JP2022012643A - Medicine management system and medicine management method - Google Patents

Abstract

To provide a system and the like for appropriately managing medicine taken out from a tray where regulated medicine is disposed in an operation room.SOLUTION: A management system 1 of medicine 13 disposed in a regulated medicine tray 110 used in an operation room includes first information acquisition means 10 for acquiring first information related to the medicine 13 taken out from the regulated medicine tray 110, second information acquisition means 20 for acquiring second information included in the package of the medicine 13 when the medicine 13 is used, and first inquiry means 4 for inquiring matching of the first information and the second information.SELECTED DRAWING: Figure 1

Description

The present invention relates to a drug management system and a management method arranged in a regulated drug tray used in an operating room or the like.

There are various classifications of pharmaceutical products, such as classification by law, classification by drug efficacy, classification by dosage form, classification by purpose of use, and classification by application. Drugs regulated by laws such as the Pharmaceutical Affairs Law are called regulated drugs. The regulated categories of regulated drugs include poisonous drugs, powerful drugs, narcotics, psychotropic drugs, stimulants, stimulant raw materials, prescription drugs, designated drugs, and the like. These regulated drugs are subject to much stricter warehousing / delivery control than ordinary drugs, etc., according to their respective regulatory categories.

Regarding the management of pharmaceutical products, for example, Patent Document 1 is a drug management device that individually weighs drug cases, determines the usage amount from the weight before removal and the weight after removal, and manages the actual usage amount. A plurality of drug cases are arranged in a plurality of stages and in a plurality of rows on the front surface of the housing, and a measuring unit for measuring the weight of each drug case is arranged inside the housing. Between the electronic scale on which each drug case is placed and the weight is measured, the elevating / traversing mechanism that moves the electronic scale to the back of each drug case, and the storage position of each drug case and the weighing position on the electronic scale. Discloses a drug management device characterized by comprising a transfer mechanism for moving back and forth.

Further, Patent Document 2 describes a registration means for registering a drug used and the quantity of the drug used in the storage unit as registration data in association with information for identifying a patient, and the registration data registered in the storage unit. Disclosed is a drug registration device characterized by comprising a data output means for outputting.

Japanese Unexamined Patent Publication No. 2012-176223 Japanese Unexamined Patent Publication No. 2015-18442

Regulated drugs such as anesthetics are also used in surgery. In the operating room, various medicines are used according to the surgical process, and medicines for promptly responding to sudden changes in the patient's situation are also used. Regulated drugs such as those frequently used in surgery and those used for each patient and surgery are placed in advance on trays for anesthetics and used. Even when using such an anesthetic tray, it is important to manage regulated drugs.

Patent Document 1 is for accurately grasping the inventory amount management of a drug. However, since a large number of medicines are used one after another in the operating room, a device that manages medicines based on the weight before being taken out from the medicine storage and the weight after being taken out cannot be used.

Patent Document 2 is for managing drugs consumed at a plurality of places in an operating room without recovering them. However, in strict control of the presence or absence of use and quantity, it was not sufficient as a means of controlling which drug was taken out and used in the first place.

In this way, regulated drugs are required to be strictly controlled in terms of usage amount and the like. On the other hand, a large number of medical staff such as surgeons, anesthesiologists, and surgical nurses enter and leave the operating room. In addition, many kinds of medicines are used depending on the surgical process and situation. In the past, it was managed by handwriting or data entry by nurses, etc., and medicines used in containers collected at the completion of surgery were managed. However, under such circumstances where confusion is likely to occur, regulated drugs such as narcotics taken out from the anesthetic tray may be lost or stolen.

An object of the present invention is to provide a system or the like for appropriately managing a drug taken out from a tray in which a regulated drug is arranged in an operating room.

As a result of diligent research to solve the above problems, the present inventor has found that the following invention meets the above object, and has arrived at the present invention. That is, the present invention relates to the following invention.

<1> A drug management system placed on a regulated drug tray used in the operating room.
The first means of obtaining information about the medicines taken from the regulated medicine tray, and the first means of obtaining information.
A second information acquisition means for acquiring the second information contained in the packaging of the drug when the drug is used, and
A drug management system having a first inquiry means for inquiring the consistency between the first information and the second information.

<2> The drug according to <1>, wherein the first information acquisition means identifies a drug corresponding to the mass change extracted from the drug mass master based on the mass change of the regulated drug tray. Management system.

<3> The first information acquisition means identifies the extracted regulated drug from the image data of the regulated drug tray when the drug is taken out from the regulated drug tray based on the image data of the regulated drug tray. The drug management system according to the above <1> or <2>.

<4> A third information acquisition means for acquiring and aggregating the information contained in the packaging of the drug collected after use, and a third information acquisition means.
The pharmaceutical product according to any one of <1> to <3>, which has the first information and / or the second inquiry means for inquiring the consistency between the second information and the third information. Management system.

<5> The drug management system according to <4>, which has a replenishment means for replenishing the drug taken out in the regulated drug tray based on the first information and / or the third information.

<6> The drug management system according to any one of <1> to <5>, which has an imaging means for imaging the regulated drug tray and the removal of the drug when the drug is taken out from the regulated drug tray.

<7> The above <1> to having an alarm notification means for notifying an alarm when the second information is not acquired between the time when the first information is acquired and the time when a predetermined time elapses. The drug management system according to any one of <6>.

<8> A method of managing medicines placed in regulated medicine trays used in the operating room.
The first information acquisition step to obtain the first information about the drug removed from the regulated drug tray,
A second information acquisition step to acquire the second information contained in the packaging of the drug when the drug is used, and
A method for managing a pharmaceutical product, which comprises a first inquiry step for inquiring the consistency between the first information and the second information.

According to the present invention, it is possible to appropriately control that the medicines placed in the regulated medicine tray have been used promptly after being taken out.

It is a schematic diagram of the management system which concerns on this invention. It is a top view of the regulated medicine tray used in this invention. It is a top view of another example of the regulated drug tray used in this invention. It is a schematic diagram of the data sheet for explaining the management information used in this invention. It is a flow figure which makes an inquiry in this invention. It is another flow diagram which makes an inquiry in this invention.

Hereinafter, embodiments of the present invention will be described in detail, but the description of the constituent elements described below is an example (representative example) of the embodiments of the present invention, and the present invention is described below unless the gist thereof is changed. It is not limited to the contents of. In addition, when the expression "-" is used in this specification, it is used as an expression including numerical values before and after it.

[Management system of the present invention]
The management system of the present invention is a drug management system arranged in a regulated drug tray used in an operating room, and is a first information acquisition means for acquiring the first information about the drug taken out from the regulated drug tray. , A second information acquisition means for acquiring the second information contained in the package of the drug when the drug is used, and a first inquiry means for inquiring the consistency between the first information and the second information. It is a drug management system that has.

According to the management system of the present invention, it is possible to appropriately manage that the medicines placed in the regulated medicine tray have been used promptly after being taken out. By obtaining information about the medicines taken out from the regulated medicine tray used in the operating room at the time of removal, and then obtaining the information on the packaging of the medicines immediately before use and collating them, the medicines are taken out from the regulated medicine tray. It is possible to quickly confirm whether or not the product has been used.

[Management method of the present invention]
The management method of the present invention is a method for managing a drug placed in a regulated drug tray used in an operating room, and is a first information acquisition step for acquiring the first information regarding the drug taken out from the regulated drug tray. The second information acquisition step of acquiring the second information contained in the package of the drug when the drug is used, and the first inquiry step of inquiring the consistency between the first information and the second information. It is a method of managing pharmaceutical products.

According to the management method of the present invention, it is possible to appropriately manage that the medicines placed in the regulated medicine tray have been used promptly after being taken out. In addition, the management method of the present invention can be performed by the management system of the present invention in the present application, and the configurations corresponding to the respective can be mutually used in the present application.

[First Embodiment]
FIG. 1 is a diagram showing a first embodiment of the management system according to the present invention. The management system 1 has a first information acquisition unit 10, a second information acquisition unit 20, and an inquiry unit 4. Further, it also has a third information acquisition means 30, a monitor 6, a storage unit 7, and a camera 51.

The first information acquisition means 10 has a mass meter 111 in which the regulated drug tray 110 is arranged, and the first information communication means 12. The second information acquisition means 20 includes a reader 21 for acquiring information on the drug 13 and a second information / communication means 22. Pharmaceutical 13 is used for surgery in the operating room. The package of the drug 13 after use is collected in the collection container 310.

The third information acquisition means 30 includes a detector 311 for detecting the packaging of the drug 13 collected in the collection container 310, and a third information communication means 32. The inquiry means 4 has a first inquiry means 41 and a second inquiry means 42. The camera 51 can take an image of the drug 13 taken out from the regulated drug tray 110 and is connected to the image pickup communication means 52. Various types of information can be appropriately stored in the storage unit 7, collated with the information stored in the storage unit 7, and the like. The inquiry result of the inquiry means 4 and the like are displayed on the monitor 6.

[Regulated drug tray 110 (112)]
FIG. 2 is a plan view of the regulated drug tray 110. FIG. 3 is a plan view of the regulated drug tray 112, which is another example that can be used in place of the regulated drug tray 110. 2 (A) and 3 (A) show a state in which all the pharmaceutical products 13 are arranged. 2 (B) and 3 (B) show a state in which a part of the drug 13 is used. 2 (C) and 3 (C) show a state in which no drug is arranged.

A regulated drug is a drug containing ingredients regulated by law or statute. Laws, statutes, etc. may correspond to each country, etc. that uses the management system, etc. of the present invention. For example, the Pharmaceutical Affairs Law, the Stimulant Drug Control Law, and the Narcotics and Psychotropics Control Law are examples of laws concerning the regulation of ingredients used in Japanese pharmaceutical products.

For example, in Japan, specific regulated drugs include poisonous drugs, powerful drugs, narcotics, psychotropic drugs, stimulants, stimulant raw materials, prescription drugs, designated drugs, and addictive drugs. Poisonous drugs, powerful drugs, prescription drugs, designated drugs, and addictive drugs are regulated by the Pharmaceutical Affairs Law. Narcotics and psychotropic drugs are regulated by the Narcotics and Psychotropics Control Law. Stimulants and stimulant raw materials are regulated by the Stimulants Control Law. These regulated drugs are subject to strict restrictions such as records, qualifications, conditions, notifications, and reports regarding transfer, storage, and disposal according to each regulatory category. Some of these regulated drugs are used as anesthetics in surgery.

Specific drug names that can be used as regulated drugs in the present invention, which are also used in surgery and the like, are exemplified below by common names. Examples of the poison include mitomycin C, rocuronium bromide, suxamethonium chloride hydrate, and docetaxel hydrate. As powerful drugs, adrenaline, bupivakine hydrochloride hydrate, flumagenyl, flurubiprofen axetyl, naloxone hydrochloride, noradrenaline, nicardipine hydrochloride, phenilefurin hydrochloride, dexmedetomidin hydrochloride, lidocaine, lidocaine hydrochloride hydrate, antilex, Examples thereof include atopyrone sulfate, ropibakine hydrochloride hydrate, ephedrine hydrochloride, and dopamine hydrochloride. Examples of psychotropic drugs include diazepam, pentazocine, and buprenorphine hydrochloride.

The regulated drug tray 110 is a tray for arranging the drug 13 containing at least one regulated drug. The regulated medicine tray 110 is used in the operating room, and medicines frequently used at the time of surgery and medicines prepared according to the purpose of surgery are arranged. A drug other than the regulated drug may be placed on the regulated drug tray 110. Pharmaceutical 13 is used for surgery in the operating room.

[Management system 1]
The management system 1 is a system for managing medicines arranged in the regulated medicine tray 13 used in the operating room. All the devices and devices constituting the management system may be provided in the operating room, or may be appropriately managed and controlled in conjunction with the devices and devices provided outside the operating room.

[First information acquisition means 10]
The first information acquisition means 10 has a mass meter 111 in which the regulated drug tray 110 is arranged, and the first information communication means 12. The first information acquisition means 10 acquires the first information regarding the drug 13 taken out from the regulated drug tray. The first information is information used for identifying the drug 13 and its candidates taken out from the regulated drug tray 110.

In the first information acquisition means 10, the first information is the data of the mass change of the regulated drug tray 110. Based on this mass change, drug candidates corresponding to the mass change extracted from the drug mass master are identified. For this purpose, the mass meter 111 weighs the mass of the regulated drug tray 110, and when a mass change occurs, the change amount is transmitted to the inquiry means 4 and the storage unit 7 by the first communication means 12.

FIG. 4 is a schematic diagram of a data sheet for explaining the management information used in the present invention. Data sheet t1 is mass data for each drug. The first information acquisition means 10 acquires information on the mass change of the mass meter 111 and transmits it to the inquiry means 4. This mass change information is collated with the data sheet t1 to identify drug candidates corresponding to the mass.

[Second information acquisition means 20]
The second information acquisition means 20 includes a reader 21 for acquiring information on the drug 13 and a second information / communication means 22. When the drug 13 is used, such as when the patient opens the package, the second information acquisition means 20 is used to acquire the second information contained in the package of the drug 13. In the present embodiment, a barcode is attached to the packaging of the drug 13 as an identifier. The barcode reader 21 detects the barcode on this package. Based on the detected identifier, the drug 13 to be used is collated with the data sheet t2 (FIG. 4) to identify it.

[First inquiry means 41]
The first information inquiry means 41 inquires about the consistency between the first information and the second information. From this inquiry, it is possible to know that the taken out drug 13 was actually used immediately for surgery.

An example of management by the management system 1 will be described with reference to the flow chart of FIG. Step S11 acquires the first information when the drug 13 is taken out from the drug tray 110 by using the first information acquisition means 10. Next, in step S21, the second information acquisition means 20 is used to acquire the second information of the package when the drug 13 is used. Next, step S31 inquires about the first information and the second information, and determines the consistency. When the drug 13 corresponding to the candidate of the drug 13 corresponding to the first information is used and the second information is also detected and it is determined that these information are consistent, the process is processed as normal in step S41. On the other hand, when the first information and the second information do not match, it is processed as an abnormality in step S51 and notified. This is because if these information are inconsistent, the drug 13 that should have been taken out may be lost or the like. Notification of abnormality can be notified by sound or display.

[Memory 7]
Various kinds of information such as the first information, the second information, and the result of determining the consistency between them are appropriately stored in the storage unit 7, and are taken out from the storage unit 7 and used as needed.

[Monitor 6]
The inquiry result of the first inquiry means 41 of the inquiry means 4 can be appropriately displayed on the monitor 6 together with the history of the inquiry such as normality or abnormality.

[Third information acquisition means 30]
The management system 1 further has a third information acquisition means 30. The package of the drug 13 after use is collected in the collection container 310. The third information acquisition means 30 includes a detector 311 for detecting information contained in the package of the drug 13 collected in the collection container 310, and a third information communication means 32. Further, since a plurality of packages are collected one after another in the collection container 310, these information can be aggregated into information as shown in the data sheet t3 (FIG. 4). The packaging of the drug 13 may be in any form used for storing the drug, such as a bottle, a syringe, or a bag, depending on each drug or the like.

[Second inquiry means 42]
The second inquiry means 42 includes the first information and / or the second information stored in the storage unit 7 during the operation, and the third information acquired by the third information acquisition means 30. Inquire about the consistency of. The first information and the second information stored in the storage unit 7 are recorded in the data sheet t3 (FIG. 4). This information and the third information are consistently inquired by the second inquiry means 42. When the first information and the second information are present but the third information is not obtained, it is possible to know that the packaging is not properly disposed of.

[Camera 51, image pickup communication means 52]
The camera 51 can take an image of the drug 13 taken out from the regulated drug tray 110 and is connected to the image pickup communication means 52. When the drug 13 is taken out from the regulated drug tray 110, the camera 51 takes an image of the taking out of the regulated drug tray 110 and the drug 13. In addition, information may be acquired and stored together with the time when the information was taken out. As a result, it is possible to obtain an image or a moving image when the drug is taken out, such as which drug was taken out by whom and when, so that the situation when an abnormality occurs can be quickly grasped.

[Modification example]
The management system of the present invention may be appropriately modified with reference to the management system 1.

[First means of acquiring information]
As the first information, the first information acquisition means is based on the image data of the regulated drug tray 110, and the regulated drug extracted from the image data of the regulated drug tray 110 when the drug 13 is taken out from the regulated drug tray 110. It may be the one that obtains the first information that identifies. The image data is visual information that changes before and after taking out the drug 13 from the regulated drug tray 110. It is preferable to use such image data including information on the direction in which the regulated drug tray 110 is viewed in a plan view. That is, a camera or the like for acquiring image data may be imaged from a plan view direction, or may be imaged from a perspective direction including a plane (direction representing a front surface, a plane, a right side surface, etc.). Further, the image data can be information on the bottom surface of the regulated drug tray 110 that is exposed when the regulated drug tray 110 is taken out. For the information on the bottom surface, the shape, area, etc. of the color of the bottom surface may be used, or various dots, patterns, patterns, identifiers, etc. are provided on the bottom surface so that the detection target can be easily identified. You may.

Using the image data for viewing the regulated drug tray 110 shown in FIGS. 2A to 2C in a plan view, for example, the regulated drug taken out as follows may be specified.

As a first example, the regulated drug tray 110 is divided into blocks, and when the number of marks in the corresponding block is displaced, the type and number of drugs taken out from the block and the number of detected marks. Can be grasped. This mark is a color, pattern, or shape that is provided on the bottom surface of the regulated drug tray 110 and is easy to detect an image. For example, the regulated drug tray 110 regularly has a large number of circles having a color different from that of the base material on the bottom surface. When the α of the drug 13 is arranged in the A block in the regulated drug tray 110, the mark is not detected or the detection amount is small when the α of all the regulated drugs 13 is arranged. When one α of the drug 13 is taken out from here, the marks of 3 to 5 (average 4) are exposed. From this, it is possible to detect that the mark is exposed in the A block and the number of exposed marks is about 4, and it is possible to identify that the drug taken out has one α of the regulated drug 13.

As a second example, it is also possible to specify a drug extracted from the position information of the mark, assuming that the information for grasping the planar position of each mark matrix is also detected. The first information may be used in combination with the mass mutation using the mass meter 111 and these image data to identify the drug taken out from the regulated drug tray 110.

Alternatively, instead of the regulated drug tray 110 of FIG. 2, the extracted regulated drug may be specified by using the image data in which the regulated drug tray 112 shown in FIGS. 3 (A) to 3 (C) is viewed in a plan view. ..
The regulated drug tray 112 is provided with an identifier such as a two-dimensional bar code (for example, a QR code (registered trademark)) at a position where the drug 13 is arranged. This identifier may be printed on the bottom surface of the tray, or a two-dimensional bar code sticker or the like corresponding to the regulated drug may be attached as appropriate. Further, in the regulated drug tray 112, in addition to the partition in which the drug 13 is arranged, a low convex portion is provided so that the drug 13 in each partition is arranged so as not to overlap.

In the state where the drug 13 is arranged on the regulated drug tray 112 (FIG. 3A), the two-dimensional bar code on the bottom surface cannot be seen from above, so that the two-dimensional bar code is not detected. On the other hand, when the drug 13 is taken out, the two-dimensional bar code at that position is exposed, so that the two-dimensional bar code is detected (FIG. 3 (B)). By specifying the drug corresponding to the detected two-dimensional bar code in the master in which the identifier and the drug information are registered, the drug 13 extracted from the regulated drug 112 can be specified. The identifier of the regulated drug tray 112 does not erroneously detect the identifier of the package of the regulated drug 13 by using an identifier of a different type or a different control value from the identifier attached to the package of the regulated drug 13. do.

[Flow for management]
FIG. 6 is a modified example of the flow when managing pharmaceutical products using the management system 1. The flow of FIG. 6 has step S12 in addition to the flow of FIG. Step S12 is provided after step S11 and before step S21. Step S12 determines whether or not a predetermined time has elapsed since the first information was acquired in step S11. If the second information is acquired by the predetermined time, the steps after step S21 are performed. When the second information is not acquired even after the lapse of a predetermined time, an "abnormal" alarm is notified. This is effective in quickly grasping that the extracted material may not be actually used. The predetermined time is appropriately set according to the content of the surgery and the actual conditions such as the environment, and can be set to a few seconds to a few minutes. In addition, different times may be set for each drug.

[Replenishment means]
The management system of the present invention may further have a replenishment means for replenishing the regulated medicine tray 110 with the medicines taken out from the regulated medicine tray based on the first information and / or the third information. .. In addition, at this time, a table for printing a list of medicines to be supplemented may be provided. This replenishment means is taken out from the storage of regulated medicines and placed in the regulated medicine tray 110. When replenishing the used anesthesia tray chemicals, it is possible to have equipment to compare the quantity and mass of the supplemental chemicals.

As described above, according to the present invention, the medicines taken out from the tray for regulated medicines in which the anesthetics used in the operating room are arranged are compared with the medicines read by the barcode reader and the weights of the medicines. , Consistent and reliable quantity of used chemicals, quantity of chemicals to be replenished, and auditing can be performed to manage chemicals safely.

INDUSTRIAL APPLICABILITY According to the present invention, it is possible to prevent misidentification of anesthetics and the like, improve the accuracy of drug use quantity control, prevent drug loss, and prevent errors in drug removal / replenishment quantity.

In the management system and management method of the present invention described above, each means and process includes a personal computer, a tablet terminal, and a personal computer or a tablet terminal for input, control, output, storage, and the like for performing each means and process. Application software and programs used in devices having electronic computers such as smartphones, and sensors used in them can be appropriately adopted.

The present invention relates to a device for efficiently grasping a drug used in an operating room and a method for operating the device, and is industrially useful, not a process of action on the human body.

1 Management system 10 First information acquisition means 110, 112 Regulated drug tray 111 Mass meter 12 First information and communication means 13 Pharmaceuticals 20 Second information acquisition means 21 Leader 22 Second information and communication means 30 Third information acquisition Means 310 Recovery container 311 Detector 32 Third information communication means 4 Inquiry means 41 First inquiry means 42 Second inquiry means 51 Camera 52 Imaging communication means 6 Monitor 7 Camera

Claims (8)

A drug management system placed on a regulated drug tray used in the operating room.
The first means of obtaining information about the medicines taken from the regulated medicine tray, and the first means of obtaining information.
A second information acquisition means for acquiring the second information contained in the packaging of the drug when the drug is used, and
A drug management system having a first inquiry means for inquiring the consistency between the first information and the second information. The drug management system according to claim 1, wherein the first information acquisition means identifies a drug corresponding to the mass change extracted from the drug mass master based on the mass change of the regulated drug tray. The first information acquisition means identifies the extracted regulated drug from the image data of the regulated drug tray when the drug is taken out from the regulated drug tray based on the image data of the regulated drug tray. The drug management system according to claim 1 or 2. A third information acquisition means for acquiring and aggregating the information contained in the packaging of the drug collected after use, and a third information acquisition means.
The drug management system according to any one of claims 1 to 3, further comprising a second inquiry means for inquiring the consistency between the first information and / or the second information and the third information. .. The drug management system according to claim 4, further comprising a replenishment means for replenishing the drug taken out in the regulated drug tray based on the first information and / or the third information. The drug management system according to any one of claims 1 to 5, further comprising an imaging means for imaging the regulated drug tray and the removal of the drug when the drug is taken out from the regulated drug tray. Any of claims 1 to 6, which has an alarm notification means for notifying an alarm when the second information is not acquired between the time when the first information is acquired and the time when a predetermined time elapses. The drug management system described in. A method of managing medicines placed in regulated medicine trays used in the operating room.
The first information acquisition step to obtain the first information about the drug removed from the regulated drug tray,
A second information acquisition step to acquire the second information contained in the packaging of the drug when the drug is used, and
A method for managing a pharmaceutical product, which comprises a first inquiry step for inquiring the consistency between the first information and the second information.

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