JP5304433B2 - Drug management system - Google Patents

Description

  The present invention relates to a medication management system for managing a medicine prescribed by a doctor.

  When a doctor prescribes a drug to a patient, generally, for example, a prescription for a plurality of days such as one week is performed. Conventionally, regardless of the distinction between a normal patient and a drug patient, etc. The drugs were put out together. Here, the medication patient refers to a patient who cannot take the medicine by himself, a patient who is prescribed a medicine requiring special attention in taking the medicine, a patient who is difficult to manage the medication time and the time interval, and the like.

  However, in such a case, it is necessary for a nurse to take out each medication from multiple days of medication when taking the medication patient, and this increases the burden on the nurse and removes it. There is a risk that mistakes may occur when taking the patient to take the drug.

  In addition, when a doctor gives a prescription correction instruction in accordance with changes in the patient's condition, etc., drugs can be added to a summary of drugs for multiple days corresponding to prescription data, or drugs from multiple days It is necessary to collect unnecessary medicines, but the work becomes complicated in order to respond to detailed correction instructions such as stopping and restarting the medicines for a certain period of time in a plurality of days.

  In addition, when collecting drugs that have been transported to the ward in the middle of multiple days, the collected drugs are discarded without being reused from the viewpoint of preventing drug mistakes. When transporting to a ward, there is a risk that the amount of medicine to be discarded increases.

  The object of the present invention is to reduce the burden on the nurse, prevent the patient from making a mistake, and can easily cope with a detailed prescription correction instruction. It is possible to provide a medication management system capable of reducing wasteful disposal of medicines.

The medication management system according to the first invention includes a data expansion means for expanding prescription data for a plurality of days prescribed by a doctor into each day prescription data that is prescription data for each day, According to daily prescription data, a packaging instruction signal output means for outputting a packaging instruction signal for instructing to package one day's worth of medicine, wherein the data expansion means further includes the daily prescription data, It is developed at each medication time, and the packaging instruction signal output means outputs the packaging instruction signal for instructing the medicine for each day to be packaged at every medication time, and corrects the daily prescription data. further comprising a data correcting means for performing said data correction means, as a correction of the each day prescription data, stop and restart medication, as well as any of the deletion of the drug selectively performed, for the same patient Separate drugs from multiple departments When the prescription is made, it further comprises a combined prescription data generation means for generating combined prescription data in which the respective day prescription data is merged from the daily prescription data corresponding to the prescription data of each prescription, A packaging instruction signal output means outputs the packaging instruction signal instructing to package the medicine corresponding to the combined prescription data, and the pharmacist packs the medicine included in the combined prescription data together The apparatus further comprises classification setting means for setting the classification for each medicine, and the packaging instruction signal output means sets the same classification by the classification setting means when the classification is set by the classification setting means. The wrapping instruction signal for instructing the wrapping of the medicine corresponding to the combined prescription data is output so that only the pilled medicine is packaged together .

  According to this, prescription data for multiple days can be expanded into prescription data for each day that is prescription data for one day, and only one day's medicine can be packaged and transported to the ward. The burden can be reduced and it is possible to prevent mistakes from occurring when the patient is taking the medicine.

  In addition, prescription data for multiple days can be expanded into prescription data for each day, and only one day of medicine can be packaged. For example, it is possible to easily cope with a fine prescription correction instruction.

  Also, since prescription data for multiple days can be expanded into prescription data for each day and only one day of medicine can be packaged, if there is an instruction to correct prescriptions in the middle of multiple days Also, the amount of drug that is collected and discarded is reduced.

In addition, according to this, since one day's worth of medicine can be packaged and delivered to the ward at each time of medication, the burden on the nurse can be further reduced and mistakes can be made when taking the medication to the patient. Can be more reliably prevented from occurring.

In addition, according to this, prescription data for a plurality of days can be expanded into prescription data for each day, and only one day of medicine can be packaged. When there is a correction instruction such as deleting a drug, the prescription correction data is corrected every day thereafter, and the drug corresponding to the correction is packaged and transported to the ward after the prescription correction instruction. There is no need to add or collect medicines that are transported to

In addition, according to this, when a doctor instructed to stop and restart the medication, and to delete the medication, it corrected the prescription correction instructions after the prescription correction instructions. Since the medicine is packaged and transported to the ward, there is no need to add or collect the medicine transported to the ward.

Moreover, according to this, when the same patient is prescribed from multiple departments, the daily prescription data corresponding to the prescription data of these multiple prescriptions are merged into the combined prescription data, and the combined prescription data is supported. By outputting a packaging instruction signal instructing to package the medicine, the medicines corresponding to the plurality of prescriptions can be packaged together.

The medication management system according to the second invention includes a data expansion means for expanding prescription data for a plurality of days prescribed by a doctor into each day prescription data as prescription data for each day, According to daily prescription data, a packaging instruction signal output means for outputting a packaging instruction signal for instructing to package one day's worth of medicine, wherein the data expansion means further includes the daily prescription data, It is developed at each medication time, and the packaging instruction signal output means outputs the packaging instruction signal for instructing the medicine for each day to be packaged at every medication time, and corrects the daily prescription data. Data correction means for performing the daily data, and the data correction means selectively cancels or restarts the medication and deletes the medication as the correction of the daily prescription data, The patient list display hand to display Further wherein the medication the patient list display means, of the medication the patient, the medication patient the drug is not formulated, characterized by distinguishably display the medication patients in which the drug is formulated .
A medication management system according to a third invention is a medication management system according to the first or second invention, and outputs a print instruction signal for instructing printing of a form in which the contents of the daily prescription data are described. It further comprises a print instruction signal output means.

  According to this, by printing a form that contains the contents of the prescription data for each day, the packaged medicine and the contents of the form can be checked and confirmed without fail. It is prevented from occurring.

A medication management system according to a fourth invention is the medication management system according to the third invention, wherein the print instruction signal output means outputs the print instruction signals separately corresponding to a plurality of wards. It is a feature.

  According to this, since the form is printed for each ward, the form can be easily confirmed in each ward.

A medication management system according to a fifth invention is the medication management system according to the third or fourth invention, wherein the print instruction signal output means includes a medicine whose medication has been stopped or a medicine that has been deleted. The printing instruction signal for instructing the printing of the form described with the information indicating that the medicine is discontinued or deleted is output.

  According to this, if there is a drug that has been discontinued or has been deleted, the drug is listed in the form with information indicating that the drug has been canceled or that the drug has been deleted. Since it is possible to recognize that the drug has been deleted by looking at the description on the form, nurses, etc. need to perform work to confirm that they feel doubtful or uneasy about the absence of the drug. Disappear.

  In the present invention, prescription data for a plurality of days can be developed into prescription data for each day, which is prescription data for one day, and only one day of medicine can be packaged and transported to the ward, as described above. It is possible to alleviate the burden on the nurse and to prevent the patient from making a mistake when taking the medicine.

  In addition, prescription data for multiple days can be expanded into prescription data for each day, and only one day of medicine can be packaged. For example, it is possible to easily cope with a fine prescription correction instruction.

  Also, since prescription data for multiple days can be expanded into prescription data for each day and only one day of medicine can be packaged, if there is an instruction to correct prescriptions in the middle of multiple days Also, the amount of drug that is collected and discarded is reduced.

It is a schematic block diagram of the medication management system which concerns on embodiment in this invention. It is a figure which shows the structure of the tablet packaging machine of FIG. It is a flowchart which shows operation | movement of the medication management system of FIG. It is a figure which shows the screen into which a doctor inputs prescription data. It is a figure which shows the screen for confirming patient information. It is a figure which shows the screen of a batch audit. It is a figure which shows the screen of an individual audit. It is a figure which shows the screen displayed while prescription data is expand | deployed to each day prescription data. It is a figure which shows the screen which performs prescription correction. FIG. 10 is a diagram showing a state when taking medicine and deleting medicine on the screen of FIG. 9. FIG. 10 is a diagram showing a state when resuming taking medicine and deleting medicine on the screen of FIG. 9. It is a figure which shows a fastening process screen. It is a flowchart which shows the process of the chemical | medical agent collection corresponding to several prescription. It is a figure which shows a pharmacy. It is a figure which shows the pharmacy which displayed the comment. It is a figure which shows the case which stores a medication tag and a chemical | medical agent. It is a figure which shows a ward count table. It is a figure which shows the screen for managing a pharmacy and a ward total table. It is a figure which shows the tightening process screen at the time of displaying the patient by whom the prescription of a chemical | medical agent is not distinguished, and the patient who is not being made.

  Hereinafter, preferred embodiments of the present invention will be described.

  FIG. 1 is a schematic configuration diagram of a medication management system according to the present embodiment. As shown in FIG. 1, the medication management system 1 is connected to a hospital host computer 2 to which prescription data for a plurality of days (for example, one week) created by a doctor is input, It has a control device 3, a storage device 4, an input device 5, a display device 6, a printing device 7, a tablet packaging machine 8, and the like.

  The control device 3 is a device that performs control in the medication management system 1. The control device 3 includes a CPU (Central Processing Unit), a ROM (Read Only Memory), a RAM (Random Access Memory), and the like. These include a data control unit 11, a display control unit 12, a print instruction signal output unit 13, and a packaging. It operates as the instruction signal output unit 14 and the determination unit 15. Each part in the control device 3 will be described later. In the following description, when simply referred to as prescription data, it indicates prescription data for a plurality of days prescribed by a doctor.

  The storage device 4 is a ROM, RAM, HD (Hard Disk), etc., and indicates the patient name, patient ID, age, department, hospital ward, name of doctor in charge, whether the patient is a patient, etc. Data, prescription data from doctors, daily prescription data, drug data, etc., which will be described later, are stored. These data stored in the storage device 4 are read and rewritten by the data control unit 11. The input device 5 is, for example, a keyboard, a mouse, a touch panel, and the like, and an operation instruction can be given to the medication management system 1 by operating the input device 5. The operation of the medication management system 1 performed by the input device 5 is, for example, input of characters to each input unit by a keyboard, click of a button on a screen by a mouse, etc. In the following description, the input device The description of the operation according to 5 is omitted.

  The display device 6 is, for example, a liquid crystal display, and an operation screen to be described later is displayed on the display device 6 in accordance with a signal output from the display control unit 12. The printing device 7 is an ink jet printer, a laser printer, or the like, and dispenses a dispenser 101 (see FIGS. 14 and 15), which will be described later, and a medicine tag 102 (see FIG. 15) according to the print instruction signal output from the print instruction signal output unit 13. 16), ward count table 105 (see FIG. 17), and other forms necessary for medication management are printed.

  FIG. 2 is a diagram showing the configuration of the tablet packaging machine 8. The tablet packaging machine 8 includes a plurality of tablet cassettes 91, and a roll-shaped sheet 92 and a sealing portion 93 that are disposed below the tablet cassettes 91 and serve as bags for packaging medicines. Then, according to the packaging instruction signal output from the packaging instruction signal output unit 14, the corresponding tablets are delivered from the plurality of tablet cassettes 91, and the delivered tablets are wrapped by the sheet 92. The tablets are packaged by sealing the sheet 92. Since the structure of the tablet packaging machine 8 is the same as that of the prior art, further detailed description is omitted here.

  Returning to FIG. 1, each part of the control device 3 will be described. The data control unit 11 is a part that controls data used in the medication management system 1 such as prescription data, reads data from the host computer 2 and the storage device 4, and writes data to these (modification of data), Development into each day prescription data described later, generation of combined prescription data described later, and the like are performed. In the present embodiment, the data control unit 11 also serves as data expansion means, data correction means, and combined prescription data generation means according to the present invention.

  The display control unit 12 outputs a signal instructing the display device 6 to display an operation screen or the like of the medication management system 1. The print instruction signal output unit 13 outputs a signal (print instruction signal) for instructing the printing device 7 to print a dispensing card 101, a medication tag 102, a ward summary table 105, and the like which will be described later. The packaging instruction signal output unit 14 outputs a signal (packaging instruction signal) for instructing the tablet packaging machine 8 to perform tablet packaging. The determination unit 15 refers to the patient data stored in the storage device 4 and determines whether or not the patient corresponding to the prescription data input from the host computer 2 is a drug patient.

  Next, the operation of the medication management system 1 will be described. FIG. 3 is a flowchart showing an operation process of the medication management system 1. In addition, in FIG. 3, the operation | movement which a pharmacist performs using the medication management system 1 is shown with the dotted line. The medication management system 1 stands by until a doctor inputs prescription data to the host computer 2 (step S101: NO, hereinafter simply referred to as S101).

  Here, the doctor creates prescription data by performing an operation on the screen 30 shown in FIG. 4 displayed on his / her PC or the like, and inputs the created prescription data into the host computer 2. The screen 30 includes a patient information display unit 31, a drug information input unit 32, a patient information confirmation button 33, and the like.

  The patient information display unit 31 is disposed at the upper end portion of the screen 30 and is a part where information on a patient for whom a medicine is prescribed is displayed. More specifically, the patient information display unit 31 includes a patient name corresponding to the patient data stored in the storage device 4, a patient ID, an age, a medical department, a hospital ward, a name of a doctor in charge, and a given patient. Information such as whether or not there is, the prescription date of the medicine, the start date of medication, etc. are displayed.

  Here, when changing the information on whether or not the patient is a medicinal patient, or when adding a comment regarding the prescription, the patient information confirmation button 33 is operated to change the patient information as shown in FIG. A screen 130 for confirmation is displayed.

  The screen 130 includes a patient information display unit 131, a comment input unit 132, and the like. The patient information display unit 131 is arranged at the upper end of the screen 130 and displays patient information including information displayed on the patient information display unit 31. Further, in the patient information display unit 131, information on whether or not the patient is a drug patient can be changed. When the doctor changes this content as necessary, the information is stored in the storage device 4. Information on whether or not the patient data is a given patient is rewritten. Note that “cart management” in the patient information display unit 131 indicates that the patient is a medication patient.

  The comment input unit 132 is a part for inputting necessary comments such as special notes regarding prescription. Here, in FIG. 5, as an example, a case where a comment that “the arten lock is stopped from 7/23” is input to the comment input unit 132 is illustrated. And if a comment is input into the comment input part 132, the content of the comment will be added to the patient data memorize | stored in the memory | storage device 4 with the input date of a comment, and an input person name.

  Returning to FIG. 4, the drug information input unit 32 is disposed below the patient information display unit 31 and is a part to which information on a prescription drug is input. More specifically, in the medicine information input unit 32, the kind of medicine to be prescribed, the time and frequency of taking medicine, the dose of medicine to be prescribed, the number of days to be prescribed, the starting date of taking medicine, the time of taking medicine, the classification ( Indicating whether to cancel).

  When the prescription data is created by the doctor and the created prescription data is input to the host computer 2 (S101: YES), the data control unit 11 reads the prescription data from the host computer 2, and the determination unit 15 stores the storage device. It is determined whether the prescription data input with reference to the patient data memorize | stored in 4 is a medicinal patient (S102). If the inputted prescription data is not for the patient (S102: YES), the operation is finished after the operation according to the normal dispensing process (S103). In addition, since the normal dispensing process is the same as the conventional one, detailed description is omitted here. When the prescription data is read from the host computer 2, the prescription data is stored in the storage device 4 at the same time.

  When the prescription data is for a patient who is a given patient (S102: NO), a prescription inspection screen 40 as shown in FIG. 6 is displayed on the display device 6 by a signal output from the display control unit 12 (see FIG. 6). S104). A prescription inspection screen 40 shown in FIG. 6 is a batch prescription inspection screen, and includes a prescription data list display unit 41, a prescription classification display unit 42, and the like.

  The prescription data list display unit 41 is located substantially in the upper half of the screen 40, and the prescription data list display unit 41 displays a list of prescription data created by a doctor. The prescription category display unit 42 is disposed below the prescription data list display unit 41, and the prescription category display unit 42 describes the breakdown of the prescription category of the prescription data displayed on the prescription data list display unit 41. .

  Then, when one of the prescription data displayed on the prescription data list display unit 41 is selected, a screen 40 displayed on the display device 6 by a signal output from the display control unit 12 is as shown in FIG. The screen is switched to an individual prescription audit screen 50. The screen 50 includes a patient information display unit 51, a drug information display unit 52, and the like. The patient information display unit 51 is disposed at the upper end of the screen 50, and the patient information display unit 51 displays patient information similar to the patient information display unit 31 described above. The drug information display unit 52 is disposed below the patient information display unit 51, and the drug information display unit 52 displays information on a prescribed drug similar to the drug information input unit 32 described above.

  Then, the pharmacist audits the prescription data while performing operations on the screens 40 and 50 of FIGS. 6 and 7 (S201). Specifically, the prescription data displayed on the prescription data list display unit 41 is selected one by one, and the prescription is prescribed by the doctor by checking the content displayed on the screen 50 for each prescription data. Check if the drug is appropriate.

  When it is considered that there is a problem with the prescribed medicine, the pharmacist makes an inquiry to the doctor in charge. If there is a problem (S105: NO), the prescription data is canceled (S106), The process ends. At this time, the doctor in charge corrects the prescription data by operating again on the screen 30 shown in FIG. 4 and inputs the corrected prescription data to the host computer 2.

  On the other hand, if there is no problem with the prescribed medicine (S105: YES), the audit is completed, and the prescription data for which the audit has been completed is prescription data for each day (each day prescription data). In addition, each day's prescription data is developed for each medication time (S107). At this time, a screen 60 as shown in FIG. 8 is displayed on the display device 6, which displays prescription data on which data is being expanded, by a signal output from the display control unit 12. When the data development is completed, the screen 60 displayed on the display device 6 disappears and the screen 70 shown in FIG. 9 is displayed on the display device 6 by a signal output from the display control unit 12 (S108). ). The daily prescription data developed for each medication time is stored in the storage device 4.

  The screen 70 includes a patient information display unit 71, a drug information display unit 72, a daily prescription data display unit 73, and the like. The patient information display unit 71 is disposed at the upper end portion of the screen 70, and the patient information display unit 71 displays information on the patient who has been prescribed the same medicine as the patient information display unit 31. The medicine information display unit 72 is disposed below the left end of the patient information display unit 71, and the medicine information display unit 72 displays information on the prescribed medicine. However, when prescriptions of medicines are performed from a plurality of departments for the same patient, the data control unit 11 corresponds to the plurality of prescription data, and each day prescription data developed for each medication time. Is generated and prescription data (merged prescription data) is generated, and drug information indicated by the combined prescription data is displayed.

  Each day prescription data display section 73 displays the contents of each day prescription data developed for each medication time. More specifically, each day of the prescription data display unit 73, for each drug displayed in the drug information display unit 72, for each time of medication (for example, when waking up, after breakfast, after lunch, after dinner, and before sleeping) The amount of medicine to be taken is displayed. Here, “1.0”, “3.33” and “stop” displayed in the prescription data display unit 73 for each day are “take 1 tablet” and “3.33 g, respectively”. "And" discontinuing medication.

  In addition, when the pharmacist selects a number indicating the amount of medication displayed on the daily prescription data display unit 73 on the screen 70, a signal output from the display control unit 12 displays “ A menu 74 of “Cancel” and “Delete” is displayed. When “cancel” is selected, the data control unit 11 corrects the prescription data for each day so as to stop taking the medicine after the selected date and time. On the other hand, when “delete” is selected, the data control unit 11 deletes the drug from each day prescription data after the selected date and time.

  In addition, when the pharmacist selects the “stop” portion displayed on the daily prescription data display unit 73 on the screen 70, a signal output from the display control unit 12 displays “ A “resume” and “delete” menu 75 is displayed. When “Resume” is selected, the data control unit 11 corrects the daily prescription data so that the medication of the medicine that has been suspended until the selected date and time is resumed. On the other hand, when “delete” is selected, the data control unit 11 deletes the drug from each day prescription data after the selected date and time.

  Here, after prescribing multiple days of medication, the doctor will give instructions to temporarily stop and resume taking the prescribed medication and delete the prescribed medication, taking into account the patient's condition, etc. There is. When these instructions are received from the doctor (S202: YES), the pharmacist operates the screen 70 as described above to correct the data (S108), and then proceeds to S109. On the other hand, when there is no correction as mentioned above (S202: NO), it progresses to S109 as it is.

  The above-described steps S101 to S108 are performed for all prescription data, and in S109, a closing process for performing final check of prescription data for all patients and daily prescription data corresponding to these prescription data is performed. Done. At this time, a screen 80 for tightening processing as shown in FIG. 12 is displayed on the display device 6 by a signal output from the display control unit 12.

  The screen 80 includes a ward list display unit 81, a patient list display unit 82, a prescription data list display unit 83, and a prescription drug display unit 84. The ward list display unit 81 is arranged at the upper left end of the screen 80, and is a part that displays the number of patients who are prescribed a medicine for each ward. The patient list display part 82 is arranged on the right side of the ward list display part 81, and is a part on which a list of ward, room number, patient ID, patient name, etc. of the patient for whom the medicine is prescribed is displayed. The patient list display unit 82 displays only a list of patients in the selected ward by displaying a list of patients in all wards and selecting a ward displayed in the ward list display unit 81. It is possible.

  The prescription data list display unit 83 is arranged on the right side of the upper end of the patient list display unit 82, and the content of the prescription data of the patient selected in the patient list display unit 82 (clinical department, prescription number, prescription date, etc.) ) Is displayed. The prescription drug display unit 84 is arranged below the prescription data list display unit 83, and details of prescription data displayed in the prescription data list display unit 83 (medication start date, drug name, medication for one day) The amount is displayed.

  Then, by selecting a patient displayed in the patient list display unit 82, a list of prescription data of the patient is displayed in the prescription data list display unit 83, and details of the prescription data are displayed in the prescription drug display unit 84. Is displayed.

  Here, in S109, when prescriptions are made from a plurality of departments, it is possible to collect drugs corresponding to the plurality of prescriptions. The collected drugs are packaged together as described later. FIG. 13 is a flowchart showing a flow of the above-described compilation in S109. In addition, also in FIG. 13, the operation | movement which a pharmacist performs using the medication management system 1 is shown with the dotted line similarly to FIG.

  As shown in FIG. 13, in S109, as described above, the screen 80 shown in FIG. 12 is displayed on the display device 6 (S301), and the pharmacist displays the patient list display section 82 of the screen 80 shown in FIG. The patient displayed in (1) is selected (S401). Then, the contents of the prescription data of the selected patient are displayed on the prescription data list display unit 83, and details of the prescription data are displayed on the prescription drug display unit 84 (S302). Next, the pharmacist selects the medicines to be packaged together while looking at the contents of the prescription medicine display section 84 (S402). Specifically, the category (“A” in FIG. 12) displayed in the “pack” column at the right end of the prescription drug display unit 84 is set so that the categories of the drugs to be packaged together are the same. To do. At this time, the pharmacist sets the above classification so that medicines that may be deteriorated if they are packaged together are packaged in separate bags. Then, the category set in S402 is updated by the data control unit 11 (S303).

  In S109, various processes necessary for the tightening process are performed before S301 and after S303. If the medicine corresponding to a plurality of prescriptions is not collected, the processing of S301 to S303, S401, and S402 of FIG. 13 is not performed in S109, and the process proceeds to S204 described below.

  Then, the pharmacist confirms the content of the screen 80 every predetermined time (for example, once a day), and then performs an operation for instructing the completion of the tightening process for one day among the prescriptions for a plurality of days (S204). . At this time, the pharmacist can instruct the completion of the tightening process for all the prescription data at a time, and can also instruct the completion of the prescription data tightening process for each ward.

  Here, when the operation for instructing the completion of the tightening process is performed at a certain time of the day, the pharmacist displays the screen 80 at the time and confirms the prescription for one day. However, when the doctor's input of prescription data is delayed from that time and the pharmacist is informed of the fact, the pharmacist updates the contents of the screen 80 after the doctor has notified him / her. It is necessary to confirm with.

  At this time, the screen 80 is updated manually by the operation of the pharmacist or automatically at regular intervals. And when updating the screen 80 manually, the pharmacist who has received the contact checks the content of the screen 80 after performing the update operation of the screen 80, thus preventing the omission of confirmation of the prescription data. can do.

  On the other hand, when the screen 80 is automatically updated, the pharmacist checks the prescription for one day by looking at the screen 80 before the prescription data input after the above time is reflected. There is a risk of it. In order to prevent this, for example, the latest update time may be displayed on the screen 80. According to this, the pharmacist confirms that the latest update time is later than the contact from the doctor, and then confirms the prescription for one day, and inputs it later than the above time. It is possible to prevent omission of confirmation of the prescribed prescription data.

  Further, in this case, when the prescription data is input after the time for performing the tightening process, the above-described prescription data input screen 30 (FIG. 4), a message indicating that it is necessary to contact the pharmacist when the tightening processing time and the input of the prescription data are delayed may be displayed.

  When the tightening process is completed, the data control unit 11 stores each day prescription data stored in the storage device 4 for each medication time (a plurality of days when drugs are prescribed from a plurality of departments). Read the data for one day from the combined prescription data), and instruct the wrapping instruction signal output unit 14 to pack the read medicine for each day, If the same patient is prescribed prescriptions from multiple departments, and the medicines corresponding to the prescription are compiled in S109, the medicines set in the same category are packaged together. A signal for instructing to perform (packaging instruction signal) is output to the tablet packing machine 8. At the same time, the print instruction signal output unit 13 issues a signal (print instruction) for instructing to print the dispensing note (form) 101, the medication tag 102, and the ward summary table 105 in which the contents of the read medicine are described. Signal) is output to the printing apparatus 7 (S110), and the operation is terminated.

  When the packaging instruction signal is input from the packaging instruction signal output unit 14, the tablet packaging machine 8 packages the medicine for one day according to the input content. At this time, the medicine for one day is packaged at every time of medication such as after breakfast, after lunch, after dinner, and before sleeping. Furthermore, if the same patient has been prescribed medicines from multiple departments, and the medicines corresponding to the prescriptions have been compiled in S109, the medicines set in the same category are separated together. Wrapped.

  In addition, it is only a medicine (tablet) which can be packaged in the tablet packaging machine 8 among the read out medicines for one day, and instructed to be packaged by the packaging instruction signal. About medicine, pharmacist will have.

  The packaged daily tablets together with other daily drugs prepared by the pharmacist, etc. at each time of medication (for example, when getting up, after breakfast, after lunch, after dinner, before sleep) (Refer to FIG. 16), and a medication tag 102 is affixed to the case 103 and then transported to each ward. A cart (not shown) prepared for each ward is used to transport the case 103 in which the medicine is stored in each ward, and the case 103 is transported to the ward in a state of being placed in the cart of the corresponding ward. The

  Here, unlike this embodiment, when a plurality of days of medicines prescribed by a doctor are collectively transported to the ward, nurses and the like have been transported when the patient is to be taken in the ward. It is necessary to carry out the work of extracting the necessary amount from the drugs for a plurality of days. Therefore, the burden on the nurse is increased by the amount of such work. Furthermore, there is a possibility that an error may occur when taking the patient by taking a wrong number when taking out the medicine.

  In addition, when drugs for multiple days are collectively transported to the ward, if there is a prescription correction instruction in the middle of multiple days, drugs may be added to the drugs for multiple days that have been transported to the ward. It is necessary to collect unnecessary drugs from drugs for multiple days, but when responding to detailed correction instructions such as stopping taking medicine for a certain period of days and restarting it Addition, collection, etc. become complicated.

  In the middle of multiple days, if there is an instruction to correct the prescription, if you need to collect the medicine that has been transported to the ward, such as when you stop taking the medicine or delete the medicine, prevent mistakes in the medicine From the viewpoint, the collected medicine is discarded. However, when the medicines for a plurality of days are collectively transported to the ward, the amount of the medicine to be discarded may increase.

  However, in this embodiment, since a plurality of days of medicine prescribed by a doctor is transported to the ward one day at a time, a nurse etc. There is no need to take out the amount of medicine taken from multiple days of medication. As a result, the work of the nurse can be reduced, and it is possible to prevent an error from occurring when the patient is to be taken.

  In addition, the daily dose of medicine is packaged every time it is taken, which further reduces the work of nurses and more reliably prevents mistakes when taking medication to patients. can do.

  In addition, since the prescribed medicines are transported to the ward one day at a time, if there are correction instructions such as stopping and restarting the medication, deleting the medicine, etc. during multiple days when the medicine is prescribed, 9 (FIGS. 10 and 11) on the screen 70, the medicine to be transferred to the ward is reflected in the correction instructions for the medicines to be transported to the ward. It is possible to easily cope with a correction instruction.

  In addition, because the prescribed medicine is transported to the ward one day at a time, there is an instruction to correct the prescription in the middle of multiple days, and even if the medicine is stopped, the medicine is deleted, etc. If the prescription data for each day is corrected, the medicines for which the medication has been stopped and the deleted medicines are not packaged thereafter, so that wasteful disposal of the medicine can be reduced.

  In the printing apparatus 7, when a print instruction signal is input from the print instruction signal output unit 13, printed materials such as the dispensing card 101, the medication tag 102, and the ward summary table 105 are output according to the input signal. . The dispenser 101 is as shown in FIG. 14 and is printed for each ward and conveyed to the ward together with the medicine. That is, the print instruction signal output unit 13 separately outputs a print instruction signal instructing to print the dispenser 101 for each ward.

  As shown in FIG. 14, the dispenser 101 is printed with the names of patients to be taken in each ward, the time for taking medicine, the kind of medicine, etc. for each day of medication. In addition, among the types of drugs described in Dispensing Drug 101, those with “stop” on the left indicate those for which medication has been stopped, and those with “none” are listed. Shows the deleted drug. And about the chemical | medical agent with which "stop" and "none" are described, it is printed by the color different from another chemical | medical agent (For example, while other chemical | medical agents are printed in black, " The medicines with “stop” and “none” are printed in red), and when looking at the dispenser 101, the two can be easily distinguished.

  Here, unlike the present embodiment, if the dispensed drug 101 is not listed as a canceled or deleted drug, the nurse or the like looks at the contents of the dispensed drug 101 when taking the patient to take the drug. However, with regard to drugs that have been taken in the past, it is impossible to determine whether the drug has been canceled or has been deleted, or whether the description of Dispensing 101 is incorrect. There will be an increase in operations such as contacting.

  However, in the present embodiment, since the medicine that has been canceled and deleted in the dispensing card 101 is described together with that fact, the nurse or the like takes the medicine from the contents of the dispensing card 101 when taking the patient to take the drug. It is possible to recognize drugs that have been canceled and drugs that have been deleted. As a result, the above-described inquiries and the like are unnecessary, and the burden on the nurse is reduced.

  In addition, since the dispenser 101 is printed for each ward, the dispenser 101 can be easily confirmed in each ward.

  Further, in the dispensing dispenser 101, a check box 101a is provided on the right side of the medicines that the pharmacist has that cannot be packaged in the tablet packaging machine 8. The medicines collected by the pharmacist are more likely to be forgotten than the medicines that are automatically packaged in the tablet packaging machine 8, but since the check box 101 a is provided in the dispensing sheet 101, when the patient is to take the medicine In addition, the nurse or the like confirms that the medicine to be collected by the pharmacist and checks the check box 101a, so that the prescribed medicine can be taken without fail.

  In FIG. 14, check boxes are provided only for drugs that cannot be packaged in the tablet packaging machine 8 and need to be collected by the pharmacist. However, the present invention is not limited to this. For example, powerful drugs, narcotics, psychotropic drugs, A check box 101a may be provided for drugs that require special attention regardless of whether they are packaged by the tablet packaging machine 8 or not.

  Further, when a comment is input to the comment input unit 132 of the screen 130 described above, the comment is printed on the dispensing card 101 together with the information described above as shown in FIG. This makes it possible for nurses, etc. to check the content of comments and allow the patient to take the drug, and prevent mistakes when taking the drug to the patient. be able to.

  The medication tag 102 is as shown in FIG. 16, and describes the medication patient name, medication time, type of medication, and the like. The medication tag 102 is affixed to the surface of the case 103 described above, and a nurse or the like looks at the description of the medication tag 102 to check the name of the patient, medication time, and type of medication corresponding to the case 103. Etc., and after confirming that the description on the dispensing card 101 and the description on the medication tag 102 match, the patient is given the medication.

  The ward count table 105 is as shown in FIG. 17, and is printed for each ward. That is, the print instruction signal output unit 13 separately outputs a print instruction signal for printing the ward summary table 105 for each ward. In the ward count table 105, as shown in FIG. 17, a list of one day's medicines to be delivered to each ward, the names of patients to be taken, and the time of taking is described. In addition, among the medicines listed in the ward count table 105, the medicine to be collected by the pharmacist and the medicine to be packaged by the tablet packaging machine 8 are printed in different colors (for example, by the tablet packaging machine 8). The medicine to be packaged is printed in black, while the medicine that the pharmacist should have is printed in red). As a result, the pharmacist can recognize the type and number of drugs to be transported to the ward from the contents of the ward count table 105 and can also recognize which drugs need to be collected by himself / herself.

  According to the embodiment described above, prescription data for a plurality of days created by a doctor can be developed into prescription data for each day, and only one day of medicine can be packaged and transported to the ward. it can. Therefore, when the patient is to be taken in the ward to which the medicine has been transported, the nurse or the like does not need to perform an operation of taking out only the amount to be taken from the medicines collected for a plurality of days. As a result, the work of the nurse is reduced, and it is possible to prevent an error from occurring when the medication patient is made to take the medicine.

  In addition, since the medicine is packaged at each time of medication, the work of the nurse is further reduced, and it is possible to more reliably prevent mistakes from occurring when taking medication to patients. .

  In addition, since the prescribed medicine is transported to the ward one by one, it is possible to easily cope with a case where a detailed prescription correction instruction is given during a plurality of days prescribed by the doctor.

  In addition, because the prescribed medicine is transported to the ward one day at a time, there is an instruction to correct the prescription in the middle of multiple days, and even if the medication is stopped, the medicine is deleted, etc. If the prescription data for each day is corrected, the medicines for which the medication has been stopped and the deleted medicines are not packaged thereafter, so that wasteful disposal of the medicine can be reduced.

  In addition, when prescriptions are given from multiple departments for the same patient, the combined prescription data is generated by merging each day's prescription data corresponding to multiple prescriptions. By packaging, the drugs corresponding to the plurality of prescriptions can be packaged together.

  In addition, since the dispenser 101 and the medication tag 102 are printed for the prescribed medicine, the content of the dispenser 101 and the content of the medication tag 102 are confirmed, so that the medication patient can take the medication. It is possible to prevent mistakes from occurring when making the change.

  In addition, since the dispenser 101 is printed for each ward, the dispenser 101 can be easily confirmed in each ward. Furthermore, since the drug canceled and deleted in the dispensing book 101 is described together with that, a nurse or the like, when making the patient to take the drug, remove the drug canceled or deleted from the content of the dispensing card 101. Can be recognized.

  The preferred embodiments of the present invention have been described above, but the present invention is not limited to the above-described embodiments, and can be changed without departing from the scope of the invention.

  In the present embodiment, the packaging instruction signal is output from the packaging instruction signal output unit 14 and the printing instruction signal is output from the printing instruction signal output unit 13 to the printing apparatus 7 in S110 described above. Instead of outputting a signal, a screen 120 as shown in FIG. 18 may be displayed on the display device 6 by a signal output from the display control unit 12.

  The screen 120 includes a search condition input unit 121, a search result display unit 122, and the like. The search condition input unit 121 is arranged at the left end portion of the screen 120 and is a part for inputting conditions of the dispensing schedule 101 or the ward summary table 105 to be searched for, such as a medication date, a ward, a patient ID, and a patient. The search result display unit 122 is arranged on the right side of the search condition input unit 121, and is a part in which a list of the preparations 101 or the ward summary table 105 corresponding to the conditions input in the search condition input unit 121 is displayed. is there.

  In this case, the pharmacist or the like inputs the conditions of the dispensing card 101 or the ward summary table 105 to be printed on the screen 120 to the search condition input unit 121, and the dispensing card 101 displayed on the search result display unit 122 or When an item to be printed is selected from the list of the ward summary table 105, the print instruction signal output unit 13 outputs a print instruction signal instructing to print the dispensing sheet 101 or the ward summary table 105 to the printing device 7, and the printing device In step 7, the printing is performed.

  In the present embodiment, only the patient for whom the medicine is prescribed is displayed on the patient list display unit 82 of the screen 80. However, the present invention is not limited to this. For example, when the screen 80 is displayed, the memory is stored. Of the patient data stored in the device 4, the data of the given patient is read out, and as shown in FIG. 19, all the given patients are displayed on the patient list display unit 82, and further, the patient list display unit 82 is displayed. Of the displayed medication patients, the medication patients who have not been prescribed a drug are displayed in a different color from the medication patients who have been prescribed a drug (for example, the patient who has been prescribed is black May be displayed in red). Here, in FIG. 19, the two patient patients “Tetsuro Tetsuto” and “Satoshi Yuyama” who are not prescribed in the patient list display section 82 are the other patients who are prescribed the medicine. The example is displayed in a different color.

  In this case, for example, when the doctor forgets to input the prescription data of the drug, when the pharmacist confirms the content of the screen 80, the patient is a drug patient but the drug is not prescribed. The patient can be recognized and confirmed with a doctor, and the prescription omission of the medicine can be surely prevented. In addition, the patient to whom the medicine displayed on the patient list display part 82 is not prescribed is only a given patient. For patients who can take the medicine by themselves, the patient list is displayed even if the medicine is not prescribed. It is not displayed on the part 82.

  In FIG. 19, the patient list display unit 82 displays the patient who has not been prescribed a drug in a color different from that of the patient who has been prescribed a drug. Medicine patients may be displayed in the same color. Even in this case, when a patient who has not been prescribed a medicine is selected in the patient list display section 82 of the screen 80, nothing is displayed in the prescription data list display section 83. Since nothing is displayed on the display unit 83, it is possible to recognize that no medicine is prescribed for the given patient.

  Further, in the present embodiment, the drug that was actually taken by the patient to be administered, the drug that was stopped and the drug that was deleted were described together with that in the dispensing card 101. Only drugs that are actually taken by the patient can be described.

  Further, in the present embodiment, the dispenser 101 is printed for each ward, and one dispenser 101 describes the names of patients to be given in one ward, the medication time, the type of the drug, etc. for one day. However, the present invention is not limited to this, and a single dispensing card 101 may include one day of the names of medication patients, medication times, types of drugs, etc. in two or more wards.

  Also, in this embodiment, when prescriptions of drugs are given from a plurality of departments for the same patient, a plurality of daily prescription data are merged to generate merged prescription data, and the contents of the merged data are Therefore, these drugs with multiple prescriptions were packaged in the same bag, but this is not restrictive, and multiple daily prescription data are not combined (no combined prescription data is generated), and the drugs differ from prescription to prescription. It may be packaged in a bag.

  Further, in this embodiment, the prescription data for each day is further expanded into prescription data for each medication time and the medicine is packaged for each medication time. Also good.

DESCRIPTION OF SYMBOLS 1 Drug administration system 3 Data control part 13 Printing instruction signal output part 14 Package instruction signal output part 101 Dispensing

Claims (5)

Data development means for developing prescription data for a plurality of days prescribed by a doctor into each day of prescription data, which is prescription data for each day;
A packaging instruction signal output means for outputting a packaging instruction signal instructing to package the medicine for one day according to the daily prescription data ;
The data expansion means expands the daily prescription data for each time of medication,
The packaging instruction signal output means outputs the packaging instruction signal instructing to package the medicine for one day at every medication time,
Further comprising data correction means for correcting the daily prescription data,
The data correction means, as correction of the daily prescription data, selectively stop or restart the medication, and delete the drug,
Combined prescriptions in which these daily prescription data are merged from the daily prescription data corresponding to the prescription data of each prescription when prescriptions are separately prescribed from multiple departments for the same patient It further comprises a combined prescription data generation means for generating data,
The packaging instruction signal output means outputs the packaging instruction signal instructing to package the medicine corresponding to the combined prescription data,
The pharmacist further comprises a division setting means for dividing and setting the drugs included in the combined prescription data for each drug to be packaged together,
The packaging instruction signal output means is configured such that, when the classification is set by the classification setting means, only the medicine set in the same classification by the classification setting means is packaged together. A medication management system characterized by outputting the packaging instruction signal instructing to package a medicine corresponding to data .   Data development means for developing prescription data for a plurality of days prescribed by a doctor into each day of prescription data, which is prescription data for each day;
  A packaging instruction signal output means for outputting a packaging instruction signal instructing to package the medicine for one day according to the daily prescription data;
  The data expansion means expands the daily prescription data for each time of medication,
  The packaging instruction signal output means outputs the packaging instruction signal instructing to package the medicine for one day at every medication time,
  Further comprising data correction means for correcting the daily prescription data,
  The data correction means, as correction of the daily prescription data, selectively stop or restart the medication, and delete the drug,
  A drug patient list display means for displaying a list of drug patients;
  The medicinal patient list display means displays a medicinal patient for whom a drug is not prescribed among medicinal patients so as to be distinguishable from a medicinal patient for which a drug is prescribed. . The medication management system according to claim 1 or 2 , further comprising a print instruction signal output means for outputting a print instruction signal instructing printing of a form in which the contents of the daily prescription data are described. . 4. The medication management system according to claim 3 , wherein the print instruction signal output means outputs the print instruction signals separately corresponding to a plurality of wards. When the print instruction signal output means has a medicine whose medication has been canceled or has been deleted, the form in which the type of the medicine is described together with information indicating that the medication has been canceled or has been deleted The medication management system according to claim 3 or 4 , wherein the print instruction signal instructing printing is output.