JP5895309B2 - Drug registration device and program - Google Patents

Description

  Embodiments described herein relate generally to a drug registration apparatus and a program.

  Conventionally, several systems have been proposed to prevent the occurrence of errors such as drug misplacement. For example, in the system described in Patent Document 1, the medicine information specified by the barcode attached to the container of the medicine to be administered is collated with the information on the medicine to be administered to prevent misuse of the medicine. ing.

  In the operating room, the nurse collects empty containers for drugs used in surgery and drugs that are discarded without being used after surgery, and manually fills the slips with the results of counting the drugs used. Was submitted to the medical department.

  However, busy nurses did not necessarily fill in the reasons for discarding drugs that are discarded without being used.

  The problem to be solved by the present invention is to provide a drug registration apparatus and program capable of easily recording the reason for discarding a drug.

The medicine registration device according to the embodiment includes a storage unit, an identification unit, a display control unit, an input unit, a registration unit, and an output unit. The said memory | storage part memorize | stores the discard information which has the reason for discarding a chemical | medical agent for every installation place . The identification means reads the code information attached to the medicine or the outer surface information of the medicine to identify the medicine to be read. The display control means displays a list of reasons for discarding the medicine stored in the storage unit by narrowing down to a place where the apparatus is installed. The input means inputs a reason for discarding the medicine by selecting from a list of reasons for discarding the medicine displayed by the display control means . The registration means registers the medicine read by the identification means in association with the discard reason input by the input means. The output means outputs the medicine registered by the registration means and the reason for disposal.

FIG. 1 is a block diagram illustrating a schematic configuration of a medicine management system according to an embodiment. FIG. 2 is a front view showing an appearance of the medicine registration device. FIG. 3 is a block diagram illustrating a hardware configuration of the medicine registration device. FIG. 4 is a block diagram illustrating a functional configuration of the medicine registration device. FIG. 5 is an explanatory diagram showing an example of the discard reason selection screen. FIG. 6 is a front view showing a waste product slip on which medicine discard information is printed. FIG. 7 is a flowchart showing the flow of the used medicine registration process executed by the MPU of the medicine registration apparatus according to the control program. FIG. 8 is an explanatory diagram illustrating an example of a job selection screen. FIG. 9 is an explanatory diagram showing an example of the discard registration start screen. FIG. 10 is an explanatory diagram illustrating an example of a manual input screen. FIG. 11 is an explanatory diagram showing an example of the discard registration screen.

  FIG. 1 is a block diagram illustrating a schematic configuration of a medicine management system 10 according to the embodiment. As shown in FIG. 1, the medicine management system 10 includes an electronic medical record server 11, a doctor information processing terminal device 12, a nurse information processing terminal device 13, a medicine inspection device 14, and a radio base station 15. And a doctor's portable information processing terminal device 18 connected to the communication network 17 through the public communication network 16, a medicine unit server 19, and a medicine registration device 20.

  The electronic medical record server 11 is a device for managing and storing the electronic medical record. The information processing terminal device 12 for a doctor is a device for filling in an electronic medical record. The information processing terminal device 13 for the nurse is a device for referring to and confirming the electronic medical record managed by the electronic medical record server 11. The medicine inspection apparatus 14 is an apparatus for supporting and auditing medicine arrangement based on instruction information (for example, prescription information) included in the electronic medical record. The medicine part server 19 is an apparatus for managing medicine dispensing and the like arranged in the medicine part. Also, the medicine unit server 19 associates the medicine with the code information of the medicine or the outer surface information of the medicine (features representing the label of the medicine, features representing the state of the surface such as the color of the medicine and the surface irregularities). Drug information (name, amount, etc.) is registered. The drug registration device 20 is an apparatus for providing registration support for a drug that is placed in an operating room and used by a nurse during an operation, or a drug that is urgently used by a nurse or a pharmacist in an emergency room. It is. The drug registration device 20 is installed in a place where a drug is handled, such as an operating room, a ward, or a drug department. In the present embodiment, it is assumed that the drug registration device 20 is used by a pharmacist, a nurse, or the like for registration support of a reason for discarding a drug that is discarded without being used.

  In the above configuration, the electronic medical record server 11, the information processing terminal device 12, the information processing terminal device 13, the medicine inspection device 14, the medicine part server 19, and the medicine registration device 20 are connected to the communication network 17.

  FIG. 2 is a front view showing the appearance of the medicine registration device 20. As shown in FIG. 2, the drug registration device 20 is roughly divided into a device main body 24 that is a control main body of the drug registration device 20, a scanner 22, and a printer 23 for printing out various information. Yes.

  The apparatus main body 24 includes a touch panel display 21 that allows a nurse as an operator to perform various operations and display various information such as a list of used medicines.

  The scanner 22 includes an image sensor such as a color CCD (Charge Coupled Device) image sensor or a color CMOS (Complementary Metal-Oxide Semiconductor) image sensor, and a light source such as an LED (Light Emitting Diode). The scanner 22 captures a nurse ID (IDentification) code symbol, a patient ID code symbol, a drug code symbol, a drug image, and the like. Frame images (captured images) sequentially captured by the scanner 22 at a predetermined frame rate are stored in a RAM (Random Access Memory) 33 (see FIG. 3) described later.

  The scanner 22 is not limited to a shape that is placed on a table as shown in FIG. 2, but may be a stand shape that is erected on the floor.

  The drug registration device 20 may include a scale for measuring the weight of the drug, an RFID reader / writer that reads / writes data from / to an RFID attached to the drug, and the like.

  FIG. 3 is a block diagram showing a hardware configuration of the medicine registration device 20. As shown in FIG. 3, the medicine registration device 20 performs a communication interface operation with an MPU (Micro Processing Unit) 31, a ROM (Read Only Memory) 32, a RAM 33, and an external storage device 34 that control the entire device. A communication interface (I / F) 38 is provided in the apparatus main body 24. The ROM 32 stores various data including a control program in a nonvolatile manner. The RAM 33 functions as a work area and temporarily stores various data. The external storage device 34 is configured by an HDD (Hard Disk Drive) capable of storing large-capacity data such as a database or a control program, and an SSD (Solid State Drive).

  Here, the touch panel display 21, the scanner 22, the printer 23, and the communication interface 38 are connected to the bus 40 via the input / output I / O 39. An MPU 31, a ROM 32, a RAM 33 and an external storage device 34 are connected to the bus 40.

  The touch panel display 21 is mainly configured by a display 35 and a touch panel 36 which are display units.

  The external storage device 34 as a storage unit includes a medicine master DB 1, a discarded medicine table T, and a disposal reason master DB 2. The drug master DB 1 stores code information and drug information such as drug names in association with each other. The discarded medicine table T stores the total result of the discarded medicine. The discard reason master DB 2 stores the location where the drug registration device 20 is installed and the reason for discarding the drug in association with each other.

  There are various reasons for discarding the drug. However, the reason for disposal may be determined depending on the location. For example, when a medicine mixed in the medicine department is administered to a patient in a ward, the nurse may discard the medicine without administering the medicine if the condition of the patient changes. On the other hand, since there is no patient in the medicine section, the medicine is not discarded because the patient's condition has changed. Furthermore, in the medicine part, the medicine to be mixed in the case of mixed injection may be mistaken. On the other hand, in the ward, since no mixed injection is performed, the drug is not discarded due to a mistake in the drug mixed in the mixed injection. In this way, the reason for disposal is narrowed down by location. The discard reason master DB 2 is a database created using this characteristic.

  With such a configuration, the MPU 31 of the medicine registration device 20 performs registration support for the medicine used by operating according to the control program stored in the ROM 32 or the external storage device 34.

  Next, characteristic functions of the drug registration device 20 according to the embodiment will be described. FIG. 4 is a block diagram showing a functional configuration of the medicine registration device 20. The MPU 31 operates in accordance with a control program stored in the ROM 32 or the external storage device 34, thereby, as shown in FIG. 4, a registration unit 311, a display control unit 312, a reading unit 313, an identification unit 314, a print It functions as the control means 315.

  The reading unit 313 reads the medicine identifier from the captured image scanned by the scanner 22. Specifically, the reading unit 313 reads the code information of the code symbol attached to the medicine to be used or the outer surface information of all or part of the medicine to be used. Since processing for detecting code information from a code symbol such as a bar code or a two-dimensional code is a conventional technique, a description thereof is omitted here.

  The identification unit 314 identifies a drug based on information (code information or external surface information) obtained as a result of reading by the reading unit 313 and extracts drug information. Specifically, the identification unit 314 identifies the code information that matches the code information read by the reading unit 313 by searching the drug master DB 1.

  The method of identifying a medicine based on the external information of the medicine is to store the external information of the medicine in advance as a table in association with the code information, and extract the medicine information of the medicine based on the external information from the table. do it.

  The registration unit 311 registers the drug identified by the identification unit 314 and the reason for discarding the drug in association with the discarded drug table T in the external storage device 34.

  The display control means 312 which is an output control means controls the display of the medicine discard information identified by the identification means 314 on the display 35 which is a display unit. When the identification unit 314 identifies the drug, the display control unit 312 displays a discard reason selection screen for requesting input of the reason for discarding the drug.

  Here, FIG. 5 is an explanatory diagram showing an example of the discard reason selection screen G1. As shown in FIG. 5, a guide comment “Please select a reason for disposal” is displayed on the disposal reason selection screen G1. The discard reason selection screen G1 includes a plurality of discard reason buttons B1. The discard reason button B1 is a button used for inputting the reason for discarding the medicine. The discard reason button B1 displays a discard reason suitable for the place where the medicine registration device 20 stored in the discard reason master DB 2 is installed. In FIG. 5, “for breakage”, “for opening”, and “for mixed injection” can be selected.

  The print control means 315 that is an output control means controls the printer 23 that is a printing unit to print the discard information of the medicine identified by the identification means 314. The print control unit 315 performs printing using information stored in the discard reason master DB 2.

  Here, FIG. 6 is a front view showing the waste product slip D on which the discard information of the medicine is printed. The waste product slip D is a slip on which a list of medicines registered in the waste medicine table T is printed as shown in FIG. The waste product slip D includes a header D1, basic information D2, waste medicine data D3, and an approval stamp column D4. The header D1 is an area for printing a slip name. The basic information D2 is an area for printing the output date and time, the treatment date and time, the issue location, and the worker.

  The discarded medicine data D3 is a column for printing a No column, a drug name column, a unit column, a number column, and a constant column. In the No column, a classification name and an item number are printed. The classification name is the name of the classification of the drug. Item No. is a series of numbers assigned to each medicine type, and a series of numbers is continuously assigned even when the classification names are different.

  The medicine name column is a column for printing a medicine name, a medicine code number, and a reason for disposal. As the medicine name, the name of the medicine is printed. The drug code number is a number assigned to the code symbol of the drug. The reason for discarding is printed as the reason for discarding the medicine.

  As shown in FIG. 6, the unit column is a column that prints a reference for the usage amount of the target medicine. The number column is a column for printing the amount of the target medicine used. The constant column is a column that prints the amount of the target drug that is always available. The approval mark column D4 is an area where a column for marking the approval mark is printed.

  Next, the medicine discard registration process executed by the MPU 31 of the medicine registration apparatus 20 according to the above-described embodiment according to the control program will be described. The medicine registration apparatus 20 according to the embodiment scans a used medicine code symbol, a medicine image, and the like, and executes medicine disposal registration processing.

  FIG. 7 is a flowchart showing the flow of the used medicine registration process executed by the MPU 31 of the medicine registration apparatus 20 according to the control program. As shown in FIG. 8, the MPU 31 of the medicine registration apparatus 20 displays a job selection screen G2 on the display 35 as an initial state (step S1).

  FIG. 8 is an explanatory diagram showing an example of the job selection screen G2. The task selection screen G2 is a screen for selecting a task to be performed by the medicine registration device 20. As shown in FIG. 8, the job selection screen G2 includes a plurality of buttons for selecting a job.

  Therefore, the operator (nurse) presses the discard registration button B2 in order to select a job. The MPU 31 of the medicine registration apparatus 20 displays the discard registration start screen G3 on the display screen of the display 35 when the discard registration button B2 is pressed and a job is selected (Step S2; Yes) (Step S3). If no business is selected (step S2; No), the process returns to step S1, and the display of the business selection screen G2 is maintained.

  FIG. 9 is an explanatory diagram showing an example of the discard registration start screen G3. As shown in FIG. 9, the discard registration start screen G3 displays how to read the code symbol of the medicine. The discard registration start screen G3 includes a manual input button B3. The manual input button B3 is a button to be pressed when manually registering the number attached to the drug code symbol. The MPU 31 of the medicine registration device 20 determines whether or not the manual input button B3 is pressed (Step S4).

  When the manual input button B3 is not pressed (Step S4; No) and the medicine is held in front of the scanner 22, the MPU 31 of the medicine registration device 20 reads the code symbol (Step S5).

  On the other hand, when the manual input button B3 is pressed (step S4; Yes), the MPU 31 of the medicine registration device 20 displays the manual input screen G4. FIG. 10 is an explanatory diagram illustrating an example of the manual input screen G4. (A) of FIG. 10 is an example which shows before the search of the manual input screen G4. In FIG. 10A, a guide comment “Please enter the drug code” is displayed, and the input of the code information attached to the code symbol is requested. (B) of FIG. 10 is an example which shows after the search of the manual input screen G4. In FIG. 10B, a guide comment “Please confirm the drug.” Is displayed, and the drug is confirmed from the candidate list that matches the search condition. As shown in FIG. 10, the manual input screen G4 includes a numeric button B4, a search button B5, a cancel button B6, and a confirm button B7.

  The numeric button B4 is a button used when inputting code information attached to a code symbol. The number button B4 includes a number from 0 to 9 and a one-character delete button used for erroneous input. The search button B5 is a button used when searching for a medicine having code information that matches the input number. When the search button B5 is pressed, the MPU 31 of the medicine registration device 20 displays a screen after the search on the manual input screen G4.

  The cancel button B6 is a button used when manual input is stopped. The confirmation button B7 is a button used when confirming the searched medicine. When the cancel button B6 is pressed (step S7; Yes), the MPU 31 of the medicine registration device 20 deletes the manual input screen G4 and returns to step S4. When the cancel button B6 is not pressed (Step S7; No) and the confirm button B7 is not pressed (Step S8; No), the MPU 31 of the medicine registration device 20 returns to Step S6 and maintains the manual input screen G4. When the confirmation button B7 is pressed (step S8; Yes), the MPU 31 of the medicine registration device 20 deletes the manual input screen G4 and proceeds to step S9.

  Next, the MPU 31 of the medicine registration apparatus 20 displays a discard reason selection screen G1 (step S9). The operator (nurse) presses the disposal reason button B1 on which the corresponding disposal reason is displayed. When the disposal reason button B1 is pressed and a job is selected (step S10; Yes), the MPU 31 of the medicine registration device 20 registers the selected medicine in the waste medicine table T in association with the selected medicine (step S10). S11). When none of the discard reason buttons B1 is selected (Step S10; No), the MPU 31 of the medicine registration device 20 returns to Step S9 and displays the discard reason selection screen G1 again.

  Next, the MPU 31 of the medicine registration device 20 displays a discard registration screen G5 (step S12). FIG. 11 is an explanatory diagram showing an example of the discard registration screen G5. As shown in FIG. 12, the discard registration screen G5 is a screen that displays a list of drugs to be discarded registered in the discard medicine table T. The discard registration screen G5 displays the reason for discarding the discarded drug. The discard registration screen G5 includes a manual input button B3 and a print button B8.

  The MPU 31 of the medicine registration device 20 determines whether or not the print button B8 is pressed (step S13). When the print button B8 is not pressed (Step S13; No), the MPU 31 of the medicine registration device 20 returns to Step S4 and requests input again.

  On the other hand, when the print button B8 is pressed (step S13; Yes), the MPU 31 of the medicine registration device 20 prints the contents registered in the waste medicine table T on the waste product slip D (step S14).

  As described above, according to the present embodiment, the reason for discarding the read medicine is input using the discard reason button B1 on the discard reason selection screen G1. The inputted discard reason is registered in the discarded medicine table T. Thereafter, the discarded medicine registered in the discarded medicine table T and the reason for disposal are printed by the printer 23. This makes it possible to easily record the reason for discarding the medicine.

  Although several embodiments of the present invention have been described, these embodiments are presented by way of example and are not intended to limit the scope of the invention. These novel embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the scope of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention, and are included in the invention described in the claims and the equivalents thereof.

  In the above-described embodiment, the reason for discarding when the discard registration button B2 is selected on the job selection screen G2 is described. The reason for discarding is not limited to the case where discard registration is selected on the job selection screen G2. For example, the reason for disposal may be input at the time of an auditing operation as to whether or not medicines collected according to a doctor's instruction are collected without excess or deficiency. Specifically, for example, after the completion of instructed medicines, if there is a reason for disposal of all or part of the collected medicines, the medicines are sorted again. At this time, the discard reason selection screen G1 may be displayed so that the discard reason can be input.

  In the above embodiment, it is described that the reason for discarding is input by the discard reason button B1. However, the discard reason input method is not limited to this. For example, a keyboard may be connected for input. Or you may input by handwriting using the touch panel 36. FIG. Alternatively, a microphone may be connected and input by voice.

  In the above embodiment, it is described that the discard reason master DB 2 is arranged in the external storage device 34. However, the discard reason master DB 2 may be arranged other than the external storage device 34. For example, the discard reason master DB 2 may be arranged in the medicine unit server 19. In this case, the medicine registration device 20 may be installed in an environment where the communication network 17 is maintained, and communication with the medicine department server 19 may be performed using the communication interface 38.

  In the above embodiment, it is described that the code information is read from a code symbol such as a barcode or a two-dimensional code attached to the medicine, but the code information may be other than the code symbol. For example, the code information may be read from an RFID or the like. In this case, an RFID reader / writer or the like may be newly provided.

  In addition, the program executed by each device of the above embodiment is provided by being incorporated in advance in a storage medium (ROM or storage unit) included in each device. Various types of files may be recorded and provided on a computer-readable recording medium such as a CD-ROM, a flexible disk (FD), a CD-R, or a DVD (Digital Versatile Disk). Furthermore, the storage medium is not limited to a medium independent of a computer or an embedded system, but also includes a storage medium in which a program transmitted via a LAN, the Internet, or the like is downloaded and stored or temporarily stored.

  Further, the program executed by each device of the above embodiment may be stored on a computer connected to a network such as the Internet and provided by being downloaded via the network, or via a network such as the Internet. It may be configured to be provided or distributed.

34 External storage device DB1 Drug master DB2 Disposal reason master 311 Registration means 312 Display control means 313 Reading means 314 Identification means 315 Print control means G1 Disposal reason selection screen B1 Disposal reason button D Disposal item slip

JP 2002-163357 A

Claims (4)

For each installation location, a storage unit for storing disposal information having a reason for discarding the medicine,
An identification means for reading the code information attached to the medicine or the outer surface information of the medicine and identifying the medicine to be read;
Display control means for displaying a list of reasons for discarding the medicine stored in the storage unit by narrowing down to a place where the apparatus is installed;
Input means for inputting the reason for discarding the medicine by selecting from the list of reasons for discarding the medicine displayed by the display control means ;
Registration means for registering the medicine read by the identification means in association with the reason for discard input by the input means;
An output means for outputting the medicine registered by the registration means and the reason for disposal;
A drug registration device comprising: The output means prints the registered medicine and the reason for disposal.
The drug registration device according to claim 1. The output means displays the registered medicine and the reason for disposal.
The medicine registration device according to claim 1 or 2 . For each installation location, a computer having a storage unit for storing disposal information having a reason for discarding the medicine,
An identification means for reading the code information attached to the medicine or the outer surface information of the medicine and identifying the medicine to be read;
Display control means for displaying a list of reasons for discarding the medicine stored in the storage unit by narrowing down to a place where the apparatus is installed;
Input means for inputting the reason for discarding the medicine by selecting from the list of reasons for discarding the medicine displayed by the display control means ;
Registration means for registering the medicine read by the identification means in association with the reason for discard input by the input means;
An output means for outputting the medicine registered by the registration means and the reason for disposal;
Program to function as.

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