JP6418582B2 - Dispensing supervision support system - Google Patents

Description

  The present invention relates to a dispensing supervision support system that is useful for improving the efficiency and optimization of dispensing operations in a pharmacy, and more specifically, information that can grasp the progress of dispensing operations is stored in a portable terminal (portable information terminal, personal information terminal, PDA). , Tablet terminals, multimedia terminals), and a dispensing supervision work support system that aggregates and analyzes locally and as a whole.

  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 supervision and supervision to improve the efficiency and optimization of hand-sorted dispensing.

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 at the pharmacy and the countermeasures tend to be reciprocal, it is difficult to determine the appropriate amount of the countermeasures.
Therefore, it is a first problem to realize a dispensing supervision work support system capable of quantifying the burden amount of each dispensing work so that the burden of the work burden in various dispensing works becomes clear at a glance.
In addition, it is a second problem ( problem of the present invention) to realize a dispensing supervision support system that helps to increase the willingness to report dispensing work in order to effectively prevent dispensing errors.

  The dispensing supervision work support system of the present invention (Solution 1) was created in order to solve the first problem described above. Dispensing execution information related to dispensing work performed in accordance with prescription data in a pharmacy is provided. Dispensing execution information acquisition means provided with either or both of a dispensing machine and a portable terminal that acquire and transmit data, and a management device that receives dispensing execution information from the dispensing execution information acquisition means and collects data In the dispensing supervision operation support system, the management device divides dispensing work in the pharmacy into several dispensing blocks including a block of counting dispensing prepared as much as necessary and a weighing dispensing block measuring the necessary amount. Then, the coefficient value associated with each dispensing block is held as data, and the number of dispensing executions in each dispensing block is obtained based on the collected dispensing execution information. Wherein the dispensing execution number determined for dispensing blocks and calculates the dispensing processing amount is multiplied by the corresponding coefficient values.

  Further, the dispensing supervision work support system of the present invention is (Solution means 2), the dispensing supervision work support system of the above solution means 1, wherein the management device also holds the number of personnel arranged in each dispensing block. The processing amount per person is calculated based on the number of personnel and the dispensing processing amount of each dispensing block.

  Furthermore, the dispensing supervision work support system of the present invention is (Solution means 3), the dispensing supervision work support system of the above-mentioned solving means 1 and 2, wherein the management device is configured to distribute each dispensing block based on the collected dispensing information. It is characterized in that the dispensing time spent for dispensing work is tabulated.

Further, the dispensing supervision work support system of the present invention (Solution means 4 , the invention described in the first application of the present application ) was created to solve the above second problem and should be processed in a pharmacy. Prescription data acquisition means for acquiring prescription data by either or both of prescription processing in the pharmacy and data distribution from outside the pharmacy, and dispensing execution related to the dispensing work performed in accordance with the prescription data in the pharmacy In a dispensing supervision work support system comprising a dispensing execution information acquisition means comprising a portable terminal for acquiring information and transmitting data, and a management device for receiving dispensing execution information from the dispensing execution information acquisition means and collecting data, The management device obtains prescription data and other prescription number graspable information from the prescription data obtaining means to obtain the number of prescriptions to be processed at the pharmacy and collects the data collected. Calculate the number of prescriptions processed at the pharmacy based on the agent execution information, and calculate the difference between the number of prescriptions to be processed and the number of processed prescriptions to obtain the number of prescriptions unknown at the pharmacy It is characterized by.

Further, the dispensing supervision work support system of the present invention (the solution means 5 and the invention described in the first claim of the present application ) is the dispensing supervision work support system of the solution means 4, wherein the number of prescriptions with unknown processing and the process The ratio of the number of target prescriptions or the number of processed prescriptions is calculated to determine the prescription rate unknown at the pharmacy.

Further, the dispensing supervision support system of the present invention (Solution means 6 , invention as claimed in claim 3 of the present application ) is a dispensing supervision work support system of the above-mentioned solution means 5, wherein the prescription with unknown processing for a plurality of pharmacies is provided. The rates are listed and presented so as to be visible, and the order of arrangement of the pharmacies is determined on the basis of the prescription rate of the unknown processing at the time of listing.

In such a dispensing supervision work support system of the present invention (Solution 1), work content is obtained from dispensing execution information collected through a dispensing machine installed in a pharmacy or a portable terminal used in the pharmacy. The number of executions of dispensing is multiplied by the coefficient value for each dispensing block by the management device that holds the coefficient value for each dispensing block that has been set in advance according to the lightness of the burden for various dispensing operations with different burdens. Dispensing throughput is calculated.
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 supervision work support system capable of quantifying the amount of burden of each dispensing work, and as a result, the burden of work burden in various dispensing work becomes obvious at a glance. The first problem is solved.

  Moreover, in the dispensing supervision work support system of the present invention (solution 2), it is possible to judge the magnitude of the burden and the efficiency of the work more fairly and objectively by referring to the processing amount per person. Therefore, the first problem described above is solved at a high level.

Furthermore, in the dispensing supervision work support system of the present invention (solution 3), the dispensing time from the work start to the work end is totaled for each dispensing block, so if the total value is presented as a list, the dispensing block Since the working time of each is easily visualized, 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 supervision 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.

In the dispensing supervision support system according to the present invention (solution 4 , the invention described in the first claim of the present application ), data is transmitted via a portable terminal used in the pharmacy or a dispensing machine installed in the pharmacy. The number of prescriptions processed at the pharmacy is calculated from the collected dispensing execution information, the number of prescriptions to be processed at the pharmacy is calculated from the prescription data received at the pharmacy, and the number of prescriptions processed and the number of processed prescriptions The number of prescriptions unknown at the pharmacy is calculated from the difference.
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. 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 supervision work support system that helps to increase the willingness to report dispensing work, and as a result, dispensing errors can be effectively prevented. Two issues are solved.

Further, in the dispensing supervision work support system of the present invention (solution 5 , the invention described in the first claim of the application of the present application ), because the processing unknown prescription rate is used instead of or in addition to the number of processing unknown prescriptions, It is possible to compare fairly even for multiple pharmacies of different sizes and personnel.

Moreover, in the dispensing supervision work support system of the present invention (the solution 6 and the invention described in the first claim of the present application ), the prescription rates with unknown processing are listed and presented for a plurality of pharmacies. The comparison information between pharmacies is visualized in an easy-to-see manner, but at that time, the prescription rate of unknown treatment is arranged in order of magnitude, so the upper and lower evaluations for each pharmacy are clear and clear, so report the dispensing work Willingness to do becomes stronger.

The structure of a dispensing supervision work support system is shown about Example 1 of this invention, (a) is a hardware block diagram, (b) is a data example of a management apparatus.

With respect to the dispensing supervision work support system of the present invention, a specific mode for carrying out this will be described with reference to the following Example 1.
In addition to the solving means 1 to 3 described above, the first embodiment shown in FIG. 1 also embodies the above-described solving means 4 to 6 (claims 1 to 3 at the time of filing of the present application). .

  A specific configuration of the dispensing supervision work 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 hardware of a system main part, and FIG. 1B is an example of common data held by both the group management apparatus 30 (management apparatus) and the central management apparatus 40 (management apparatus). is there.

  This dispensing supervision operation support system (see FIG. 1 (a)) targets a plurality of (four in the figure) stores (pharmacies) 10, 10,... Scattered apart but belonging to the same pharmacy chain. In order to improve the efficiency and optimization of dispensing operations, one set is installed at each store 10 and connected via an in-store LAN in order to accurately monitor the dispensing operation by grasping the progress of the dispensing operation. 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 packaging dispensing block 17 is provided with a packaging machine that automatically performs from the reception of the dispensing instruction data (prescription data) to the packaging of the prescription medicine, and basically the packaging machine performs the identification information of the dispensing instruction data and the dispensing work. Dispensing execution information such as start / end is notified to the group management device 30. However, if the packaging target contains non-mounting medicine, the dispensing operator 20 needs to make a manual work. In some cases, the dispensing operator 20 operates the portable terminal 19 to notify the group management device 30 of the dispensing execution information when handing the medicine (hand-aligned dispensing). For example, a dispensing operation in which a medicine is manually dispensed in advance in a manual cassette that can be removed from the packaging machine can be a target for operating the portable terminal 19 to notify the group management device 30 of the dispensing execution information.

  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.

  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.

Moreover, the group management device 30 secures a data area in the memory for collecting and processing data useful for dispensing supervision work support (see FIG. 1 (b)). The number of prescriptions, the number of processed prescriptions, the number of prescriptions with unknown processing, the prescription rate with unknown processing, the average dispensing time, and the processing amount per person in the store are held in the form of individual data.
Further, in the form of array data / table data, the hit rate, the number of dispensing operations, the coefficient, the dispensing processing amount, the number of persons to be processed, and the processing amount per person are counted, dispensing dispensing block 13, weighing dispensing block 14, and liquid medicine dispensing block 15, respectively. A data group associated with the ointment dispensing block 16, the package dispensing block 17, and the audit work block 18 is held.
Further, although illustration is omitted, dispensing execution information such as dispensing contents and start / end of dispensing work is stored in data over an appropriate total time slot, for example, each business day.

  In the pharmacy identification information, a store name or the like that can identify the pharmacy is set in advance, and the coefficient is also a coefficient value associated with each dispensing block 13 to 17 (1.0 and 2.0 in the illustrated example). 1.5, 1.6, and 1.8) are set in advance, but these coefficient values are the values that supervisors and others have initially adopted in anticipation, and can be modified and changed as many times as possible after re-evaluation. It is like that. 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 is first cleared every appropriate totaling time zone, for example, every business day, and then recalculated and recounted every time data is collected.

  As a specific example, how to calculate each data value by the group management device 30, the number of prescriptions to be processed is increased by one each time one prescription data is acquired by the prescription data acquisition means 11, 12. The number of processed prescriptions is increased by one each time the end 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. Calculated by subtracting the number of processed prescriptions from the number of target prescriptions, the prescription rate for unknown processing is calculated by dividing the number of prescriptions for which processing is unknown by the number of prescriptions for processing, and the average dispensing time is the start of dispensing work for which data was collected It is calculated by calculating the total amount of dispensing time obtained from the end or the like 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 data value calculated as described above on a monitor screen or the like at all times or at an appropriate time at the time of designation, and prints it with a printer or the like according to instructions from the supervisor or the like. It is also.

  The central management device 40 secures the data area (see FIG. 1B) secured by the group management device 30 described above for each of the supervised stores 10, 10,... The data value held by the corresponding group management apparatus 30 is similarly held. 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 values may be calculated in the same manner as the group management apparatus 30 by obtaining dispensing execution information from the group management apparatus 30 via the WAN, but immediately after being calculated by any of the group management apparatuses 30 as well. Alternatively, it is acquired and copied from the group management apparatus 30 via the WAN in response to an operation instruction or the like later.

  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.

  The use mode and operation of the dispensing supervision work support system of the first embodiment will be described. Here, a case where data is collected and aggregated every business day will be described as an example.

Each store 10 operates the group management device 30 to clear each data in the memory before starting the pharmacy business such as at night or early morning, and then receives a prescription and performs a dispensing operation. 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.

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.

  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. And the group management device 30 calculates the number of processed prescriptions, the number of prescriptions for which processing is unknown, the prescription rate for processing unknown and the average dispensing time, and the number of dispensing runs and the amount of dispensing processing for the corresponding dispensing block. And 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. 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 such a dispensing operation is repeated and the pharmacy work for one day is finished, the group management device 30 can obtain calculated values such as a prescription rate for processing unknown and a processing amount per person related to the store 10 of the installation destination, A similar calculated value for a plurality of stores 10, 10,. 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.

[Others]
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 supervision work support system of the present invention is not limited to the application when there are a plurality of pharmacies scattered, and can be applied even if there is only one pharmacy, even in a small pharmacy, It can be applied to large hospital pharmacies and mixed 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 (1)

Prescription data acquisition means for acquiring prescription data to be processed in the pharmacy by either or both of prescription processing in the pharmacy and data distribution from outside the pharmacy, and dispensing performed in accordance with the prescription data in the pharmacy and dispensing execution information acquisition means provided with the mobile terminal acquires the dispensing execution information according to the working data transmission, dispensing director and a management device for data collection receives dispensing execution information from said dispensing execution information acquisition means In the business support system, the management device obtains prescription data and other prescription number graspable information from the prescription data obtaining unit to obtain the number of prescriptions to be processed in a pharmacy, and based on the collected pharmacy execution information The number of prescriptions processed at the pharmacy is calculated, and the difference between the number of prescriptions to be processed and the number of prescriptions processed It is adapted to determine being adapted to determine the processing unknown prescription rate in pharmacies by calculating the ratio of the number of processing not available prescription number and the processed prescription or the processed prescription number, the plurality of Pharmacy while presenting lists the processing unknown prescription rate visibly, the enumeration when the processing unknown prescription rate that to that regulating agent supervision characterized adapted to determine the order of the pharmacy on the basis of the magnitude Business support system.

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