JP2024040520A - Dispensing support system - Google Patents

Abstract

An object of the present invention is to provide a dispensing support system that can improve the work efficiency of dispensing operations.
A dispensing support system 1 is constructed which includes a plurality of powder medicine packaging means 3 and 4 capable of carrying out a packaging process of packaging and discharging powder medicines one dose at a time based on prescription data. In the dispensing support system 1, when a powder medicine is prescribed, one of the plurality of powder medicine packaging means 3, 4 executes the packaging process. Then, before performing the packaging process, a distribution operation is performed to determine the powder packaging means 3 and 4 that will perform the distribution process, and before the distribution process distributed by this distribution process is executed, the distribution operation is performed. A first output operation is performed to output information indicating the result in a state that the user can confirm.
[Selection diagram] Figure 1

Description

The present invention relates to a dispensing support system for providing drugs to patients in medical facilities such as hospitals, clinics, and dispensing pharmacies, and particularly to a dispensing support system that can suitably support drug provision operations in large-scale hospitals. It is.

Conventionally, when providing medicine to a patient at a medical facility, a doctor performs an examination and issues a prescription, and dispensing is performed based on the issued prescription. Specifically, there are two types of prescriptions: in-hospital prescriptions, in which drugs are provided directly at the medical facility where the patient was examined, and out-of-hospital prescriptions, in which the drugs are provided at a medical facility outside the medical facility where the patient was examined (external pharmacy, etc.). In relatively large hospitals, in-hospital prescriptions may be provided. In this case, dispensing operations including drug preparation (measuring, mixing, packaging, etc.), inspection, provision, etc. are carried out in the hospital's pharmacy department.

As a system for supporting such dispensing work, there is a powder medicine dispensing work support system disclosed in Patent Document 1 filed by the present applicant in the past (hereinafter also simply referred to as a dispensing support system). The dispensing support system of Patent Document 1 includes a powder medicine packaging machine (hereinafter also referred to as a fully automatic powder medicine packaging machine) that can almost completely automate the packaging work of dividing and packaging powder medicine into single doses. ing. In this dispensing support system, packaging is performed using a fully automatic powder medicine packaging machine, packaging is performed by combining a fully automatic powder medicine packaging machine and other dispensing equipment, and packaging is performed using other dispensing equipment. It is possible to carry out separate packaging.

Here, the fully automatic powder dispensing machine performs tasks such as moving drug containers from the internal container storage device to the powder discharge location, taking out the powder stored in the drug container, weighing the powder, and distributing the powder into individual packages. A series of processes consisting of dividing the product into individual parts and packaging them individually can be executed automatically.
Therefore, packaging performed only with a fully automatic powder packaging machine can reduce the burden on the dispenser compared to packaging using other dispensing equipment.

Therefore, in the dispensing support system of Patent Document 1 described above, packaging performed only by a fully automatic powder medicine packaging machine is given priority.
Specifically, when the control device receives the prescription data, the control device transmits the data to the fully automatic powder packaging machine. The fully automatic powder medicine packaging machine then performs a determination operation to determine whether or not the prescription included in the prescription data can be processed by itself. As a result of this determination operation, if it is possible to process only with the fully automatic powder packaging machine, packaging is performed directly with the fully automatic powder packaging machine. On the other hand, if the fully automatic powder packaging machine cannot handle the process alone, the fully automatic powder packaging machine resends the data to the control device, and the control device transmits the data to other dispensing equipment. Then, packaging is performed either by combining another dispensing device and a fully automatic powder packaging machine, or by using another dispensing device.
Further, Patent Document 1 discloses that the determination operation performed by the fully automatic powder packaging machine described above may be performed by a control device.

Japanese Patent Application Publication No. 2016-130972

As mentioned above, fully automatic powder medicine packaging machines are popular in the market because they place less burden on the dispenser. For this reason, there is a strong desire for its introduction, especially in medical facilities that need to process a large number of prescriptions one after another, such as the pharmacy departments of large hospitals.

When a large hospital introduces a fully automatic powder medicine packaging machine, it has many packaging machines consisting of a fully automatic powder medicine packaging machine and a conventional powder medicine packaging machine, and only one packaging machine can be selected from the many packaging machines. In many cases, a large-scale dispensing operation support system is constructed using this system to carry out dispensing and packaging operations.

When actually operating such a dispensing work support system, once it has been determined which packaging machine will package the drug corresponding to each prescription data, the dispensing person will need to use the dispensing equipment (dispensing machine) that belongs to the system. I was looking around at the wrapping machines, weighing equipment, etc. Then, it identifies the dispensing device that is assigned the dispensing process, and performs tasks such as receiving individually packaged powder medicines from a fully automatic powder dispensing machine and weighing powder medicines to be fed into a conventional powder dispensing machine using a weighing device. I was going.
Unlike a small-scale dispensing support system, if a large-scale dispensing support system is constructed, many packaging machines and other dispensing equipment will be placed over a large area, so the pharmacist will be able to use the dispensing equipment. It took a lot of time and effort to look around.

Therefore, there has been a need for a dispensing work support system that outputs the contents in a format that can be viewed by the dispensing person when it is determined which dispensing device to use for dispensing and packaging.

By the way, the present inventors have devised a configuration in which, in such a dispensing work support system, the dispensing process can be distributed to multiple dispensing devices using a control device, etc., and then the dispensing process can be reassigned as needed. Ta.
Specifically, in a dispensing operation support system that includes a first packaging machine and a second packaging machine, the packaging process for drugs based on a predetermined prescription (hereinafter referred to as the first packaging process) is performed by the first packaging machine. Let us assume that it has been decided to use a wrapping machine. At this time, if many unprocessed packaging processes are accumulated in the first packaging machine, it will take time until the first packaging process is executed in the first packaging machine. Therefore, in such a case, it is possible to speed up the packaging process of the entire system by canceling the first packaging process on the first packaging machine and running it on the second packaging machine. can.

However, when the configuration is such that such an operation is possible, it may take some time to determine which dispensing device will be used for dispensing and packaging. That is, there is a possibility that the packaging process may be transferred one or more times, and in such a case, it takes time to completely determine the dispensing device to be used for packaging.
For this reason, if the dispensing device to be used for dispensing is determined and the contents are output so that the dispensing person can see it, the initial response of the dispensing person to go to the dispensing device will be delayed. Put it away.

In view of the above, there has been a desire for a dispensing work support system that can more appropriately support the dispensing work of a pharmacist and further improve the efficiency of the dispensing work.

Therefore, an object of the present invention is to provide a dispensing support system that can improve the efficiency of dispensing operations.

One aspect of the present invention for solving the above problems is that a powder packaging means capable of performing a packaging process of packaging and discharging powder medicine in single doses based on prescription data is connected, and the powder medicine is prescribed. When the powder medicine packaging means is one of the plurality of powder medicine packaging means, the packaging process is executed by one of the powder medicine packaging means, and by performing the sorting operation, the packaging process is completed. A first step that is assigned to one of the powder medicine packaging means and outputs information indicating the result of one of the distribution operations in a state that the user can confirm, before the packaging process assigned in one of the distribution operations is executed. This is a dispensing support system that performs one output operation.
An aspect related to this aspect is to have a plurality of powder medicine packaging means capable of carrying out a packaging process of packaging and discharging powder medicines one dose at a time based on prescription data. The packaging process is executed by one of the powder medicine packaging means of the powder medicine packaging means, and by performing the distribution operation, the packaging process is performed by one of the powder medicine packaging means. and executes a first output operation for outputting information indicating the result of the one sorting operation in a state that the user can confirm, before the packaging processing assigned in the one sorting operation is executed. , a dispensing support system.

In the dispensing support system of this aspect, after distributing the dispensing packages in the distributing operation, and before executing the distributing distributing processes, information indicating the result is outputted in the first output operation. In other words, the first output operation is executed as soon as possible, regardless of whether or not the packaging process is actually executed by the powder medicine packaging means to which it is assigned. As a result, it is possible to quickly provide the dispensing person with information that serves as a guideline for the work place for dispensing work, so that the dispensing person can quickly rush to the vicinity of the powder medicine packaging means (dispensing equipment) where the dispensing process is scheduled to be performed. becomes possible.

The dispensing support system of the above aspect is particularly preferably configured such that at least one of the multiple powdered medicine packaging means has a transfer function for transferring the packaging process assigned to itself to another powdered medicine packaging means after the allocation operation is performed, the allocation operation is an operation for permanently or temporarily determining the powdered medicine packaging means that will execute the packaging process, and the determination of the allocation operation is switched when the packaging process is transferred.

Moreover, in the above-mentioned preferred aspect, the second output operation is executed after the execution of the first output operation, and the second output operation is performed when the second output operation is performed on the first output operation, and the second output operation is performed on the first output operation. On the condition that the packaging process is executed by any of the powder medicine packaging means and the execution is completed, the user can confirm information identifying the powder medicine packaging means that actually performed the packaging process. It is more preferable to perform an operation in which the output is performed in a stable state.

In this more preferable aspect, it is further preferable that in the second output operation, when the distribution of the packaging process is performed after the distribution operation, information regarding the distribution history is output.

These configurations are preferable because the pharmacist performing the inspection work can accurately grasp the details of the actual drug preparation work (measuring, mixing, packaging, etc.).

In the above-described preferred aspect, in the first output operation and the second output operation, information necessary for drug inspection including information indicating the drug name of the prescribed drug is outputted, as well as information regarding the distribution of the packaging process. It is more preferable to do so.

According to this configuration, when a pharmacist who performs preparation work or a pharmacist who performs inspection work separate from the pharmacist performs work while checking the output contents, it is possible to distinguish between the prescription to be worked on and other prescriptions. Hard to mistake and desirable. Furthermore, it is also possible to perform inspection work while checking the output content of the first output operation.

In the aspect described above, at least one of the powder medicine packaging means is an automatic powder medicine packaging machine, and at least another one of the powder medicine packaging means is constituted by a medicine weighing device and a powder medicine packaging machine, respectively. The automatic powder packaging machine includes a container storage section for storing a plurality of medicine containers containing powder medicines, a dispensing tray, and a powder packaging device, and The powder medicine is discharged while being measured from the medicine container stored in the container storage section, and the discharged powder medicine is directly or temporarily stored in another container, and then put into the distribution tray from the other container, and then from the distribution tray. It is possible to automatically execute the operation of putting powder medicine into the powder medicine packaging device one package at a time and individually packaging it, the medicine weighing device weighs the target medicine, and the powder medicine dispensing machine is installed. The weighed powder medicine is packaged and discharged one dose at a time, and in the sorting operation, it is preferable that the automatic powder medicine packaging machine is preferentially assigned to the automatic powder medicine packaging machine rather than the manual powder medicine packaging means.

According to this configuration, the packaging process is preferentially assigned to the automatic powder packaging machine that places less burden on the dispenser, so it is possible to improve the work efficiency of dispensing operations.

In the above-mentioned preferred aspect, it is more preferable that in the sorting operation, the sorting process is assigned based on information on powder medicines contained in the medicine containers stored in the container storage section at the time of execution of the sorting operation.

According to this configuration, even if the powder medicines stored in the automatic powder medicine packaging machine are changed as appropriate, an appropriate sorting operation can be performed, which is preferable.

In the preferred aspect described above, it is more preferable that the automatic powder packaging machine has a transfer function for transferring the packaging process assigned to itself to another powder packaging means.

According to this configuration, the destination to which the packaging process is assigned can be changed as appropriate depending on the processing status of the packaging process of the automatic powder packaging machine, so it is possible to improve the work efficiency of dispensing operations.

In the aspect described above, it is preferable that the first output operation prints and outputs the information indicating the result of the sorting operation on a paper medium, or outputs it on a display screen of an external mobile terminal.

According to this configuration, the dispensing person can carry around the medium or device on which the information is output, and therefore the dispensing work can be easily performed, which is preferable.

In the aspect described above, a medicine bag manufacturing operation is possible in which a medicine bag with an identification mark added thereto is produced, and the identification mark includes identification information that allows identification of a prescription corresponding to the powder medicine contained in the medicine bag, and The powder medicine packaging means includes an information reading device capable of reading the identification display, and when the packaging processing for the powder medicines contained in the medicine bag is unprocessed, the information reading device reads the identification display. is read, specifying information regarding the prescription corresponding to the powdered medicine contained in the medicine bag, and outputting the specified information to a display device in a state that the user can confirm, or It is preferable that execution of the packaging process for powdered medicines is determined.

According to this configuration, a plurality of packaging processes assigned to the powder medicine packaging means remain unprocessed, and the packaging process for the powder medicine to be stored in the medicine bag is identified and executed from among the unprocessed packaging processes. By reading the identification display with an information reading device, it becomes possible to automatically identify the packaging process.
That is, unlike the case where a dispensing person manually specifies a packaging process from among unprocessed packaging processes, execution of a packaging process due to an operational error can be prevented.

According to the present invention, the efficiency of dispensing operations can be improved.

1 is a block diagram showing a dispensing support system according to an embodiment of the present invention. FIG. 2 is a block diagram showing a higher-level control device in FIG. 1. FIG. 2 is an explanatory diagram showing the fully automatic powder medicine packaging machine of FIG. 1. FIG. FIG. 4 is a perspective view showing a medicine feeder formed when powder medicine is discharged into a distribution tray inside the fully automatic powder medicine packaging machine of FIG. 3; (a) is a block diagram showing the medicine weighing device of FIG. 1, and (b) is a block diagram showing the powder medicine packaging machine of FIG. 1. 2 is a flowchart showing the procedure of the distribution operation executed by the dispensing support system of FIG. 1, and shows the procedure of the operation executed when powdered medicine is included in the prescription. FIG. 2 is an explanatory diagram showing an example of an instruction sheet output in an instruction sheet output operation performed by the dispensing support system of FIG. 1; FIG. 2 is an explanatory diagram schematically showing an example of a medicine bag output in a medicine bag production operation performed by the dispensing support system of FIG. 1. FIG. 2 is an explanatory diagram showing an example of an inspection screen displayed in an inspection screen output operation performed by the dispensing support system of FIG. 1. FIG. FIG. 2 is an explanatory diagram schematically showing a prescription standby screen displayed on the fully automatic powder packaging machine of FIG. 1, and shows a state in which information indicating a packaging process that has been confirmed to be executed is not displayed. FIG. 2 is an explanatory diagram schematically showing an unprocessed list display screen displayed by the fully automatic powder packaging machine of FIG. 1. FIG. 2 is an explanatory diagram schematically showing a content confirmation screen displayed on the fully automatic powder medicine packaging machine of FIG. 1. FIG. FIG. 2 is an explanatory diagram schematically showing a prescription standby screen displayed on the fully automatic powder packaging machine of FIG. 1, and shows a state in which information indicating a packaging process that has been confirmed to be executed is displayed. 2 is a block diagram showing a dispensing support system according to an embodiment different from FIG. 1. FIG. It is a block diagram showing a ward information management system that can be used in combination with the above-described dispensing support system. 16 is an explanatory diagram schematically illustrating a ward information confirmation screen displayed on the list display device of FIG. 15. FIG.

Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings, but the present invention is not limited to these examples. In addition, in the following description, "powdered medicine" includes a medicine made into powder by grinding a solid medicine such as a tablet.

As shown in FIG. 1, the dispensing support system 1 of this embodiment includes a host control device 2 (control device), a fully automatic powder medicine packaging machine 3 (powder medicine packaging means, automatic powder medicine packaging machine, medicine dispensing means, A manual powder dispensing means 4 (powder dispensing means, a drug dispensing means, a second drug dispensing means), and an automatic tablet dispensing machine 5 (medicine dispensing means). The manual powder medicine packaging means 4 includes a medicine weighing device 6 (powder medicine weighing device) and a powder medicine packaging machine 7.
The host control device 2, fully automatic powder medicine packaging machine 3, and manual powder medicine packaging means 4 are connected to each other via a local area network (LAN) or the like so that data (signals) can be sent and received to each other. Similarly, the host controller 2 and the automatic tablet packaging machine 5 are also connected in a state where they can communicate electrically, and are in a state where data can be sent and received.

As shown in FIG. 2, the upper control device 2 includes a device main body 10, a display device 11 (control side display device) attached to the device main body 10, an input device 12, a printing device 13 (printing means), A medicine bag making device 14 is provided.

The device body 10 includes a calculation section 15 such as a CPU, a storage section 16, and a communication section 17 such as an I/O port.

The calculation unit 15 is a part that performs various calculations and generates control signals by reading and executing programs and data stored in the storage unit 16 based on various inputs.

The storage unit 16 includes a main storage device consisting of a ROM that stores various programs and data, and a RAM that temporarily stores various programs and stores various data in a rewritable manner. A device is further provided and formed. Note that as the auxiliary storage device, an HDD (Hard Disk Drive), an SSD (Solid State Drive), etc. can be adopted.
The storage unit 16 of this embodiment stores programs and data for executing various operations including a distribution operation to be described later.

Specifically, such data (information) includes information (hereinafter referred to as (also referred to as powder medicine storage information) is stored. This powder medicine storage information includes information regarding the type of powder medicine stored and information regarding the amount.
Also, information regarding tablets stored in a tablet cassette (described in detail later) of the automatic tablet packaging machine 5 and stored in the automatic tablet packaging machine 5 (hereinafter also referred to as tablet storage information) is stored. has been done. This tablet storage information includes information regarding the type of stored tablets, and information regarding the shape, number, and weight. Note that the information regarding the shape may be information regarding the size (ratio of size to one tablet) of a divided tablet such as a half tablet or a quarter tablet.

Further, the powder medicine storage information is such that when the powder medicine (drug container) stored in the container storage section 31 of the fully automatic powder medicine packaging machine 3 is changed, the host controller 2 receives a signal transmitted from the fully automatic powder medicine packaging machine 3. Then, the information update process is executed.
In addition, information regarding prescriptions transmitted from the external PC 20 is stored in the storage unit 16 as prescription data.

The communication unit 17 has an interface that enables two-way wired or wireless communication with external devices. Further, this communication section 17 is connected to the calculation section 15 via a transmission path such as a bus.
That is, the host controller 2 uses the communication unit 17 to communicate with each dispensing device belonging to the dispensing support system 1 (fully automatic powder medicine packaging machine 3, manual powder medicine packaging means 4, automatic tablet packaging machine 5, etc.) and the doctor's operation. It is possible to send and receive signals to and from an external PC 20.

The display device 11 is a device that displays the contents of various processes executed by the dispensing support system 1, the status of each dispensing device, etc., and is specifically a display device such as a liquid crystal display or an organic EL display device.
The input device 12 is a device used when a user operates the upper control device 2, and specifically, is a mouse or a keyboard.

The printing device 13 is a printer that can print and output predetermined information on a paper medium.
The medicine bag manufacturing device 14 is a medicine bag printer, and is capable of manufacturing a medicine bag by manufacturing a bag from bag paper and printing and outputting predetermined information on the manufactured bag. In addition, in this embodiment, in addition to regular medicine bags, it is possible to output multiple types of medicine bags such as gusseted medicine bags and transparent medicine bags, and by selecting the size of each medicine bag, it is possible to output medicine bags of different sizes. is possible.

As shown in FIG. 3, the fully automatic powder medicine packaging machine 3 is configured with various devices built into a housing 25, and can be roughly divided into a medicine shelf area 26, a medicine dividing area 27, and a medicine dividing area 27. It is divided into packaging areas 28.

The drug shelf area 26 is provided with a container storage section 31 in which drug containers 30 are installed. The container storage section 31 has a vertical drum member 31a that is rotatable in the circumferential direction, and a plurality of container installation sections 31b are provided on the outer peripheral surface of the drum member 31a.
For convenience of drawing, in FIG. 3, only part of the drug container 30 and the container installation part 31b are labeled with reference numerals, and the other parts are omitted.

The plurality of medicine containers 30 stored inside the fully automatic powder medicine packaging machine 3 are capable of individually storing powder medicines. The fully automatic powder medicine packaging machine 3 of this embodiment stores a plurality of types of powder medicines as a whole, and stores a plurality of different kinds of powder medicines in one or more (two to three) medicine containers 30, respectively. ing. Specifically, among the plurality of types of powders, powders that are provided frequently are stored in a plurality of drug containers 30, and powders that are provided less frequently are stored in one drug container 30. Therefore, even if the frequently provided powder medicine stored in one medicine container 30 is used up, the same packaging operation can be performed using the same powder medicine stored in another medicine container 30.

A container moving means 34 is provided in an area extending from the medicine shelf area 26 to the medicine dividing area 27. The container moving means 34 is a robot.

The medicine dividing area 27 is an area in which a powder medicine dispensing device 37 is built-in. The powder medicine dispensing device 37 is provided with two distribution plates 38, a plurality of container mounting devices 39 installed around each distribution plate 38, and a scraping device 40. Note that the configuration is not limited to the configuration in which a plurality of (two) distribution plates 38 are provided as in this embodiment, but the fully automatic powder medicine packaging machine 3 may be miniaturized by using only one distribution plate 38.
Further, the medicine division area 27 is provided with a medicine introduction port (not shown) for supplying powdered medicine one package at a time to the medicine packaging area 28 .

The medicine packaging area 28 has a built-in medicine packaging device 45 (powder packaging device). The medicine packaging device 45 is a machine that packages powdered medicines one dose at a time, and is composed of a packaging sheet supply device and a sealing device (detailed illustration is omitted).

The fully automatic powder medicine packaging machine 3 is equipped with a control section (automatic machine control section, not shown) inside. This control section controls various operations executed by the fully automatic powder packaging machine 3, and similarly to the above-mentioned upper control device 2 (see FIG. 2), the control section includes a CPU, a main storage device, an auxiliary storage device, and an I/O device. A calculation section, storage section, and communication section are formed by the O port and the like.
The fully automatic powder medicine packaging machine 3 is capable of transmitting and receiving signals with the host controller 2 and the manual powder medicine packaging means 4 (drug weighing device 6, powder medicine packaging machine 7) through the communication section (see Figure 1). ).

Further, the fully automatic powder medicine packaging machine 3 is equipped with an operation display section 50 (display device), as shown in FIG. The operation display unit 50 is a touch panel, and serves as both a display device (automatic machine side display device) and an input device (automatic machine side input device).

Furthermore, the fully automatic powder medicine packaging machine 3 is equipped with an information reading device (not shown).
This information reading device is constructed from a recognition device such as a scanner or camera and a program for acquiring information.The information to be read acquired by the recognition device is input to the control section (automatic machine control section), and the control section Information can be obtained by running a program. Specifically, it is a two-dimensional code reader that can acquire information from the two-dimensional code 92 (an identification display, which will be described in detail later, see FIG. 8) on the medicine bag 90.

Next, operations that can be performed by the fully automatic powder packaging machine 3 will be explained.

The fully automatic powder medicine packaging machine 3 is capable of performing an automatic packaging operation of packaging medicine using the built-in medicine container 30. The automatic packaging operation includes moving a container containing powder medicine (drug container 30) from a storage location to a powder retrieval location, taking out the powder while measuring it from the container, and dispensing the taken out powder medicine one dose at a time. This is an operation that automatically executes a series of operations consisting of dividing and packaging operations.

Specifically, when the automatic packaging operation is started, the container moving means 34 takes out the drug container 30 from the container storage section 31, moves the drug container 30 to the top of the container placement device 39, and moves the drug container 30 to the top of the container mounting device 39. Place it on the container mounting device 39. In other words, the container moving means 34 can hold the drug container 30 at the tip of the arm and move the drug container 30 as it is.

The drug container 30 is placed on the container mounting device 39 and combined, thereby forming the drug feeder 55 (see FIG. 4). That is, the drug feeder 55 is composed of a drug container 30 and a container mounting device 39, which are separate, separable members. The fully automatic powder medicine packaging machine 3 of this embodiment uses this medicine feeder 55 to feed powder medicine into the distribution tray 38.

That is, in a state in which the drug feeder 55 is formed, a current of a constant frequency is applied to the vibrating means 56 of the container mounting device 39 to generate vibration, and the vibrating table 57 is vibrated. Further, before and after the start of vibration, the distribution plate 38 is rotated, and the weight of the drug container 30 is measured by a weight measuring means (not shown) of the container mounting device 39.

When the vibration table 57 starts vibrating, the medicine container 30 vibrates, and the powder medicine stored inside the medicine container 30 moves toward the medicine discharge part 58 side and reaches the medicine discharge part 58 of the medicine container 30. The drug is thrown into the groove of the distribution tray 38 located below the drug discharge part 58.
Note that the medicine discharge section 58 includes an opening that communicates the inside and outside of the medicine container 30, and a lid portion that can be opened and closed. The lid portion of the medicine discharge section 58 is a portion that is opened and closed by the container moving means 34, and is opened when installed on the container mounting device 39 and closed when removed from the container mounting device 39.

While the powder medicine is falling from the medicine discharge section 58 to the distribution tray 38, the current weight (current weight g) of the medicine container 30 continues to be monitored by the weight measuring means of the container mounting device 39. Then, by comparing the original weight G, which is the weight of the drug container 30 immediately after being placed on the vibration table 57, with the current weight g, the falling amount H of the powder medicine (the value obtained by subtracting the current weight g from the original weight G) is calculated. Obtain by constant calculation.
Then, the vibration of the vibration table 57 is stopped at the timing when the falling amount H of the powder medicine reaches a desired weight. Thereafter, the drug container 30 is returned to the container storage section 31 by the container moving means 34.

When a plurality of powdered medicines are prescribed and mixed and packaged, the above-described operation is performed for a plurality of medicine containers 30. In this case, a plurality of drug containers 30 are each placed on a separate container mounting device 39, and powdered medicine is put into the distribution tray 38 from each drug container 30. In this embodiment, it is possible to simultaneously introduce powdered medicine from three medicine containers 30 into one distribution dish 38. Furthermore, if the number of powder medicines to be mixed exceeds the number of usable container placement devices 39, the discharge of the powder medicines from one of the medicine containers 30 is completed, and an operation is performed to return the medicine container 30 to the container storage section 31. After that, another medicine container 30 is placed on the empty container mounting device 39 to discharge the powder medicine.
When all the powders to be mixed are put into the distribution tray 38, a part of the scraping device 40 is put into the groove of the distribution tray 38, and the distribution tray 38 is rotated by a predetermined angle to remove the scraping device. A predetermined amount of powder is collected around 40, scraped out of distribution pan 38, and introduced into drug packaging area 28. Then, the drug packaging device 45 packages each dose.

The drug weighing device 6 includes a weighing device main body 60, a weighing side reading device 61 and a printing device 62 attached to the weighing device main body 60, as shown in FIG. 5(a).

The weighing device main body 60 includes a weighing side control section 65, a balance unit 66, a weighing side operation display section 67, an information reading means 68, and a USB port 69.

The weighing side control unit 65 is a control unit that controls various operations executed by the medicine weighing device 6, and similarly to the above-described host control device 2 (see FIG. 2), the weighing side control unit 65 is a control unit that controls various operations performed by the drug weighing device 6. A calculation section, a storage section, and a communication section are formed by the /O port and the like. The storage unit stores weighing-related data that will not be changed and a program that operates the medicine weighing device 6.

The balance unit 66 is formed to include a balance head, a balance circuit, a force coil, etc., similar to those employed in known electronic balances. That is, the weighing means is capable of weighing the medicine placed on the balance stand by placing the weighing container (not shown) on the balance stand and placing the medicine on the weighing container.

The weighing side operation display section 67 is a touch panel, and serves as both a display device (weighing side display device) and an input device (weighing side input device).
The information reading means 68 is a reader/writer capable of reading and writing information on an information storage medium (RFID tag or IC tag) provided in a weighing container (not shown) or the like.
The USB port 69 is a portion into which a USB memory functioning as a storage medium can be attached and detached. That is, this drug weighing device 6 is capable of reading data related to drugs handled in dispensing operations from a USB memory.

The weighing side reader 61 is an information reader that reads information from a code (code or code, such as a barcode) attached to a medicine bottle, prescription, etc., and reads information from the fully automatic powder packaging machine 3 described above. Like the reading device, it is constructed from a recognition device and a program for acquiring information. That is, the information to be read acquired by the recognition device is input to the weighing side control section 65, and the weighing side control section 65 acquires the information by executing the program.
Specifically, it is a barcode reader that can obtain JAN codes (or RSS) from barcodes attached to medicine bottles, and can also read information from barcodes attached to prescriptions, etc. .

The printing device 62 is a printer that can print and output various information on paper media.

As shown in FIG. 5(b), the powder packaging machine 7 includes a packaging machine side control section 73, a packaging machine side operation display section 74, a powder dispensing device 75, a medicine packaging device 76, and a supply hopper 77. , information reading means 78. The powder medicine dispensing device 75, the medicine packaging device 76, and the information reading means 78 are substantially the same as the powder medicine dispensing device 37, the medicine packaging device 45, and the information reading means 68 described above, so a redundant detailed explanation will be omitted.

The packaging machine side control unit 73 is a control unit that controls various operations executed by the powder medicine packaging machine 7, and similarly to the above-mentioned upper level control device 2 (see FIG. 2), the packaging machine side control unit 73 includes a CPU, a main storage device, an auxiliary storage device, An arithmetic unit, a storage unit, and a communication unit are formed by the I/O port and the like.

The packaging machine side operation display section 74 is a touch panel, and serves as both a display device (packaging machine side display device) and an input device (packaging machine side input device).

The supply hopper 77 is a part that serves as an input port for introducing weighed powder into the powder medicine dispensing device 75.

As described above, in the dispensing support system 1 of the present embodiment, the manual powder packaging means 4 is configured by the medicine weighing device 6 and the powder packaging machine 7. When packaging with the manual powder packaging means 4, the dispenser (user) places the powder on a weighing container (not shown) and weighs it with the medicine weighing device 6, and then places the weighed powder on the container. The container for weighing is moved to the powder medicine packaging machine 7, and the powder medicine is put into the powder medicine packaging machine 7. As a result, the loaded powder medicine is divided into single doses (one package at a time) and packaged by the powder medicine packaging machine 7.

The automatic tablet packaging machine 5 has a plurality of tablet cassettes (not shown) in which tablets are individually stored. A plurality of types of tablets are housed in one or more tablet cassettes for each type, and the apparatus as a whole stores a plurality of types of tablets. Therefore, the automatic tablet packaging machine 5 is capable of performing an automatic tablet packaging operation in which tablets are automatically dispensed from one or more tablet cassettes based on prescription data and each dose is packaged in a medicine packet. It is.
Note that the tablets stored in this tablet cassette include split tablets such as half tablets and quarter tablets in which a portion of a single tablet is missing, and capsule tablets.

In addition, the automatic tablet packaging machine 5 manually arranges one or more tablets in a manual distribution unit (a tray-shaped part having a grid-like partition wall) and packages each dose in a medicine packet. It is also possible to perform packaging operations.

This automatic tablet dispensing machine 5 also has a control section (tablet side control section), which, like the control sections of the other dispensing devices described above, includes a CPU, a main storage device, an auxiliary storage device, and an I/O port. A calculation section, a storage section, and a communication section are formed by these components.

Next, we will explain the operation of the dispensing support system 1.

After the examination, the doctor inputs information (data) regarding the prescription into the external PC 20 and performs a predetermined operation, and an electronic medical record program installed in the external PC 20 creates prescription data from the input information. Then, the created prescription data is transmitted from the external PC 20 to the upper control device 2.

Prescription data is data that is created based on input information on prescriptions, and includes information on the contents of prescriptions necessary for dispensing operations and information for identifying and managing the prescriptions themselves.

The information regarding the contents of the prescription includes information regarding the patient, such as the patient's name, patient ID, age, sex, height, weight, and body surface area. Additionally, there is information regarding the prescribed drug, such as drug name, drug ID, YJ code, GS1 code, quantity, usage, dosage, period of use (start date of administration, end date of administration, period of administration). In addition, information about the medical facility (hospital or clinic), such as name, location, department (medical department, etc.), information that identifies the building (ward name, etc.), as well as the name of the doctor in charge, the name of the pharmacist in charge, etc. There is information about healthcare workers.
Further, information for identifying and managing prescriptions includes a prescription number, an Rp number (receipt number), and the date of issue of the prescription.
In other words, the prescription data includes necessary information among these pieces of information.

Note that the information included in the prescription data may be information related to prescriptions directly input by a doctor, information acquired by the program, or information created by the program based on these information. For example, information about the patient's age is created (calculated) from information indicating the patient's date of birth that is directly input and information indicating the current date obtained by the program, and added to the prescription data. Further, the information included in the prescription data may be information such as a management number (prescription number or Rp number) that is created and added as appropriate by the program without referring to the user's input information.

Subsequently, after receiving the prescription data, the host control device 2 executes a sorting operation to determine (select) a dispensing device to be used for dispensing each drug in the prescription.
In this distribution operation, the information on the type of drug (drug type and dosage form) in the prescription data and the information on various dispensing devices belonging to the dispensing support system 1 (e.g., the powder storage information and tablet storage information described above) are used to determine which drugs to use. Determine the dispensing device that executes the dispensing process (dispensing process). Note that the drug dispensing process referred to herein includes a packaging process in which the drug is divided into single doses and packaged.

Specifically, in the distribution operation, a prescription analysis operation is performed to analyze prescription data, and the dosage form of one or more prescribed drugs is specified. That is, it is determined whether one or more drugs in the same prescription are tablets, powders, or other types of drugs (for example, liquid medications, etc.). Furthermore, in the prescription analysis operation, if there are powder medicines or tablets in the prescription, whether or not multiple medicines should be packaged in one bag (packaged) for each dosing period, and if so, which medicines should be packed in one bag. A determination operation is also performed to determine the packaging form, such as whether it is packaged in one package.
Then, the following processing is executed for each dosage form specified in the prescription analysis operation.

[If the prescribed drug has tablets]
If there is one or more tablets in the prescription, the target packaging process is assigned to the automatic tablet packaging machine 5. Then, a determination operation (hereinafter referred to as tablet-side sorting operation) to determine which operation of the automatic tablet packaging machine 5 (automatic tablet packaging operation, manual tablet packaging operation) to execute the packaging process is performed. ). That is, the tablet-side sorting operation is an operation for determining whether to cause the automatic tablet packaging machine 5 to automatically perform the packaging process or to manually perform the packaging process using the automatic tablet packaging machine 5.
Specifically, based on the prescription data and the above-mentioned tablet storage information, whether one type or multiple types of tablets to be packaged in one package in the prescription can be packaged (divided) by automatic tablet packaging operation. Determine whether or not. As a result, if the automatic tablet packaging operation can perform the packaging process, the automatic tablet packaging operation is executed. On the other hand, if the packaging process cannot be performed by the automatic tablet packaging operation, it is determined that the automatic tablet packaging machine 5 is used to perform the packaging process manually.

Note that the tablet-side sorting operation performed after the packaging process is assigned to the automatic tablet packaging machine 5 may be performed by the host controller 2 or by the automatic tablet packaging machine 5. For example, when the automatic tablet packaging machine 5 executes the process, the tablet storage information is stored in the storage unit of the automatic tablet packaging machine 5, and after the high-level control device 2 assigns the packaging process to the automatic tablet packaging machine 5, the high-level control device The prescription data may be transmitted from the automatic tablet packaging machine 5 to the automatic tablet packaging machine 5.

[If the prescribed medicine includes powdered medicine]
When there is one or more powders in a prescription, as shown in FIG. It is determined whether or not the automatic packaging operation is executable (step S1). That is, based on the prescription data and the above-mentioned powder medicine storage information, it is determined whether all the powder medicines to be packaged in one package in the prescription are stored in the fully automatic powder medicine packaging machine 3.

As a result of this determination operation, if packaging can be performed by the automatic packaging operation of the fully automatic powder medicine packaging machine 3 (Yes in step S1), the packaging process is assigned to the fully automatic powder medicine packaging machine 3 (step S2). That is, it is determined that this packaging process will be performed using the fully automatic powder medicine packaging machine 3.
On the other hand, if packaging cannot be performed by the automatic packaging operation of the fully automatic powder medicine packaging machine 3 (No in step S1), the target packaging process is assigned to the manual powder medicine packaging means 4 (step S3). That is, it is determined that this packaging process will be executed using the manual powder medicine packaging means 4. As described above, in this embodiment, the fully automatic powder medicine packaging machine 3 is preferentially assigned the packaging process over the manual powder medicine packaging means 4.

When the packaging process for each drug in the prescription has been assigned to each dispensing device through the above allocation operation, the dispensing support system 1 executes an instruction sheet output operation (first output operation) that outputs an instruction sheet 83 (see Figure 7) from the printing device 13 of the upper control device 2.
In the dispensing support system 1 of this embodiment, the instruction sheet output operation is automatically executed immediately after the allocation operation is completed. Here, "immediately after" refers to a short period of time during which the instruction sheet output operation is executed substantially consecutively with the allocation operation, specifically, within 30 seconds. Therefore, before the packaging process assigned in the allocation operation is executed by the assigned dispensing device, the instruction sheet output operation corresponding to this allocation operation is executed.

As shown in FIG. 7, the instruction sheet 83 has information on the top that indicates whether the patient is a new patient (first-time patient or re-visiting patient), ward name, and information on the patient to whom the drug has been prescribed. , the date of administration, the name of the medical department, the name of the doctor in charge, the order date and time (date of prescription issue), and the order number (prescription number). Further, a code or code (specifically, a barcode) for reading the contents of the prescription with an information reading device (specifically, a barcode reader) of the dispensing device is described. Note that the code written on the instruction sheet 83 is not limited to a one-dimensional code such as a barcode, and may be any code compatible with the information reading device of the dispensing device, for example, a two-dimensional code.

Further, on the lower side of the instruction sheet 83, information regarding the prescribed medicine and information indicating the result of the distribution operation are written. That is, in the "Form" item at the bottom of the instruction sheet 83, a "star" mark indicates a powder medicine, and a "circle" mark indicates a tablet. In the "hand/machine/self" category, "manual", "machine", and "automatic" are respectively "manual powder dispensing means 4", "automatic tablet dispensing machine 5", and "fully automatic powder dispensing machine". This indicates that the packaging process has been assigned to "3". In this way, the information regarding the sorting operation may be displayed using one or a combination of letters, numbers, symbols, figures, pictures, or other codes (hereinafter also simply referred to as letters, etc.). That is, the information regarding the distribution operation may be output in a state where the user can confirm (visually recognize) the content of the information.

In the example written in this instruction sheet 83, four drugs are prescribed to one patient (test patient 1): "AAAAA drug", "BBBBB drug", "CCCCC drug", and "DDDDD drug". There is. In the following description, each of these four drugs will be simply referred to as "drug A,""drugB,""drugC," and "drug D."
“Drug A” and “Drug B” are drugs that have been determined to be packaged by the fully automatic powder medicine packaging machine 3 in the sorting operation. That is, they are all powder medicines, taken at the same time and packaged in one bag, and both are determined to be stored in the container storage section 31 of the fully automatic powder medicine packaging machine 3. .

“Drug C” is a drug determined to be packaged by the automatic tablet packaging machine 5 in the distribution operation. That is, it is a tablet, and it is determined that one type of tablet is packaged in one bag for each dose.
Moreover, "D drug" is a drug that is determined to be packaged by the manual powder drug packaging means 4 in the distribution operation. In other words, it is a powder medicine, one type of powder medicine is packaged in one bag for each dose, and is determined to be a powder medicine that is not stored in the container storage section 31 of the fully automatic powder medicine packaging machine 3. be.

In other words, the instruction sheet 83 is a portable item on which information necessary for management and information indicating the results of the sorting operation are printed in a manner that is visible to the user in addition to the information written on a normal prescription. be.
Therefore, by checking the instruction sheet 83, the dispensing person (user) can determine which dispensing device he should go to in order to efficiently carry out dispensing work. For example, in the above example, "drug A", "drug B", and "drug C" are automatically packaged, so first, the manual powder dispensing means 4 (drug weighing device 6) is installed. Head to the location and carry out work to package "D medicine". After that, they receive the "D drug" packaged by the powder drug packaging machine 7, head to the installation location of the fully automatic powder drug packaging machine 3 and the installation location of the automatic tablet packaging machine 5, and pick up "A drug" and "B drug" at each location. "Medicine" and "C-drug."

In addition, like the instruction sheet 83 of this embodiment, not only information indicating the result of the distribution operation but also information written on the prescription and information necessary for management are output in a state that can be checked at a glance. This has the advantage that human errors are less likely to occur when a dispenser performs dispensing work. That is, since the dispenser can work while checking the contents of the prescription, it is possible to suppress the occurrence of mistakes caused by insufficient confirmation of the contents of the prescription, such as receiving the wrong medicine from an automatic packaging machine.

Note that the instruction sheet 83 of this embodiment outputs information necessary for the final inspection (inspection work) of the preparation. Specifically, among the above-mentioned information, this corresponds to the name of the doctor in charge, information about the patient (name, gender, age, etc.), and information about the drug (drug name, dosage form, usage/volume, administration period, etc.). In other words, this information is necessary for determining whether there are any omissions or errors in the prescription information, and whether the prescription contents are appropriate for the patient.

In addition, after performing the distribution operation, the dispensing support system 1 executes a dispensing information transmission operation that transmits information necessary for packaging processing to the dispensing device assigned to packaging each drug in the prescription. do.
For example, in the above example, information for executing the packaging process of packaging "A drug" and "B drug" is sent to the fully automatic powder medicine packaging machine 3, and "C medicine" is sent to the automatic tablet packaging machine 5. Sends information for executing packaging processing. Furthermore, information for executing a packaging process for packaging "D medicine" is transmitted to the medicine weighing device 6 and the powder medicine packaging machine 7.

Furthermore, after executing the distribution operation, the dispensing support system 1 executes a medicine bag production operation in which the medicine bag production device 14 of the host controller 2 outputs one or more medicine bags. The medicine bag accommodates the medicine to be provided to the patient.

As shown in FIG. 8, the medicine bag 90 to be output has an information printing section 91 and a two-dimensional code 92 on a part of the side surface. The information printing portion 91 is a portion on which information regarding the patient who receives the medicine and information regarding the stored medicine are printed, similar to a conventional medicine bag.
The two-dimensional code 92 is a code (code or code) printed on the medicine bag 90, and is a code that includes information specifying the prescription of the contained medicine. In this embodiment, the information that specifies the prescription of the contained medicine is the prescription number and the Rp number, but other information may be used as long as the prescription can be specified.

Further, the above-described instruction sheet output operation, dispensing information transmission operation, and medicine bag production operation may be performed in any order, or may be performed in parallel. Note that the medicine bag production operation does not need to be performed when a medicine bag is not required for providing medicine, such as when providing medicine to hospitalized patients.

After executing the dispensing information transmission operation, the fully automatic powder medicine dispensing machine 3 performs the dispensing operation, unless the transfer operation described below is executed or an unexpected malfunction occurs in the fully automatic powder medicine dispensing machine 3. Processes are automatically executed in sequence. Then, on the condition that the fully automatic powder medicine packaging machine 3 completes the packaging process, the fully automatic powder medicine packaging machine 3 executes a completion information transmission operation (described in detail later).

Further, after executing the dispensing information transmission operation, the automatic tablet packaging machine 5 executes packaging processing using either the automatic tablet packaging operation or the manual tablet packaging operation described above. Then, on the condition that the automatic tablet packaging machine 5 completes the packaging process, the automatic tablet packaging machine 5 executes a completion information transmission operation (details will be described later).

The manual powder packaging means 4 can execute the assigned packaging process by receiving the signal transmitted in the dispensing information transmission operation.
Specifically, before the medicine weighing device 6 starts weighing, the dispenser performs an operation to specify the powder medicine to be packaged in the assigned packaging process, and performs an operation to read the barcode of the medicine bottle, etc. . This confirms whether the powder to be weighed is the correct one as prescribed. Then, when the medicine weighing device 6 completes the weighing, the medicine weighing device 6 transmits the information regarding the weighing result and the received information regarding the packaging process to the powder medicine packaging machine 7 in association with each other. As a result, when a dispenser is about to put powder medicine into the supply hopper 77 of the powder medicine packaging machine 7, it is determined whether the powder medicine to be put in is the one that has been correctly weighed and is in accordance with the prescription.
That is, in the manual powder medicine packaging means 4, the medicine weighing device 6 and the powder medicine packaging machine 7 execute various operations based on the information transmitted in the dispensing information transmission operation. Then, in the manual powder medicine packaging means 4, the powder medicine packaging machine 7 executes a completion information transmission operation (details will be described later) on the condition that the packaging process assigned by the powder medicine packaging machine 7 has been completed.

Here, after the fully automatic powder packaging machine 3 receives the information transmitted in the dispensing information transmission operation, and before starting the execution of the packaging process assigned in the distribution operation, the user selects a predetermined information on the operation display section 50. By executing the operation, the transfer operation can be executed.

The transfer operation executed by the fully automatic powder medicine packaging machine 3 is an operation that switches (changes) the allocation destination of the packaging process determined in the distribution operation, and the allocation destination of the packaging process assigned to itself is changed to the manual powder medicine allocation destination. This is an operation of switching to the packaging means 4. That is, the fully automatic powder medicine packaging machine 3 has a transfer function that transfers the packaging process assigned to it to another dispensing device.

Therefore, the determination of the allocation destination by the above-mentioned distribution operation is a determination that may be switched in the future, and if there is no switching, the determination of the allocation destination by the distribution operation is a permanent determination. On the other hand, if there is a changeover, the allocation destination determined by the distribution operation is a temporary determination.
For this reason, the above-mentioned instruction sheet output operation is an operation for printing (outputting) information that may be switched (changed) in the future.

When the transfer operation is executed, the target packaging process is deleted from the unprocessed packaging processes stored in the fully automatic powder packaging machine 3. Then, information necessary for executing the target packaging process is transmitted from the fully automatic powder medicine packaging machine 3 to the medicine weighing device 6 and the powder medicine packaging machine 7. That is, information including the same content as the information transmitted in the payout information transmission operation is transmitted. At this time, information indicating that the allocation destination has been switched (a transfer operation has been executed) may be added to the transmitted information.

As described above, when each dispensing device belonging to the dispensing support system 1 completes its assigned packaging process, the completion information transmission operation is executed. The completion information transmission operation is an operation of transmitting predetermined information including information indicating that the packaging process assigned in the distribution operation or transfer operation is completed to the higher-level control device 2.
For example, in the above example, the fully automatic powder medicine packaging machine 3 transmits information indicating that packaging of "A drug" and "B drug" has been completed. Similarly, the manual powder packaging means 4 (powder packaging machine 7) and the automatic tablet packaging machine 5 send information to the host controller 2 indicating that the packaging of "D medicine" is completed, and "C medicine" Information indicating that packaging has been completed is transmitted.

Here, after executing the above-described distribution operation, the host control device 2 becomes in a state where it can execute the inspection screen output operation (second output operation). This inspection screen output operation is an operation of outputting an inspection screen 95 (see FIG. 9) to the display device 11 of the higher level control device 2 by executing a predetermined operation on the higher level control device 2. This inspection screen 95 is a screen used in the final inspection of the preparation (final confirmation work performed by a pharmacist different from the pharmacist who performed the preparation work), and information necessary for the final inspection is displayed.

On the inspection screen 95, as shown in FIG. 9, among the various information written on the above-mentioned instruction sheet 83, information excluding the "Hand/Machine/Self" item (information indicating the result of the sorting operation) is displayed in a table format. is displayed. Furthermore, on the inspection screen 95, in addition to this, a transfer status confirmation area 96, a transfer history display area 97, and a dispensing status confirmation area 98 are displayed.

The transfer status confirmation area 96 is an area for displaying information indicating whether or not a transfer of packaging processing (in this embodiment, transfer operation of the fully automatic powder medicine packaging machine 3) has been executed in any dispensing device. When a transfer is made, as shown in FIG. 9, "Automatic prescription change" is displayed. On the other hand, if the transfer is not made, "No automatic dispensing change" is displayed.

Note that only one of "automatic dispensing change" and "no automatic dispensing change" may be displayed. For example, if a transfer has been made, "automatic dispensing change" is displayed, and if not, nothing may be displayed (information regarding whether or not a transfer has been made is not displayed). That is, in the transfer status confirmation area 96, characters or the like may be output so that the user can confirm whether or not a transfer has been made, at least when a transfer has been made or not.

The transfer history display area 97 is an area corresponding to the item "powder medicine equipment" on the inspection screen 95 of FIG. 9 . In other words, when a transfer operation is executed, the transfer history (change record) and the dispensing device that finally executed the dispensing process (actually executed the dispensing process) are displayed, and the transfer operation is executed. If there is no dispensing device, this is the area where the dispensing device assigned in the sorting operation (that actually executed the dispensing process) is displayed.
When there is a transfer, specifically, before and after the switch (before and after the change), information indicating (specifying) the dispensing device to which the allocation is made at each time point is displayed in text or the like.
The inspection screen 95 of this embodiment displays information regarding transfer history using characters and arrows. In other words, "automatic" and "manual" respectively indicate "fully automatic powder dispensing machine 3" and "manual powder dispensing means 4", and the "arrow" indicates the direction of the dispensing device before and after switching. It shows whether there is. In other words, in the example shown in FIG. 9, after the packaging process for "A drug" and "B drug" is assigned to the fully automatic powder medicine packaging machine 3 in a distribution operation, the fully automatic powder medicine packaging machine 3 executes the transfer operation. , it is shown that the allocation destination has been switched to the manual powder medicine packaging means 4.
Further, if the transfer operation is not executed, the result of the transfer operation is displayed as is, indicating that there is no transfer history. The example shown in FIG. 9 shows that the packaging process for "D medicine" was assigned to the manual powder medicine packaging means 4 in a distribution operation and was executed as is.

In this embodiment, when a transfer operation is executed in the fully automatic powder medicine packaging machine 3, information indicating that the transfer operation has been executed is sent from the fully automatic powder medicine packaging machine 3 to the host controller 2 (hereinafter referred to as (also referred to as transfer execution information) is being sent. The operation of displaying information in the transfer status confirmation area 96 and transfer history display area 97 is performed based on this transfer execution information. That is, in this embodiment, the dispensing device (fully automatic powder medicine packaging machine 3) that executes the transfer operation is configured to transmit transfer execution information to the host controller 2 every time the transfer operation is executed.

The dispensing status confirmation area 98 is an area where information indicating whether or not all packaging processing (dispensing) of drugs in the same prescription has been completed is displayed in text or the like. That is, the host control device 2 performs a completion determination operation to determine whether all the packaging processing (dispensing) of drugs in the same prescription has been completed, based on the signal transmitted by the completion information transmission operation of each dispensing device. is running. As a result of the completion determination operation, if all of the packaging processes have been completed, "preparation completed" is displayed, and if not, "preparation incomplete" is displayed.
Note that the display in the dispensing status confirmation area 98 is similar to the display in the transfer status confirmation area 96 described above, in which the user can display information indicating whether the dispensing status confirmation area 98 is complete or incomplete, at least in a state where all the packaging processing has been completed or not. It suffices if characters etc. are output so that the information can be confirmed.

Then, with the dispensing status confirmation area 98 displaying that the packaging process for all drugs in the same prescription has been completed, a final inspection of the preparation is performed using the inspection screen 95, and after the final inspection is completed, the drug The dispensing work is completed by providing the patient with the drug.

By the way, the fully automatic powder medicine packaging machine 3 is configured so that when a plurality of packaging processes are assigned and the execution of each packaging process has not started (unprocessed state), the user performs a predetermined operation. , the specified unprocessed packaging process can be set as the packaging process to be executed next.
Specifically, a prescription standby screen 100 (see FIG. 10) is displayed on the operation display section 50 of the fully automatic powder medicine packaging machine 3, and the area where the unprocessed list button 103 of the prescription standby screen 100 is displayed is When pressed, an unprocessed list display screen 105 (see FIG. 11) is displayed.

On the unprocessed list display screen 105, a list of unprocessed packaging processes is displayed in a list display area 106. Specifically, on the left side of the list display area 106, a list of patient names corresponding to each unprocessed packaging process is displayed. Then, when you press the area where one patient name, which is one element of the list, is displayed, one unprocessed packaging process is selected, and the selected unprocessed packaging process is displayed on the right side of the list display area 106. A list of powder medicines to be packaged is displayed during the packaging process.

For example, in the example shown in Figure 11, three patient names consisting of two "Taro Yuyama" and one "Test inpatient 1" are displayed as elements of the list displayed on the left side, and each patient name is The three displayed areas can be pressed. In other words, two of the packages for the powder medicine prescribed to "Taro Yuyama" are unprocessed, and one of the packages for the powder medicine prescribed to "Test inpatient 1" is unprocessed. It has become.
Then, by pressing the area where "Test inpatient 1" is displayed, one unprocessed packaging process is specified, and "A drug" and "B drug" to be packaged using the specified unprocessed packaging process. "Drugs" will be listed on the right.

On the unprocessed list display screen 105, when one unprocessed packaging process is selected and the area where the prescription development button 107 is displayed is pressed, the content confirmation screen 110 (see FIG. 12) is displayed. becomes. The content confirmation screen 110 is a screen where the user (prescriber) performs final confirmation before executing the packaging process, and is a screen on which information indicating the contents of the selected unprocessed packaging process is displayed. When the area in which the issue button 111 is displayed on this content confirmation screen 110 is pressed, it is confirmed that the selected unprocessed packaging process will be the next packaging process to be executed.

Furthermore, when the issue button 111 is pressed on the content confirmation screen 110, information indicating the next packaging process to be executed is displayed on the prescription standby screen 100, as shown in FIG.

In this embodiment, the unprocessed packaging process described above is selected by reading the two-dimensional code 92 of the medicine bag 90 using the information reading device (not shown) of the fully automatic powder medicine packaging machine 3. Unprocessed packaging processing can be automatically selected without any operation.

That is, when the two-dimensional code 92 is read by the information reading device in the state where the prescription standby screen 100 is displayed (the state shown in FIG. 10), the two-dimensional code 92 is read in the code display area 104 (see FIG. 10). information (for example, management number, etc.) is displayed. Thereafter, the screen automatically shifts to a state where the content confirmation screen 110 (see FIG. 12) is displayed.
That is, based on the information read from the two-dimensional code 92, the host controller 2 automatically identifies the unprocessed packaging process for packaging the powder medicines contained in the medicine bag 90. Then, the specified packaging process is automatically selected as the next packaging process to be executed, and the content confirmation screen 110 is displayed. Then, in the same way as above, by pressing the area where the issue button 111 is displayed while the content confirmation screen 110 is displayed, the selected unprocessed packaging process is set as the packaging process to be executed next. That is confirmed. Then, as shown in FIG. 13, information indicating the next packaging process to be executed is displayed on the prescription standby screen 100.

Note that the content confirmation screen 110 does not necessarily need to be displayed after reading the two-dimensional code 92. That is, the unprocessed packaging process specified by reading the two-dimensional code 92 may be automatically determined as the packaging process to be executed next.
In this case, similarly to the above, with the prescription standby screen 100 displayed (the state shown in FIG. 10), the two-dimensional code 92 of the medicine bag 90 is read using the information reading device of the fully automatic powder medicine packaging machine 3. . Then, the unprocessed packaging process for packaging the powder medicine contained in the medicine bag 90 is specified, and the specified packaging process is automatically determined as the packaging process to be executed next. Therefore, the prescription standby screen 100 is automatically displayed after the information read from the two-dimensional code 92 (for example, a management number, etc., a multi-digit number with a branch number if necessary) is displayed in the code display area 104. Information indicating the next packaging process to be executed is displayed (see FIG. 13).

The fully automatic powder packaging machine 3 of the above-described embodiment takes out a predetermined drug container 30 from the container storage section 31, moves it, and discharges the powder from the moved drug container 30 while weighing it. However, the automatic powder packaging machine that can be employed in the dispensing support system of the present invention is not limited to this.

An automatic powder medicine dispensing machine has a storage medicine container (hereinafter also referred to as a powder medicine storage container) for storing powder medicines inside, and a medicine container (hereinafter also referred to as a powder medicine temporary storage container) used to dispense powder medicines into a dispensing tray. may be placed in different containers rather than in the same container. In this case, the automatic powder dispensing machine moves the powder medicine container from the shelf section (cassette shelf) where the powder medicine container is stored to the weighing device (weighing section), and uses the weighing device to dispense a predetermined amount based on the prescription data into the powder drug container. It may be discharged from the container into a temporary powder storage container. After that, the powder medicine temporary storage container is moved from the weighing device and placed on the mounting part (vibration device) associated with the distribution plate (disc), and the medicine (powder medicine) in the container is placed in the powder medicine temporary storage container. An operation may be performed to discharge all of the liquid into the distribution pan.
That is, instead of the configuration in which the container mounting device 39 described above includes the vibration means 56 and the weight measurement means, the vibration device and the weighing device may be provided separately. In this case, the operation of measuring and discharging (retrieving) the powder from the drug container and the operation of discharging the powder from the drug container to the dispensing tray do not need to be performed at the same time, and may be performed separately at different locations. . In other words, the configuration may be such that powder medicine is directly put into the distribution tray from the storage medicine container, or the powder discharged from the storage medicine container is temporarily stored in another container and then transferred from the other container to the distribution tray. It is also possible to have a configuration in which powder medicine is added to the container.

In addition, the automatic powder medicine packaging machine may be configured to discharge the powder medicine from the powder medicine container while holding the powder medicine container in the container storage section. In this case, the container storage section (cassette shelf) has multiple stages (for example, three stages), and a space is formed under each stage. At this time, drug containers are arranged in an annular manner on the small shelves forming each stage, and a weighing device (electronic balance) is arranged in the space under each stage (each small shelf). Furthermore, the space under each stage is large enough to allow placement of another dispensing container (hereinafter also referred to as a powder temporary storage container) with the weighing device placed therein. The robot then moves the powder medicine temporary storage container to the bottom of the first small shelf and places it on the weighing device. On the other hand, one of the small shelves is rotated around the vertical axis, and a predetermined drug container is moved above the weighing device. Then, by discharging the powder medicine from a predetermined medicine container while weighing it (weighing it), a predetermined amount of powder medicine based on the prescription data is discharged into the powder medicine temporary storage container that is conveyed onto the weighing device. . After that, the powder medicine temporary storage container is moved by the robot and placed on the mounting part (vibration device) associated with the distribution plate (disc), and the medicine (powder medicine) contained in the powder medicine temporary storage container is removed. Drain everything into a distribution pan.
In other words, it is not necessary to separate the powder medicine storage container from the container storage section and discharge the powder medicine at a position away from the container storage section. A mechanism for discharging the powder may be provided in the container storage section or the powder container itself, and the powder may be discharged into a dispensing container near the powder container, and the powder may be placed from the dispensing container into the dispensing tray.

In the above-described embodiment, an example was explained in which the external PC 20 creates prescription data and sends the created prescription data to the upper control device 2. The prescription data may be created by transmitting the data and using the upper control device 2.

In the embodiment described above, the fully automatic powder packaging machine 3 is configured to automatically sequentially execute the packaging processes assigned in the distribution operation, but the present invention is not limited to this.
The fully automatic powder medicine packaging machine 3 does not automatically execute the packaging process assigned in the sorting operation, but instead executes a predetermined operation (a series of operations performed in order from the state where the prescription standby screen 100 is displayed). By doing so, the packaging process may be executed. That is, after performing the distribution operation, the fully automatic powder packaging machine 3 may not start packaging unless the dispenser goes to the installation location of the fully automatic powder packaging machine 3 and performs a predetermined operation.

In the embodiment described above, an example has been described in which the dispensing support system 1 includes one fully automatic powder packaging machine 3, one manual powder packaging means 4, and one automatic tablet packaging machine 5. However, the present invention is not limited to this. do not have. A plurality of these may be provided.
Therefore, in the transfer operation described above, the dispenser performs a predetermined operation on the fully automatic powder drug packaging machine 3 to select one to be transferred from among the plurality of manual powder drug packaging means 4, and the selected one is selected. It may also be an operation of switching the distribution destination to one manual powder packaging means 4.

In addition, in the case of a system including a plurality of fully automatic powder packaging machines 3, the plurality of fully automatic powder packaging machines 3 may store the same powder internally, and at least two fully automatic powder packaging machines 3 can store internally the same powder. Different powders may be stored. Here, "the powder medicines stored inside are different" refers to the configuration in which the powder medicines stored in one of the two fully automatic powder packaging machines 3 and the powder medicines stored in the other are all different, as well as the powder medicines stored in one. This includes a configuration in which only part of the powder medicine stored on the one side and the other side is the same.
Similarly, when a plurality of automatic tablet packaging machines 5 are provided, the tablets stored inside the plurality of automatic tablet packaging machines 5 may be the same or different tablets.

In the distribution operation, a device capable of distributing and packaging is selected from among the plurality of fully automatic powder medicine packaging machines 3 and the plurality of automatic tablet packaging machines 5 as the distribution destination. In addition, if multiple fully automatic powder medicine packaging machines 3 or multiple automatic tablet packaging machines 5 are capable of packaging, the allocation destination will be determined based on the amount of medicine stored and the number of unprocessed packaging processes. may be determined. In other words, the one with a smaller number of unprocessed packages or the one with a larger storage amount of drugs to be packaged in the packages may be selected as the allocation destination.
For example, both the first fully automatic powder packaging machine 3 and the second fully automatic powder packaging machine 3 can perform the packaging process, and when performing the sorting operation, the first fully automatic powder packaging machine 3 It is assumed that the number of unprocessed packages is greater than that of the fully automatic powder medicine packaging machine 3. In this case, the second fully automatic powder packaging machine 3 is assigned.
In addition, when packaging multiple powder medicines in a separate packaging process, the above-mentioned "person with a large storage amount of medicines" may mean a case where the total storage volume of multiple powder medicines to be packaged is large, and The storage amount of one or more selected powder medicines may be large.

Furthermore, in the case of a configuration including a plurality of at least one of the fully automatic powder medicine packaging machine 3, the manual powder medicine packaging means 4, and the automatic tablet packaging machine 5, in the instruction sheet output operation, from a plurality of dispensing machines including the same type of dispensing machine. Identification information that uniquely identifies one dispensing device may be output. To explain with an example, it is assumed that the system is equipped with two fully automatic powder packaging machines 3, and each fully automatic powder packaging machine 3 is a No. 1 machine and a No. 2 machine. In this case, in the above example, when the fully automatic powder medicine packaging machine 3 is assigned the packaging process, "Auto" is output, but instead, "Auto 1" or "Auto 2" is output. .
Similarly, in the inspection screen output operation, identification information that uniquely identifies the dispensing device to which the dispensing process has been assigned and the dispensing device that actually executed the dispensing process (information that individually identifies each dispensing device) may be output.

In the above-described instruction sheet output operation, an example was shown in which various information is printed and outputted on a paper medium from the printing device 13 of the host control device 2, but the present invention is not limited to this.
For example, the instruction sheet 83 may be output from a printing device of another device belonging to the dispensing support system 1 (for example, the printing device 62 of the medicine weighing device 6), or may be output from a printing device such as a printer outside the system. Good too. Further, the operation is not limited to outputting on paper media, but may be displayed in a visible state on an external mobile terminal (for example, a mobile phone, a tablet PC, etc.). Additionally, the same information as the information printed on the instruction sheet 83 may be output on the display device of another device belonging to the dispensing support system 1, but from the viewpoint of streamlining the dispensing work, it is output in a portable state. It is desirable to do so.

Similarly, the inspection screen output operation is not limited to the operation of outputting it in a visible state to the display device 11 of the host control device 2, but also the operation of outputting the inspection screen in a visible state to the display device 11 of the host control device 2. It may also be output (printed) on an output medium. Alternatively, the information may be output to a display device of a device belonging to the dispensing support system 1 or a device outside the system (including a mobile terminal).

In the above embodiment, an example is shown in which the two-dimensional code 92 is printed on the medicine bag 90, but the code printed on the medicine bag 90 may be a one-dimensional code such as a barcode. Any code may be used as long as the information can be acquired by reading it with the information reading device of the fully automatic powdered medicine packaging machine 3.
Furthermore, the two-dimensional code 92 may be printed directly on the medicine bag, or may be output onto a label or the like that is created separately from the medicine bag. In other words, instead of the medicine bag production operation described above, the medicine bag and a label or the like with the code may be output separately, and the label or the like may be attached to the medicine bag to produce the medicine bag.

Further, in the above-described embodiment, the higher-level control device 2 executes the distribution operation, but the present invention is not limited to this. For example, the distributing operation may be performed by another dispensing device belonging to the system, such as the fully automatic powder medicine packaging machine 3. For example, information regarding a prescription may be transmitted from the external PC 20 to the fully automatic powder medicine packaging machine 3, and the fully automatic powder medicine packaging machine 3 may create prescription data, perform a distribution operation, and perform a dispensing information transmission operation. That is, a dispensing support system can be considered in which the higher-level control device 2 is not provided and a dispensing device belonging to the system executes the operations performed by the higher-level control device 2 described above.

Next, a dispensing support system 301 that is different from the dispensing support system 1 of the embodiment described above will be described in detail with reference to FIG. 14. Note that redundant detailed explanations of the same parts as those described in the above-mentioned dispensing support system 1 will be omitted.

The dispensing support system 301 of this embodiment includes, in addition to each device of the dispensing support system 1 described above, a PTP drug automatic procuring device 310 (first drug dispensing means) and a manual PTP drug procuring means 311 (second drug dispensing means). It further includes a plurality of dispensing devices (drug dispensing means) including a liquid medicine dispensing means), a liquid medicine automatic dispensing machine 312, and a manual liquid medicine dispensing means 313. These dispensing devices also share data with the upper control device 2, similar to the other dispensing devices mentioned above that belong to the system (fully automatic powder dispensing machine 3, manual powder dispensing means 4, automatic tablet dispensing machine 5). Connected and able to send and receive.

The PTP drug automatic procurement device 310 is a device that automatically executes a dispensing process (stocking process) for PTP-packaged tablets (hereinafter also referred to as PTP drugs) based on prescription data.
That is, this PTP drug automatic procuring device 310 has a plurality of PTP drug cassettes (not shown), and a plurality of types of PTP drugs are accommodated and stored in one or more tablet cassettes for each type. ing. Then, based on the prescription data, the required amount of PTP medicine is taken out from one or more PTP medicine cassettes, and the taken out PTP medicine is placed on a take-out tray (not shown) and dispensed (automatic PTP medicine It is possible to carry out the procurement operation). Further, this PTP drug automatic procurement device 310 includes a display device and an input device that are formed integrally or separately.

The manual PTP drug procurement means 311 is specifically a picking assist device. In other words, it is used when a dispenser picks and manually dispenses (sorts) medicines from a medicine shelf, and reads information about the medicine from the code (barcode, etc.) attached to the medicine cabinet. This is to check the medicines given and the medicines prescribed.

The liquid medicine automatic dispensing machine 312 is a device that automatically dispenses liquid medicines based on prescription data.
That is, the liquid medicine automatic dispensing machine 312 has inside thereof a plurality of liquid medicine base bottles (a supply container, not shown) and a plurality of prescription bottles (a supply container, not shown). Each of the plurality of types of liquid medicines is stored in one or more liquid medicine bottles. In addition, a plurality of types of prescription bottles of different sizes are housed inside in an empty state.
Based on the prescription data, the liquid medication automatic dispensing machine 312 takes out a predetermined amount of liquid medication from a predetermined liquid medication original bottle, pours the liquid medication into a medication bottle, and discards the medication bottle containing the liquid medication. It is possible to execute the dispensing operation (automatic liquid medication dispensing operation). In this automatic liquid medicine dispensing operation, a prescription bottle to be used is selected according to the amount taken out, and the liquid medicine taken out is poured into the selected empty prescription bottle.

The manual liquid medicine dispensing means 313 is a device mainly used for measuring liquid medicines, and includes a main unit, an information reading means for checking medicines, and a printing device (details are not shown). .
The main device has a liquid level measuring section (not shown), and this liquid level measuring section includes a liquid level measuring device capable of measuring liquid level using ultrasonic waves using a measuring container such as a graduated cylinder; It is constituted by at least one of an electronic balance. The information reading means is specifically a barcode reader, and the printing device is specifically a printer.

These PTP medicine automatic procuring device 310, manual PTP medicine procuring means 311, liquid medicine automatic dispensing machine 312, and manual liquid medicine dispensing means 313 have a CPU, a main memory, and an auxiliary memory, as well as the dispensing equipment described above. It has a calculation section, a storage section, and a communication section formed by devices, I/O ports, etc.

In the dispensing support system 1 of the embodiment described above, when there are tablets in the prescription that can be packaged by the automatic tablet packaging machine 5, and when there are powder medicines in the prescription, the packaging process (medicine dispensing process) is performed by one of the systems in the system. Executed the sorting action assigned to the dispensing device.
On the other hand, in the distribution operation performed by the dispensing support system 301 of this embodiment, in addition to this, even if there are PTP drugs and liquid medications in the prescription, the dispensing process for these is assigned to the dispensing devices in the system.

[If the prescribed drug includes a PTP drug]
If there is one or more types of PTP drugs in the prescription, it is determined whether the number can be handled by the PTP drug automatic procuring device 310 (for example, four or less types).
Then, if the number of types is a manageable number and all of them are PTP drugs that can be dispensed (stocked) by the PTP drug automatic procurement device 310, this dispensing process is assigned to the PTP drug automatic procurement device 310. . On the other hand, if one or more drugs cannot be dispensed by the PTP drug automatic procuring device 310, the target dispensing process is assigned to the manual PTP drug procuring means 311.
If the number of types is greater than the number that can be handled, it is determined whether or not the automatic PTP medicine procuring device 310 can dispense each medicine that is less than or equal to the number that can be handled. Then, in the same manner as described above, if dispensing is possible with the PTP drug automatic procuring device 310, the target dispensing process is assigned to the PTP drug automatic procuring device 310, and if dispensing is not possible, manual PTP drug procuring is performed. Assigned to means 311.

[If the prescribed medicine includes liquid medicine]
In addition, if there is a liquid medication in the prescription, it is determined whether or not the liquid medication can be dispensed by the liquid medication automatic dispensing machine 312, and if it is possible, the target dispensing process is performed for the liquid medication automatic dispensing machine 312. Assigned to machine 312. On the other hand, if the dispensing process cannot be performed by the liquid medication automatic dispensing machine 312, the target dispensing process is assigned to the manual liquid medication dispensing means 313.

Then, similarly to the above, after performing the distribution operation, a dispensing information sending operation is performed to transmit information necessary for the dispensing process to the dispensing device to which the dispensing process has been assigned. In addition, an instruction sheet output operation and a medicine bag production operation are also performed as appropriate.

In other words, in the dispensing support system 1 of the embodiment described above, when there are powders in the prescription, there is a manual drug dispensing means (manual powder dispensing means 4) and an automatic dispensing means (fully automatic powder dispensing machine 3). The dispensing process (packaging process) is assigned to one of the packaging methods (packaging means). In addition, this dispensing support system 301 allows dispensing processing (procurement processing, dispensing processing) to be performed by either the manual drug dispensing means or the automatic drug dispensing means even when there are PTP drugs or liquid drugs in the prescription. Assigned. In this case, as a matter of course, the manual medicine dispensing means is the manual PTP medicine procuring means 311 and the manual liquid medicine dispensing means 313, and the automatic medicine dispensing means is the PTP medicine automatic procuring device 310 and the liquid medicine automatic This is a dispensing machine 312.
Note that automatic drug dispensing means uses drugs stored internally (powders, tablets, PTP drugs, liquid medications, etc.), weighs or counts the drugs to be dispensed, and dispenses a predetermined amount or number of drugs to the patient. This is a device (a dispensing device and a drug dispensing means) that automatically performs a series of operations to discharge the drug in the form it is provided (in a drug package, container, or blister pack).
On the other hand, manual drug dispensing means involves the work of a dispenser to manually take out a container containing drugs from a medicine cabinet, etc., the work of weighing (counting) the drugs, and the work of manually or using a device (packaging device). One or more dispensing devices (drug dispensing means) used in any of the operations in which a drug is provided to a patient.

Also, when there is a PTP medicine or a water medicine in the prescription, the dispensing process is preferentially assigned to the automatic dispensing means, similarly to the above.

Further, the PTP drug automatic procurement device 310 allows the user to perform a predetermined operation after receiving the information transmitted in the dispensing information transmission operation and before starting execution of the packaging process assigned in the distribution operation. It is possible to perform transfer operations.
The transfer operation executed by the PTP drug automatic procurement device 310 is similar to the transfer operation of the fully automatic powder medicine packaging machine 3 described above, and is an operation of switching the dispensing processing assigned to itself to the manual PTP drug procurement means 311. It is.

Furthermore, in the above-mentioned dispensing support system 301, the liquid medicine automatic dispensing machine 312 may be capable of executing a transfer operation. In other words, it may be possible to switch the dispensing process allocated to the user to the manual liquid medicine dispensing means 313.
Further, in the embodiment described above, an automatic tablet packaging machine 5 that can perform both automatic tablet packaging operations and manual tablet packaging operations is employed. However, instead of this, two dispensing devices may be employed, consisting of an automatic tablet packaging device capable of automatic tablet packaging operations and a manual tablet packaging means capable of manual tablet packaging operations. The automatic tablet packaging device may be capable of switching the packaging processing assigned to the automatic tablet packaging device to manual tablet packaging means.

From the above, the invention related to the present invention has a plurality of drug dispensing means capable of performing a dispensing process of dispensing, arranging, or dispensing drugs based on prescription data, and the plurality of drug dispensing means are , the first drug dispensing means and the second drug dispensing means are capable of dispensing drugs having the same dosage form, and the first drug dispensing means and the second drug dispensing means are capable of dispensing a drug. When the drug dispensing means is one of the first drug dispensing means and the second drug dispensing means, the dispensing process is executed, and by performing the distribution operation, the dispensing process is executed. Before a process is assigned to one of the drug dispensing means and the dispensing process assigned in one of the distributing operations is executed, information indicating the result of one of the distributing operations is output in a state that can be confirmed by a user. This is a dispensing support system that executes the first output operation.
In the related invention, at least one of the plurality of drug dispensing means has a transfer function of transferring the dispensing process assigned to itself to another drug dispensing means after executing the distributing operation, and the distributing operation is an operation for permanently or temporarily determining the medicine dispensing means that executes the dispensing process, and it is preferable that the determination of the distributing operation is switched when the dispensing process is changed.
Further, in a preferable aspect of the related invention described above, a second output operation is executed after the execution of the first output operation, and the second output operation is allocated to one of the drug dispensing means in the distribution operation. A state in which the user can confirm information identifying the drug dispensing means that actually performed the dispensing process, provided that the dispensing process has been executed by any of the drug dispensing means and the execution has been completed. More preferably, the operation is an operation of outputting the output data.
In the more preferred aspect described above, in the second output operation, when the dispensing process is transferred after the distribution operation, it is more preferable that information regarding the transfer history is output.
In the above-described more preferable aspect, it is more preferable that in the first output operation and the second output operation, information regarding the allocation of the dispensing process is output together with information necessary for inspecting the prescribed medicine.

By the way, when providing drugs to hospitalized patients, from the time the doctor issues a prescription for the patient to the time the drug is dispensed at the hospital's dispensing center (pharmacy department, etc.) and transported to the inpatient ward, Patients may be transferred (changed from one ward to another). That is, the doctor inputs information (data) regarding prescriptions into the external PC 20 (electronic medical record terminal), the electronic medical record program creates prescription data from the input information, and after the prescription data is registered, the patient is transferred. There are cases.

In such a case, when dispensing is completed by the above-mentioned dispensing support system 1 and the dispensing completed drug is delivered to an inpatient, even if the drug is delivered to the ward where the patient was hospitalized when the prescription data was created, A situation arises in which no patient is prescribed the drug. When such a situation occurs, nurses and the like working in the ward have to search for the patient's whereabouts, which is a hassle.

As a device for solving such problems, as shown in FIG. 15, there is a ward information management system 401 that can be used in combination with the above-mentioned dispensing support system 1.
The ward information management system 401 will be described in detail below, but redundant detailed explanation will be omitted for the same parts as above.

As shown in FIG. 15, the ward information management system 401 of this embodiment includes a ward information management device 402 (ward information management means) and a plurality of list display devices 408 (list display terminals).

In this embodiment, a personal computer is employed as the ward information management device 402.
In other words, the ward information management device 402, like the above-mentioned upper control device 2, has a main device including a calculation section, a storage section (storage means), and a communication section, and a display device and an input device attached to the main device. . The ward information management device 402 is capable of transmitting and receiving data (signals) to and from the external PC 20, the list display device 408, external devices (not shown), etc. via a local area network (LAN), etc. through the communication unit. ing.

The list display device 408 can display a ward information confirmation screen 409 (see FIG. 16, details will be described later), and it is possible to input predetermined information (described in detail later) while the ward information confirmation screen 409 is displayed. It is a very good device.
A stationary computer (personal computer) or a mobile terminal (tablet PC, smartphone, notebook PC, etc.) can be used as the list display device 408. In this embodiment, the list display device 408 is a portable terminal (mobile terminal), and a tablet PC is adopted.

That is, the list display device 408 also includes a calculation section, a storage section (storage means), and a communication section. ) can be sent and received.
The list display device 408 also includes an operation display section (not shown). The operation display unit is a touch panel, and is formed by overlapping (integrally formed) a display device such as a liquid crystal display or an organic EL display and a contact type input device such as a touch sensor. That is, the list display device 408 also includes a display device that displays various information and an input device that accepts user operations.

The storage units of the ward information management device 402 and the list display device 408 respectively store programs for executing various operations described below and various data. That is, various operations (various processes) of the ward information management system 401 are executed by the ward information management device 402 and the list display device 408 operating according to the programs stored in the storage unit.
Further, the storage unit of the ward information management device 402 stores a patient database as such data.

The patient database stores information that identifies the ward in which each patient is admitted. That is, information that identifies a patient (patient ID, patient name, etc.) and information that identifies a ward (hereinafter also referred to as an inpatient ward) in which the patient is hospitalized (ward name, etc.) are stored in association with each other.
Specifically, the information that identifies the ward in which the patient is admitted (the patient's inpatient ward) includes information that identifies the current inpatient ward, as well as past inpatient wards (for example, the time when a prescription was issued, etc.) Information identifying the inpatient ward (at a particular point in time) may also be included. The information may also include information specifying a ward in which the patient is scheduled to be admitted in the future (a ward in which the patient will be admitted after a certain point in the past or a reference point in time based on the present).

Next, the operations performed by the ward information management system 401 will be explained.
Similarly to the above, when a doctor inputs information (data) regarding a prescription into the external PC 20 and performs a predetermined operation, prescription data is created. The prescription data is then transmitted to the ward information management device 402.
That is, information regarding the contents of the prescription and information for identifying and managing the prescription itself (prescription number, etc.) are transmitted to the ward information management device 402. In addition, in the prescription data to be sent, if the patient for whom the prescription has been issued is hospitalized or scheduled to be hospitalized, information identifying the ward in which the patient is hospitalized or scheduled to be hospitalized at the time of creation of the prescription data is included. is included.

On the other hand, when a patient changes wards, this fact is inputted each time using an external device or the like. Then, information indicating the content input from an external device or the like is transmitted to the ward information management device 402, and the patient database is updated in the ward information management device 402. That is, the ward to which the patient is transferred is stored as the ward in which the patient is currently hospitalized.

Furthermore, the ward information management device 402 executes an association operation for associating the received prescription data and information stored in the patient database based on the information stored in the patient database.
This association operation is an operation performed on the condition that the ward information management device 402 receives prescription data. That is, in this operation, the patient for whom the prescription was issued is identified based on the prescription data, and information regarding the inpatient ward of the patient for whom the prescription was issued is obtained by referring to the patient database based on the information that identifies this patient. get. Then, the prescription data is associated with information about the inpatient ward (information about the contents of the prescription, information for identifying and managing the prescription itself (prescription number), and information about the inpatient ward are linked).

Then, by performing a predetermined operation on the list display device 408, a ward information display operation for displaying a ward information confirmation screen 409 is executed, as shown in FIG. Specifically, when the ward information display operation is executed, the information associated in the above-described association operation is transmitted from the ward information management device 402 to the list display device 408. Then, the ward information confirmation screen 409 is displayed.

The ward information confirmation screen 409 has a search condition input area 420 and a list display area 421, and is a screen that displays a table created based on the information associated in the above-described association operation. Specifically, the display target is narrowed down based on the information input in the search condition input area 420, and information for identifying the patient and information for identifying the ward in which the patient is admitted is displayed for patients who meet the conditions. is displayed in the list display area 421.
For example, in the example of FIG. 16, patients who have been prescribed a drug with a medication date of October 7, 2019 are displayed. For each patient to be displayed, information that identifies the patient (information identified in the patient ID display section 421f and patient name display section 421g) and information that identifies the inpatient ward in which the patient is currently hospitalized are provided. (Information currently specified in the ward display section 421k) is displayed.

Specifically, the search condition input area 420 includes a date input area 420a, a prescription category selection area 420b, an order number input area 420c, a patient ID input area 420d, a prescription category input area 420e, and a prescription ward input area. It has 420f.
Each area belonging to the search condition input area 420 is a part for specifying a narrowing-down condition. If conditions are not specified in all of the multiple areas belonging to the search condition input area 420, no narrowing down is performed. Further, when conditions are specified in a plurality of areas among the respective areas, those that satisfy all of the plurality of conditions specified in each of the plurality of areas become display targets.

In the date input area 420a, it is possible to select either "preparation date" or "medication date" and input the start date and end date of the period. In other words, the filtering condition is that the "dispensing date" or "administration date" of the prescribed drug is within a specified period, and the filtering results are filtered by patients who have been prescribed a drug whose dispensing date falls within the specified period (within the entered period). , patients who have been prescribed a drug whose administration date falls within a specified period can be specified as display targets. Note that by entering the same date as the start date and end date of the period, you can set the specified period to the specified date.

In the prescription classification selection area 420b, at least one of "regular" and "other than regular" can be selected (at least one can be checked). That is, if only "Regular" is checked, the condition for narrowing down is that the prescription category of the issued prescription is "Regular," and patients who meet the condition are displayed. Similarly, if you check only "Other than regular", the filter will be filtered if the prescription category of the issued prescription is not "regular", and patients whose prescription category of the issued prescription is not "regular" will be filtered. will be displayed.
If both are checked, both patients whose prescription classification is "regular" and patients whose prescription classification is "other than regular" will be displayed (based on the input in the prescription classification selection area 420b). (virtually no filtering).

In the order number input area 420c, an order number can be input, and patients for whom the order number of the issued prescription has been input can be displayed.
In the patient ID input area 420d, a patient ID can be input, and a patient whose patient ID has been input can be displayed.
In the prescription category input area 420e, a prescription category can be input, and a patient whose prescription category of a given prescription has been input can be displayed.
In the prescription ward input area 420f, a prescription ward can be input, and a patient whose ward in which the prescription was issued is input can be displayed.

The list display area 421 includes an order number display section 421a, a prescription number display section 421b, a prescription category display section 421c, a process category display section 421d, a medication date display section 421e, a patient ID display section 421f, and a patient name display section 421g. ing. Furthermore, it has a clinical department display section 421h, a doctor name display section 421i, a prescription ward display section 421j, a current ward display section 421k, and a transfer ward display section 421l.

The order number display section 421a, prescription number display section 421b, prescription classification display section 421c, and processing classification display section 421d display the "order number", "prescription number", and "prescription classification" of the prescription issued to the target patient, respectively. , "processing category", etc. are displayed.

The medication date display section 421e is a portion where information indicating the medication date of the drug administered to the target patient is displayed. Note that when "preparation date" is selected in the date input area 420a, a dispensing date display section (not shown) may be displayed instead of the drug administration date display section 421e. The dispensing date display section is a section where information indicating the dispensing date of the drug dispensed to the target patient is displayed.

Furthermore, the patient ID display section 421f and the patient name display section 421g are sections that display the "patient ID" and "patient name" of the target patient.
The medical department display section 421h and the doctor name display section 421i are sections that display the medical department to which the doctor who issued the prescription to the patient belongs and the doctor's name, respectively.

The prescription ward display section 421j is a section where information indicating the ward in which the target patient is hospitalized or the ward in which the patient is scheduled to be admitted is displayed when a prescription is issued (when prescription data is created).
The current ward display section 421k is a section where information indicating the ward in which the target patient is currently hospitalized or the ward in which he is currently scheduled to be admitted is displayed.
Note that the prescription ward display section 421j and the current ward display section 421k do not display information specifying the inpatient ward when there is no target ward.

For example, in the example in Figure 16, the patient whose patient name is "Patient 01" was admitted to the "South Ward 3" when the prescription was issued, and has since been transferred and is currently admitted to the "East Ward 3". I understand that In addition, the patient whose patient name is "Patient 02" was admitted to "North Ward 1" when the prescription was issued, and has not been transferred since then and is still admitted to "North Ward 1". I understand. Furthermore, it can be seen that the patient whose patient name is "Patient 05" was scheduled to be admitted to "North Ward 2" at the time the prescription was issued, but was not subsequently admitted.
From the above, by checking the prescription ward display section 421j and the current ward display section 421k, it is possible to confirm whether the patient has been transferred or not and which ward the patient is currently hospitalized in. Additionally, it is possible to check whether a patient who was scheduled to be hospitalized in the past has actually been admitted.

The transport ward display section 421l is a section where information identifying the ward to which the medicine dispensed by the dispensing support system 1 is transported is displayed. For example, in the example of FIG. 16, it can be seen that the medicine prescribed to the patient whose patient name is "Patient 01" was transported to "East Ward 3".
That is, when a drug dispensed by the dispensing support system 1 is to be transported to a ward, a notification to that effect is input using an external device or the like. Then, information indicating the content input from an external device or the like is transmitted to the ward information management device 402, and the patient database is updated in the ward information management device 402. That is, in the patient database of this embodiment, information specifying the ward to which the medicine was actually transported is stored in association with information specifying the patient.

From the above, by checking the ward information confirmation screen 409 before transporting drugs dispensed by the dispensing support system 1 to the ward, the transporter can understand the ward to which the patient is transferred, and the ward where the patient is. It is possible to transport chemicals to In addition, by checking the ward information confirmation screen 409 when a nurse or the like working in the inpatient ward receives the medicine transported from the dispensing center, it is possible to easily know the ward to which the patient is transferred.

The ward information management system 401 described above may be integrated with the dispensing support system 1.
That is, the above-mentioned dispensing support system 1 may have a structure including a plurality of list display devices 408, and the upper control device 2 may be made to store the same information as the ward information management device 402 and execute the same operations. That is, the dispensing support system 1 may store a patient database, and may execute an operation of updating the patient database, an association operation, and a ward information display operation.

Further, the ward information management device 402 and the list display device 408 do not need to be provided separately, and the ward information display operation may be performed by performing a predetermined operation on the ward information management device 402. That is, the ward information confirmation screen 409 may be displayed on the display device of the ward information management device 402. Therefore, when the ward information management system 401 and the dispensing support system 1 are integrated, the ward information confirmation screen 409 may be similarly displayed on the display device 11 of the host control device 2.

1; Dispensing support system; 3; Fully automatic powder drug packaging machine (powder drug packaging means, automatic powder drug packaging machine); 4; Manual powder drug packaging means (powder drug packaging means); 6; Drug weighing device (powder drug weighing device); 7; powder medicine packaging machine, 30; medicine container, 31; container storage section, 38; distribution plate, 45; medicine packaging device (powder medicine packaging device), 50; operation display section (display device), 92; two-dimensional code (identification display)

Claims (1)

A powder medicine packaging means capable of performing a packaging process of packaging and discharging powder medicine in single doses based on prescription data is connected;
The powder medicine packaging means comprises an automatic powder medicine packaging machine, a manual powder medicine packaging means constituted by a separate medicine weighing device and a powder medicine packaging machine,
When powder medicine is prescribed, the packaging process is executed by one of the automatic powder medicine packaging machine and the manual powder medicine packaging means,
By executing the distribution operation, the packaging process is assigned to either the automatic powder packaging machine or the manual powder packaging means, and before the packaging process assigned in the distribution operation is executed. , executes a first output operation of outputting information indicating the result of the sorting operation in a state that the user can confirm;
The first output operation is an operation of outputting information indicating the allocation destination according to the distribution operation,
The result of the sorting operation can be changed before performing the packaging process,
In the first output operation, the dispensing support system outputs an instruction sheet.

Images