JP2023071030A - Medicine usage amount management apparatus, medicine usage amount management method, medicine usage amount management program, and medicine management system - Google Patents

Abstract

To provide a medicine usage amount management apparatus that aggregates the amount of medicine used and outputs it together with the packaging form of the medicine, thereby making it possible to place an order for the medicine.SOLUTION: A medicine usage amount management apparatus 40 is provided with: a dispensing information acquisition unit 101 that acquires dispensing information including a patient ID, a medicine name of a medicine prescribed for each patient, and a packaging form from a dispensing database 21 in which information on medicines dispensed based on prescription data 11 is registered; an administration information acquisition unit 102 that acquires administration information including the patient ID, the medicine name of the medicine administrated to each patient, the number of used medicines, and date of administrated medicines from an administration database 31 in which information on the medicines actually administrated is registered; a storage unit 103 that stores information on the packaging form of dispensing information associated with the administration information; a usage amount totaling unit 105 that aggregates the number of medicines used within a predetermined period; and an output unit 106 that outputs a usage amount of the medicines together with the packaging form associated with the medicines.SELECTED DRAWING: Figure 3

Description

TECHNICAL FIELD The present invention relates to a drug usage amount management device, a drug usage amount management method, a drug usage amount management program, and a drug management system. The present invention relates to an amount management method, a drug usage amount management program, and a drug management system.

In relatively large hospitals with many inpatients, after a prescription is issued by a doctor, drugs dispensed by the medical institution's pharmacy (central warehouse) are stored in the medicine cabinets in the wards and operating rooms. (medicine cart). Drugs from the medicine cabinet are picked up according to the prescription and administered to the patient.

When ordering drugs, it is necessary to grasp the quantity of drugs used and the number of inventories in the hospital. Pharmacies in medical institutions are equipped with a dispensing management system (dispensing support device) that is used when dispensing drugs. It is possible to grasp the quantity of However, it is not possible to ascertain the number of drugs that have actually been used after being taken out of the medicine cabinets in hospital wards and operating rooms. This was done by checking daily. Therefore, inventory confirmation and ordering of medicines are very time-consuming and place a heavy burden on human resources.

In recent years, as shown in Patent Document 1, for example, a drug management system has been developed that can compare patient information with drug information before administration using a barcode reader or the like. It is possible to confirm whether or not the drug has been administered. By using such a system, it is possible to grasp the amount of drugs used and the administration time.

JP 2012-148117 A

However, since the purpose of the drug management system disclosed in Patent Document 1 is to confirm whether or not the drug to be administered is correct, the packaging form of the administered drug (bulk tablet, sheet, etc.) No information is stored. In addition, since the packaging form of a medicine differs for each hospital that uses the medicine, it is difficult to determine the packaging form from the name of the medicine. Therefore, it has been difficult to directly use the information stored by such a drug management system for drug inventory management, ordering, and the like.

The present invention has been made in view of the above problems, and includes a drug usage amount management device, a drug usage amount management method, and a drug usage amount management apparatus that aggregates the usage amount of a drug and outputs it together with the packaging form of the drug to enable ordering of the drug. An object of the present invention is to provide a drug usage amount management program and a drug usage amount management system.

The above problem is solved by the drug usage amount management apparatus of the present invention, which is based on prescription data and which is registered with information on drugs dispensed based on prescription data. , the number of drugs, and information on the packaging form, and a medication database in which information on drugs actually administered based on the prescription data is registered. a medication information acquiring unit that acquires medication information including information on the name of the medication administered, the number of used medications, and the date and time of administration; a storage unit that stores in a drug usage amount database as a drug usage amount database, a usage amount aggregation unit that aggregates the number of used drugs of the drug used within a predetermined period as the drug usage amount, and the drug usage amount that is associated with the drug and an output unit that outputs together with the packaging form.

As described above, the drug usage amount management apparatus acquires dispensing information including the packaging form from the dispensing database, acquires medication information including the number of used medications actually administered from the medication database, and administers the medication to the patient. The number of used medicines and the packaging form of the medicines are stored in association with each other. It is possible to automatically order medicines by totaling the number of used medicines used in a predetermined period and outputting it as the amount of medicine used together with the packaging form.

Further, in the above configuration, the dispensing information and the medication information include information on a department using the drug, and the usage amount totalizing unit aggregates the drug usage amount for each department, and outputs the The department may output the drug usage amount for each of the departments using the drug.
By aggregating and outputting the amount of medicine used for each department, it is possible to grasp the number of medicines taken out of the medicine cabinet provided in each department, for example, and to prevent drug shortages and unauthorized use. .

Further, in the above configuration, the dispensing information acquiring unit converts a format using a format conversion table corresponding to each of the plurality of dispensing databases in order to acquire the dispensing information from a plurality of different dispensing databases. It is preferable to have a conversion section.
Since the dispensing information acquisition unit has a format conversion unit that converts formats of a plurality of dispensing databases, the medicine usage amount management device can acquire dispensing information from a plurality of dispensing databases and manage medicines. In addition, since the drug usage amount management device side converts the format and acquires the dispensing information, the drug usage amount management device can be introduced without making changes to the dispensing information management device having the dispensing database.

Further, in the above configuration, the usage totaling unit may include a unit conversion unit that converts a unit of aggregation of the totalized drug usage.
For example, by converting the aggregation unit of drug usage into a distribution unit used when ordering drugs, it can be used for drug ordering work.

In addition, according to the drug usage amount management method of the present invention, at least the patient ID and the number of prescribed drugs for each patient are obtained from a drug dispensing database in which information on drugs dispensed based on prescription data is registered. At least patient ID, A medication information acquiring step of acquiring medication information including the name of the medication administered to each patient, the number of used medications, and medication date and time, and using the packaging form information of the dispensing information in association with the medication information. a storage step of storing drug information in a drug usage amount database; a usage amount tallying step of tallying the number of used drugs of the drug used within a predetermined period as a drug usage amount; and comparing the drug usage amount with the drug and an output step of outputting together with the associated packaging form.

In addition, according to the drug usage amount management program of the present invention, the drug usage amount management program is executed by a computer that manages drugs, and the computer controls the amount of drugs dispensed based on prescription data. Dispensing information acquisition processing for acquiring dispensing information including at least patient ID, drug name of drug prescribed for each patient, number of drugs, and information on packaging form from a dispensing database in which information is registered; and based on the prescription data. Medication information for obtaining medication information including at least patient ID, name of medication administered to each patient, number of used medications, and medication date and time from a medication database in which information on medications actually administered is registered. Acquisition processing, storage processing for associating the information on the packaging form of the dispensing information with the medication information and storing it in a drug usage amount database as used drug information, and the number of used drugs of the drug used within the aggregation period as the amount of medicine used, and an output process of outputting the amount of medicine used together with the packaging form associated with the medicine.

Further, according to the drug management system of the present invention, prescription data for each patient issued from an electronic medical record system is received, and information on drugs dispensed based on the prescription data is registered. a dispensing information management device having a database; a medication information management device having a medication database that receives the prescription data and registers information about the medication actually administered to the patient based on the prescription data; an information management device and a drug usage management device connected to the medication information management device, wherein the drug usage management device stores at least a patient ID and a prescription for each patient from the dispensing database of the dispensing information management device. a dispensing information acquisition unit that acquires dispensing information including information on the name of the medicine, the number of medicines, and the packaging form of the prescribed medicine; a medication information acquisition unit that acquires medication information including information on a medication name, the number of used medications, and medication date and time; a storage unit for storing, a usage amount totalizing unit for totalizing the number of used medicines of the medicines used within the totalization period as a medicine consumption, and the packaging form in which the medicine consumption is associated with the medicine and an output unit for outputting together.

According to the drug usage amount management device, the drug usage amount management method, the drug usage amount management program, and the drug usage amount management system of the present invention, it is possible to add up the usage amount of the drug, output it together with the packaging form of the drug, and place an order for the drug. become.

1 is a conceptual diagram showing the overall configuration of a drug management system including a drug usage amount management device according to an embodiment of the present invention; FIG. It is a figure which shows the hardware constitutions of a medicine usage-amount management apparatus. It is a figure explaining the function of a medicine usage-amount management apparatus. It is a figure which shows an example of the prescription data issued by an electronic chart system. FIG. 2 is a diagram showing an example of dispensing information acquired from a dispensing database; FIG. It is a figure which shows an example of the medication information acquired from a medication database. FIG. 4 is a diagram showing an example of used drug information stored in a drug usage amount database; It is a figure which shows an example of the medicine usage-amount totaled by the medicine usage-amount management apparatus. FIG. 10 is a flowchart showing drug usage amount management processing;

An embodiment of the present invention (hereinafter referred to as the present embodiment) will be described below. The embodiments described below are merely examples for facilitating understanding of the present invention, and do not limit the present invention. That is, the present invention can be modified and improved without departing from its spirit, and the present invention includes equivalents thereof.
In the following description, the drug management system, the drug usage amount management apparatus, and the drug usage amount management method according to the present invention will be described, but the drug usage amount management method may be implemented as a computer-executable program. Alternatively, it goes without saying that the program may be stored in a computer-readable storage medium.

<<Drug management system overview>>
As shown in FIG. 1, the drug management system S of the present embodiment is a system that manages the amount of drug used in cooperation with an electronic medical record system 10 in which medical care information of patients by medical staff is registered. The drug management system S is provided in a hospital and includes a dispensing information management device 20 for managing dispensed drugs, a medication information management device 30 for managing information on drugs actually administered, and information on used drugs. and a drug usage amount management device 40 that manages the In addition to the medicine management system S, the hospital has a medicine ordering system 50 for ordering medicines from external medicine dealers.

The electronic medical record system 10, the dispensing information management device 20, the medication information management device 30, and the drug usage amount management device 40 in the hospital are connected by an in-hospital network N so that information can be transmitted and received between them. However, from the viewpoint of security, the hospital network N is isolated from the external network, and access to the external network from the electronic medical record system 10, the dispensing information management device 20, etc. connected to the hospital network N, or from the outside. It is configured in such a way that it cannot be Therefore, the drug ordering system 50, which needs to be connected to an external network to order drugs from external drug dealers, is not directly connected to the hospital network N.

<Electronic chart system>
The electronic medical record system 10 is a system in which a medical staff manages patient diagnostic information as an electronic medical record. The electronic medical chart system 10 transmits the prescription data 11 input by the medical staff to the dispensing information management device 20 of the pharmacy via the hospital network N. The electronic medical record system 10 also transmits drug instruction data based on the prescription data 11 to the medication information management device 30 provided for each ward. The electronic medical chart system 10 may transmit the prescription data 11 to the medication information management device 30 .
The prescription data 11 relates to drug prescriptions for one day or multiple days, and is created for each patient, for example, as shown in FIG. is The instruction data, although not shown, indicates the amount of drug to be used for each treatment based on the prescription data 11. For example, the patient's name and the amount of drug per treatment are stored. there is

<Dispensing information management device>
The dispensation information management device 20 is a device installed in a dispensary provided in a hospital. Prescription data 11 is received from the electronic medical record system 10 and the pharmacist dispenses medicine based on the prescription data 11 . Dispensed drugs are dispensed to the ward in which the patient is hospitalized within the hospital.

Medicines include, for example, tablets, capsules, sublingual tablets, powders (powders), liquid medicines (liquid medicines), etc., as oral medicines. External medicines include ointments such as eye drops, nasal drops, and ointments, poultices, inhalants, gargles, lozenges, antiseptic solutions, suppositories, and the like.
Usually, when these medicines are delivered to a dispensary, they are delivered in distribution units according to the medicine. For example, tablets or capsules are packed in one sheet every 10 or 14 tablets, and 10 sheets are packaged in one box and delivered in units of boxes. Also, if the medication is a powder or liquid medicine, they are delivered in large box or bottle packages.

At the pharmacy, the medicines delivered in those relatively large packages are subdivided or subdivided according to the quantity described in the prescription data 11 . For example, tablets and capsules are separated from a sheet and secured with a rubber band, or placed in a subdivided bag or the like. It is also sometimes pulverized. Powders and liquid medicines are weighed and put into separate containers such as sachets or vials.

In pharmacies, drug packaging devices and the like have been introduced to automate such subdivision and packaging operations. In addition, recent drug packaging devices can dispense single packages according to the prescription data 11 received from the electronic medical record system 10, and can print a package code or the like on each package with a printer. .

The medicine package code printed at the pharmacy is identification data that can identify the medicine package. It consists of a one-dimensional code or a two-dimensional code including information such as The packaged medicine is dispensed to the medicine cabinet 33 or medicine cart in the patient's ward.

A different device may be used as the dispensing information management device 20 depending on the drug to be handled. For example, in some cases, a dispensing information management device 20 for handling medicines such as tablets and capsules and a dispensing information management device 20 for handling injections are introduced separately from the device. When the dispensing information management devices 20 are different, the information of the dispensed drugs is stored in the respective dispensing databases 21 of the dispensing information management devices 20 . Different devices handle different formats of the dispensing database 21, so if the number of dispensing information management devices 20 increases, there will be dispensing information stored in various formats accordingly. The drug usage amount management device 40, which will be described later, imports dispensing information in different formats into the drug usage amount database 41 by using format conversion tables corresponding to various formats.

<Medication information management device>
The medication information management device 30 is installed in each ward in a hospital, and is a device for managing drugs and the like actually administered to patients admitted to the hospital by nurses and the like.
A medicine cabinet 33 or a medicine cart for containing medicines is installed in the staff room of each ward. Medicine cabinets 33 and medicine carts store medicine packages with medicine package codes printed by the pharmacy, and they are managed in a locked state.
A necessary number of medicines are taken out from the medicine shelf 33 or the medicine cart at the timing of administration to the patient by the pharmacist or nurse based on the instruction data received from the electronic medical record system 10 . After confirming the type and quantity of the medicine, the nurse moves the taken out medicine together with the medication information management device 30 to the patient's room.

The medication information management device 30 is provided with a bar code reader 32 as an input device, and the nurse uses the bar code reader 32 to input drug information at the timing of administering the drug to the patient.
Specifically, the nurse uses the barcode reader 32 to read the medicine packaging code printed on the medicine to be administered (the medicine packaging in the case of tablets, etc.), the patient authentication barcode wrapped around the patient's arm, etc. , read the bar code displayed on the ID card of the nurse administering the drug in order.
The drug information and patient information acquired by the barcode reader 32 are registered in the medication database 31 of the medication information management device 30 . For example, as shown in FIG. 6, information such as a patient ID, patient name, drug name, number of used drugs, units, drug administration date, drug administration time, department of use, etc. is registered for each patient as medication information.
The drug information read by the barcode reader 32 and the drug information included in the instruction data are collated by the medication information management device 30. If they match, medication is permitted, and if they do not match, an error is displayed. be done.

The drug used and the number of used drugs are registered by the medication information management device 30 at the timing of administering the drug to the inpatient, so that it is possible to confirm that the drug has been correctly administered to the specific patient. That is, since the medication information management device 30 can grasp the exact amount of the drug used and the date and time when the drug was administered, the traceability of the drug is realized. Find out what drug is causing it.

<Drug consumption management device>
The medicine usage amount management device 40, which is the main part of the medicine management system S of the present embodiment, will be described. The drug usage amount management device 40 is a device that manages information on used drugs.
With regard to the drug information registered in the dispensing information management device 20, although the quantity of the drug at the time of dispensation for each ward can be grasped, it is unclear whether the drug was actually used or not. It is difficult to ascertain the amount of In addition, as described above, when a plurality of dispensing information management devices 20 are used, each device must be operated in order to grasp the amount of medicine used, and a unified system has been desired. .
On the other hand, although the dosage information management device 30 can grasp the number of drugs actually used and the date and time, the packaging form of the drug is not registered. Therefore, it is difficult to place an order simply by tallying the number of used medicines.

The drug usage amount management device 40 cooperates with the dispensing information management device 20 and the medication information management device 30 to grasp the exact usage amount of the drug together with the packaging form of the drug, and aggregate the usage amount of the drug in a predetermined period. It is possible to output together with the packaging form.

The drug usage amount management device 40 is a computer connected to the hospital network N, as shown in FIGS. Specifically, the drug usage amount management device 40 includes a CPU as a data calculation/control processing device, ROM, RAM and HDD (or SSD) as storage devices, and the dispensing information management device 20 and It is a computer provided with a medication information management device 30 and a communication interface for transmitting and receiving information.
In addition, the drug usage amount management device 40 may include an input/output interface connected to a keyboard, mouse, etc. for inputting information, and a display unit for displaying an input screen or the like.

The storage device of the drug usage amount management device 40 stores a drug usage amount management program in addition to a main program that performs the necessary functions as a computer. The function of the quantity management device 40 is exhibited.
The above-described electronic medical record system 10, dispensing information management device 20, and medication information management device 30 are also computers having the same hardware configuration, although they are not shown.

The drug usage amount management device 40 will be described from the functional aspect with reference to FIG. 105 and an output unit 106 . Also, an input unit 104 for inputting the aggregation period may be provided.

The dispensing information acquisition unit 101 acquires “dispensing information” from the dispensing database 21 of the dispensing information management apparatus 20 .
The “dispensing information” acquired by the dispensing information acquisition unit 101 is information on drugs dispensed based on the prescription data 11 for each patient issued from the electronic medical record system 10, and includes at least a patient ID and a prescription for each patient. The information includes the drug name (drug name), the number of drugs, and the packaging form of the drug.
More specifically, as shown in FIG. 5, the "dispensing information" includes a patient ID assigned to each patient, the patient's name, the drug name, the contents of the prescription, the packaging state, and the like. The "dispensing information" may include the name of the ward in which the patient is admitted or the ward ID assigned to each ward.

It should be noted that the packaging form of the drug indicates the state of the dispensed drug. For example, in the case of tablets and capsules, whether they are provided in bulk tablets or in sheets is indicated together with the unit (the number of tablets). When the drug is powder, it is indicated with units (g, mg), and when it is a liquid drug, it is indicated with units (mL, mg). The packaging form for each drug prescribed for each patient is registered in the dispensing database 21 by the dispensing information management device 20 used when dispensing, and the drug consumption management device 40 can acquire it only from the dispensing database 21. It's becoming

In addition, there are cases where a pharmacy has a plurality of dispensing information management apparatuses 20, each of which manages drugs in different formats. In such a case, the dispensing information acquisition unit 101 is provided with a format conversion unit 101a. It may be converted into a unified format and stored in the medicine usage amount database 41 .

Acquisition of “dispensing information” by the dispensing information acquisition unit 101 is performed when the information in the dispensing database 21 is updated. More specifically, the dispensing information acquisition unit 101 periodically monitors a specific folder in which the dispensing database 21 is stored, and if there is newly added data or files, " "dispensing information" and outputs it to the drug usage amount database 41 stored in the storage unit 103.

The medication information acquisition unit 102 acquires “medication information” from the medication database 31 of the medication information management device 30 .
The “medication information” acquired by the medication information acquisition unit 102 is the drug actually administered to the patient based on the prescription data 11 (more specifically, the instruction data) for each patient issued from the electronic medical record system 10. This information includes at least the patient ID, the drug name (medicine name) administered to each patient, the number of used drugs, and the date and time of administration.
More specifically, as shown in FIG. 6, the "medicine information" stores patient ID, patient name, drug name, number of used drugs, units, drug administration date, and drug administration time. The “medication information” may include the ward name or ward ID where the patient is hospitalized as the department of use.
The number of used medicines and the medication date and time of actually administered medicines can be acquired only from the medication database 31 of the medication information management device 30 .

Acquisition of “medication information” by the medication information acquisition unit 102 is performed when the information in the medication database 31 is updated. More specifically, the medication information acquisition unit 102 periodically monitors a specific folder in which the medication database 31 is stored, and if there is newly added data or files, The “medication information” is captured and output to the drug usage amount database 41 stored in the storage unit 103 .

The storage unit 103 of the drug usage amount management device 40 associates the "medication information" acquired from the medication database 31 with the information on the packaging form included in the "dispensing information" acquired from the dispensing database 21, and stores the drug as "used drug information". Stored in usage database 41 .
"Medication information" and "dispensing information" are associated with the packaging form information using "patient ID" and "medicine name" as keys.
FIG. 7 shows a specific example of "use drug information". The used drug database stores, as used drug information, patient IDs, drug names, number of used drugs, units, packaging forms, dosing dates, and dosing times. If the "medication information" or "dispensing information" includes data on the department of use, the information on the department of use may be stored.
The association between the “medication information” and the “dispensing information” is performed when the medication information acquisition unit 102 acquires the “medication information”, or collectively at a predetermined timing.

At this time, a predetermined period may be obtained as the period for totaling by the input unit 104 . This predetermined period is obtained by inputting an arbitrary period using an input device such as a keyboard by the user (medicine manager) of the medicine usage amount management device 40 . Input of the period is performed, for example, by selecting a calendar or a pull-down menu displayed on the screen of the medicine usage amount management device 40 .

Using the drug usage amount database 41, the usage amount tallying unit 105 tallies the number of used drugs administered within a predetermined period as the drug usage amount.
FIG. 8 shows an example of the drug usage amount totaled by the usage totaling unit 105 . As for the amount of drug used, the amount used within a predetermined period is totaled for each drug. In addition, the unit and its packaging form can be understood, and by using the information on the packaging form, it is possible to convert to the aggregation unit used in distribution. For example, if a certain tablet is distributed with 10 sheets per box, when the amount of use of the tablet reaches 10 sheets or more, the counting unit can be changed to "box".
The usage totaling unit 105 may be provided with a unit conversion unit 105a that converts units for each drug in this way, and the storage unit 103 stores a unit conversion table used when converting the total unit for each drug. may

The output unit 106 outputs the drug usage amount totaled by the usage amount totalizing unit 105 as a file together with the packaging form of the medicine. The file storing the drug usage amount is stored in a storage medium such as a USB memory 42 (Universal Serial Bus memory). The drug usage amount is taken into the drug ordering system 50 via a storage medium such as the USB memory 42, and the drug is ordered to the drug dealer in distribution units. In addition, the storage medium for storing the drug usage amount is not limited to the USB memory 42, and may include FD (Flexible Disc), MO disc (Magneto-Optical disc), CD (Compact Disc), DVD (Digital Versatile Disc), SD It may be a card (Secure Digital card).

Since the drug ordering system 50 needs to be connected to an external drug dealer as described above, it is separated from the hospital network N from the viewpoint of security. Therefore, data is transferred via a storage medium such as a USB memory. When the security problem has been solved, the drug usage amount is transmitted from the drug usage amount management device 40 to the drug ordering system 50 via the network, and the drug ordering system 50 automatically orders the drug. may be

<Drug Consumption Management Program>
Next, the drug usage management program (drug usage management method) executed by the drug usage management device 40 will be described with reference to the flowchart of FIG.
The drug usage amount management program according to the present embodiment includes the above-described dispensing information acquisition unit 101, medication information acquisition unit 102, storage unit 103, and input unit as functional components of the medication usage management apparatus 40. 104, the usage totaling unit 105, and the output unit 106, and the CPU of the drug usage management apparatus 40 executes this drug usage management program.

First, the medicine usage amount management apparatus 40 acquires "dispensing information" from the dispensing database 21 of the dispensing information management apparatus 20 (dispensing information acquisition step S101: dispensing information acquisition process).
Acquisition of "dispensing information" periodically monitors a specific folder in which the dispensing database 21 is stored, and if there is a newly added file or data, fetches "dispensing information" from that file or data. The captured data is stored in the drug usage amount database 41 of the storage unit 103 . The "dispensing information" may be acquired by accessing the dispensing database 21 every predetermined time, for example, every hour, and acquiring newly registered information.

When a pharmacy has a plurality of dispensing information management devices 20 and each manages drugs in different formats, the dispensing information is captured using a format conversion table corresponding to each format and converted into a unified format. It may be stored in the drug usage amount database 41 .

Next, the drug usage amount management device 40 acquires "medication information" from the medication database 31 of the medication information management device 30 (medication information acquisition step S102: medication information acquisition process).
Acquisition of "medication information" is performed by periodically monitoring a specific folder in which the medication database 31 is stored, and if there is a newly added file or data, the file or data Retrieves "medication information" from The fetched “medication information” is stored in the drug usage amount database 41 of the storage unit 103 .

Next, the drug usage amount management device 40 associates the "medication information" with the information on the packaging form of the "dispensing information" and stores it as "used drug information" in the used drug database (storage step S103: storage processing).
When associating the packaging form information of "medication information" and "dispensing information", "patient ID" and "medicine name" included in both "medication information" and "dispensing information" are used as keys.

Next, the drug usage amount management device 40 acquires a period for tallying the drug usage amount as the tallying period (input step S104: input processing). For example, the user of the medicine usage amount management device 40 inputs the aggregation period as an arbitrary period.
If a predetermined period (for example, one day or one week) is set as the aggregation period, the period may be automatically input, in which case the input step S104 is omitted.

After acquiring the aggregation period, the drug usage amount management device 40 aggregates the number of drugs administered during the aggregation period as the drug usage amount (usage amount aggregation step S105: usage amount aggregation process).
For example, as shown in FIG. 8, the drug usage amount used within a predetermined period is totaled for each drug. If the medication information includes information on the ward where the medication was administered, the information may be used to aggregate for each ward. By tabulating the medicines for each ward, it is possible to grasp the stock amount of the medicines in the medicine shelf 33 provided for each ward, for example.

Also, the aggregated results may be converted into units (order units) for distribution for each drug using a unit conversion table. In addition, when incompletely used medicine is recorded, it may be converted into a minimum payout unit. For example, if a Digoxin Injection is recorded as 1/2 ampoule used, it is converted to 1 Ampoule, which is the minimum dispensed unit of Digoxin Injection.

After counting up the drugs within the counting period, the drug usage amount management device 40 outputs the drug usage amount, which is the counting result, as a file together with the packaging form of the drug (output step S106: output processing).
The output file is stored in a storage medium such as the USB memory 42, for example. The file storing the amount of medicine used is taken into a medicine ordering system 50 for ordering medicine via a storage medium such as a USB memory 42 .
In the medicine ordering system 50, the amount of medicine used in the past is also stored, and when the accumulated amount of medicine used reaches the minimum order unit, for example, the number of medicines contained in one box, automatically Orders are placed with drug dealers at

The drug usage amount management device 40, the drug usage amount management method, and the drug usage amount management program according to the present embodiment have been described above with reference to the drawings. In the above embodiment, the unit conversion of the used amount of medicine was performed by the medicine usage amount management device 40 , but the unit conversion may be performed by the medicine ordering system 50 .
In addition, the drug usage amount management device 40 has been described as a system installed in a hospital and used by nurses and hospital staff, but the drug usage amount management device 40 can be installed not only in hospitals but also in nursing care facilities. may be used to administer the medication of

S Drug management system 10 Electronic chart system 11 Prescription data 20 Dispensing information management device 21 Dispensing database 30 Medication information management device 31 Medication database 32 Barcode reader 33 Medicine shelf 40 Medicine consumption management device 41 Medicine consumption database 42 USB memory 50 Medicine Ordering system 101 Dispensing information acquisition unit 101a Format conversion unit 102 Medication information acquisition unit 103 Storage unit 104 Input unit 105 Usage totaling unit 105a Unit conversion unit 106 Output unit

In addition, according to the drug usage amount management method of the present invention, the drug usage amount management method is executed by a computer that manages drugs, wherein the computer manages the amount of drugs dispensed based on prescription data. a dispensing information acquiring step of acquiring dispensing information including at least patient ID, drug name of drug prescribed for each patient, number of drugs, and information on packaging form from a dispensing database in which information is registered; Medication information including at least the patient ID, the name of the drug administered to each patient, the number of used drugs, and the date and time of drug administration is retrieved from the drug database in which the information on the drugs actually administered is registered based on the data. a step of obtaining medication information to be acquired; a storage step in which the computer associates the information on the packaging form of the dispensing information with the medication information and stores it in a drug usage amount database as used drug information; a usage amount tallying step of aggregating the number of used drugs of the drug used for , as a drug usage amount , and an outputting step of outputting the drug usage amount together with the packaging form associated with the drug by the computer ; is also resolved by including

In addition, according to the drug usage amount management program of the present invention, the drug usage amount management program is executed by a computer that manages drugs, and the computer controls the amount of drugs dispensed based on prescription data. Dispensing information acquisition processing for acquiring dispensing information including at least patient ID, drug name of drug prescribed for each patient, number of drugs, and information on packaging form from a dispensing database in which information is registered; and based on the prescription data. Medication information for obtaining medication information including at least patient ID, name of medication administered to each patient, number of used medications, and medication date and time from a medication database in which information on medications actually administered is registered. Acquisition processing; storage processing for associating the information on the packaging form of the dispensing information with the medication information and storing it in a drug usage amount database as used drug information; The problem can also be solved by executing a usage amount tallying process for aggregating the drug usage amount and an output process for outputting the drug usage amount together with the packaging form associated with the drug.

Further, according to the drug management system of the present invention, prescription data for each patient issued from an electronic medical record system is received, and information on drugs dispensed based on the prescription data is registered. a dispensing information management device having a database; a medication information management device having a medication database that receives the prescription data and registers information about the medication actually administered to the patient based on the prescription data; an information management device and a drug usage management device connected to the medication information management device, wherein the drug usage management device stores at least a patient ID and a prescription for each patient from the dispensing database of the dispensing information management device. a dispensing information acquisition unit that acquires dispensing information including information on the name of the medicine, the number of medicines, and the packaging form of the prescribed medicine; a medication information acquisition unit that acquires medication information including information on a medication name, the number of used medications, and medication date and time; a storage unit for storing, a usage totalizing unit for totalizing the number of used drugs of the medicine used within a predetermined period as a drug usage, and storing the drug usage together with the packaging form associated with the drug It is also solved by providing an output unit that outputs.

Claims (7)

A dispensing information acquisition unit that acquires dispensing information including at least a patient ID, a drug name of a drug prescribed for each patient, and packaging form information from a dispensing database in which information on drugs dispensed based on prescription data is registered. and,
Medication including at least patient ID, drug name of drug administered to each patient, number of used drugs, date and time of drug administration from a drug administration database in which information on drugs actually administered is registered based on the prescription data a medication information acquisition unit that acquires information;
a storage unit that associates the information on the packaging form of the dispensing information with the medication information and stores it in a drug usage amount database as used drug information;
a usage amount totalizing unit that totalizes the number of used medicines of the medicines used within a predetermined period as the amount of medicine used;
and an output unit that outputs the drug usage amount together with the packaging form associated with the drug. The dispensing information and the medication information include information on the department where the drug is used,
The usage amount tallying unit aggregates the drug usage amount for each department using the drug,
2. The drug usage amount management apparatus according to claim 1, wherein the output unit outputs the drug usage amount for each of the use departments. The dispensing information acquisition unit has a format conversion unit that converts a format using a format conversion table corresponding to each of the plurality of dispensing databases in order to acquire the dispensing information from a plurality of different dispensing databases. The drug usage amount management device according to claim 1 or 2. The drug usage amount management apparatus according to any one of claims 1 to 3, wherein the usage amount totalizing unit includes a unit conversion unit that converts an aggregation unit of the totalized drug usage amounts. A dispensing information acquiring step of acquiring dispensing information including at least a patient ID, a drug name of a drug prescribed for each patient, and packaging form information from a dispensing database in which information on drugs dispensed based on prescription data is registered. and,
Medication including at least patient ID, drug name of drug administered to each patient, number of used drugs, date and time of drug administration from a drug database in which information on drugs actually administered is registered based on the prescription data a medication information acquisition step of acquiring information;
a storage step of associating the information on the packaging form of the dispensing information with the medication information and storing it in a drug usage amount database as used drug information;
a usage amount tallying step of tallying the number of used drugs of the drugs used within a predetermined period as a drug usage amount;
and an outputting step of outputting the drug usage amount together with the packaging form associated with the drug. A drug usage amount management program that is executed by a computer that manages drugs,
to the computer;
Dispensing information acquisition processing for acquiring dispensing information including at least a patient ID, a drug name of a drug prescribed for each patient, and packaging form information from a dispensing database in which information on drugs dispensed based on prescription data is registered. and,
Medication including at least patient ID, drug name of drug administered to each patient, number of used drugs, date and time of drug administration from a drug database in which information on drugs actually administered is registered based on the prescription data medication information acquisition processing for acquiring information;
a storage process of associating the information on the packaging form of the dispensing information with the medication information and storing it in a drug usage amount database as used drug information;
a usage amount tallying process of tallying the number of used drugs of the drugs used within the tallying period as a drug usage;
and an output process of outputting the drug usage amount together with the packaging form associated with the drug. a dispensing information management device that receives prescription data for each patient issued from an electronic medical record system and has a dispensing database in which information about drugs dispensed based on the prescription data is registered;
a medication information management device that receives the prescription data and has a medication database in which information on drugs actually administered to the patient is registered based on the prescription data;
a drug usage amount management device connected to the dispensing information management device and the medication information management device;
The drug usage amount management device,
a dispensing information acquisition unit that acquires dispensing information including at least a patient ID, a drug name of a drug prescribed for each patient, and packaging form information from the dispensing database of the dispensing information management device;
a medication information acquisition unit that acquires medication information including at least patient ID, name of medication administered to each patient, number of used medications, and medication date and time from the medication database of the medication information management device;
a storage unit that associates the information on the packaging form of the dispensing information with the medication information and stores it in a drug usage amount database as used drug information;
a usage amount tallying unit that tallies the number of used drugs of the drugs used within the tallying period as a drug usage;
and an output unit that outputs the drug usage amount together with the packaging form associated with the drug.

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