JP6524029B2 - Dispensing system - Google Patents

Description

The present invention relates to a dispensing system provided with a safety cabinet used in industrial fields such as medicine, regenerative medicine, and pharmaceuticals.

  In the work of dispensing medicines, especially high risk drugs such as anti-cancer drugs, the preparation was set up in a dedicated dispensing room as there was concern that the workers such as pharmacists would be exposed to the high risk drugs. It is known to carry out in a safety cabinet (see, for example, Patent Document 1). The safety cabinet forms a semi-sealed working space except for the opening for working inside, and sucks the air in the working space to make the working space negative pressure, mainly the medicine in the working space It is intended to prevent the steam and powder from being discharged to the workers. By dispensing in the safety cabinet, the safety of the worker can be improved.

  In the case of dispensing using a safety cabinet, naturally, it becomes an operation while looking at a prescription (recipe). For example, in the preparation of an anticancer drug, the amount of the drug to be handled and the amount thereof have a great influence on the patient, and therefore, it is necessary to precisely adjust the amount of the drug etc. and dispense. Therefore, a prescribed check is performed when dispensing. In addition, the person who performs the dispensing (worker) and the auditor of the dispensing double check.

Here, in the dispensing procedure of a high risk drug such as an anticancer drug, for example, as a preparation operation, a worker or the like wears personal protective equipment (white coat, mask, cap, goggles, gloves, etc.) as a preparation operation.
Then prepare for dispensing. First, prepare the safety cabinet, and prepare necessary tools, medicines, etc. in the safety cabinet based on the prescription.

Next, dispense according to the prescription.
For example, there is an operation of "measuring a solution in which a drug is dissolved from a container (vial) using a syringe by an amount described in a prescription and injecting this solution into an infusion bag".
First, (a) a dilution liquid of a predetermined type and amount is injected into a container (vial) by a syringe and dissolved and diluted.
Next, (b) the medicine diluted at the above-mentioned predetermined dilution rate is weighed out with a syringe in an amount based on a prescription.
Then, (c) inject the measured drug into the infusion bag.
In each of the steps (a), (b) and (c) described above, the operator and the auditor double check the prescription entry items, such as whether the amount taken out is incorrect.
Thus, the dispensing operation in the safety cabinet is completed, and the dispensed drug is taken out.
In the double confirmation of each step of the above work, both the pharmacist of the work implementer and the auditor will seal or sign the prescription. The work pharmacist and the auditor can be identified by the mark and the signature.
The dispensing procedures as described above prevent the occurrence of problems in dispensing, including exposure of workers to drugs.

JP, 2011-87999, A

  By the way, in the above-mentioned preparation, the preparation operation and the check thereof are performed using a prescription. During the dispensing operation, the worker confirms the prescription with the prescription attached to the frame of the safety cabinet with a magnet. In this case, for a worker who performs dispensing work in proximity to the safety cabinet, the back and forth distance to the prescription held on the frame part of the opening of the safety cabinet or the shutter part of the opening is too short. Is difficult to see. In addition, the moving distance of the line of sight from the line of sight of the worker looking at the work space in the work to the line of sight of the worker checking the prescription in front of the work space is long, making it difficult to repeat the work and the confirmation of the prescription Become. From the above, in the safety cabinet, the workability of dispensing while looking at the prescription is poor, which may cause a mistake.

  In addition, the prescription will be touched by the worker for checking, sealing, etc., and it can not be denied that the prescription may be contaminated with the medicine to be dispensed. In addition, although working in the safety cabinet, it is not possible to say that the dispensing room is not completely contaminated with the medicine to be dispensed because the equipment and medicine container are put in and out of the safety cabinet .

  Therefore, when the auditor is in the dispensing room with the worker, not only the worker but also the auditor needs to pay full attention to the drug contamination. In addition, for example, a worker may check and dispense a prescription, and an inspector may check and seal a prescription that may be contaminated with a drug as described above. Furthermore, the prescription is carried to the storage place by a clerk or the like and stored. Therefore, there is a possibility that the auditor or clerk may be exposed to the drug through the prescription, and the contaminated prescription is stored as it is for a predetermined period, which causes secondary drug contamination.

The present invention has been made in view of the above circumstances, and its object is to provide an improvement of the workability in dispensation operation with safety cabinet, the can be Ru regulating agent system to prevent drug contamination by prescription .

In order to achieve the above object, the dispensing system according to the present invention comprises suction means for sucking air in an internal work space to make the inside a negative pressure, and for a worker to put a hand in the work space to perform work. An opening, a screen arranged to face a worker in a work space, a projector for projecting an image onto the screen and projecting data of a prescription for dispensing input from the outside onto the screen; A processing device having prescription storage means for storing data of the prescription to be output, prescription output means for outputting data of the prescription from the prescription storage means to the projector and projecting data of the prescription on the screen; A safety cabinet provided with worker input means for enabling the input of data by the An external processing unit disposed at a different location, external input / output means for inputting / outputting data to / from the external processing unit, and communicably connecting the external processing unit to the processing unit of the safety cabinet Communication means, the worker input means comprises authentication means for identifying the worker, and confirmation means for accepting the confirmation operation by the worker, and the processing device is a preparation based on a prescription by the worker It receives data indicating that it has been confirmed that it has been normally performed, and transmits it to the external processing apparatus via the communication means, and the external input / output means receives an acknowledgment from the worker indicating a confirmation based on the data. It has a printing means for printing a seal on a prescription .

  According to such a configuration, when the work in the safety cabinet is performed in accordance with a document such as some instruction sheet, the data such as the image of the document projected on the screen provided in the work space in the safety cabinet is viewed. While working. In this case, since the screen is in the work space where the worker works, there is no large movement between the sight line at the time of work and the sight line when viewing the screen, and the work is performed according to the instructions efficiently projected on the screen It is possible to do That is, as in the case where the document is fixed to the frame of the safety cabinet, it is not necessary to shift the line of sight from the work space to the front of the work space to look at the document. It will not be a difficult condition. Therefore, it is possible to view the information projected on the screen, for example, while hardly moving the line of sight to see your hand while working. As a result, it is possible to repeatedly perform the operation and the confirmation of the instruction without much moving the line of sight, and it is possible to improve the operation efficiency and the operation accuracy. That is, since the instruction can be confirmed immediately during the operation, it is difficult to make a mistake. As a result, the present invention can improve the working efficiency and the working accuracy even in the dispensing work while looking at the prescription.

In the configuration of the present invention, data of a prescription for dispensing is input to the projector from the outside of the projector, and the projector projects the data of the prescription on the screen .
According to such a configuration, it is possible to improve the efficiency of the dispensing operation while looking at the prescription.

Further, the contact Keru safety cabinet to the configuration of the present invention, a processor, and a worker input means to allow input of data by the operator is provided,
The processing apparatus includes a prescription storage means for storing data of the prescription to be output to the projector, prescription of projecting the data output to the prescription data of the prescription to the projector from the prescription storage unit to the screen The dispensing system having the above-described configuration includes an external processing device disposed at a different place with respect to the safety cabinet, and an external input / output device that inputs / outputs data to / from the external processing device. And communication means for communicably connecting the external processing device to the processing device of the safety cabinet, wherein the worker input means is an authentication means for identifying a worker, and confirmation operation by the worker And the processing device is confirmed that the dispensing based on the prescription by the operator has been performed properly. Data indicating that it is received and transmitted to the external processing device via the communication means, the external input / output means having printing means for printing on the prescription a seal by a worker representing a confirmation based on the data .

  According to such a configuration, the data of the prescription input from the outside is displayed on the screen, so that the safety cabinet does not require a prescription consisting of, for example, a paper medium, and the operator does not touch the prescription. Therefore, the prescription touched by the worker can prevent the spread of the drug contamination. In addition, the safety of people in contact with the prescription can be improved because the prescription is not contaminated with high-risk drugs. In addition, when it is necessary to use a sign or seal indicating that dispensing has been performed according to a prescription at the time of dispensing operation, for example, after data for enabling authentication, etc. is input by the operator input means, a prescription is as per It is possible to dispense and enter data indicating that it has been confirmed. This data only needs to be a substitute for a seal or a signature, and does not necessarily have to be evidence such as a photograph.

Dispensing system of the present invention may further comprise a camera for outputting image data to said processor by photographing the previous SL working space of the safety cabinet,
The data of the prescription input to the external processing apparatus by the external input / output means is transmitted from the external processing apparatus to the processing apparatus via the communication means and is input to the projector to input the data of the prescription Projectable on the screen,
Preferably, image data of the work space photographed by the camera is input from the processing device to the external processing device via the communication unit, and the image data is displayed on a monitor of the external input / output unit .

  According to such a configuration, the auditor can audit the dispensing operation with the monitor at a separate place from the safety cabinet, and can transmit prescription data to the processing device of the safety cabinet and project it from the projector to the screen it can. Thus, the auditor can be prevented from being exposed to high-risk drugs. That is, the auditor can check the dispensing by the worker without being exposed to the high risk drug.

  According to the present invention, it is possible to improve the working efficiency of the dispensing operation based on the prescription, and to prevent the prescription from being a cause of the contamination of the high risk drug.

FIG. 1 is a schematic view showing a dispensing system provided with a safety cabinet according to the present invention.

  Hereinafter, embodiments of the present invention will be described with reference to the drawings. As shown in FIG. 1, the safety cabinet 1 has a work space 2 inside. Further, the safety cabinet 1 is provided in front of the work space 2 (worker side), and the opening 3 communicating with the work space 2, the shutter 4 which can open and close the opening 3, and the work space 2 A suction means (not shown) for suctioning air (gas) is provided.

  Further, in front of the safety cabinet 1, for example, a chair 10 on which a worker sits is disposed. In addition, the work space 2 of the safety cabinet 1 has, for example, a lower floor surface, left and right inner side surfaces, an upper ceiling surface, and a rear surface facing the worker at the back of the work space 2, but this rear surface And a screen 12 for projecting data of the prescription 40 and the like. The screen 12 is disposed inside the work space 2 so as to face the worker and be visible to the worker. The screen 12 is basically always disposed in the work space 2, has resistance to a decontamination agent of high risk drug such as ozone, and is difficult to be oxidized by ozone.

  In addition, the safety cabinet 1 includes a projector 14 that projects data of the prescription 40 and the like on the screen 12 outside the work space 2. The projector 14 is disposed at a position where an image can be projected on the screen 12 but does not have to be disposed directly in front, and may be disposed obliquely. Although distortion occurs in the shape of the projected image in this case, it is corrected by the correction function of the projector 14.

  Therefore, the projector 14 is disposed at a position where it is difficult for the worker to disturb the work and for which the shadow of the worker is difficult to enter into the projection of the image. In addition, the projector is disposed so that the image projected onto the shutter 4 during work is not blocked. Preferably, even if the shutter 4 is transparent, the projector 14 projects an image from the portion where the shutter 4 is open. Further, at this time, the shutter 4 is not fully open, and only partially open to the extent that it does not interfere with the operation.

By arranging the projector 14 outside the work space 2, for example, the projector 14 can be prevented from being affected by a chemical such as ozone gas for decontamination. In addition, the projector 14 can be prevented from being contaminated by high risk drugs.
Further, in the safety cabinet 1, a camera 16 is provided outside the work space 2 for photographing a portion of the work space 2 in which a worker particularly works. The camera 16 is adapted to take an image of the dispensing operation so that an auditor confirms the dispensing operation and keeps a record of the dispensing operation. Workers should make sure that the camera 16 captures the label of the medicine container, the scale of the syringe when the medicine solution is absorbed by the syringe, and the container where the amount of medicine is reduced or emptied. Can. The camera 16 is disposed at a position where the operator and the shutter 4 are not likely to interfere with shooting of the work space 2 at the time of shooting. By disposing the camera 16 on the outside of the work space 2, it is possible to prevent the contamination with the high risk drug and to prevent the influence of chemicals such as ozone for decontamination. The projector 14 and the camera 16 are attached to the safety cabinet 1, but may be separated from the safety cabinet 1. However, the camera 16 and the projector 14 are connected to the processing device 20 of the safety cabinet 1 as described later.

  The safety cabinet 1 includes operator input means for the operator to perform input operations. The worker input means is a combination of the worker authentication means for authenticating the worker and the worker confirmation means for performing the check of the check item in the dispensing operation and the data input instead of the seal and the signature. The operator input means is, for example, an operation panel 18 provided in the vicinity of the opening 3 outside the work space 2 of the safety cabinet 1, and there may be operation buttons, a pointing device, a keyboard, etc. Good. In addition, the operation panel 18 includes a keyboard capable of inputting a password for authenticating the worker, a biometric authentication device capable of performing biometric authentication such as fingerprints, an IC cart or a magnetic card carried by the worker, a variety of RF tag cards, etc. A card reader or the like may be provided. In these cards, data for authenticating the worker is stored.

  Further, the safety cabinet 1 is provided with a processing device 20 to which a projector 14, a camera 16, an operation panel 18, and the like are connected. The processing device 20 may be provided in the projector 14, the camera 16, or the operation panel 18. The processing device 20 does not have to be a single unit, and may be provided to the camera 16, the projector 14, and the operation panel 18, respectively. In addition, when there exist multiple processing apparatuses 20, it is preferable that it can mutually transmit / receive data mutually.

Furthermore, the communication unit 22 is connected to the processing unit 20, and an external processing unit 24 described later is connected via the communication unit 22. The communication unit 22 is, for example, Ethernet (registered trademark) of a local area network or the like, but may be wired or wireless such as WiFi. The communication unit 22 enables transmission and reception of data between the processor 20 and the external processor 24.
Note that, as described above, when there are a plurality of processing devices 20, the communication unit 22 may be able to transmit and receive data between the plurality of processing devices 20.

  Here, the safety cabinet 1 and the camera 16 etc. are provided in the dispensing room 42, whereas the external processing device 24 is provided in the management room 44 which is a separate room from the dispensing room 42. . The management room 44 may be in the same building as the dispensing room 42 or in another building. In the management room 44, a desk 32 and a chair 34 for an auditor are installed, and an external processing device 24 is disposed at the desk 32. A monitor 26, a keyboard 28, an image input device 30 such as a scanner or a camera, a pointing device (not shown), etc. are connected to the external processing device 24 as external input / output means, and can be basically used universally Computer system.

In such a dispensing system, data of the prescription 40 for dispensing is taken in the dispensing operation. Here, the prescription 40 issued as a paper medium is fetched by the image input device 30 such as a camera or a scanner, and patient information including patient's name, gender, age, etc. is stored in the prescription storage area of the storage device of the external processing device 24 , And is stored in association with drug information such as the name of the drug to be dispensed.
The image data of the prescription 40 is output from the external processing device 24 to the processing device 20 via the communication means 22. In the processing unit 20, the image data of the prescription 40 is stored in the storage means as in the case of the external processing unit 24. Further, the processing device 20 outputs the image data of the prescription 40 stored in the storage means to the projector 14, and the projector 14 projects and displays the image data of the prescription 40 on the screen 12.

  Although the prescription 40 is currently a paper medium, it may be computerized, and the computerized prescription 40 may be, for example, data such as text and format, and this data is used as text or the like. It may be projected from the projector 14 onto the screen 12.

  Further, the image data of the work space 2 of the safety cabinet 1 photographed by the camera 16 of the dispensing room 42 is output to the processing device 20, and the processing device 20 performs an external processing device of this image data through the communication means 22. Output to 24. The external processing device 24 displays the image data on the monitor 26. An auditor in the control room 44 audits the dispensing operation based on the image displayed on the monitor 26.

  When the paper medium prescription 40 is used, the paper medium prescription 40 is not brought into the dispensing room 42, and only data is displayed on the screen 12 of the safety cabinet 1 of the dispensing room 42 as described above. When the dispensing is finished, the worker of the dispensing room and the auditor of the control room 44 respectively confirm that the dispensing has been performed according to the prescription 40. At this time, the auditor has a prescription 40 in a paper medium, and after confirmation, the auditor seals or signs the prescription 40. It is not realistic for the worker in the dispensing room 42 to seal or sign the prescription 40 in the management room 44. Here, for example, authentication means provided on the operation panel 18 of the safety cabinet 1 of the dispensing room 42, for example, password authentication, biometric authentication functions such as fingerprints, and confirmation means for receiving confirmation operations by the operator According to the function, data indicating that the dispensing based on the prescription 40 by the worker is confirmed to be performed properly is input to the processing device 20, and this data is transmitted to the external processing device 24 through the communication means 22. Ru. In the external processing device 24, the external input / output device is provided with printing means such as an automatic seal device, and the prescription 40 is in a state where marking such as a worker's mark is made. This prescription 40 will be stored, for example, in a prescription storage area without being contaminated by medicine.

  In addition, when the prescription 40 is computerized, with respect to the dispensing being performed normally, the worker performs the above authentication and confirmation with the safety cabinet 1, and they are stored in the processing device 20. The auditor performs authentication and confirmation in the external processing unit 24 of the control room 44 in the same manner as the worker, and these are stored in the external processing unit 24. These data are stored and stored in any storage.

  In a dispensing system having such a safety cabinet 1, when using a paper medium prescription 40, the prescription 40 is audited in the control room 44 without being brought into the dispensing room 42 with the safety cabinet 1 where the dispensing is performed. It is in the state of being handled by a person. The image data of the prescription 40 is read by the image input device 30 and input to the external processing device 24, the image data of the prescription 40 is transmitted to the processing device 20, and the image data is output from the processing device 20 to the projector 14. And projected onto the screen 12.

  In this state, the worker can dispense while looking at the prescription 40 projected on the screen 12. In this case, the screen 12 is inside the work space 2 of the safety cabinet 1 and can secure a certain distance between the operator and the user. That is, conventionally, the prescription 40 of the paper medium fixed to the frame of the safety cabinet 1 is disposed at the front surface (outside of the work space 2) of the shutter 4 of the safety cabinet 1. It is difficult to see the prescription 40 because the front-rear distance with the worker sitting close to the center can not be secured.

  In the present embodiment, the worker often looks at his / her hand placed in the work space 2 during work, but the screen 12 is disposed, for example, on the back side in the work space 2. There is an appropriate front-rear distance between the operator and the user, and the user can view his / her hand and the screen 12 without much movement of the line of sight. Therefore, it is possible to work in a state where the description of the prescription 40 and the dispensing operation performed by one's hand are compared, and it is possible to work efficiently and to confirm the prescription 40. It is less likely to take your eyes off the work while working, and it is possible to avoid the trouble caused by taking your eyes off the work. Also, when the prescription 40 is displayed using the monitor in the work space 2, the monitor will be exposed to the high risk drug. Therefore, if the monitor is taken out of the work space 2 when the monitor fails, the high risk medicine will be brought out of the safety cabinet 1. In particular, various devices are disposed in the housing of the monitor, and it is difficult to decontaminate the inside of the housing of the monitor and take it out of the safety cabinet 1. On the other hand, in this embodiment, the projector 14 is outside the work space 2 and can be prevented from being contaminated by high risk drugs. Basically, a sheet-like or plate-like screen can be used as the screen 12. Decontamination with ozone is also possible if there is no problem such as oxidation in terms of the material. Moreover, it is also possible to use the thing of the material which a high risk medicine does not permeate into the inside of the screen 12. The screen 12 may be a rear surface of the work space 2 of the safety cabinet 1, and the rear surface may be coated for the screen 12.

  In the dispensing operation, the worker does not put the prescription 40 of the paper medium in the work space 2 of the safety cabinet 1 or approach it, and the operator does not touch the prescription 40 with the hand on which the dispensing operation was performed. Therefore, it is possible to prevent the related persons from being exposed to the high risk drug via the prescription 40 without the prescription 40 being contaminated with the high risk drug.

  In addition, the auditor can audit the dispensing operation while in the control room 44 which is a separate room from the dispensing room 42 in which the safety cabinet 1 is disposed. Can prevent the auditor from being exposed to the drug.

  As described above, it is possible to avoid the risk that an inspector or the like other than the worker who actually performs the dispensing operation is exposed to the high risk drug, and it becomes easier for the worker to see the prescription 40 in comparison with the prior art. Makes it easy to concentrate on work. This can reduce the risk in handling high-risk drugs. As described above, the prescription 40 is not limited to the paper medium, and may be computerized. In this case, it is possible to perform authentication and verification digitally, and does not necessarily require a seal and a signature. Even when the paper medium prescription 40 is not used, basically, as in the case of using the paper medium prescription 40, the prescription 40 is displayed on the screen and the operator does not touch the prescription 40. The same effect as that of the paper medium can be obtained.

1 Safety cabinet 2 Work space 3 Opening 4 Shutter (opening and closing member)
12 Screen 14 Projector 18 Camera 20 Processor 22 Communication Means 24 External Processor 26 Monitor 40 Prescription

Claims (2)

It is arranged toward the worker in the work space, suction means for sucking air in the work space inside and making the inside a negative pressure, an opening for the worker to put a hand in the work space to work, and the work space A screen, a projector for projecting an image on the screen and projecting data of a prescription for dispensing input from the outside on the screen, a prescription storing means for storing data of the prescription to be output to the projector, and the prescription The processing apparatus includes prescription output means for outputting data of the prescription from the storage means to the projector and causing the data of the prescription to be projected on the screen, and worker input means for enabling the operator to input data. With a safety cabinet,
An external processing unit located at a different location relative to the safety cabinet;
External input / output means for inputting / outputting data to / from the external processing device;
Communication means communicably connecting the external processing device to the processing device of the safety cabinet;
Equipped with
The worker input means includes an authentication means for specifying a worker, and a confirmation means for receiving a confirmation operation by the worker, and the processing device is that dispensing based on a prescription by the worker has been properly performed. Receiving data indicating that it has been confirmed, and transmitting it to the external processing apparatus via the communication means, the external input / output means prints on the prescription a seal by a worker representing a confirmation based on the data A dispensing system characterized by having means. The camera further comprises: a camera for photographing the work space of the safety cabinet and outputting image data to the processing device;
  The data of the prescription input to the external processing apparatus by the external input / output means is transmitted from the external processing apparatus to the processing apparatus via the communication means and is input to the projector to input the data of the prescription Projectable on the screen,
  Image data of the work space photographed by the camera is input from the processing device to the external processing device through the communication means, and the image data is displayed on a monitor of the external input / output means. The dispensing system according to claim 1.

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