JP3988876B2 - Prescription drug dispensing support system - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
  The present invention relates to a prescription drug dispensing support system that supports prescribing injections to be applied to a plurality of patients in a hospital, and in particular, a dispensing procedure comprising a plurality of steps for dispensing a plurality of types of drugs to be applied to a patient. It relates to a system that automatically determines the system.
[0002]
[Prior art]
  Conventionally, in hospitals, etc., prescription information such as patient name, department name, drug name (type), (prescription) amount and method of taking, etc. entered in a prescription is input and stored / managed using a computer. Things are generally done. The stored / managed prescription information can be appropriately read out using a computer and used for prescription confirmation and the like. In addition, using the prescription information that has been input, a technique for printing a patient name, a drug name, a medication method, and the like on a medicine bag, and a technique for creating a drug information book on which drug information and the like are printed are well known.
[0003]
  Now, when dispensing (preparing) injections at hospital pharmacies, etc., work is done to dispense multiple types of drugs in accordance with prescriptions and store them in supply containers (supply bottles, infusion bags, syringes, etc.). The dispensing procedure (including operations such as drug weight measurement, solid drug dissolution, and drug dilution) is determined empirically or according to a predetermined dispensing procedure manual or the like. The same applies to the preparation of injections containing anticancer agents.
[0004]
  By the way, in the conventional dispensing support system, after inputting prescription information using a computer, when specifying the patient ID and instructing the output of the dispensing procedure, the current prescription information input on the display, A technique for displaying pre-prepared dispensing information for pre-dispensing for this time and matching result information between the current pre-scription information and the previous pre-scription information based on the inputted previous pre-scription information is publicly known (For example, see Patent Document 1).
[0005]
  In addition, the multiple types of drugs to be dispensed are classified into drugs that are packaged with an automatic drug packaging machine and drugs that are not processed with an automatic drug packaging machine. There is a known dispensing support system that outputs and dispenses based on the output content (see Patent Document 2).
[0006]
[Patent Document 1]
  JP 2002-259564 A
[Patent Document 2]
  JP-A-9-140775
[0007]
[Problems to be solved by the invention]
  Conventionally, when an injection is dispensed, as described above, the procedure for dispensing a plurality of types of drugs and co-injecting them into a supply container is determined empirically or according to a predetermined dispensing procedure manual or the like. That is, the dispensing procedure is not automatically determined, and therefore the load for determining the dispensing procedure is large.
[0008]
  That is, it takes time to determine the dispensing procedure, and there is a risk that dispensing may be performed by an inappropriate dispensing procedure. In such a case, the dispensing time becomes longer, so the efficiency of the dispensing work is reduced. Therefore, it is difficult to smoothly dispense the injections to be applied to multiple patients in hospitals that treat many patients. There is a risk of becoming. In particular, in the case of dispensing an injection containing an anticancer drug, the dispensing procedure is often complicated, and thus the above problem becomes more prominent.
[0009]
  In the dispensing support system of Patent Document 1, based on the current prescription information inputted on the display and the previous prescription information inputted on the display, the prescription dispensing information previously dispensed for this time, and the current prescription information It displays prescription information and information on the results of matching the previous prescription information, and does not disclose any technology for automatically determining the dispensing procedure, including tasks such as drug weight measurement and solid drug dissolution. Therefore, the same problem as described above occurs.
[0010]
  In the dispensing support system of Patent Document 2, the content of the dispensing operation is output for a drug that is not subjected to the packaging process by the automatic drug packaging machine. However, the specific content of the dispensing operation is not clearly described, and the dispensing is performed. Even if the content of the work is a dispensing procedure, there is no disclosure of a technique for automatically determining the dispensing procedure. Therefore, this system has the same problem as described above.
[0011]
  An object of the present invention is to automatically determine a dispensing procedure for dispensing a plurality of types of drugs in order to dispense (prepare) an injection in a prescription drug dispensing support system, to reduce the burden of determining the dispensing procedure, To increase the efficiency of dispensing operations.
[0012]
[Means for Solving the Problems]
  A prescription drug dispensing support system according to claim 1 is a prescription drug dispensing support system that supports prescribing injections to be applied to a plurality of patients in a hospital, a master database storing master data of a large number of drugs, and a patient A dispensing pattern showing a procedure for dispensing a plurality of kinds of medicines applied at a time and storing them in a supply container, with or without a solid medicine, with or without a liquid medicine, or with or without a diluentas well asType of supply containerKindParameterMultiple waysDispensing pattern,Set and memorizeComputerDispensing pattern storage means and prescription information for prescription for each patientBased on the information of the dispensing pattern stored in the dispensing pattern storage means, one dispensing pattern is determined from the plurality of dispensing patterns, the determined dispensing pattern, the prescription information, and theInformation to read from the master database about the drug to be applied in the prescription informationAndBased on this, a dispensing procedure consisting of a plurality of steps for dispensing a plurality of types of drugs applied to a patient is determined.ComputerA dispensing procedure determining means,The dispensing procedure comprising the plurality of steps includes a step of measuring an initial weight of the supply container and a step of measuring a final weight of the supply container after dispensing the medicine, and the dispensing procedure determined by the dispensing procedure determining means When executing steps including weight measurement in the procedure, there are provided weight value record holding means for recording and holding the measured weight value, and display means for displaying the weight value recorded in the weight value record holding means.It is characterized by this.
[0013]
  Master data of a large number of drugs is stored in the master database, and the dispensing pattern storage means is a dispensing pattern indicating a procedure for dispensing a plurality of kinds of drugs to be applied to a patient at a time and storing them in a supply container. Presence or absence of solid drug, presence or absence of liquid drug, presence or absence of solubilizer, presence or absence of diluentas well asType of supply containerKindParameterMultiple waysA dispensing pattern is preset and stored.
[0014]
  Prescription information on prescription for each patient by dispensing procedure decision meansOne dispensing pattern is determined based on the dispensing pattern information stored in the dispensing pattern storage means, and the determined dispensing pattern, the prescription information, and theInformation to read from the master database about the drug to be applied in the prescription informationAnd based onA dispensing procedure comprising a plurality of steps for dispensing a plurality of types of drugs applied to the patient is determined. In this way, since an appropriate dispensing procedure for dispensing an injection can be automatically determined, the load for determining the dispensing procedure can be reduced, and the working efficiency of dispensing can be increased.
  The dispensing procedure consisting of a plurality of steps includes a step of measuring the initial weight of the supply container and a step of measuring the final weight of the supply container after dispensing the medicine, so that the medicine finally mixed into the supply container In addition, the weight of the dissolved solution and the diluted solution can be reliably measured.
  The weight value record holding means for recording and holding the weight measured when executing the step including the weight measurement in the dispensing procedure determined by the dispensing procedure determining means, and the weight value recorded in the weight value record holding means are displayed. Since the display means is provided, the measured weight value can be recorded and held and displayed.
[0015]
  In addition to the configuration of the first aspect, the following configuration may be adopted.
  Each of the master data of the plurality of medicines includes at least information on a medicine code, a medicine name, a kind of a container for storing the medicine, and a standard amount of the medicine to be stored in the container (Claim 2). Based on this master data, an appropriate dispensing procedure can be reliably determined by the dispensing procedure determination means.
[0016]
  Each of the master data of a large number of drugs includes dosage unit name, volume unit name, component unit name, volume converted value, component converted value, anticancer drug shape category, storage category, designated category, drug weight, dissolution diluent Classification code, effective dissolution diluent classification code, required solution volume, solution concentration, specific gravity, upper limit of dilution liquid, supply container availability, filter availability, mixed injection capacity, cap weight, pH information, solution name at the time of mixed injection (Claim 3). Based on this master data, an appropriate dispensing procedure can be more reliably determined by the dispensing procedure determination means.
[0017]
[0018]
[0019]
[0020]
  Display means capable of displaying and outputting the dispensing procedure including the plurality of steps in the form of a chart is provided.4). KeyDisplay means including a display of a computer installed in a dispensing room or the like that performs the dispensing operation may be applied, and the dispensing operation can be performed by looking at the dispensing procedure displayed on this display. Dispensing procedureChartSince it is displayed and output in the form, it becomes easy to grasp the dispensing procedure.
[0021]
  The dispensing procedure comprising the plurality of steps is provided with printing means capable of printing out in the form of a chart (Claims)5). markIt becomes possible to carry out a dispensing operation by looking at the dispensing procedure output. Dispensing procedureChartSince it is printed out in the form, it becomes easy to grasp the dispensing procedure.
[0022]
  The dispensing procedure consisting of a plurality of steps includes a step of measuring the weight of a container containing a solid drug before dissolving the solid drug, and a diluent or a dissolving agent in the container, when there is a solid drug. And dissolving the solid drug, and measuring the weight of the container after dissolution of the solid drug (claims).6). It becomes possible to reliably measure the weight of the diluted solution or dissolved solution put in the container for dissolving the solid medicine.
[0023]
  The dispensing procedure consisting of a plurality of steps includes a step of co-injecting a required amount in a solid drug solution dissolved by adding a diluent or a dissolving agent into a container, and the dispensing procedure determining means includes the prescription The required amount is calculated based on information and master data (claim)7). In the case of dispensing using a solid drug whose order amount included in the prescription information is not a multiple of the standard amount based on the master data of the drug, the required amount in the solid drug solution is reliably calculated, that is, the required amount, The solid medicine of the order amount can be reliably mixed into the supply container.
[0024]
  The dispensing procedure including the plurality of steps includes a step of measuring the weight of the container before and after the medicine stored in the container is mixedly injected into the supply container.8). From the medicines stored in the container, the weight including the medicine mixed into the supply container can be reliably measured.
[0025]
  The dispensing procedure consisting of a plurality of steps comprises the step of measuring the weight of the supply container immediately after dissolving the solid drug with the dissolving agent when the diluent contained in the supply container can be a dissolving agent for dissolving the solid drug. Including (claims)9). It becomes possible to reliably measure the weight of the diluent used for dissolving the solid medicine as the dissolving agent from the diluent contained in the supply container.
[0026]
  When executing the step including the weight measurement determined by the dispensing procedure determining means,Provided with an audit device capable of inputting and maintaining the audit results for the audit items defined for the audit (claims)10). In the audit equipment,It is possible to input and record the audit results for the audit items specified for management.
[0027]
  The dispensing procedure determining means determines the type and amount of a diluent or a dissolving agent necessary for dissolving the solid medicine based on the prescription information and master data (claim).11). The solid drug can be dissolved appropriately.
[0028]
DETAILED DESCRIPTION OF THE INVENTION
  Hereinafter, embodiments of the present invention will be described with reference to the drawings. In the present embodiment, the present invention is applied to a prescription drug dispensing support system that supports prescribing injections to be applied to a plurality of patients in a hospital that treats both inpatients and outpatients.
[0029]
  As shown in FIGS. 1 to 3, the prescription drug dispensing support system PS includes, for example, a host computer 1 installed in a hospital H, a personal computer 2 (personal computer) installed in a [ward] of the hospital H, and an outpatient building. ], The personal computer 4 and printer 4a installed in the [medicine management room] and the chemical picking device 10, the personal computer 5 and printer 5a, bar code reader 5b and the electronic balance 11 installed in the [formulation room]. The personal computer 6 and the barcode reader 6a installed in the [sterile dispensing room], the electronic balance 12, and the like. Although not shown, a clean bench is installed in the [Aseptic Dispensing Room], and in particular when dispensing an injection containing an anticancer drug, the medicine is handled in the clean bench and dispensing work is performed. .
[0030]
  As shown in FIG. 1, the host computer 1 and the personal computers 2 to 6 are connected via a local area network (LAN) so that they can communicate with each other by wire or wirelessly. Each of the personal computers 2 to 6 has a personal computer main body, a display, a keyboard, a mouse, and the like. The personal computer main body is provided with a CPU, ROM, RAM, input / output interface, hard disk drive, CD drive, and the like. One or more personal computers are provided as the personal computers 2 to 6.
[0031]
  For example, an OS such as “WINDOWS” is installed in each of the personal computers 2 to 6, and programs for executing various processes described later that operate on the OS are stored.
  As shown in FIG. 1, the host computer 1 includes, for example, a hard disk (or CD or other storage device), a patient database DB1, a (medicine) master database DB2, a prescription database DB3, an injection prescription database DB4, a prescription check database. A database such as DB5 is stored.
[0032]
  Next, processing performed by the host computer 1 and the computers 2 to 5 and work performed by a pharmacist and the like will be described with reference to FIG.
(1) "Ordering process"
  The prescription 20 of the prescription 20 created for the hospitalized patient is input using the personal computer 2 and the prescription 20 of the prescription 20 created for the outpatient is used and input using the personal computer 3 Prescription data is created from the prescription input information and stored in the prescription database DB3 of the host computer 1.
[0033]
(2) “Injection prescription data extraction process”
  The personal computer 2, 3 or the host computer 1 extracts (creates) injection prescription data as prescription information for direct injection into the body from the prescription data and stores it in the injection prescription database DB 4 of the host computer 1. . In addition, the injection prescription text data that can identify the injection prescription data (for dispensing the injection containing the anticancer agent) for the anticancer agent aseptic dispensing request from among the plurality of injection prescription data, And is output to the personal computer 4.
[0034]
  Here, each injection prescription data in the injection prescription database DB4 includes, as shown in FIG. 17, the patient ID (0123456789), serial number (0001), order date (2002/6/1), contact number (session number). 00122), RP number (1), sequence number (1), usage (none), usage comment (none), chemical line number for each ordered chemical (1, 2, 3, 4), chemical for each ordered chemical Information drug code (ent 50, ent 10, show 10, solitary T3) and drug name (injection)forEndoxan 500mg / V, injectionforEndoxan 100mg / V, 100mL distilled water for injection, Solita T3 No. 500m), order quantity (1000, 450, 1, 1), order unit (mg, mg, book, book), dispensed quantity (2, 5, 1, 1) Information on payout units (V, V, book, book) is included.
[0035]
(3) "Data distribution process"
  Based on the injection prescription text data created in the “injection prescription data extraction process” by the personal computer 4, the injection prescription data for the anticancer agent aseptic dispensing request is read from the injection prescription data in the injection prescription database DB4, For each injection prescription data, the injection prescription data is divided into either temporary / outpatient prescription data (injection prescription data for outpatients) or regular prescription data (injection prescription data for hospitalized patients).
[0036]
(4) “Prescription check process”
  For each injection prescription data for the anticancer drug aseptic dispensing request by the personal computer 4, the master data of the medicine read from the master database DB2 corresponding to the injection prescription data and the prescription check data read from the prescription check database BD5 Based on this, it is checked whether the content of the prescription is prescriptionally OK or NG (for example, whether or not a plurality of types of drugs that are contraindicated for mixing are not included). This prescription check process is performed in real time for temporary / outpatient prescription data, and is performed through manual operation of the personal computer 4 for regular prescription data.
[0037]
(5) “Prescription change input process”
  Using the personal computer 4, the prescription change or the prescription is canceled in response to the prescription change request / cancellation request for the injection prescription data that has become NG mainly in the “prescription check processing”. Along with the change of the injection prescription data, the data such as the medicine name, usage, and usage comments included in the injection prescription data are also changed, and the injection prescription data before the change is stored as history data, for example, in the prescription database DB4.
[0038]
(6) “Dispensing procedure analysis decision process”
  The personal computer 4 automatically analyzes the injection prescription data that is OK in the “prescription check process”, determines the dispensing procedure, and creates the dispensing procedure data. At the same time, the latest examination data of the examination performed by the patient for the dispensing procedure data is read, and the dispensing procedure manual 21 is printed by the printer 4a based on the dispensing procedure instruction data and the examination data, and the medicine bag label 22 is also printed. (For supply container attachment / ward chart attachment) and supply container attachment barcode label 23 are printed. In addition, the TPN anticancer agent-specific injection summary table 24, the ward injection prescription 25, the outpatient injection prescription 26, various statistical tables 29, and the like are printed.
[0039]
(7) “Picking data creation process”
  It is performed by the personal computer 4 together with preparation of dispensing procedure data in the “dispensing procedure analysis determination process”, and medicine codes (medicine names) of a plurality of kinds of medicines to be dispensed and containers (ampoules, vials, etc.) containing each medicine ) Is generated and is output to the drug picking apparatus 10.
[0040]
(8) “Chemicals preparation work”
  The medicine picking apparatus 10 automatically dispenses a necessary medicine from the medicines stored in the medicine picking apparatus 10 based on the medicine picking data. The pharmacist or the like attaches the created medicine bag label 22 (the name and order value of the necessary medicine and the barcode associated with these information) to the medicine bag 30, and the dispensed medicine is used as the medicine bag label 22. Are put in the medicine bag 30 while confirming the medicine name and the like described in the above. And it conveys to the [formulation room], for example, takes out the medicine prepared from the medicine bag 30 there, and conveys it to the [sterile dispensing room]. In the medicine picking apparatus 10, the amount of medicine stock stored in the medicine picking apparatus 10 is managed, and a list of the medicine inventory amount is printed and issued by a printer.
[0041]
(9) “Dispensing work”
  A pharmacist or the like reads the barcode of the dispensing procedure manual 21 with the barcode reader 6a of the personal computer 6 and then displays the dispensing procedure screen displayed on the display of the personal computer 6 based on the dispensing procedure manual 21 or the dispensing procedure data. As shown in FIG. 5, a plurality of types of drugs are handled, and the dispensing operation is performed according to the dispensing procedure described in the dispensing procedure manual 21 or displayed on the display.
[0042]
(10) “Audit work”
  An injection is audited after dispensing, and it is judged whether it is OK or NG. At that time, a pharmacist or the like reads the barcode on the medicine bag label 22 by the barcode reader 5b of the personal computer 5, displays an audit screen on the display, and inputs an audit result for a predetermined audit item. The anticancer drug aseptic dispensing contact 31 and the anticancer drug preparation / audit record 32 are printed by the printer 5a.
[0043]
(11) “Reanalysis instruction processing”
  When the personal computer 4 or 5 or 6 becomes NG in the dispensing operation, the inspection operation or the like, an instruction to determine the analysis of the dispensing procedure is performed in order to perform the dispensing operation again.
[0044]
  Now, as shown in FIG. 5, this prescription dispensing support system PS dispenses and supplies a master database DB2 storing master data of a large number of drugs and a plurality of kinds of drugs applied to a patient at one time. Dispensing pattern showing the procedure to be accommodated in a container, wherein a parameter is a part or all of the presence or absence of a solid medicine, the presence or absence of a liquid medicine, the presence or absence of a dissolving agent, the presence or absence of a diluent, and the type of supply container Dispensing pattern storage means M1 (such as a hard disk of a personal computer 4) that stores a plurality of patterns (a total of eight dispensing patterns 1 to 8) that are preset and stored, and an injection prescription database DB4 as prescription information of the prescription 20 for each patient And the data read from the master database DB2 for the drug to be applied among the injection prescription data Based on the data of the stored dispensing pattern for the dispensing pattern storage means M1, and a dispensing procedure determining means M2 for determining the dispensing procedure consisting of multiple steps of dispensing a plurality of kinds of drugs to be applied to the patient.
[0045]
  Here, each of a large number of master data in the master database DB2 (for example, master data of 500 mg / V for endotoxin for injection) has a drug code (ent 50), a drug name (endoxan for injection 500 mg / V, as shown in FIG. 18). V), dosage unit name (V), volume unit name (none), component unit name (mg), volume converted value (none), component converted value (500), and the type of container that contains the drug Chemical container classification (vial), anticancer drug shape classification (solid), storage classification (cold place), designated classification (fulminant drug), standard amount of drug stored in the container (500 mg), drug weight, dissolution diluent classification Code (None), Effective dissolution diluent classification code (1010,1080), Required solution volume (25mL), Solution concentration (20mg), Specific gravity, Upper limit of dilution solution (None), Supply container availability (None), Filter Yes / No (No), Mixed injection capacity (None) , Cap weight (no), pH information (5.0 to 6.0), mixed injection when the solution name (Endoxan injection solutions) that contains information.
[0046]
  Now, as shown in FIG. 6, the dispensing patterns 1 to 8 are dispensed with the presence or absence of a solid anticancer agent, the presence or absence of a liquid anticancer agent, the presence or absence of a dissolving agent, the presence or absence of a diluent, and the type of supply container as parameters. It is a pattern.
[0047]
  Dispensing pattern 1 is when there is a solid anticancer agent (one type), no liquid anticancer agent, there is a dissolving agent, there is a diluent, and the supply container is a container containing a diluent (including information indicating the type of the supply container) The required amount calculated from the dissolved anticancer drug 1 (solution) based on the solution concentration by dissolving the solid anticancer drug 1 in a container containing the solid anticancer drug 1 Into a supply container and dilute with diluent.
[0048]
  Dispensing pattern 2 is a dispensing pattern with a solid anticancer agent (2 types), no liquid anticancer agent, no dissolving agent, with a diluent (also used as a dissolving agent), and the supply container is a container with a diluent. Yes, put the diluent in the container containing the solid anticancer drug 1 to dissolve the solid anticancer drug 1, dissolve the solid anticancer drug 2 in the container containing the solid anticancer drug 2, The necessary amount calculated from the dissolved anticancer drugs 1 and 2 (solution) based on the solution concentration is placed in a supply container and diluted with a diluent.
[0049]
  Dispensing pattern 3 has a solid anticancer agent (1 type), other solid drugs (1 type), no liquid anticancer agent, no dissolution agent, with diluent (also used as a dissolution agent), diluted supply container This is a dispensing pattern in the case of a liquid container, in which a diluent is put in a container containing a solid anticancer drug 1 to dissolve the solid anticancer drug 1, and a diluent is put in a container containing the solid drug 1 to form a solid Drug 1 is dissolved, the necessary amount calculated from the dissolved anticancer drug 1 (solution) based on the solution concentration is placed in a supply container and diluted with a diluent, and the solution concentration is calculated from the dissolved solid drug 1 (solution). Put the required amount calculated in (1) into a supply container and dilute with diluent.
[0050]
  Dispensing pattern 4 is a dispensing pattern in the case where there is no solid anticancer agent, there is a liquid anticancer agent (one type), there is no solubilizer, there is a diluent, and the supply container is a container with a diluent. Put 1 in the supply container and dilute with diluent.
[0051]
  Dispensing pattern 5 is a dispensing pattern when there is no solid anticancer agent, there is a liquid anticancer agent (one type), there is no dissolving agent, there is a diluent, the supply container is a container with diluent, and a part of the diluent is extracted. After extracting a part of the diluent from the supply container, the liquid anticancer agent 1 is put into the supply container and diluted with the diluent.
[0052]
  Dispensing pattern 6 is a dispensing pattern with a solid anticancer agent (one type), no liquid anticancer agent, with a dissolving agent, no diluent, and a supply container with a syringe. The dissolution agent is put in a container to dissolve the solid anticancer drug 1, and a necessary amount calculated based on the solution concentration is aspirated from the dissolved solid anticancer drug 1 (solution) with a syringe.
[0053]
  Dispensing pattern 7 is a preparation pattern when there is no solid anticancer agent, there is a liquid anticancer agent (one type), there is no dissolving agent, there is a diluent, and the supply container is an infusion bag.NAfter putting the diluted solution in the infusion bag, put the liquid anticancer drug 1 in the infusion bag.With dilution liquidDilute.
[0054]
  Dispensing pattern 8 is for solid anticancer agents (2 types), liquid anticancer agents (1 type), no solubilizer, dilute solution (also used as a solubilizer), and supply container is a dilute solution container Dispensing pattern of the supply container into the container containing the solid anti-cancer agent 1 to dissolve the solid anti-cancer agent 1 and then adding the diluent of the supply container to the container containing the solid anti-cancer agent 2 Dissolve the solid anticancer agent 2 and place the liquid anticancer agent 1 in the supply container and dilute it with the diluent, and supply the required amount calculated from the dissolved anticancer agent 1 (solution) based on the solution concentration The required amount calculated based on the solution concentration from the dissolved anticancer agent 2 (solution) is placed in the supply container and diluted with the diluent.
[0055]
  Now, FIGS. 7 and 8 show specific prescription examples 1 to 13. FIG. In any of these prescription examples 1 to 13, the dispensing procedure is determined based on any one of the dispensing patterns 1 to 8, and the dispensing is shown on the right side of each dispensing pattern shown in FIG. Formulation examples to which the pattern is applied (for example, prescription examples 1 to 3 for dispensing pattern 1 and prescription examples 4 and 5 for dispensing pattern 2) are shown.
[0056]
  Here, the prescription example 1 will be specifically described as an example. FIG. 9 is a dispensing procedure manual 21 in which the prescription contents and the determined dispensing procedure are recorded and issued after the dispensing procedure is determined. For convenience of explanation, FIG. 9 is referred to. explain.
[0057]
  About the prescription contents of this prescription example 1; prescription drug name, its order value (dose), the amount to be dispensed, etc.
    (Chemical name) (Order value) (Payout amount)
  Endoxan for injection 500mgV 1000mg (50mL) 2V
  Endoxan for injection 100mgV 450mg (22.5mL) 5V
  100mL distilled water for injection (dissolving agent) 1 (book) 1 bottle
  Solita T3 500mL (Diluted solution) 1 (book) 1 book
          The total (total liquid volume) is 572.5 mL. The payout amount (2V, 5V, 1 piece, 1 piece) and the like are automatically calculated (confirmed) in the dispensing procedure analysis determination process which is a characteristic part of the present application. In addition, the required amount of 500 mgV for endoxan for injection; 50 mL, the required amount of 100 mgV for endoxan for injection; 22.5 mL, the total liquid volume: 572.5 mL are automatically calculated.
[0058]
  In the case of Formulation Example 1, a dispensing procedure consisting of 10 steps is determined as follows.
(1) Affix the barcode label 23 to the container of Solita T3, which is a supply container. (2) The initial weight of the Solita T3 container is measured.
(3) Endoxan for injection; The initial total weight of two vials each containing 500 mg is measured.
(4) Endoxan for injection; Dissolve in each vial containing 500 mg;
(5) Endoxan for injection; Weigh each vial containing 500 mg of solution.
[0059]
(6) Endoxan for injection: The total weight of 5 vials each containing 100 mg is measured.
(7) Endoxan for injection; Dissolving agent in each vial containing 100 mg; 5 mL is added to dissolve endoxan for injection.
(8) Endoxan for injection; Weigh each vial containing 100 mg of solution. (9) Dissolved endoxan for injection; 500 mg / V and dissolved endoxan for injection; 72.5 mL of the required amount calculated based on the dissolution concentration of 100 mg / V endoxane solution is mixedly injected into Solita T3.
(10) Measure final weight of solitary T3 container after dispensing medicine.
[0060]
  Here, the calculation of the required amount will be described.
  The calculation of the necessary amount is a calculation for performing mixed injection of the solid anticancer agent into the supply container by the order value when dispensing using a solid anticancer agent whose order value is not a multiple of the standard amount.
[0061]
  For example, in the case of prescription example 1, the ordered injectable endoxan 500 mgV → 1000 mg matches the order value (1000 mg) using 2 V (500 mg × 2 = 1000 mg) of a standard product containing 500 mg per 1 V (vial). However, the ordered injection endoxane 100 mgV → 450 mg uses 5 V (100 mg × 5 = 500 mg) of a standard product containing 100 mg per 1 V (vial), which exceeds the order value (450 mg).
[0062]
  By the way, the concentration at the time of dissolving endoxan for injection is determined to be 20 mg / mL based on the master data. Therefore, the amount of the dissolving agent for dissolving 500 mg of endoxan for injection and 100 mg of endoxane for injection is also determined. However, using this concentration of 20mg / mL, endotoxin for injection 1000mg and 450mg; endotoxin solution for injection containing a total of 1450mg (order value) (this is the required amount) is 1000mg ÷ 20mg / Calculated from the formula of mL + 450 mg ÷ 20 mg / mL, it is 72.5 mL. The above calculation is automatically performed when determining the dispensing procedure.
[0063]
  The dispensing procedure consisting of a plurality of steps (1-10 steps above) of Prescription Example 1 determined as described above is a step of measuring the initial weight of the supply container, and the final weight of the supply container after dispensing containing the medicine. Includes steps to do. Such a step is also included in the dispensing procedure consisting of a plurality of steps of Prescription Examples 2 to 13. In this way, it is possible to reliably measure the weight of the drug, solution, and diluent finally mixed in the supply container.
[0064]
  The dispensing procedure consisting of a plurality of steps of Formulation Example 1 includes (uses) a solid anticancer drug (solid drug), and therefore the step of measuring the weight of the container containing the solid drug before dissolving the solid anticancer drug. , A step of dissolving a solid drug by putting a dissolving agent or a diluent in the container, a step of measuring the weight of the container after the dissolution of the solid drug, and a dissolving liquid or a dissolving agent being further dissolved in the container A step of co-injecting the required amount in the solid drug solution into the supply container. Such a step is also included in a dispensing procedure including a plurality of steps of prescription examples 2 to 5, 9, and 11 to 13. In this way, the weight of the diluent or dissolved solution placed in the container for dissolving the solid drug can be reliably measured, and the necessary amount of the solid drug solution can be reliably mixed and injected into the supply container.
[0065]
  The dispensing procedure consisting of a plurality of steps of Formulation Example 1 may include a step of measuring the weight of the container before and after the medicine (solid medicine solution) contained in the container is mixedly injected into the supply container. However, for the step of measuring the weight of the container before mixing the drug stored in the container into the supply container, if there is a solid drug (used) (also in the case of Formulation Example 1), This is the same as the step of measuring the weight of the container after the dissolution of the solid drug. Such a step may be included in a dispensing procedure consisting of a plurality of steps of Prescription Examples 2 to 13. In this way, it is possible to reliably measure the weight including the medicine co-injected into the supply container from the medicines accommodated in the container.
[0066]
  Moreover, when the dilution liquid accommodated in a supply container can become a solubilizer which melt | dissolves a solid chemical | medical agent like prescription example 4,5,11,13, from several steps of this prescription example 4,5,11,13. The dispensing procedure comprises a step of measuring the weight of the supply container immediately after dissolving the solid drug with the dissolving agent. In this way, it is possible to reliably measure the weight used to dissolve the solid drug as the dissolving agent from the diluent contained in the supply container.
[0067]
  Now, the determined dispensing procedure comprising a plurality of steps is performed by the printer 4a in the form of a chart as shown in FIG.PrintThe data is output and printed in the dispensing procedure column of the dispensing procedure manual 21 in the form described with pictures and characters. The Dispensing Procedure 21 includes, in addition to the Dispensing Procedure column, an implementation date, patient ID, patient name, ward name (including ward), doctor name, issue date, preparation date, date of birth, contact number, regular time or Temporary, prescription contents, clinical laboratory values, etc. are recorded, and bar codes are also recorded.
[0068]
  Further, the determined dispensing procedure including a plurality of steps is also displayed on the display 6b of the personal computer 6 (4, 5) as shown in FIGS. FIG. 10 is a dispensing procedure step partial display screen, and FIG. 11 is a dispensing procedure step list display screen. A touch panel is provided on the surface of the display 6b, and various operations such as a screen operation can be performed via the touch panel. Various operations such as screen operations may be executed by reading a barcode, or may be executed by operating a general keyboard or mouse.
[0069]
  Now, the dispensing procedure step partial display screen of FIG. 10 and the dispensing procedure step list display screen of FIG. 11 can be switched. For example, when the dispensing procedure step partial display screen of FIG. 10 is displayed on the display 6b, By touching the touch panel portion corresponding to the “procedure list”, it is possible to switch to the dispensing procedure step list display screen of FIG. 11, and when the dispensing procedure list step display screen of FIG. Can be switched to the dispensing procedure step partial display screen of FIG.
[0070]
  10 and 11, in addition to the dispensing procedure, the operator name and basic patient information, such as patient ID, department name, implementation date, contact number, RP number, patient name, etc. Is displayed. And on the dispensing procedure step partial display screen of FIG. 10, five steps including the step in process among a plurality of steps are displayed. The step display can be scrolled up and down by a predetermined touch operation or the like, and the five steps to be displayed can be freely changed.
[0071]
  In this personal computer 6, the bar code reader 5b reads the barcode of the dispensing procedure manual 21, and the screens of FIGS. 10 and 11 are displayed based on the display data of the corresponding dispensing procedure. Thus, it becomes possible to input the weight value measurement in the weight measurement step included in the dispensing procedure. In the state where the screen of FIG. 10 is displayed, the step on the right side where “processing” is displayed is a step waiting for weight measurement, and the previous (upper) weight measurement step has already been completed, “Previous” is displayed on the left side of the steps between these weight measurement steps.
[0072]
  Then, after the weight measurement is performed, the gravity measurement value is input manually or automatically, the weight measurement step is completed, and “processing” is displayed on the left side of the next weight measurement step, That step is waiting for weight measurement. The “processing” step, the step before “processing”, and the step after “processing” are displayed in three colors so that they can be distinguished.
[0073]
  In the dispensing procedure step list display screen of FIG. 11, all of a plurality of steps are displayed as a list. In this screen, the step before “processing” and the subsequent steps including “processing” are displayed in two colors and can be distinguished. However, as in the screen of FIG. 10, “processing in progress”, “immediately before”, and the like may be displayed so that the work status and the like can be easily understood. In addition, you may comprise the dispensing procedure which consists of the said multiple steps so that a display output is possible in the form of a chart. It becomes possible to perform a dispensing operation by looking at the dispensing procedure displayed on the display. Diagram of dispensing proceduretableDisplay output in the form ofDesoIt becomes easy to grasp the dispensing procedure.
[0074]
  By the way, the contents of the dispensing procedure on the screens of FIGS. 10 and 11 are “step”, “work source”, “capacity / state”, “work destination”, “shape”, “work”, “TargetThere are columns for “Number”, “Weight”, and “Re-measurable”, and each step displays characters and numerical values corresponding to each column (some areas may not be displayed). Is possible. For example, in the 7/10 step, 5 mL of distilled water for injection and 100 mg of endoxan for injection are dissolved in 100 mg of endoxan for injection.SekoIt is possible to grasp the procedure of performing this for 5V.
[0075]
  Next, the processing performed by the personal computer 4 in the [medicine management room] is a flowchart of FIGS. 12 to 14 (where Si (i = 1, 2, 3,...)Each step will be described). It is assumed that a program for executing this processing is stored in a storage medium such as a ROM or a hard disk of the personal computer 4.
[0076]
  First, when the injection prescription data is read (S1), the injection prescription data is assigned to either temporary / outpatient prescription data or regular prescription data (S2), and then each read prescription data is read. A prescription check is performed (S3). A prescription change input (prescription stop) is performed mainly when the prescription check in S3 results in NG (S4).
[0077]
  Next, prescription check is OKNoteWhen there are a plurality of injection prescription data, these agent injection prescription data are rearranged in a predetermined order (for example, in order of application time), and for each injection prescription data according to the order, Dispensing procedure analysis determination processing (S5) is executed.
[0078]
  Here, the analysis determination process of the dispensing procedure will be described in detail based on the flowcharts of FIGS. 13 and 14 (where Si (i = 20, 21, 22... In the flowcharts indicate each step)). .
  As shown in FIG. 13, when the analysis determination process of the dispensing procedure is started, an anticancer agent is determined based on the injection prescription data and the master data of the medicine for the injection prescription data (S20). In S20, it is distinguished whether the anticancer agent is solid or liquid, and when there are a plurality of anticancer agents, a combined contraindication check of these anticancer agents is performed, and the discharge amount of the container containing the anticancer agents ( The number of ampoules, vials, etc.) is calculated, and an error occurs when no anticancer drug is detected.
[0079]
  Next, a solubilizing agent is determined (S21). If there is a solubilizing agent, the presence of the solid anticancer agent to be dissolved is checked, and whether the solubilizing agent is permitted to be used for the solid anticancer agent. A check is made to determine whether the amount of the lysing solution is sufficient, and the dispensed amount (number of ampoules, vials, etc.) of the container in which the dissolving agent is stored is calculated.
[0080]
  Next, the diluent is determined (S22). In S22, whether or not the diluent and the anticancer agent are blended is checked, and at the same time, if used as a solubilizer, the amount is checked to be sufficient, and the diluent container is mixedly injected. The possible amount is checked and the dispensed amount of the container containing the diluent is calculated. If there is no diluent, an error occurs.
[0081]
  Next, a supply container is determined (S23), and in this S23, basically, a container that stores the diluent is determined as the supply container. However, if the supply container is unusable and registered, a syringe ( Tube) or an infusion bag is used, and when there are a plurality of containers containing the diluent, the infusion bag is determined as a supply container. In the case of a syringe, the appropriate syringe size (10 mL, 20 mL, 50 mL) is automatically determined according to the amount of mixed injection, and the syringe of that size is determined.
[0082]
  Thereafter, instruction information for attaching the bar code label 23 to the supply container is created (S24), then instruction information for measuring the weight of the supply container is created (S25), and then there is a solid anticancer drug. It is determined whether or not (S26). Therefore, when there is a solid anticancer drug (S26; Yes), the weight measurement instruction information of the solid anticancer drug (the container containing the solid anticancer drug) before dissolution is created (S27).
[0083]
  Thereafter, dissolution information of the solid anticancer agent is created with the dissolving agent or diluent (S28), and then an instruction for measuring the weight of the solid anticancer agent (the container containing the anticancer agent) is dissolved. Information is created (S29). It should be noted that the volume of the anticancer agent solution prepared by dissolution (that is, the concentration of the dissolution solution) is calculated using a preset volume determination table.
[0084]
  Next, it is determined whether or not to use the diluent in the supply container as a dissolving agent for dissolving the solid anticancer agent (S30). Therefore, when the diluent of the supply container is used as a solubilizer (S30; Yes), instruction information for measuring the weight of the supply container is created (S31), and the process returns to S26, and the diluent of the supply container is used as the solubilizer. If not used (S30; No), the process returns to S26. Here, in S26, when there is a solid anticancer agent, S27 and thereafter are executed, and when returning to S26, it is considered that there is no solid anticancer agent and S27 and thereafter are not executed again. However, if there is another solid anticancer agent, S27 and subsequent steps are executed again for the other solid anticancer agent.
[0085]
  Next, when there is no solid anticancer agent (S26; No), as shown in FIG. 14, it is determined whether there is a liquid anticancer agent (S32). Therefore, if there is a liquid anti-cancer agent (S32; Yes), the liquid anti-cancer agent mixed injection instruction information to the supply container is created (S33), and then the liquid anti-cancer agent is mixed into the supply container. Instruction information for weight measurement of the supply container is created (S34), and the process returns to S32. Here, in S32, when there is a liquid anticancer agent, S33 and subsequent steps are executed, and when returning to S32, it is considered that there is no liquid anticancer agent, and S33 and subsequent steps are not executed again.
[0086]
  Next, when there is no liquid anticancer agent (S32;No), Whether there is a solid anticancer agent (solution) dissolved in a container other than the supply container, that is, whether or not S28 has been executed (S35). When it is determined in S35 that there is a dissolved solid anticancer agent (S35; Yes), mixed injection instruction information is prepared in the supply container for the dissolved solid anticancer agent (solution) (S36). Instruction information for measuring the weight of the indicator container after co-injection of the anticancer agent (solution) is created (S37), and the process leans to S35.
[0087]
  In S35, when there is a solid anticancer agent (solution), after S36 is executed, and when returning to S35, it is considered that there is no solid anticancer agent (solution). However, when there is another solid anticancer agent (solution), S36 and subsequent steps are executed again for the other solid anticancer agent (solution). And when there is no solid anticancer agent (S35; No),Execute S38finish.
[0088]
  Thus, a plurality of types of medicines to be applied to a patient are dispensed, and the dispensing pattern is determined as one of the dispensing patterns 1 to 8, and the dispensing pattern data, the injection prescription data, and the application target of the injection prescription data Based on the master data read out from the master database DB1 for the medicines of the patient, a plurality of kinds of medicines applied to the patient are dispensedNaThe dispensing procedure is determined and the dispensing procedure data is created(S38). The dispensing procedure data is stored in the hard disk of the personal computer 6 or the like.
[0089]
  Here, about the dispensing procedure data, the case of the prescription example 1 is demonstrated as a specific example. As shown in FIG. 19, the dispensing procedure data includes the preparation line number (1 to 10) data and the procedure content data corresponding to the preparation line number data.(Procedure data section)It consists of. The procedure content data includes the work source chemical line number, the work source classification (1; drug name, 2; solution), the work source name included in the work source, and the volume state classification (1; solution) included in the volume / state. Volume, 2; mixed injection solution, 3; before mixed injection, 4; after mixed injection, 5; before dissolution, 6; after dissolution, 7; immediately after dissolution, 8; after suction, 9; Have.
[0090]
  In addition, the procedure content data includes the work chemical number and work name included in the work place, the shape classification (1; container, 2; supply container) and shape name included in the shape, and the work classification included in the work. (1; bar code application, 2; weight measurement, 3; dissolution, 4; mixed injection, 5; mixed injection + filter, 6; partial extraction, 7; suction) and work name,TargetIt has data with the number and can be recorded in association with the weight measurement value. This form of dispensing procedure data will be created.
[0091]
  Next, after the process of S5, as shown in FIG. 12, medicine picking data is created (S6), and the medicine picking data is transmitted and output to the medicine picking apparatus 10 (S7). Next, the injection prescriptions 25 and 26 are printed (S8), and the dispensing procedure manual 21 and the medicine bag label 22 are printed (S9). Further, statistical / history data is created (S10),Anticancer drugPrescription data is created (S11), various statistical materials are printed (S12), audit data is created (S13), and the process ends.
[0092]
  The processing performed by the personal computer 6 in the [sterile dispensing room] will be described based on the flowchart of FIG. 15 (where Si (i = 40, 41,...) In the flowchart represents each step). It is assumed that a program for executing this processing is stored in a storage medium such as a ROM or a hard disk of the personal computer 6.
[0093]
  When the barcode of the dispensing procedure manual 21 brought into the [sterile dispensing chamber] is read by the barcode reader 6a (S40), the dispensing procedure data corresponding to the dispensing procedure manual 21 is read (S41). Based on this dispensing procedure data, the dispensing procedure screens of FIGS. 10 and 11 are displayed on the display in a switchable manner (S42), and the dispensing process is performed (S43). A pharmacist or the like performs dispensing work by looking at the dispensing procedure manual 21 or the dispensing procedure screen of the personal computer 4..
[0094]
  In the dispensing process of S43, a weight value is input when switching the step display of the dispensing procedure or measuring the weight by operating the keyboard or mouse or automatically. In addition, it is desirable that the weight value input be configured by operating the touch panel due to the characteristics of the sterile room. As described above, the input weight measurement value is recorded together with the dispensing procedure data, and is stored in the hard disk or the like of the personal computer 5 or 6. This hard disk or the like corresponds to the weight value record holding means.
[0095]
  Diagram of processing performed by PC 5 in [Formulation Room]16(However, Si in the flowchart (i = 50, 51, 52...)Each step will be described). It is assumed that a program for executing this processing is stored in a storage medium such as a ROM or a hard disk of the personal computer 5.
[0096]
  When the barcode of the medicine bag label 22 brought into the [formulation room] is read by the barcode reader 5b (S50), the audit data corresponding to the read barcode information (patient information) is read.TRead(S51). This audit data table is used to determine the dispensing procedure.In S13As shown in FIG. 20, the created patient ID includes the patient ID and serial number, the order date, the contact number, the RP number, the sequence number, the audit number, and the data of the audit data section.
[0097]
  auditData sectionIs composed of data of audit contents, calculation weight value preparation line number 1 and calculation weight value preparation line number 2 in association with audit line number data, and the audit measurement value is a weight measurement value (predetermined audit). (Corresponding to the audit result for the item) can be input in association with each other and can be recorded. Based on the audit data table, information necessary for auditing the dispensed injection is displayed on the display (S52). Note that the personal computer 5 or the like corresponds to an inspection device, and the display corresponds to a display means. The personal computer 5 or the like can display the weight value recorded on the display and perform the audit work, and can input and record the audit result for a predetermined audit item and manage it.
[0098]
  Next, preparation and auditing of anticancer drugsRecord32 is printed (S53), the weight of the supply container is measured by the electronic balance 11, the weight of the supply container is input (S54), and then the pharmacist checks the check column of the printed anticancer drug dispensing record 32 In addition to filling in the audit results, the anticancer agent aseptic dispensing notice 31 is printed (S55),finish.
[0099]
  The operation and effect of the prescription drug dispensing support system PS described above will be described.
  According to this prescription medicine dispensing support system PS, a master database DB2 is provided, and a dispensing pattern showing a procedure for dispensing a plurality of kinds of medicines applied to a patient at a time on a hard disk of a personal computer 5 and storing them in a supply container A dispensing pattern (dispensing patterns 1 to 8) having some or all of the presence or absence of a solid drug, the presence or absence of a liquid drug, the presence or absence of a dissolving agent, the presence or absence of a diluent, and the type of supply container as parameters A plurality (8) of presets were stored.
[0100]
  And by the personal computer 5, the injection prescription data as prescription information of the prescription 20 for each patient, the data read from the master database DB2 about the medicine to be applied among the injection prescription data, and the data of the dispensing pattern stored in the hard disk or the like Based on this, a dispensing procedure comprising a plurality of steps for dispensing a plurality of types of drugs applied to a patient is determined. In this way, since an appropriate dispensing procedure for dispensing a plurality of types of drugs for dispensing an injection can be automatically determined, the load for determining the dispensing procedure can be reduced, and the working efficiency of dispensing can be increased. Eventually, it is possible to greatly support dispensing of injections, and it becomes possible to smoothly dispense injections applied to a plurality of patients such as hospitals that treat many patients.
[0101]
  Each of the master data of a large number of drugs includes information on at least the drug code, the drug name, the type of the container that stores the drug, and the standard amount of the drug stored in the container, so when determining the dispensing procedure Appropriate dispensing procedures can be reliably determined by using the data read from the master database DB2 for the drug to be applied among the prescription data to be used as data of the type of the container and the standard amount.
[0102]
  The dispensing procedure consisting of a plurality of steps includes a step of measuring the initial weight of the supply container and a step of measuring the final weight of the supply container after dispensing, so that the drug contained in the supply container by dispensing, The weight of the dissolved solution and the diluted solution can be reliably measured.
[0103]
  Since the printer 4a capable of printing out the determined dispensing procedure consisting of a plurality of steps in the form of a chart is provided, the dispensing procedure 21 can be performed by looking at the dispensing procedure 21 printed out by the printer 4a. Become.
[0104]
  Next, a modified embodiment in which the above embodiment is partially modified will be described.
1] In the case of dispensing an injection containing an anticancer drug, the procedure for dispensing a plurality of kinds of drugs is determined, but the same applies to the case of dispensing an injection containing no anticancer drug. A dispensing procedure can be determined.
[0105]
2] In the dispensing operation, the weight of a container such as an ampoule or a vial to be discarded (empty) may be measured. Thereby, it becomes possible to measure the weight of the diluent or the dissolving agent put into the container or supply container from an ampoule or a vial more accurately. In this case, a dispensing procedure including a plurality of steps including the step of measuring the weight of the container to be discarded may be determined.
[0106]
3] Each of the personal computers may be configured to be executable by a single personal computer without dividing the plurality of processes.
  The present invention is not limited to the above-described embodiments, and those skilled in the art can implement various modifications to the above embodiments without departing from the spirit of the present invention. The present invention includes such modifications.
[0107]
【The invention's effect】
  According to the prescription medicine dispensing support system of claim 1, a master database, a dispensing pattern storage means, and a dispensing procedure determination means are provided.TheThe dispensing pattern storage means is a dispensing pattern showing a procedure for dispensing a plurality of kinds of medicines to be applied to a patient at once and storing them in a supply container. The presence or absence of a solid medicine, the presence or absence of a liquid medicine, Presence or absence, presence or absence of diluentas well asType of supply containerKindParameterMultiple waysDispensing patterns are preset and stored. Prescription information on prescription for each patient by dispensing procedure decision meansBased on the information of the dispensing pattern stored in the dispensing pattern storage means, one dispensing pattern is determined from the plurality of dispensing patterns, the determined dispensing pattern, the prescription information, and theInformation to read from the master database about the drug to be applied in the prescription informationAndBased on this, a dispensing procedure comprising a plurality of steps for dispensing a plurality of types of drugs applied to the patient is determined. Since an appropriate dispensing procedure for dispensing a plurality of types of drugs can be automatically determined, the load for determining the dispensing procedure can be reduced, and the working efficiency of dispensing can be increased. As a result, it greatly contributes to assisting in dispensing the injection, and it becomes possible to smoothly dispense the injection to be applied to a plurality of patients such as hospitals that treat many patients.
  Dispensing procedures for dispensing multiple types of drugs are often complex, but multiple dispensing patterns include multiple dispensing patterns for dispensing multiple types of drugs, so that the appropriate dispensing procedure is automatically and easily simplified. Can be determined.
  The dispensing procedure comprising a plurality of steps includes a step of measuring the initial weight of the supply container and a step of measuring the final weight of the supply container after dispensing the medicine, so that the medicine finally mixed into the supply container Thus, it becomes possible to reliably measure the weight of the dissolved solution and the diluted solution.
  When executing the step including the weight measurement determined by the dispensing procedure determining means, a weight value record holding means for recording and holding the measured weight value is provided, and the weight value recorded in the weight value record holding means is displayed. Since the display means is provided, the measured weight value can be recorded and held, and the weight value recorded in the weight value record holding means can be displayed by the display means.
[0108]
  According to the prescription drug dispensing support system of claim 2, each of the master data of a large number of drugs includes at least a drug code, a drug name, a type of a container that stores the drug, a standard amount of the drug stored in the container, Therefore, an appropriate dispensing procedure can be reliably determined by the dispensing procedure determination means based on the master data.
[0109]
  According to the prescription drug dispensing support system of claim 3, each of the master data of a large number of drugs includes a dosage unit name, a volume unit name, a component unit name, a volume converted value, a component converted value, an anticancer drug shape classification, Storage category, designated category, chemical weight, dissolution diluent classification code, effective dissolution diluent classification code, required dissolution volume, solution concentration, specific gravity, upper limit of dilution volume, supply container availability, filter availability, mixed injection capacity, cap Since any information of weight, pH information, and mixed solution name is included, an appropriate dispensing procedure can be more reliably determined by the dispensing procedure determining means based on this master data.
[0110]
[0111]
[0112]
[0113]
  Claim4According to the prescription medicine dispensing support system of the above, since the display means capable of displaying and outputting the dispensing procedure consisting of the plurality of steps in the form of a chart is provided, the dispensing operation is performed by looking at the dispensing procedure displayed and output by the display means. It becomes possible to do. Moreover, since the dispensing procedure is displayed and output in the form of a graphic, it becomes easy to grasp the dispensing procedure.
[0114]
  Claim5According to the prescription medicine dispensing support system of the present invention, the dispensing procedure comprising the plurality of steps is provided with printing means capable of printing out in the form of a chart. It becomes possible to do. In addition, since the dispensing procedure is printed out in the form of a graphic, it becomes easy to grasp the dispensing procedure.
[0115]
  Claim6According to the prescription medicine dispensing support system of the above, the dispensing procedure consisting of the plurality of steps, when there is a solid medicine, measuring the weight of the container containing the solid medicine before dissolving the solid medicine, Since it includes a step of dissolving a solid drug by putting a diluent or a dissolving agent in this container, and a step of measuring the weight of the container after the dissolution of the solid drug, the dilution placed in the container to dissolve the solid drug The weight of the solution or the solution can be reliably measured.
[0116]
  Claim7According to the prescription drug dispensing support system of the above, the dispensing procedure comprising the plurality of steps includes a step of co-injecting a required amount in a solid drug solution in which a diluent or a dissolving agent is put in a container and dissolved in a supply container. The dispensing procedure determining means calculates the necessary amount based on the prescription information and the master data. In other words, when dispensing using a solid drug whose order amount included in the prescription information is not a multiple of the standard amount based on the master data of the drug, the required amount in the solid drug solution is reliably calculated and the required amount That is, it becomes possible to reliably inject a solid medicine of the order amount into the supply container.
[0117]
  Claim8According to the prescription medicine dispensing support system, the dispensing procedure comprising the plurality of steps includes the step of measuring the weight of the container before and after the medicine contained in the container is mixedly injected into the supply container. It becomes possible to reliably measure the weight including the medicine mixed into the supply container from the contained medicine.
[0118]
  Claim9According to the prescription drug dispensing support system of the above, the dispensing procedure consisting of the plurality of steps is performed immediately after dissolving the solid drug with the dissolving agent when the diluent contained in the supply container can be a dissolving agent that dissolves the solid drug. Since the method includes the step of measuring the weight of the supply container, it is possible to reliably measure the weight of the diluent used for dissolving the solid medicine as the dissolving agent from the diluent contained in the supply container.
[0119]
  Claim10According to the prescription medicine dispensing support system of the present invention, when executing the step including the weight measurement determined by the dispensing procedure determining means,The audit device is equipped with an audit device that can input and record the audit results for the audit items specified for the audit items.,It is possible to input and record the audit results for the audit items determined for management.
[0120]
  Claim11According to the prescription drug dispensing support system, the dispensing procedure determining means determines the type and amount of diluent or dissolving agent necessary for dissolving the solid drug based on the prescription information and master data. Can be dissolved appropriately.
[Brief description of the drawings]
FIG. 1 is a block diagram of devices, databases, etc. that constitute a prescription drug dispensing support system according to an embodiment of the present invention.
FIG. 2 is an explanatory diagram of a prescription drug dispensing support system built in a hospital.
FIG. 3 is an explanatory diagram of a prescription drug dispensing support system built in a hospital.
FIG. 4 is a block diagram including main processes of the prescription drug dispensing support system.
FIG. 5 is a block diagram of a main configuration of a prescription drug dispensing support system.
FIG. 6 is a chart showing the contents of eight types of dispensing patterns.
FIG. 7 is a chart showing the contents of prescription examples 1-8.
FIG. 8 is a chart showing the contents of prescription examples 9-13.
FIG. 9 is a dispensing procedure manual.
FIG. 10 is a dispensing procedure instruction screen displayed on a display.
FIG. 11 is a dispensing procedure instruction screen displayed on a display.
FIG. 12 is a flowchart of processing executed by a personal computer in [medicine management room].
FIG. 13 is the first half of a flowchart of a dispensing procedure analysis determination process executed by a personal computer in the [medicine management room].
FIG. 14 is the latter half of the flowchart of the dispensing procedure analysis determination process executed by the personal computer in the [medicine management room].
FIG. 15 is a flowchart of processing executed by a personal computer in the [sterile dispensing room].
FIG. 16 is a flowchart of processing executed by a personal computer in the [formulation room].
FIG. 17 is a chart showing information of injection prescription data.
FIG. 18 is a chart showing information of master data.
FIG. 19 is a chart showing information of dispensing procedure data.
FIG. 20 is a chart showing each piece of information in the audit table.
[Explanation of symbols]
PS Prescription Drug Dispensing Support System
DB2 Master database
DB4 injection prescription database
M1 Dispensing pattern storage means
M2 Dispensing procedure determination means
1 Host computer
2-5 PC
4a Printer
21 Dispensing Procedure Manual

Claims (11)

In a prescription drug dispensing support system that supports prescribing injections to be applied to multiple patients in a hospital,
A master database storing master data of a large number of drugs;
It is a dispensing pattern showing the procedure for dispensing multiple types of drugs applied to a patient at once and storing them in a supply container, with or without a solid drug, with or without a liquid drug, with or without a diluent and a plurality as dispensing pattern for the type of payment container and parameters, and the dispensing pattern storage means comprising a computer having stored set pre Me,
Based on the prescription information for each patient and information on the dispensing pattern stored in the dispensing pattern storage means, one dispensing pattern is determined from the plurality of dispensing patterns, and the determined dispensing pattern and the for application target for the agents of the prescription information and prescription information on the basis of the information to be read from the master database, preparation procedures consisting of a computer which determines the dispensing procedure consisting of multiple steps of dispensing a plurality of kinds of drugs to be applied to the patient A determination means,
The dispensing procedure comprising the plurality of steps includes a step of measuring an initial weight of the supply container, and a step of measuring a final weight of the supply container after dispensing the medicine,
When executing the step including the weight measurement in the dispensing procedure determined by the dispensing procedure determining means, the weight value record holding means for recording and holding the measured weight value, and the weight value recorded in the weight value record holding means Display means for displaying
A prescription drug dispensing support system characterized by that.   2. Each of the master data of the plurality of medicines includes at least information of a medicine code, a medicine name, a kind of a container for containing the medicine, and a standard amount of the medicine to be accommodated in the container. Or the prescription medicine dispensing assistance system of 2. Each of the master data of a large number of drugs includes dosage unit name, volume unit name, component unit name, volume converted value, component converted value, anticancer drug shape category, storage category, designated category, drug weight, dissolution diluent Classification code, effective dissolution diluent classification code, required solution volume, solution concentration, specific gravity, upper limit of dilution liquid, supply container availability, filter availability, mixed injection capacity, cap weight, pH information, solution name at the time of mixed injection The prescription medicine dispensing support system according to claim 2 , comprising any of the following information. The prescription medicine dispensing support system according to claim 1 , further comprising display means capable of displaying and outputting the dispensing procedure including the plurality of steps in the form of a chart. The prescription medicine dispensing support system according to claim 1 , further comprising a printing unit capable of printing out the dispensing procedure including the plurality of steps in the form of a chart. The dispensing procedure consisting of a plurality of steps includes a step of measuring the weight of a container containing a solid drug before dissolving the solid drug, and a diluent or a dissolving agent in the container, when there is a solid drug. The prescription medicine dispensing support system according to any one of claims 1 to 3 , comprising a step of putting and dissolving the solid medicine, and a step of measuring the weight of the container after the dissolution of the solid medicine. The dispensing procedure comprising the plurality of steps includes a step of co-injecting a necessary amount in a solid drug solution dissolved by adding a diluent or a dissolving agent into a container, and the dispensing procedure determining means includes the prescription The prescription medicine dispensing support system according to claim 6 , wherein the necessary amount is calculated based on information and master data. Preparation procedures consisting of the plurality of steps may be processed, before or after the co-infusion were housed in container drug to provision the container, according to any one of claims 1 to 3, characterized in that it comprises the step of measuring the weight of the container Pharmacy dispensing support system. The dispensing procedure consisting of a plurality of steps comprises the step of measuring the weight of the supply container immediately after dissolving the solid drug with the dissolving agent when the diluent contained in the supply container can be a dissolving agent for dissolving the solid drug. The prescription medicine dispensing support system according to claim 6 , comprising: It said performing step comprising dispensing procedure gravimetric determined by the determination means, characterized by comprising a inspection apparatus capable of recording holding enter audit result for audit items stipulated Me pre The pharmacy dispensing support system according to claim 1 or 6 or 8 or 9 . 7. The prescription according to claim 6 , wherein the dispensing procedure determining means determines the type and amount of a diluent or a dissolving agent necessary for dissolving the solid medicine based on the prescription information and master data. Medicine dispensing support system.

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