponding to one patient,
A reception step that accepts confirmation operations for each of the guidance items displayed by the display step, and
A recording step for recording the confirmation result for each of the instruction items received by the reception step, and
It is a medication guidance support program to execute
For the instruction item in which the display step overlaps, one instruction item is displayed.
Medication guidance support program.