JP4676753B2 - Dispensing accident prevention system - Google Patents

Description

  The present invention relates to a system for preventing dispensing accidents.

There are many causes of dispensing accidents, and it is considered very difficult to prevent dispensing accidents. For example, many robotic systems that do not use human hands have been considered as measures for preventing erroneous picking (Patent Document 1). However, such a large-scale system is currently difficult to be introduced because it requires a large facility cost, maintenance cost, installation space, and the like.
JP-A-11-169436

  However, the causes (elements) are overwhelmingly due to simple human error. In other words, dispensing is performed through each process of picking (collecting and collecting medicines from the drugstore) → compounding → auditing → medication (delivering drugs to the patient). It is thought to arise from relying on the ability of According to the study of the present inventors, there are two points of discovery of important mistakes in preventing dispensing accidents, “at the time of audit” and “at the time of medication”. If the check function at these two points is strengthened, It is predicted that over 95% of mistakes can be discovered and dispensing accidents can be drastically reduced.

  Therefore, the present inventor does not rely on the individual ability of a pharmacist, but concentrates the work procedure / progress procedure in the audit system and performs a procedure for auditing the system data based on the manual. The present invention has been studied. In addition, in prescription, we compared the prescriptions / instructions with the patient for the part that passed through the audit system, and examined the method to check including prescriptions / instruction mistakes by giving appropriate advice to the patient, leading to the present invention. It was.

(1) Prescription data, picking result data, and dispensing result data are collected on an auditing PC and displayed on the display, and the dispensing can be audited by the auditor in light of the display. The accident prevention system includes an outline of the medicine specified in the prescription included in the prescription data, displayed on the display of the auditing personal computer, visually checking the actual product, and the quantity of the medicine. This includes displaying the field for entering the actual number of theoretical, dispensing, and audited items on the display of the auditing personal computer, and checking the quantity of the drug by actually entering these numbers during the audit. Dispensing accident prevention system .

(2) In the dispensing accident prevention system according to (1), receiving data sent from the auditing personal computer, displaying data relating to the dispensing on the display for the prescriber and the display for the patient connected to the prescription personal computer, and the display for the prescription Dispensing accident prevention system that allows the patient to confirm the patient's identity on the patient display while the prescriber confirms the indication.

  According to the dispensing accident prevention system according to the present invention, the check function at the time of auditing or medication can be strengthened, and dispensing accidents can be reduced.

A prescription data and picking result data and dispensing the resulting data by gathering the audit computer displays on its display, the auditor will be able to audit the preparation in the light of the display, in its audit , The outline of the medicine specified in the prescription included in the prescription data is displayed on the display of the auditing PC, the actual product confirmation is visually checked, and the theoretical number, dispensing number, and inspection number of the drug quantity items are displayed. This includes displaying the actual quantity input field on the display of the auditing personal computer and checking the quantity of the drug by actually inputting these quantities during the audit. Furthermore, the data sent from the auditing personal computer is received, the data concerning the dispensing is displayed on the display for the prescription person and the display for the patient connected to the prescription personal computer, Allow patients to identify themselves on the display.

  Hereinafter, an embodiment in which the present invention is embodied in a connection structure of a drawer type medicine storage will be described. FIG. 1 shows the entire configuration of the dispensing system, and FIG. 2 shows the details of the powder / solution system. In this system, a receipt computer 1 (abbreviated as “Rececon”), a reception personal computer 2, a picking computer 3, a dispensing personal computer 10, an inspection personal computer 20, and a medication personal computer 30 are linked to each other. The storage 4 etc. are connected, and the electronic balance 11 etc. are connected to the dispensing personal computer 10, and the whole is comprised.

  The receipt computer 1 records a prescription. The reception personal computer 2 displays a medicine delivery screen on the display based on the medicine data from the prescription of the receptacle 1 and sends start data to the picking computer 3, the dispensing personal computer 10, and the auditing personal computer 20.

  The picking computer 3 is connected to an electrically-drawn drawer-type medicine storage 4 and a drawer lock mechanism 5. A drawer lock mechanism 5 that locks the medicine storage 4 so that it cannot be pulled out, a front LED that displays pickers by color, an end switch that is pressed when picking is not shown, a small microcomputer that controls them, etc. The small microcomputer is connected to the main body of the medicine container 4 by a connector. Then, the picking computer 3 receives the start data sent from the receiving personal computer 2 and releases the drawer lock mechanism 5 of the drawer that needs to be taken out, or emits the LED to display the picker in charge by color. To do. When the picking person presses the drawer end switch, the picking computer 3 sends end data (including picking result data) to the dispensing personal computer 10 and the auditing personal computer 20.

  The dispensing personal computer 10 of the powder / liquid system is a non-contact type that detects an electronic balance 11 and a non-contact type IC medium (IC tag, IC card, etc.) (not shown) attached to the case of the medicine 13 placed on the electronic balance 11. A mold sensor 12 and a printer 14 are connected. Then, the dispensing personal computer 10 receives the start data sent from the receiving personal computer 2 and the end data sent from the picking computer 3, and displays a weighing screen as shown in FIG. 3 on a display (preferably a touch display). To do. In other words, it displays the receipt number, name, date of birth, age, gender, weight (by child) as patient information, and the pharmacist in charge. Is displayed. In addition, the weighing data sent from the electronic balance 11 when the dispenser weighs is received, and the actual measurement value is also displayed. In addition, icons for termination, filling, re-weighing, current-day dispensing list, printing, and confirmation are also displayed, and each content is executed when the dispenser operates these icons. The dispenser can prevent mistakes at the time of blending by blending in light of these indications. Moreover, the dispensing personal computer 10 has a voice guidance function, and can prevent mistakes at the time of preparation by voice guidance generated when necessary. When the dispenser inputs the end of the preparation, the dispensing personal computer 10 sends end data (including dispensing result data) to the auditing personal computer 20.

  The auditing personal computer 20 is connected to two left and right displays 20a and 20b (preferably a touch display), and a printer 31 is connected. Then, the auditing personal computer 20 receives the start data sent from the receiving personal computer 2, the end data sent from the picking computer 3, and the end data sent from the dispensing personal computer 10, and displays them on the left display 20a in FIG. A display left screen as shown in FIG. 5 is displayed, and a display right screen as shown in FIG. 5 is displayed on the right display 20b. That is, on the display left screen of FIG. 4, the receipt number, name, date of birth, age, gender and the prescription contents of the drug name and quantity are displayed as patient information, and the picker name and picking as picking information The name and quantity of the prepared medicine are displayed, and the name of the compounder, the name and quantity of the prepared medicine, and the total amount of preparation are displayed as preparation information. Also, icons for side effects, concomitant medications, OTC, food, contraindications, dose usage, weight conversion, prescription display, confirmation, and audit end are displayed, and the contents are displayed or executed when the auditor operates these icons. It has become. In addition, on the display right screen of FIG. 5, the receipt number and name are displayed as patient information, and the shape type (front and back in the case of a sheet), dosage form photograph, and drug name are displayed for each drug. -For each item of usage, dose, and number of days, a column for entering the actual number of the theoretical number, the number of dispensing, and the number of audits is displayed. In addition, a confirmation icon is displayed, and notes, dosage forms, similar products, and contraindication information are displayed. Furthermore, the auditing personal computer 20 has a voice guidance function, and generates voice guidance when necessary.

By gathering data from other computers on the auditing personal computer 20 of such an auditing system, displaying them on both screens, and auditing against this display, the following effects can be obtained.
1. Checking picking work By transferring prescription input data such as a receipt to the audit system, the picking result can be compared with the inspection result.
2. Checking the outline of the tablet / drug The outline of the medicine specified in the prescription is displayed on the display in three dimensions, and the product confirmation is visually checked.
3. Checking powder and liquid work The final check / comparison inspection is carried out by auditing the prescription formulation data such as the Reckon transferred to the audit system and the measurement value / mixing work content transferred to the audit system.
4). Quantity / capacity check Checks by entering real number data at the time of audit without displaying the quantity etc. instructed to the audit system. The total measured value is input for the blended product.

In addition, a comprehensive check can be performed using the following audit system.
1. Caution information Confirmation text is displayed on the touch display for quantities and similar products, and voice guidance is used to provide guidance. Check again with touch input.
2. Contraindication information Indication of contraindication information is displayed on the touch display as confirmation text, and further by voice guidance. Check again with touch input.
3. Listability of information Two display displays are displayed at the same time so that a plurality of data such as prescriptions can be compared at the same time, thereby improving the listability.

  The above check is visually recognized by confirming the actual product and displaying an image registered in the database. In addition, drug names, caution information, contraindication information, and the like are aurally recognized by voice guidance, and confirmation of quantities, information, and the like are tactilely recognized by a touch display of a display unit or a keyboard input. Moreover, the information displayed on the display can be further confirmed by the auditor's own repetition. By sequentially proceeding with the above procedures, the occurrence of dispensing mistakes due to habituation is prevented.

  Next, a pharmacist display 30a and a patient display 30b are connected to the medication computer 30 (preferably a touch display). Then, the medication computer 20 receives the data sent from the audit computer 20 and displays a screen as shown in FIG. 6 on the pharmacist display 30a and a screen as shown in FIG. 7 on the patient display 30b. . That is, on the screen for the pharmacist in FIG. 6, the reception number, name, date of birth, age, gender, and weight (by child) are displayed as patient information, and the shape type for each drug (in the case of a sheet, its (Front / back), dosage form photo, chemical name, information display, and precautions. Also, start, side effects, concomitant medications, precautions, OTC, indicator points, food, patient information, pregnant women, contraindications, prescription display, transfer to patient screen, dose usage, weight conversion, HELP, print, end icons When the medication person operates these, the contents are displayed or executed. In addition, on the patient screen shown in FIG. 7, the receipt number, name, date of birth, age, gender, and weight (by child) are displayed as patient information. The front and back surfaces), dosage form photo and drug name are displayed as well as each quantity, and the data sent from the medication computer (for pharmacists) is displayed as prescriptions, and precautions are displayed. In addition, a confirmation icon is also displayed, and when the patient operates this, it is displayed in a column where the identity has been confirmed. The medication computer 30 has a voice guidance function, and generates voice guidance when necessary.

The following comprehensive check can be performed by such a medication system using the medication personal computer 30.
1. Use two touch display monitors to prevent accidental medicine interactively Prepare two touch displays for patients and two touch displays for pharmacist operation, verifying identity by the patient, patient information (medicine, etc.), previous past Use medication records to check medication.
2. Checking the dosage form / quantity / weighing of tablets / drugs The dosage form / outline of the drug specified in the prescription is displayed on two touch displays to check the actual product and the quantity.
3. Checking precautions and contraindication information Confirmation information such as quantities, similar products, and contraindication information is displayed on the pharmacist's touch display and displayed on the patient's touch display as needed by the pharmacist's touch input to explain medication guidance support. You can print as needed.

  In the above check, both the re-recognition of the comparison or change reason with the medicine that was previously administered to the patient by visually confirming the actual thing and displaying the image registered in the database. The drug name, caution information, contraindication information, etc. are repeated with advice given by the pharmacist and sent to the patient's touch display display unit according to the contents, thereby providing patient compliance support. Information such as quantity is displayed on the pharmacist / patient touch display at the same time, and both recognize again. Recognize even by tactile sensation using the touch display of the display unit (appeals to human senses). By proceeding sequentially as described above, the pharmacist can give an appropriate medication instruction support explanation to the patient, and at the same time, the occurrence of dispensing errors is prevented in both cases.

  The present invention is not limited to the above-described embodiments, and can be modified and embodied as appropriate without departing from the spirit of the invention.

It is a block diagram which shows the whole structure of the dispensing system of the Example which concerns on this invention. It is a block diagram which shows the structure of the powder / liquid medicine system of the system. It is a front view which shows the weighing screen of the dispensing personal computer of the system. It is a front view which shows the display left screen of the auditing personal computer of the system. It is a front view which shows the display right screen of the auditing personal computer of the system. It is a front view which shows the screen (for pharmacists) of the medication PC of the system. It is a front view which shows the screen (for patients) of the medication PC of the system.

Explanation of symbols

1 Recese (Receipt Computer)
2 Accepting PC 3 Picking Computer 4 Drug Storage 10 Dispensing PC 20 Auditing PC 20 Medicine PC 20a Display (Left side)
20b Display (right side)
30 medication PC 30a pharmacist display 30b patient display

Claims (2)

Dispensing accident prevention system that gathers prescription data, picking result data, and dispensing result data on an auditing PC and displays them on its display, allowing the auditor to audit dispensing according to the display In the audit, the outline of the medicine specified in the prescription included in the prescription data is displayed on the display of the auditing personal computer, the product confirmation is visually checked, and the quantity of medicine Dispensing characterized in that a field for actually inputting the number, the number of dispensing, and the number of audits is displayed on the display of the auditing personal computer, and the quantity of the drug is checked by actually inputting the number during the audit. Accident prevention system . In response to data sent from the auditing personal computer, data relating to the dispensing is displayed on the display for the prescriber and the display for the patient connected to the prescription personal computer. The dispensing accident prevention system according to claim 1 , wherein the patient can also confirm the identity of the display.

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