JP6245574B2 - Dispensing support system - Google Patents

Description

  The present invention relates to a dispensing support system useful for improving and optimizing the efficiency of dispensing work in a pharmacy. Specifically, it collects information capable of grasping the progress of dispensing work, and aggregates and analyzes it locally and entirely. The present invention relates to a dispensing support system that presents information using a portable terminal (portable information terminal, personal information terminal, PDA, tablet terminal, multimedia terminal) or other means.

  Based on prescription data that is converted to electronic data by direct data input by doctor's terminal operation etc. or indirect data input by prescription machine reading etc., dispensing instructions are sent to automatic dispensing machines and portable terminals automatically There are some known systems that manage and support dispensing by collecting information that can grasp the progress of dispensing work from a dispensing machine or a portable terminal (see, for example, Patent Documents 1 to 4). In such a dispensing system or dispensing support system, the mobile terminal can perform screen display and operation input with a touch panel or the like, and can also acquire codes and images by optical reading, etc., and wirelessly. Those that can send and receive control commands and data are adopted. In addition, various automatic dispensing machines such as fully automatic and semi-automatic machines having different automation levels, tablet packing machines, powder packing machines, and ampoule dispensing devices are employed.

  These mobile terminals and dispensing machines are connected to a LAN (Local Area Network) provided for each appropriate group such as a pharmacy or dispensing department, and are managed in groups by wireless or wired connection. In a larger scale system, multiple group management devices are connected to a WAN (Wide Area Network) using a dedicated line or the Internet VPN (virtual private network), etc. It is collected in a central management device such as the headquarters. Prescription data (prescription) may be input at a pharmacy and processed by the appropriate group management device, or may be input at a hospital etc. and distributed from a central management device to the appropriate place, until data processing It may be used as dispensing instruction data as it is, or may be used as dispensing instruction data after being divided and extracted for automatic dispensing or hand-aligned dispensing.

  Dispensing instruction data for automatic dispensing is sent to the automatic dispensing machine, and the automatic dispensing machine automatically packages and dispenses prescription drugs based on the data, while dispensing instruction data for hand-aligned dispensing is sent to the mobile terminal. Or sent to a portable terminal and a semi-automated dispensing machine, and the worker in charge performs all or part of the dispensing work manually based on the data display. As specific examples of such hand-aligned dispensing, a drug handing operation to a drug handing device (see, for example, Patent Document 5), a drug sampling collection work from a shelf of a PTP dispensing system (see, for example, Patent Document 6), Examples thereof include a drug sampling / collecting work from a cassette or the like of a medicine storage system (see, for example, Patent Document 7), a powder taking out and weighing work from a medicine shelf (see, for example, Patent Document 8), and the like.

JP 2006-109860 A JP 2006-247150 A JP 2009-070305 A JP 2013-146443 A JP 2007-297066 A JP 2011-019928 A JP 2001-198194 A JP 2002-085523 A

  In such a dispensing operation using the conventional system, the higher the automation rate, the better and the better the efficiency. However, due to the burden of equipment costs and restrictions on the type and dosage form, hand-aligned dispensing is often performed. Even with hand-aligned dispensing, if it is semi-automated to the extent that communication between the dispensing machine and the management device (group management device / central management device) is performed at the time of work, it can be done properly and the efficiency is not bad. If it is negligible to raise a report from the mobile terminal to the management device at the time of work, it is difficult to grasp the work status if reporting and confirmation are neglected due to busyness, and accurate guidance support and work improvement can be performed There is no need for support and command supervision to improve the efficiency and optimization of hand preparation.

From this point of view, if a wide range of issues are applied to a plurality of pharmacies, services that are closely related to chain stores and other pharmacies are required to be uniform, and there is also competition among pharmacies. It is also required to prevent dispensing omissions in the dispensing room and occurrence of dispensing errors.
As for local issues at individual pharmacies, due to public restrictions under the Pharmaceutical Affairs Law, there is a personnel restriction that limits the amount of prescription work for 40 prescriptions per pharmacist, and a safety point of view such as the prevention of dispensing errors. However, the amount of dispensing work per pharmacist is significantly lower than 40 prescriptions, for example, 20 prescriptions or less is preferable from the management aspect because of inefficiency and efficiency. Absent.

  Furthermore, as for the latter local problem, the pharmacy dispensing operations include various operations such as counting, powder, liquid medicine, sachet, auditing, and medication instruction. Weighing work, hand-packaging, and auditing are burdensome for workers and are not efficient. Also, from the viewpoint of improving services, shortening patient waiting time is required, and if delivery of drugs is slow, there is a risk that management will be oppressed by leaving the patient, while improving efficiency in order to expedite delivery of drugs. Excessive emphasis and neglecting confirmation work may impair safety, and adding personnel unnecessarily may result in increased labor costs and pressure on management.

As described above, since there are various problems in the dispensing work performed in the pharmacy and countermeasures tend to be reciprocal, it is difficult to properly arrange personnel and reduce dispensing costs.
Specifically, the more pharmacy the dispensing work is, the more the work is stagnant. However, in the case of sachets that involve drug handing and powdering that involves weighing, especially the dispensing work takes time. Due to the effects of the promotion, drugs that are not mounted on cassettes in the packaging machine are often targeted for packaging, which increases drug handling work and increases the amount of work in dispensing operations as well as the burden of burden I am doing.

Therefore, it is a first problem to realize a dispensing support system that is useful for quickly eliminating the uneven distribution of dispensing work.
In addition, it is a second problem to realize a mounting dispensing support system that is useful for reducing the ratio of drug handing work.

  The dispensing support system of the present invention (Solution means 1) was created to solve the first problem described above, and obtains dispensing execution information related to dispensing work performed in accordance with prescription data in a pharmacy. Dispensing execution information acquisition means for transmitting data, a management apparatus that receives dispensing execution information from the dispensing execution information acquisition means and collects data, and a portable terminal that receives data from the management apparatus and displays it on a screen In the dispensing support system, the management device divides the dispensing work in the pharmacy into several dispensing blocks including a block of counting dispensing prepared as many as necessary and a block of packaging dispensed to pack the medicine in a unit of administration. The number of waiting for dispensing in each dispensing block is counted, and the mobile terminal receives the number of waiting times counted from the management device and receives the data It characterized that it is Shimesuru so.

  Further, the dispensing support system of the present invention is (Solution means 2), which is the dispensing support system of the above-described solution means 1, and the management device is configured to collect data on the waiting time of dispensing in each dispensing block. The portable terminal is adapted to receive the data of the waiting time counted from the management device and display it on the screen.

  Furthermore, the dispensing support system of the present invention (Solution means 3) was created in order to solve the second problem described above. Dispensing execution information related to the dispensing operation performed in accordance with the prescription data in the pharmacy is obtained. Dispensing execution information acquisition means that acquires and transmits data, a management device that receives dispensing execution information from the dispensing execution information acquisition means and collects data, and is provided as one of the dispensing execution information acquisition means. In a dispensing support system comprising a drug handing unit that requires dispensing and a drug cassette that does not require manual handling during dispensing operations, and a medicine packaging machine that packs the medicines discharged from them in dosage units Recording means for associating and storing the prescription data and the dispensing execution information, a cassette-mounted medicine housed in the medicine cassette and used for packaging, and the medicine A usage amount counting means for counting the usage amount from the accumulated data of the recording means for the non-cassette mounted medicine that is not housed in a set and used for packaging using the drug handing unit; The present invention is characterized in that there is provided comparison presentation means for presenting the usage amount of the cassette mounting chemical and the usage amount of the non-cassette mounting chemical.

In such a dispensing support system of the present invention (Solution means 1), the number of waiting for dispensing in each dispensing block is aggregated and displayed on the mobile terminal. For this reason, a dispensing operator who has a free hand in a dispensing block or the like that has completed the dispensing operation looks at the portable terminal that is carried to display the dispensing instruction, etc. Knowing the dispensing blocks that are available, you can rush to support where you need them.
Therefore, according to the present invention, it is possible to realize a dispensing support system that is useful for quickly eliminating the uneven distribution of dispensing work, and as a result, the first problem described above is solved.

  Further, in the dispensing support system of the present invention (solution means 2), not only the number of waiting cases but also the screen is displayed on the portable terminal until the waiting time, so the first problem described above is solved at a high level.

  Furthermore, in the dispensing support system of the present invention (Solution means 3), the cassette mounting that does not require a manual operation and a cassette-free packaging that requires time-consuming work for dispensing work using a medicine packaging machine is unnecessary. For chemicals, the usage amounts are accumulated from the accumulated data and presented in comparison. Therefore, it is possible to easily and accurately evaluate the suitability of the packaging of the medicine to be packaged based on past results. Specifically, if it was a low-frequency and non-cassette drug, because it is a generic drug, etc. Even the cassette-mounted chemicals that have declined can be grasped directly from the comparison presentation, so the ratio of the drug handing work can be reduced by switching such non-cassette-mounted chemicals and cassette-mounted chemicals. .

In addition, between closely related pharmacies such as chain stores with multiple stores, if a drug cassette that was used for a medicine that has become a non-cassette medicine from a cassette-mounted medicine becomes unnecessary at a certain pharmacy, By sending the drug cassette to another pharmacy that has a different use situation, it is possible to avoid waste of the drug cassette. In particular, tablet cassettes are often used exclusively for each dosage form, so it is difficult to reuse them only in their own stores, and it is possible to efficiently eliminate waste by making the remaining cassettes compatible with other stores. it can. Furthermore, the comparison presentation is useful reference information because it is useful for analyzing and evaluating the number and type of drug cassettes to be mounted on the drug packing machine when adding or updating the drug packing machine.
Therefore, according to the present invention, it is possible to realize a mounting dispensing support system that is useful for reducing the ratio of the drug handing work, and as a result, the second problem described above is solved.

Example 1 of the present invention shows the structure of a dispensing support system, where (a) is a hardware block diagram, (b) is a display example of the number of waiting times per dispensing block by a portable terminal, and (c) is one by a portable terminal. A display example of the waiting time of the dispensing block, (d) is a presentation example of a comparison list for evaluation of the packaged medicine. It is an example of data of a management apparatus.

  Several embodiments for carrying out such a dispensing support system of the present invention will be described.

[Further issues during implementation]
As described above, there are various problems in the dispensing work performed in the pharmacy and there are many cases where countermeasures tend to be reciprocal, so it is difficult to determine the appropriate measures.
Therefore, it is a further problem A to realize a dispensing support system capable of quantifying the burden amount of each dispensing operation so that the burden of the workload in various dispensing operations becomes clear at a glance.
Further, it is a further problem B to realize a dispensing support system that is useful for increasing the willingness to report dispensing operations in order to effectively prevent dispensing errors.

[Embodiment 1]
The dispensing support system of Embodiment 1 was created to solve the above-described problem A. The dispensing support system acquires dispensing execution information related to dispensing work performed in accordance with prescription data in a pharmacy and transmits data. In a dispensing support system comprising a dispensing execution information acquisition unit including either one or both of a machine and a portable terminal, and a management device that receives dispensing execution information from the dispensing execution information acquisition unit and collects data, The management device divides the dispensing operation in the pharmacy into several dispensing blocks including a dispensing dispensing block that weighs the necessary number and a weighing powder dispensing block that weighs the necessary amount, and associates each dispensing block The coefficient value was retained, and the number of dispensing runs in each dispensing block was determined based on the collected dispensing execution information, and further calculated for each dispensing block. Wherein the agent number and running and calculates the dispensing processing amount is multiplied by the corresponding coefficient values.

In the dispensing support system according to the first embodiment, the burden is different depending on the work content from the dispensing execution information collected through the dispensing machine installed in the pharmacy or the portable terminal used in the pharmacy. Dispensing processing amount is calculated for each dispensing block by multiplying the dispensing execution number by the coefficient value by the management device that holds data for each dispensing block that has been set in advance according to the burden of various dispensing operations. The
The dispensing processing amount for each dispensing block thus obtained reflects not only the count value but also the burden amount for each operation, and thus the burden amount for each dispensing operation is accurately quantified.

And if you display a list of such dispensing processing amount for each dispensing block by screen display or printing, it will be easy to see, so you can see the bias of the dispensing block unit by looking at it and arrange the staffing Reflecting it will help to effectively use a limited number of personnel and avoid an increase in personnel. In addition, when there are a plurality of pharmacies, it is possible to perform accurate numerical comparison between pharmacies by aggregating calculation data for each dispensing block for each pharmacy.
Therefore, according to the present invention, it is possible to realize a dispensing support system capable of quantifying the burden of each dispensing operation, and as a result, the burden of the workload in various dispensing operations becomes obvious at a glance. Is resolved.

[Embodiment 2]
The dispensing support system according to the second embodiment is the dispensing support system according to the first embodiment, and the management device also stores the number of personnel arranged in each dispensing block, and the number of the personnel and the number of each dispensing block. The processing amount per person is calculated based on the dispensing processing amount.
In the dispensing support system according to the second embodiment, by referring to the processing amount per person, it is possible to judge the magnitude of the burden and the efficiency of the efficiency more fairly and objectively. Problem A is solved at a high level.

[Embodiment 3]
The dispensing support system according to Embodiment 3 is the dispensing support system according to Embodiments 1 and 2 described above, in which the management device dispenses dispensing time in each dispensing block based on the collected dispensing execution information. It is characterized by being able to count.
In the dispensing support system according to the third embodiment, since the dispensing time from the start of work to the end of work is totaled for each dispensing block, if the total value is presented as a list, the working time for each dispensing block is Since it is easy to compare and visualize, useful reference information for determining the coefficient value for each dispensing block described above can be obtained.
It is also useful for confirming the effect of introducing the dispensing support system of the present invention. Furthermore, since the dispensing progress status of each dispensing block is collected in real time, it is useful for quickly finding and supporting a dispensing block in which dispensing work is stagnant.

[Embodiment 4]
The dispensing support system of the fourth embodiment was created to solve the above-described problem B, and prescription data to be processed in the pharmacy is any one of prescription processing in the pharmacy and data distribution from outside the pharmacy. Prescription data acquisition means to be acquired in one or both, and dispensing execution information acquisition means having a portable terminal for acquiring and executing data transmission of dispensing execution information related to the dispensing work performed in accordance with the prescription data in the pharmacy; In a dispensing support system including a management device that receives dispensing execution information from the dispensing execution information acquisition unit and collects data, the management device acquires prescription data and other prescription number graspable information from the prescription data acquisition unit. The number of prescriptions to be processed at the pharmacy is obtained, and the number of prescriptions processed at the pharmacy is obtained based on the collected dispensing execution information. Characterized in that by calculating the difference in the number of prescriptions and said processed prescription number and obtains the number of processed unknown prescription pharmacy.

In the dispensing support system according to the fourth embodiment, the number of prescriptions processed in the pharmacy is obtained from the dispensing execution information collected through the portable terminal used in the pharmacy or the dispensing machine installed in the pharmacy. In addition, the number of prescriptions to be processed at the pharmacy is determined from the prescription data received at the pharmacy, and the number of prescriptions with unknown processing at the pharmacy is determined from the difference between the number of prescriptions to be processed and the number of processed prescriptions.
This number of prescriptions with unknown processing not only includes the number of prescriptions that were not actually processed, but also notifies the management device by operating the mobile terminal even though the dispensers performed the dispensation work. The number of missed prescriptions that are neglected to be included is included, and in the practice, the latter is more than the former, but the number of prescriptions including both is treated as it is, such as the number of unprocessed prescriptions or the number of prescriptions that are dispensed By informing the user, it is possible to promote reconfirmation for preventing dispensing omission and to promote reporting and confirmation using the portable terminal to improve the implicit instruction and awareness regarding the use of the portable terminal.
Therefore, according to the present invention, it is possible to realize a dispensing support system that helps to increase the willingness to report dispensing work, and as a result, dispensing errors can be effectively prevented. Solved.

[Embodiment 5]
The dispensing support system according to the fifth embodiment is the dispensing support system according to the fourth embodiment, and calculates the ratio between the number of prescriptions with unknown processing and the number of prescriptions to be processed or the number of prescriptions with processing, and the processing at a pharmacy is unknown. It is characterized in that the prescription rate is calculated.
In such a dispensing support system of the fifth embodiment, since the processing unknown prescription rate is used instead of or in addition to the number of processing unknown prescriptions, a plurality of pharmacies having different scales and personnel can be compared fairly. it can.

[Embodiment 6]
The dispensing support system according to the sixth embodiment is the dispensing support system according to the fifth embodiment, and enumerates and presents the processing-unknown prescription rates for a plurality of pharmacies so that the processing-unknown prescription rates are listed. The arrangement order of each pharmacy is determined based on the size.
In such a dispensation support system of the sixth embodiment, comparison information between pharmacies can be easily visualized by enumerating and presenting prescription rates with unknown processing for a plurality of pharmacies. Since the prescription rates are arranged in order of unknown prescription rate, the upper and lower evaluations for each pharmacy are clear and clear at a glance, which increases the willingness to report dispensing work.

A specific example for carrying out the dispensing support system and the embodiment of the present invention described above will be described with reference to Example 1 below.
Example 1 shown in FIG. 1 embodies all the above-described solving means 1 to 3 (claims 1 to 3 as originally filed) and the above-described first to sixth embodiments.

  A specific configuration of the dispensing support system according to the first embodiment of the present invention will be described with reference to the drawings. 1A is a block diagram of the hardware of the system main part, FIG. 1B is a display example of the number of waiting times per dispensing block by the portable terminal 19, and FIG. 1C is a waiting time of one dispensing block by the portable terminal 19. A display example, (d) is a presentation example of a comparison list for evaluation of packaged medicine by the group management device 30 and the central management device 40. FIG. 2 is an example of common data held by both the group management device 30 (management device) and the central management device 40 (management device).

  This dispensing support system (see FIG. 1 (a)) targets multiple (four in the figure) stores (pharmacies) 10, 10,... That are scattered apart but belong to the same pharmacy chain. In order to improve the efficiency and optimization of dispensing operations, one set is installed in each store 10 and connected via an in-store LAN in order to grasp the progress of dispensing operations and accurately support and supervise dispensing operations. Dispensing equipment 11 to 19 and group management device 30 (management device) are installed in the chain headquarters and the like, and are connected to any group management device 30, 30,. And a central management device 40 (management device).

  The dispensing devices 11 to 19 perform prescription data acquisition means 11 and 12 that acquire prescription data of a prescription to be processed that is a prescription to be processed at the installation destination store 10, and the prescription data at the installation destination store 10 according to the prescription data. It is roughly divided into dispensing execution information acquisition means 13 to 19 for acquiring dispensing execution information related to the dispensing operation and transmitting data. Among them, the latter dispensing execution information acquisition means 13 to 19 are carried by the dispensing execution unit 13 to 18 such as a dispensing machine or a dispensing facility installed at a place where the dispensing operation is actually performed, and the dispensing operator 20 is carried. Are divided into one or a plurality of portable terminals 19, 19,... Appropriately operated at the time of dispensing work in the execution units 13 to 18.

  Further, among them, the dispensing execution units 13 to 18 are divided into several dispensing blocks according to the contents of the dispensing work in the pharmacy. In this example, the counting dispensing that prepares the necessary number of drugs without changing the dosage form. Block 13; Weighing and dispensing block 14 for weighing only the required amount by weighing the powder; Liquid dispensing block 15 for dispensing liquid medicine in bottles and syringes; and Ointment in tubes An ointment dispensing block 16 for mixing or mixing, a packaging dispensing block 17 for packaging tablets and powders in units of administration, and results of dispensing performed in each block are given as prescription data (prescription) and dispensing instruction data (dispensing). And a work audit work block 18 to be collated.

The audit work in the audit work block 18 has a role of overseeing the dispensing work in the other dispensing blocks 13 to 17, so there are some parts that are not appropriate to be called dispensing blocks. Then, it is set as one of the dispensing blocks for convenience.
The prescription data acquisition means 11 and 12 are, as a typical example of acquiring prescription data by prescription processing in a pharmacy, a receipt computer 11 for manually inputting a prescription received at reception, and a prescription reading device such as optical character reading 12 may be an apparatus that obtains data from a known prescription ordering system or the like provided outside the pharmacy.

  The counting dispensing block 13 is provided with a dispensing machine and a medicine shelf storing medicines suitable for counting dispensing such as ampoules and PTP packaging agents. The automated dispensing machine is prescription from receiving dispensing instruction data (prescription data). The medicine management is automatically performed until the medicine is dispensed, and the dispensing instruction information such as the dispensing instruction data identification information and the dispensing work start / end is notified to the group management apparatus 30. The operator 20 manually takes out necessary medicines from the shelf while looking at the dispensing instructions on the paper or the portable terminal 19, and the dispensing operator 20 operates the portable terminal 19 during the manual alignment. Dispensing execution information such as the dispensing content such as the type of drug and the start / end of the dispensing operation is notified to the group management apparatus 30.

  The weighing and dispensing block 14 is provided with a dispensing machine and a medicine shelf that store powders suitable for weighing and dispensing. The automated dispensing machine is also automatic from receiving dispensing instruction data (prescription data) to dispensing of prescription drugs. In addition, the dispensing management data 30 is notified to the group management device 30 of the dispensing instruction data identification information and the dispensing work start / end, etc. In addition, the necessary powdered medicine is manually taken out from the powder bottles on the shelf while looking at the dispensing instructions on the portable terminal 19, and the dispensing operator 20 performs weighing by operating the portable terminal 19 during the manual dispensing. Dispensing execution information such as dispensing contents such as values and the start / end of dispensing work is notified to the group management device 30.

In the liquid medicine dispensing block 15, the medicine to be handled is a liquid medicine, but the same dispensing machine and dispensing shelf as those described above are installed, and the dispensing management information is notified to the group management device 30 in the same manner. It has become.
In the ointment dispensing block 16, the drug to be handled is an ointment, but a dispensing machine and a dispensing shelf similar to those described above are also installed, and the dispensing execution information is notified to the group management device 30 in the same manner. It has become.

  The dispensing and dispensing block 17 is provided with a medicine packaging machine that automatically performs from the reception of the dispensing instruction data (prescription data) to the dispensing of the prescription medicine, and the dispensing machine basically performs the identification information of the dispensing instruction data and the dispensing operation. Dispensing execution information such as the start and end of the medicine is notified to the group management device 30, but if the non-packaged medicine is included in the packaging target, a handing work by the dispensing operator 20 is required. The packaging machine is equipped with a large number of drug cassettes that do not need to be handed during dispensing operations, as well as a drug handing unit that requires handing during dispensing operations. The cassette-mounted medicine contained in the cassette is ejected from the medicine cassette, and the non-cassette medicine that is not contained in the medicine cassette is dispensed from the medicine handling unit. Is adapted to one package of collectively discharge the drug in dosage unit (e.g., see Patent Documents 4 and 5).

  In the case of a dispensing operation at the packaging dispensing block 17 using such a medicine packaging machine, the latter non-cassette mounting medicine is used as a single package by using a medicine handing unit as compared with the former cassette mounting medicine. Prior to automatic dispensing with a drug dispensing machine, the drug must be manually spilled into the drug handling unit and the spare cassette that is attached to and detached from the drug handling unit. Dispensing work with a large amount. Further, since the drug handing is different in execution timing from the automatic dispensing, the dispensing operator 20 can operate the mobile terminal 19 to notify the group management device 30 of the dispensing execution information. When manual preparation or manual preparation is completed, if the medicine packaging machine or preliminary preparation apparatus automatically notifies the preparation execution information of the manual preparation part, the mobile terminal 10 is operated to operate the preparation execution information. However, the medicine packaging machine in this example can also be removed from the medicine packaging machine by removing the dispensing work directly from the medicine packaging unit just pulled out from the medicine packaging machine. In an indirect hand-working operation in which a medicine is hand-made in a preliminary-handing cassette temporarily mounted on the body medicine hand-drawing apparatus, the dispensation operator 20 operates the portable terminal 19 to send the dispensation execution information to the group management apparatus 30. It comes to notify.

  The audit work block 18 is a pseudo dispensing such as automatically starting and ending audit work using an audit support device having a counting function and a reading function in addition to a prescription data display function. Execution information can be notified to the group management apparatus 30, but since the person in charge of the inspection often spreads the dispensed medicine on the inspection table manually and checks it, the person in charge of the inspection is usually the portable terminal 19. The substitute fixing device is operated to notify the group management device 30 of dispensing execution information such as dispensing contents and dispensing work start / end.

  The mobile terminal 19 entrusts all or part of the dispensing work to the dispensing operator 20 to display a dispensing instruction consisting of only the relevant part of the prescription data on the screen, Dispensing execution information such as start / end is notified to the group management apparatus 30 via the wireless LAN, and the respective dispensing execution units 13 to 18 can be used easily and accurately by any of the dispensing execution units 13 to 18. In addition to the optical reading function that reads the necessary information such as the drug name and drug code indicating the drug type attached to the 18 drug shelves, etc., it also has a clock function that shows the start and end times of dispensing operations, and a wireless communication function. Thus, it operates according to the operation of the operator 20.

  In addition, the mobile terminal 19 also receives display data from the group management device 30 via the LAN and displays it on the screen. The display timing of the mobile terminal 19 is the time when the data is received or after the end of the dispensing operation, A display instruction or the like by an operation of the dispensing operator 20 can be given, and can be changed by setting a display mode. The display content of the portable terminal 19 depends on the transmission data of the group management device 30 and will be described in detail later. In this example, a dispensing instruction (not shown) and the number of waiting for dispensing in each dispensing block ( 1 (b)) and the waiting time of dispensing for each patient in each dispensing block (see FIG. 1 (c)) are displayed by screen switching.

  The group management device 30 is composed of a programmable general-purpose computer suitable for information processing, and acquires prescription data to be processed in each store 10 from the prescription data acquisition means 11 and 12 via the LAN, and also via the LAN. Dispensing execution information is received from the dispensing execution information acquisition means 13 to 19 and collected. The group management device 30 creates dispensing instruction data from the acquired prescription data by performing extraction and decomposition as necessary, and sends dispensing instructions that can be automatically processed to the automatic dispensing machines of the dispensing blocks 13 to 17 at an appropriate time. In addition, dispensing instructions that require manual alignment are held as data waiting for transmission to the portable terminal 19.

  Further, the group management device 30 secures a data area in the memory for collecting and processing data useful for dispensing supervision support, and the dispensing supervision support data (see FIG. 2) includes pharmacy identification information and The number of prescriptions to be processed, the number of prescriptions that have been processed, the number of prescriptions that have not been processed, the prescription rate that has not been processed, the average dispensing time, and the amount of processing per person in the store are stored in the form of individual data. In the form of data, the hit rate, the number of dispensing runs, the coefficient, the dispensing amount, the number of people to be treated, and the amount per person are counted, dispensing dispensing block 13, weighing dispensing block 14, liquid dispensing block 15 and ointment dispensing block 16, respectively. Data groups associated with the packaging agent block 17 and the audit work block 18 are held.

  Furthermore, the group management apparatus 30 is configured to accumulate dispensing execution information such as dispensing contents and start / end of dispensing work over a certain long period of time such as several months. Specifically, it can be implemented using an appropriate general-purpose software tool such as an index sequential file suitable for key search, a tree-type database, or a relational database suitable for table creation. The associated prescription data and the derived dispensation instruction data are associated with the dispensation execution information, and the processing status of the waiting for processing, the processing in progress, and the processing in accordance with the progress of the dispensing operation While updating the contents, the dispensing execution information and the like are recorded one after another (recording means).

  In the dispensing supervision work support data (see FIG. 2), the pharmacy identification information is preliminarily set with a store name or the like that can identify the pharmacy in advance, and the coefficient also corresponds to the coefficient value ( In the example shown in the figure, 1.0, 2.0, 1.5, 1.6, and 1.8) are preset, but these coefficient values are values initially adopted by supervisors and others. It can be modified and changed any number of times after re-evaluation. The number of persons processed in each of the dispensing blocks 13 to 17 is also changed to a corresponding value if the personnel arrangement is changed. On the other hand, other data of the dispensing supervision work support data is first cleared every appropriate time period, for example, every business day, and then recalculated and recounted every time data is collected. ing.

  As a specific example of how each data value of the dispensing supervision work support data is calculated by the group management device 30, the number of prescriptions to be processed is calculated every time prescription data is acquired by the prescription data acquisition means 11 and 12. The number of processed prescriptions is increased by one each time when the completion of work is notified from the dispensing execution information acquisition means 13 to 19 for all the dispensing instruction data related to one prescription data. The number of unknown prescriptions is calculated by subtracting the number of processed prescriptions from the number of prescriptions to be processed, the prescription rate of processing unknown is calculated by dividing the number of prescriptions to be processed by the number of prescriptions to be processed, and the average dispensing time is collected by data It is calculated by calculating the total dispensing time obtained from the start and end of the completed dispensing operation and dividing it by the number of processed prescriptions.

  In addition, the group management device 30, for each dispensing block corresponding to each of the dispensing execution units 13 to 18, finds the hit from the prescription data for the corresponding block including the dispensing instruction processed in the corresponding dispensing block and the dispensing execution information thereof. The rate, the number of dispensing runs, the amount of dispensing processing, and the amount of processing per person are calculated. At that time, the hit rate is calculated by dividing the number of prescription data for the corresponding block by the number of processed prescriptions or the number of prescriptions to be processed. Dispensing execution number is calculated by multiplying the number of processed prescriptions by the hit rate. Dispensing processing amount is calculated by multiplying the dispensing execution number by a coefficient. Per capita processing amount is divided by the number of processing people. It comes to calculate by. As for the number of dispensing executions, any of the number of dispensing work end notifications for the corresponding block, the number of prescriptions processed for the corresponding block, the number of prescription data for the corresponding block is straightforward and easy to understand. Although it is good, if one prescription data (prescription) hits a plurality of dispensing blocks, the value tends to become extreme, so the hit rate is multiplied to take the middle. Further, the audit work block 18 is slightly different, and the hit rate is set to 100%, and the dispensing processing amount is set to the total value of the dispensing processing amounts of other blocks.

Further, the group management device 30 calculates the dispensing time for each dispensing block corresponding to each of the dispensing execution units 13 to 18 and omits them, but the extended form of the array data / table data described above or another It is held in the form of single-row data. The dispensing time of the dispensing block is calculated by obtaining the time spent for each dispensing operation from the data related to the corresponding block from the dispensing execution information collected from the dispensing execution units 13 to 18 and adding them together. It has become.
In addition, the group management device 30 displays the value of the dispensing supervision work support data calculated as described above on a monitor screen or the like at any time or when appropriate at the time of designation, and in response to an instruction from the supervisor or the like. (See Fig. 2).

In addition, the group management apparatus 30 determines the number of waiting for each dispensing block corresponding to each of the dispensing execution units 13 to 18 from the data accumulated by the recording unit described above over a long period of time (hereinafter also referred to as long-term recording data). And the number of completed cases are obtained by data search, and the total values are arranged and displayed on the screen of the portable terminal 19 (see FIG. 1B).
In this example, the number of waiting cases is the number of dispensing instruction data that have been processed for the corresponding dispensing block, and the number of completed cases is the number of dispensing instructions that have been processed for the corresponding dispensing block. It is the number of items that have been processed on the day of the instruction data, but instead of the number of dispensing instruction data, use the number of prescription data and the value multiplied by the coefficient of the corresponding dispensing block. Also good.

  Further, when notified from the portable terminal 19 that one dispensing block has been selected from the list display, the group management device 30 dispenses the dispensing instruction data counted in the number of waiting for the dispensing block or the original dispensing instruction. The dispensing waiting time for each data is also obtained from the above-mentioned long-term recording data, summarized for each patient, and the totaled values are displayed side by side on the screen of the portable terminal 19 (see FIG. 1C). ). In this example, the waiting time is the time from when the dispensing instruction data is transmitted from the group management device 30 and received by the corresponding dispensing block to the current time, and when the prescription is accepted or the prescription data is Any one of the times from the time of reception to the current time can be selected by mode setting or the like, but these may be written together or only one of them.

  The group management apparatus 30 is also installed with a realization program for usage amount totaling means and comparison presentation means that is executed in response to an operation instruction from a supervisor or the like. In addition to the operation instruction, the input of a usage amount extraction period is requested, and when that period is input, the usage amount totaling means is a package dispensing block among all the drugs processed within the period. About the medicine used by all medicine packaging machines included in 17, the amount used is extracted from the above long-term record data and totaled for each medicine, and the name of the medicine, cassette mounting medicine or cassette not mounting Corresponds to drug information such as drugs. Then, taking over the aggregated data, the comparison presentation means presents the aggregated usage amount of the cassette mounting chemical and the usage amount of the non-cassette mounting chemical. In this example (see Fig. 1 (d)), the names and usage amounts of cassette mounting chemicals are arranged on the left side in ascending order of usage amount, and the names and usage amounts of non-cassette mounting chemicals are arranged on the right side in descending order of usage amount. Are arranged vertically and presented by screen display or printing.

  The central management device 40 supervises the holding area for dispensing supervision work support data (see FIG. 2) and the holding area for long-term recording data (recording means (not shown)) secured by the group management apparatus 30 described above. 10, 10... Are secured, and the data values held by the corresponding group management device 30 are similarly held for each store 10. The store name of the pharmacy identification information, the dispensing execution number of each dispensing block, and the number of persons to be processed may be set in advance in the same manner as in the group management device 30, but immediately or later when set in any group management device 30. It is acquired and copied from the group management apparatus 30 via the WAN in response to an operation instruction or the like. Other data may be obtained from the group management device 30 via the WAN, and may be stored and calculated in the same manner as the group management device 30. The copy is acquired from the group management apparatus 30 via the WAN immediately or later according to an operation instruction or the like.

  In addition, the central management device 40 displays these data values on a monitor screen or the like at any time or when appropriate at the time of designation, and is printed with a printer or the like according to instructions from a supervisor or the like, so that it can be viewed Although it presents, since the data concerning a plurality of stores 10, 10,... Are held, the switching presentation for each store 10 and the enumeration presentation concerning the plurality of stores 10, 10,. In the presentation, for a plurality of stores 10, 10,..., The data including the processing unknown prescription rate is enumerated and presented so that the order of the stores 10 can be arranged based on the size of the processing unknown prescription rate. Can be determined. For example, ascending order or descending order and up / down / left / right can be selected, and according to the selection, they are presented in one line in the specified direction, either up / down or left / right, in the specified order. It has become.

  About the dispensing assistance system of this Example 1, the use aspect and operation | movement are demonstrated. Here, the dispensing supervision work support data (see FIG. 2) will be described by taking as an example the case of collecting and tabulating data every business day. Long-term recording data (recording means (not shown)) accumulates data over a long period as long as the allocated storage capacity permits.

  Each store 10 operates the group management device 30 before starting pharmacy operations such as nighttime and early morning to clear dispensing supervision support data (see FIG. 2) for each business day, and then performs prescription reception and dispensing work. . However, the pharmacy identification information, the coefficient, and the number of persons to be processed are not cleared by such initialization, but are set data that can be changed at any time as long as they are individual, so they are changed whenever necessary. By doing so, the impact of changes in staffing, etc. is promptly reflected in the tabulation results. Note that the long-term recording data (recording means not shown) automatically deletes the oldest data and then records the latest data when it seems to overflow, so there is no need to perform a clear operation.

When the pharmacy service is started and acceptance of prescriptions is started, prescription data is acquired by the prescription data acquisition means 11 and 12, and based on the prescription data, the group management device 30 determines the number of prescriptions to be processed and the hit rate of each dispensing block. It is updated and dispensing instruction data is created.
When the dispensing instruction data can be processed by the automatic dispensing machine of the dispensing blocks 13 to 17, the dispensing instruction data is transmitted from the group management device 30 to the automatic dispensing machine when the automatic dispensing machine becomes usable. In the case of alignment dispensing, it is held in the group management device 30 and connected to a request queue from the portable terminal 19. In addition, all prescription data and dispensing instruction data derived therefrom are transmitted from the group management apparatus 30 to the auditing work block 18 for use in dispensing audits, and are continuously accumulated in long-term recording data (accumulated data in the recording means). The

  Then, when the dispensing instruction data is received by the automatic dispensing machines of the dispensing blocks 13 to 17 and the corresponding dispensing operation is automatically executed, the dispensing execution information such as the content and start / end of the information is sent from the automatic dispensing machine to the group management device 30. The data is collected and collected by the group management device 30 in the long-term recording data one after another, and the number of processed prescriptions, the number of prescriptions for processing unknown, the prescription rate for processing unknown and the average dispensing time are calculated, and For the dispensing block to be performed, the number of dispensing runs, the dispensing throughput, the throughput per person, and the dispensing time are calculated. Furthermore, those dispensing execution information and / or calculated values are transmitted from the group management device 30 to the central management device 40, and the central management device 40 collects collected data and aggregated values relating to a plurality of stores 10, 10,. It is done.

  When the dispensing instruction data is linked to the request queue by hand dispensing or the like, the dispensing operator 20 manually prepares necessary medicines from a medicine shelf or the like in accordance with the dispensing instruction, but at the dispensing operation, the dispensing operator 20 However, by operating the portable terminal 19 that is held, the dispensation instruction data is displayed and selected, the start or end of the dispensation operation is input, or the medicine code attached to the medicine shelf from which the medicine is taken out is read. When the portable terminal 19 is made to perform the operation, the dispensing execution information is transmitted from the portable terminal 19 to the group management device 30 in accordance with those operations. Data values such as the number of processed prescriptions are calculated by the group management device 30, and similar dispensing execution information and calculated values are also accumulated in the central management device 40. Long-term recording data is stored not only in the group management apparatus 30 but also in the central management apparatus 40. However, if the dispensing operator 20 does not operate the portable terminal 19 even though the medicine is arranged in the above-described work, data collection and aggregation are not performed.

When several such dispensing operations are being performed, the dispensing worker 20 who has been in charge of the dispensing operation he has been in charge of, operates the portable terminal 19 to display a list of waiting numbers on the screen. (See FIG. 1 (b)), the stagnant dispensing block can be seen at a glance, so go to the dispensing block. Furthermore, when the portable terminal 19 is operated to display a list of waiting times for the dispensing block of the support destination (see FIG. 1 (c)), it can be seen at a glance which patient should be prioritized. .
In this way, not only the work burden but also the waiting time of the patient can be reduced appropriately.

  When the pharmacy service for one day is finished, the group management device 30 obtains calculated values such as the processing unknown prescription rate and the processing amount per person related to the store 10 at the installation destination, and the central management device 40 stores a plurality of stores 10. , 10,..., The same calculated value is obtained. Then, by visualizing and comparing these data by display or printing, it is possible to efficiently optimize the personnel allocation between the dispensing blocks in the store 10 where the group management device 30 is located, and the central management device 40. In a headquarters where there is, it is possible to efficiently optimize the personnel allocation between stores. In addition, the headquarters prompts confirmation of the dispensing work by using the mobile terminal 19 by, for example, increasing or decreasing the strength of the stores 10, 10,... Based on the list enumerated in order of the prescription rate of unknown processing. As a result, it is possible to accurately prevent dispensing omissions and malpractices, and improve the accuracy of data aggregation and thus improve the accuracy of supervision based on it.

Furthermore, after the pharmacy business as described above has been extended for a long time, supervisors and the like use the central management device 40 at the headquarters, and use the group management device 30 at each store 10 to collect the collected cassette mounting chemicals. The amount of use and the amount of non-cassette mounting chemical are presented for comparison (see FIG. 1 (d)). This comparison presentation may be performed on a display or a printer attached to the group management apparatus 30 or the like, but it is more convenient to transmit data from the group management apparatus 30 and display it on the portable terminal 19. When the usage amount comparison presentation is seen, the cassette mounting medicine and the cassette non-mounting medicine to be replaced can be understood. When the medicine cassette suitable for the cassette non-mounting medicine is arranged and obtained, both cassettes are replaced. Further, the medicine cassette removed from the medicine packaging machine searches for another store 10 having a relatively high use frequency of the corresponding medicine by presenting the amount of use of the other shops, and diverts it to the medicine packaging machine there.
In this way, it is possible to reduce time-consuming manual dispensing and reduce waste such as storing the medicine cassette.

[Others]
In the above embodiment, the recording means is built in the group management device 30 or the central management device 40. However, if the group management device 30 or the central management device 40 can access the recording means, it is built in. The group management device 30 and the central management device 40 may be installed in a separate device.
In the above embodiment, the ratio of the number of prescriptions with unknown processing and the number of prescriptions to be processed was calculated to determine the prescription rate with unknown processing at the pharmacy. A ratio with the number of prescriptions can be calculated and substituted.

In the above embodiment, the group management device 30 collects and processes only the data of the store 10 at the installation destination. However, like the central management device 40, any one or a plurality of group management devices 30 are collected. However, data of other stores 10, 10,... May be collected and processed via the WAN. The group management device 30 and the central management device 40 do not have to be separate devices as long as data can be collected and processed, and may be integrated into a single or a small number of management devices.
In the above-described embodiment, the amount of processing per person is calculated by the management devices 30 and 40 each time data is collected. However, the supervisor or the like instructs the management devices 30 and 40 to calculate these. It may be performed only when given.

  The dispensing support system of the present invention is not limited to applications when a plurality of pharmacies are scattered, and can be applied even when there is only one pharmacy. It can be applied to both in-hospital pharmacies and pharmacies of different scales.

10 ... store (pharmacy), 11 ... receipt computer (prescription data acquisition means),
12 ... Prescription reading device (prescription data acquisition means), 13 ... Count dispensing block,
14 ... Weighing dispensing block, 15 ... Liquid medicine dispensing block, 16 ... Ointment dispensing block,
17 ... Packaging dispensing block, 18 ... Audit service block,
19 ... mobile terminal (dispensing execution information acquisition means), 20 ... dispensing operator,
30 ... Group management device (management device), 40 ... Central management device (management device)

Claims (2)

Dispensing execution information acquisition means for acquiring dispensing execution information related to dispensing work performed in accordance with prescription data in a pharmacy and transmitting the data, and management apparatus for receiving dispensing execution information from the dispensing execution information acquisition means and collecting data And a dispensing support system comprising a portable terminal that receives data from the management device and displays the data on a screen, the management device includes a block for counting dispensing to be prepared in a necessary quantity and a medicine to be packaged in dosage units. The dispensing operation in the pharmacy is divided into several dispensing blocks including a dispensing block, and the number of waiting for dispensing in each dispensing block is tabulated, and the portable terminal is connected to the management device. A dispensing support system, wherein the total number of waiting cases is received and displayed on a screen in a list display for each dispensing block .   The management device is configured to count data on the waiting time of dispensing in each dispensing block, and the mobile terminal receives data on the waiting time counted from the management device and displays the data on the screen. The dispensing support system according to claim 1, wherein:

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