JP6730485B1 - Pharmacist support system, pharmacist support method and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a pharmacist support system, a pharmacist support method, and a program, by which a pharmacist efficiently guides patients to take medication. Kind Code: A1 A pharmacist support system for supporting a pharmacist who administers patient medication instruction, wherein characteristic information to be explained to the patient at the time of medication instruction is selected by a pharmacist from a database storing characteristic information of medicines prescribed to the patient. A characteristic information selection unit, a characteristic information output unit that outputs characteristic information to an information terminal used by a pharmacist at the time of medication instruction, and a guidance completion storage unit that stores that medication guidance regarding characteristic information is completed. .. When selecting characteristic information to be explained to the patient, the characteristic information selection unit selects characteristic information different from the characteristic information selected when the patient was instructed to take the medicine last time. [Selection diagram] Fig. 9

Description

The present invention relates to a pharmacist support system, a pharmacist support method, and a program.

The pharmacist plays an important role to check whether the medicine prescribed by the doctor is safe and effective for the patient, and considers various information such as the patient's lifestyle, history of taking the medicine, drinking, and going to the hospital, I am instructing patients to take medication.

Further, a technique for supporting such medication instruction has also been developed (see, for example, Patent Document 1).

JP, 2017-182769, A

However, there are various matters to be explained to the patient at the time of medication instruction, and it takes a huge amount of time to explain them all.

Therefore, the pharmacist needs to accurately inform the patient of useful information in a limited time.

The present invention has been made in view of the above problems, and an object thereof is to provide a pharmacist support system, a pharmacist support method, and a program that enable a pharmacist to efficiently administer medication to a patient. To do.

A pharmacist support system according to an embodiment of the present invention is a pharmacist support system for supporting a pharmacist who provides patient with medication instruction, and a pharmacist stores a characteristic information of medicines prescribed in a patient in a pharmacist during patient medication instruction. The characteristic information selection unit that selects the characteristic information to be explained to the patient, the characteristic information output unit that outputs the characteristic information that should be explained to the patient to the information terminal used by the pharmacist at the time of the medication instruction, and the medication instruction about the characteristic information is completed. The characteristic information selection unit does not select the characteristic information selected during the previous medication instruction to the patient when the characteristic information selection unit selects the characteristic information to be explained to the patient. it allows to elect different characteristics information and the characteristic information.

In addition, the problem disclosed by the present application and the solution to the problem will be clarified by the description of the mode for carrying out the invention, the description of the drawings, and the like.

It becomes possible for a pharmacist to effectively guide patients to take medication.

FIG. 1 is an overall configuration diagram of an information system including a pharmacist support system. It is a figure which shows the hardware constitutions of a pharmacy terminal. It is a figure which shows the hardware constitutions of a pharmacist support system. It is a figure which shows the memory|storage device of a pharmacist support system. It is a figure which shows a medical history management database. It is a figure which shows a questionnaire database. It is a figure which shows a drug database. It is a figure which shows a medical history database. It is a figure which shows the function structure of a pharmacist support system. It is a figure which shows a login screen. It is a figure which shows a home screen. It is a figure which shows a patient search screen. It is a figure which shows a medical history search screen. It is a figure which shows a medical history display screen (basic information memo tab). It is a figure which shows a medical history display screen (check list tab). It is a figure which shows a medical history display screen (details input tab). It is a figure which shows a guidance navigation screen. It is a flow chart which shows a pharmacist support method.

At least the following matters will be made clear by the description in the present specification and the accompanying drawings. Hereinafter, the present invention will be described with reference to the accompanying drawings according to an embodiment thereof.

== Overall configuration ==
FIG. 1 shows an information system 1000 including a pharmacist support system 200 and a pharmacy terminal 100 according to an embodiment of the present invention. The pharmacist support system 200 and the pharmacy terminal 100 are connected so that data can be transmitted and received through a network 500 such as the Internet, a LAN (Local Area Network), or a telephone network.

The pharmacist support system 200 is a computer for supporting a pharmacist who provides patient with medication instruction. The pharmacist support system 200 stores various information such as patient information such as a patient's address, name, and sex, answers to questionnaires filled by the patient at the pharmacy, prescription content, prescription issuance history, and drug history. Therefore, when the pharmacist gives the patient medication guidance, it is possible to present items (side effects, precautions, etc.) to be explained to the patient so that useful information can be accurately transmitted.

The pharmacist support system 200 is communicatively connected to a not-shown receipt computer (rececon). When the pharmacist inputs the prescription data into the reception computer, the reception computer converts the prescription data into a common specification format such as Nsips (registered trademark) and then transmits the prescription data to the pharmacist system 200.

The pharmacy terminal 100 is a computer (information terminal) used by a pharmacist to give medication instructions, and in the present embodiment, as an example, a stationary computer installed in a pharmacy. Of course, the pharmacy terminal 100 may be a portable computer such as a tablet or a laptop computer.

Although one pharmacy terminal 100 is shown in FIG. 1, a plurality of pharmacy terminals 100 may be provided. When there are a plurality of pharmacy terminals 100, these pharmacy terminals 100 may be used in the same pharmacy or may be used in different pharmacy.

Note that the above-described receipt computer is a computer installed in a pharmacy like the pharmacy terminal 100, but the pharmacy terminal 100 may have the function of a receipt computer.

When a patient visits a pharmacy, the pharmacist receives a prescription from the patient, and if the patient is a first-time patient, asks them to fill out a questionnaire. To hear information such as.

Then, the pharmacist confirms that there is no problem with the content of the prescription, then dispenses the drug and hands it to the patient. At this time, the pharmacist guides the patient on how to take the medicine, the possibility of side effects, precautions, and the like. The pharmacist support system 200 uses the pharmacist terminal 100 so that the pharmacist can effectively administer the drug. Present various information to.

For example, as will be described in detail later, the pharmacist support system 200 displays a “guidance navi” screen listing the items that the pharmacist should explain to the patient at the time of the medication instruction on the screen of the pharmacy terminal 100 to guide the pharmacist to take the medication. Guide (see Figure 17). Further, the pharmacist inputs a check to each item displayed on the “guidance navi” screen, whereby it is possible to record that medication instruction for each item is given as a medication history. Further, the pharmacist inputs the content of the medicine given to the patient, the content of the patient talking at the time of the medication instruction, the physical condition, anxiety, matters to be confirmed at the next visit, etc. to the pharmacy terminal 100 as text data and records it as a history of medication. You can also do it.

With such a mode, the pharmacist support system 200 can realize efficient medication instruction.

The details will be described below.

==Pharmacy terminal==
First, the pharmacy terminal 100 will be described with reference to FIG.

FIG. 2 shows an example of a hardware configuration diagram of the pharmacy terminal 100. The pharmacy terminal 100 according to the present embodiment is a personal computer including a CPU (Central Processing Unit) 110, a memory 120, a communication device 130, a storage device 140, an input device 150, an output device 160, and a recording medium reading device 170. And computers such as tablets.

The storage device 140 stores various programs and data such as a pharmacy terminal control program 710 executed or processed by the pharmacy terminal 100.

Various functions of the pharmacy terminal 100 are realized by reading various data such as the pharmacy terminal control program 710 stored in the storage device 140 into the memory 120 and executing or processing by the CPU 110.

Here, the storage device 140 is a non-volatile storage device such as a hard disk, an SSD (Solid State Drive), or a flash memory.

Further, the pharmacy terminal control program 710 is a generic term for programs for realizing the functions of the pharmacy terminal 100 according to the present embodiment. For example, application programs and OS (Operating System) operating on the pharmacy terminal 100, various Including the library of.

The pharmacy terminal control program 710 is distributed in the state of being recorded in the recording medium 800 such as an SD card, or is downloaded to the pharmacy terminal 100 from the pharmacist support system 200 or another computer (not shown) via the network 500. It can also be distributed.

In the former case, the recording medium reading device 170 reads the pharmacy terminal control program 710 recorded in the recording medium 800 and stores it in the storage device 140. In the latter case, the communication device 130 acquires the pharmacy terminal control program 710 from the pharmacist support system 200 or another computer (not shown) via the network 500 and stores it in the storage device 140.

The input device 150 includes various buttons and switches that receive commands and data input by a user, a keyboard, a touch sensor that detects a touch position on a touch panel display, an input interface such as a microphone, an acceleration sensor, a temperature sensor, a GPS receiver, and the like. A position detection sensor such as a compass and a camera.

The output device 160 is an output user interface such as a display device such as a display, a speaker, a vibrator, and lighting.

==Pharmacist Support System==
As shown in FIG. 3, the pharmacist support system 200 includes a CPU 210, a memory 220, a communication device 230, a storage device 240, an input device 250, an output device 260, and a recording medium reading device 270. The hardware configuration of these pharmacist support system 200 is not necessarily the same as the hardware configuration of the pharmacy terminal 100, but the basic configuration is common. Therefore, duplicated description of these hardware configurations will be omitted.

The pharmacist support system 200 may be realized as a web server, a cloud computer, or a virtual machine.

As shown in FIG. 4, the storage device 240 of the pharmacist support system 200 stores various programs and data such as a pharmacist support system control program 720 executed by the pharmacist support system 200 and a drug history management database 600. ..

Various functions of the pharmacist support system 200 by reading various data such as the pharmacist support system control program 720 and the drug history management database 600 stored in the storage device 240 into the memory 220 and executing or processing them by the CPU 210. Is realized.

<Drug history management database>
FIG. 5 shows an example of the drug history management database 600. The drug history management database 600 according to this embodiment includes a patient database 610, a questionnaire database 620, a prescription history database 630, a prescription database 640, a drug history database 650, and a drug database 660.

The patient database 610 is a database that stores information about patients such as names and addresses of patients who have visited the pharmacy, date of birth, sex, patient number, and insurance card number.

The questionnaire database 620 is a database that stores the contents of the answers to the questionnaire that the patient has asked to fill out. An example of the questionnaire database 620 is shown in FIG.

The questionnaire database 620 stores various information such as whether or not the patient desires a generic drug, has an allergic symptom, and smokes. The pharmacist can explain the precautions when taking the drug to the patient while appropriately referring to the content of the questionnaire database 620 when taking the drug. Further, the pharmacist support system 200 can appropriately select the guidance item to be displayed in the “guidance navi” (see FIG. 17) described later based on the content of the questionnaire database 620.

Returning to FIG. 5, the prescription history database 630 records the history of the date and time when the patient visited the pharmacy.

In the prescription database 640, the contents of the prescription created by the doctor are recorded. Specifically, the prescription database 640 describes information such as the name of the medical institution that issued the prescription, the doctor's name, the prescribed drug, the usage, and the dose.

The drug database 660 stores the characteristic information of the drug prescribed to the patient in association with the drug described in the prescription database 640. An example of the drug database 660 is shown in FIG.

In the drug database 660, drug name information, whether or not a drug is a high-risk drug, contraindications, indications and effects, side effects, interactions, precautions, and other characteristics of the drug are listed. Have columns. The side effect column has columns of "main side effect" and "serious side effect and initial symptom".

In the present embodiment, these contents recorded in the drug database 660 are stored in a database (not shown) which stores characteristic information of the drug separately constructed based on the package insert issued by the pharmaceutical company of each drug, It is acquired at any time by the pharmacist support system 200.

In Japan, no clear definition has been made for high-risk drugs at this time, but in the present embodiment, as described in the Japanese Pharmacists Association “Business Guidelines for Pharmaceutical Management Guidance of High-Risk Drugs in Pharmacies”, High-risk drugs are included in the categories listed in the manuals for preparing “Business Procedures for the Safe Use of Pharmaceuticals” by the Ministry of Health, Labor and Welfare and in the dispensing fee score table.

Further, terms such as contraindications, indications, effects, side effects, interactions, precautions, initial symptoms, and serious side effects are used in the present embodiment as described in the package insert of each drug produced by the pharmaceutical company. ..

Note that a serious side effect is sometimes expressed as a serious side effect, but has the same meaning in the present embodiment.

When the pharmacist support system 200 displays the “guidance navigator” screen as shown in FIG. 17 on the pharmacy terminal 100, it should explain from the characteristic information of the drug described in the drug database 660 at the time of medication instruction. Select characteristic information.

For example, “bleeding” is displayed as a serious side effect in the column of high-risk drug guidance on the “guidance navigation” screen shown in FIG. 17, which means that the pharmacist support system 200 displays “bleeding” in the drug database 660 of FIG. In the “side effects” column, “bleeding” described in the “serious side effects and initial symptoms” column is selected and displayed.

Then, the pharmacist support system 200 stores in the drug database 660 that “bleeding” has been selected from the drug database 660 this time (in FIG. 7, “bleeding” is selected by enclosing the letters “bleeding” in a square. Next time, when the same drug is prescribed to the same patient, the one that is different from “bleeding” as “serious side effect” (for example, “anaphylaxis-like symptom”) is selected and “instruction” is given. "Navi".

As described above, the pharmacist support system 200 according to the present embodiment does not display on the pharmacy terminal 100 all the items that the pharmacist should explain to the patient at the time of instructing medication, but displays items that have not been explained to the patient so far. Therefore, the pharmacist can efficiently administer the medication without giving a duplicate explanation. Further, it is highly likely that the patient will not be able to understand all the items even if they are explained all at once, so that the instruction effect can be enhanced by receiving the medication instruction for the appropriately selected item as in the present embodiment. You can

Further, when the pharmacist selects the items to be explained to the patient during the medication instruction, the pharmacist support system 200 selects items different from the items selected last time, so that the explanation items are selected evenly. It is possible to prevent leakage and provide thorough medication instruction.

However, for example, if the drug prescribed this time is for one month and it is expected that the patient will not visit the pharmacy for a predetermined period (for example, one week) or more, the pharmacist support system 200 will explain at the time of this medication instruction. The number of items to be added may be increased. Further, in this case, the pharmacist support system 200 may select a larger number of items as the period until the patient visits the pharmacy next time is longer.

Alternatively, the pharmacist may be allowed to freely specify the number of pieces of characteristic information that the pharmacist support system 200 selects during one-time medication instruction.

Note that, as described above, the pharmacist support system 200 according to the present embodiment stores in the drug database 660 the items that the pharmacist explained to the patient at the time of medication instruction. Therefore, even if the patient does not visit the pharmacy for a long period of time thereafter, If the same drug is prescribed the next time the patient visits the pharmacy, it is possible not to give a duplicate explanation as the previous time.

Of course, the pharmacist support system 200 may delete the explanation item at the time of the previous medication instruction when the patient does not visit the pharmacy for a certain period or longer.

Returning to FIG. 5, the medication history database 650 records the medication history such as the content of the prescribed drug and the content of the dispensing, the constitution of the patient, the medical history, the disease being treated, the concomitant medication, the physical condition, and the medication status. There is. An example of the drug history database 650 is shown in FIG.

The pharmacist support system 200 records text data directly input as a drug history by the pharmacist into the pharmacy terminal 100 in the drug history database 650, and the pharmacist support system 200 allows the pharmacist support system 200 to display the drug history database 650 as shown in FIG. When the medication instruction is performed according to the guidance item (characteristic information of the drug) displayed on 100, the content of the guidance item is also recorded. With such a mode, it becomes possible to record the content of the instruction at the time of the medication instruction as a medication history without omission.

The drug history according to the present embodiment includes the pharmacist law, the enforcement regulations of the law, and the dispensation record defined by the Ordinance of the Ministry of Health, Labor and Welfare. It also includes various information such as written items, check list, and basic information memo.

Then, the pharmacist support system 200 displays the medication history on the pharmacy terminal 100 as shown in FIG. 16, for example. The pharmacist support system 200 can display the medication history for each date when the patient visits the pharmacy. In the example shown in FIG. 16, the screen is roughly divided into four columns, the first column from the left shows the medication history when the patient visited two times before, and the second column from the left shows the medications from the last visit. History is displayed. Then, in the third and fourth columns from the left, the current medication history is displayed together with the prescription content.

With such an aspect, the pharmacist can give the patient medication guidance while confirming the transition of the patient's medication history. For example, the medication guidance can be more precisely and meticulously given, such as being able to check all the matters sent back from the previous time. Will be possible.

<Functional configuration>
Next, an example of a functional configuration diagram of the pharmacist support system 200 is shown in FIG. The pharmacist support system 200 according to the present embodiment includes respective functions of a characteristic information selection unit 201, a characteristic information output unit 202, a guidance completion storage unit 203, and a medication history storage unit 204.

Each of these functions is realized by the hardware of the pharmacist support system 200 executing the pharmacist support system control program 720 according to the present embodiment.

The characteristic information selection unit 201 selects characteristic information that the pharmacist should explain to the patient when taking the medication, from a database that stores characteristic information (side effect information, precautions, etc.) of the drug prescribed to the patient.

In the present embodiment, the database is an external database (not shown) that is separately constructed based on the package insert of the drug, and the characteristic information selecting unit 201 determines the characteristics of the drug prescribed to the patient from the database. The information is acquired via the network 500 and temporarily stored in the drug database 660. Then, the characteristic information selection unit 201 selects characteristic information that the pharmacist should explain to the patient from the characteristic information of the medicines prescribed for the patient stored in the medicine database 660.

According to such an aspect, the pharmacist support system 200 does not have to connect to an external database every time the characteristic information is acquired, so that the characteristic information can be acquired at high speed.

Then, when the pharmacist selects the characteristic information to be explained to the patient during the medication instruction, the characteristic information selection unit 201 selects characteristic information different from the characteristic information selected during the previous medication instruction.

According to such an aspect, not all the matters to be explained by the pharmacist at the time of the medication instruction are displayed on the pharmacy terminal 100 each time, but those which have been appropriately selected by the pharmacist support system 200 and have not been explained to the patient are displayed. Therefore, the pharmacist can efficiently administer the medication without giving duplicate explanations. Further, it is highly likely that the patient will not be able to understand all the items even if they are explained all at once, so that the instruction effect can be enhanced by receiving the medication instruction for the appropriately selected item as in the present embodiment. You can Moreover, since the content of the explanation at the time of medication instruction does not overlap with the last time, it is not necessary for the patient to explain the same thing each time, and the pharmacist can also explain a wide variety of information on medicines without omission. Therefore, it becomes possible for the pharmacist to efficiently provide the patient with medication instruction.

Note that the pharmacist support system 200 updates the contents of the drug database 660 to the latest information each time the external database is updated to the latest information. Further, the pharmacist support system 200 may directly acquire the characteristic information of the drug from an external database.

The characteristic information output unit 202 outputs the selected characteristic information to the pharmacy terminal 100 used by the pharmacist when instructing medication. For example, the characteristic information output unit 202 outputs the characteristic information on the “teaching navigation” screen shown in FIG.

When the medication instruction regarding the above-mentioned characteristic information is completed, the instruction completion storage unit 203 stores that effect. In the present embodiment, the instruction completion storage unit 203 is realized by the drug database 660 or the drug history database 650.

For example, when medication instruction to a patient is completed regarding the characteristic information displayed on the “guidance navigation” screen shown in FIG. 17, the pharmacist uses the mouse to enter a check in the check box column and “Reflect on medication history”. By clicking the button described as, the instruction completion storage unit 203 stores, as a medication history, that the explanation of the checked characteristic information to the patient is completed.

The pharmacist support system 200 facilitates the input of the medication history by such a mode, and can realize efficient medication instruction.

==Pharmacist support method==
Next, a pharmacist support method using the pharmacist support system 200 according to the present embodiment will be described with reference to the screen transitions shown in FIGS. 10 to 17 displayed on the pharmacy terminal 100 and the flowchart shown in FIG. 18. To do.

First, when the pharmacy terminal 100 executes a browser (included in the pharmacy terminal control program 710) and sends a connection request specifying the URL (Uniform Resource Locator) of the pharmacist support system 200, the pharmacist support system 200 sends the pharmacist support system 200 to the pharmacy terminal 100. , And transmits the login screen shown in FIG.

When the pharmacist inputs his/her user name and password on this login screen and is approved by the pharmacist support system 200, the pharmacist support system 200 transmits the home screen shown in FIG. 11 to the pharmacy terminal 100.

On the home screen shown in FIG. 11, the pharmacist can search the medication history of the patient. As shown in FIG. 11, in the present embodiment, there are two types of drug history search methods, “patient search” and “drug history search”.

The “patient search” screen is a screen in which a patient can be searched by name or date of birth. The “medical history search” screen is a screen on which a patient can be searched from the dispensing day, and for example, a list of patients who have been dispensed today can be displayed.

When “patient search” is selected, the pharmacist support system 200 transmits the patient search screen shown in FIG. 12 to the pharmacy terminal 100.

When search conditions such as a patient number and a patient name are input on the patient search screen shown in FIG. 12, the pharmacist support system 200 extracts information corresponding to the search conditions from the drug history management database 600, and outputs the search results to the pharmacy. It is transmitted to the terminal 100.

A patient mark is appropriately attached to each patient displayed in the search results. The patient mark can be arbitrarily set by the pharmacy side, for example, "packet" for a patient desiring to be packaged, "care" for home care, and the like.

The pharmacist selects the corresponding patient from the search results and clicks the "start instruction" button with the mouse. Then, the pharmacist support system 200 transmits the drug history display screen shown in FIG. 14 to the pharmacy terminal 100 (S1000).

On the other hand, when “drug history search” is selected on the home screen of FIG. 11, the pharmacist support system 200 transmits the drug history search screen shown in FIG. 13 to the pharmacy terminal 100.

When search conditions such as a dispensing date and a patient name are input on the drug history search screen shown in FIG. 13, the pharmacist support system 200 extracts information corresponding to the search conditions from the drug history management database 600, and the pharmacy terminal 100 Send to.

Then, the pharmacist selects the corresponding drug history from the search results and clicks the "start instruction" button with the mouse. Then, the pharmacist support system 200 transmits the drug history display screen shown in FIG. 14 to the pharmacy terminal 100 (S1000).

The pharmacist gives medication instruction to the patient while referring to the medication history display screen shown in FIG. 14 (S1010).

The medication history display screen is roughly made up of four columns. The first row from the left shows the medication history when the patient visited the last time before, and the second row from the left shows the medication history from the previous visit. Is displayed. Then, in the third and fourth columns from the left, the current medication history is displayed together with the prescription content.

In the third column from the left of the medication history display screen of FIG. 14, a list of medicines prescribed to the patient this time is displayed. In the list of these medicines, the medicines described as “Nichiden” indicate that the number of days of taking the medicine has been changed from the time when the medicine was instructed last time. In addition, for the medicines described as “quantity change”, it means that the dose has been changed once compared to the time of the previous medication instruction.

Further, “▲” indicates that the medicine has not been prescribed previously but has been prescribed in the past. Clicking on this mark will display the past prescription date and the hospital where it was prescribed. "First throw" indicates that the drug is the first dose. "▼" indicates a drug that was previously prescribed but not this time.

“H” indicates a high-risk drug. "Prohibition" is displayed when there is a contraindicated drug or food or drink.
Further, a mark such as "Medicine A" or "Special pipe" is displayed according to the content of addition input to the receipt computer. “Medication A” indicates the category of the person who submitted the medication notebook. Drugs A to D are displayed.

“Special” is an abbreviation for specific drug management instruction addition, and is added when instructing high-risk drugs.

In addition, although not shown, “narcotics” and “drugs” are displayed in the area where “medicine A” and “special tube” are displayed as marks corresponding to instructions for prescribed drugs and addition according to the person who is prescribed. There are "nanny" and "overlap".

In the third column from the left of the medication history display screen, the column labeled “concomitant medication” indicates medications that the patient is currently taking, such as medications prescribed by other medical institutions and over-the-counter medications. The information stored in is displayed.

When the “check list” tab is selected in the fourth column from the left on the medication history display screen of FIG. 14, the pharmacy terminal 100 displays the check list tab shown in FIG. 15.

Then, the pharmacist can confirm the presence/absence of “consultation with other department”, the presence/absence of “combination drug”, the presence/absence of “complication” while talking with the patient, and can input the confirmation result by operating the mouse. When the “Save” button is clicked with the mouse, the pharmacist support system 200 records these input contents as a drug history in the drug history database 650.

When the “detailed input” tab is selected in the fourth column from the left of the medication history display screen of FIG. 14 or 15, the pharmacy terminal 100 displays the detailed input tab shown in FIG. 16.

In the detail input tab, buttons for “medicine guidance”, “side effects”, “addition”, “prescription change”, “DSU”, “prescription audit”, “inquiry inquiry”, “test value”, “instruction navigation” are displayed. Select these buttons as appropriate to give medication instruction.

Explaining in order, first, when “medicine guidance” is selected, the pharmacist support system 200 displays the efficacy/effect column, contraindication column, interaction column, and caution column of each drug prescribed from the drug database 660 at this time. Each characteristic information of the described medicine is read and displayed on the pharmacy terminal 100 (not shown). This allows the pharmacist to explain in detail to the patient about the efficacy and contraindications of each of the drugs prescribed this time, a careful drinking with other drugs, and other precautions.

When “side effect” is selected, the pharmacist support system 200 acquires the side effect information described in the side effect column of each drug prescribed to the patient this time from the drug database 660 and displays it on the pharmacy terminal 100 (not displayed). (Shown). This allows the pharmacist to explain in detail to the patient the side effects of the drug prescribed this time.

When the “addition” column is selected, the pharmacist support system 200 determines the efficacy/effect column, contraindication column, interaction column, and caution column from the drug database 660 regarding particularly high-risk drugs among the drugs prescribed this time. Each characteristic information described in the item column and the side effect column is acquired and displayed on the pharmacy terminal 100 (not shown). This allows the pharmacist to explain in detail to the patient about high-risk drugs that require special attention when taking the drug, their indications and contraindications, careful drinking with other drugs, side effects, and other precautions.

When the "prescription change" column is selected, the pharmacist support system 200 compares the contents of the present prescription with the contents of the previous prescription and the contents of the prescriptions two times before, and extracts changed parts such as usage, dose, and number of days. Then, it is displayed on the pharmacy terminal 100 (not shown). As a result, the pharmacist can explain to the patient the medicines that should be taken in different ways.

When “DSU” is selected, the pharmacist support system 200 displays the update information of the package insert of the drug prescribed this time (not shown). This allows the pharmacist to explain to the patient the latest information such as newly published side effects, drinking, and precautions.

When the “prescription inspection” is selected, the pharmacist support system 200 extracts the drug drinks to be noted. For example, the pharmacist support system 200 extracts and displays a combination of a first drug that has an indication for a specific disease such as heart failure and diabetes and a second drug that is contraindicated for this disease (not shown). For example, when the first drug is a prescription drug and the second drug is an over-the-counter drug, it is difficult for a doctor to notice such a contraindication combination. It is possible to notice a drug combination that is contraindicated only for the patient.

When “inquiry inquiry” is selected, the pharmacist can input the content of the inquiry to the doctor, and the content is saved and reflected in the medication history. In addition, you may input the inquiry text with respect to a doctor, and may transmit this inquiry text to a medical institution from the pharmacist support system 200.

When the "test value" is selected, the pharmacist support system 200 estimates the patient's pathological condition from the abnormal value of the clinical test input to the drug history database 650 for each drug prescribed to the patient this time, Check whether the condition is contraindicated or carefully administered on the package insert.

When “guidance navigator” is selected (S1020), the pharmacist support system 200 refers to the drug history management database 600 and selects the characteristic information of the drug that the pharmacist should explain to the patient in this medication instruction. Create a "guidance navigation" screen (S1030). As described above, the pharmacist support system 200 selects characteristic information different from the characteristic information selected during the previous medication instruction.

Then, the pharmacist support system 200 transmits the “guidance navigation” screen illustrated in FIG. 17 to the pharmacy terminal 100 (S1040).

The “guidance navigation” screen is a screen for allowing a pharmacist to efficiently administer medication, and in the example shown in FIG. 17, “prescription change”, “high risk medication guidance”, “side effect confirmation”, “prescription audit”. Each item of "medicine guidance" is displayed (S1050). Then, the pharmacist support system 200 describes, in the drug database 660, the items that the pharmacist should explain to the patient at the time of the medication instruction regarding each item of “high-risk medication instruction”, “side effect confirmation”, “prescription audit”, and “medication instruction”. Appropriately select from the characteristics information of existing drugs and present it.

Each item displayed on the "guidance navi" changes depending on the content of the prescription, and, for example, unless a high-risk drug is prescribed, the "high-risk drug guidance" column is not displayed.

In the "prescription change" column, the contents of change such as usage, dose, and number of days when the contents of the present prescription are compared with the contents of the previous prescription are displayed. As a result, the pharmacist can explain in detail to the patient about the drug newly prescribed this time and the drug whose way of drinking is different from before.

In the column of “high risk drug guidance”, when the high-risk drug is included in the medicines prescribed to the patient, the serious side effect (critical side effect information) and initial symptom (initial symptom information) of this high-risk drug are included. Is displayed. As described above, these display contents are selected by the pharmacist support system 200 from the characteristic information of the drug stored in the medicine database 660, but different from the previously selected characteristic information is selected. ing. With such a mode, the pharmacist can efficiently confirm with a patient whether or not there are serious side effects and initial symptoms of high-risk drugs that require special attention when taking them.

Note that in the example shown in FIG. 17, “bleeding” is displayed as a serious side effect of the F tablet, which is a high-risk drug. And "vertigo" and "sudden headache" are displayed as the initial symptoms of this "bleeding".

In the column of "side effect confirmation" on the "guidance navigation" screen, serious side effects (critical side effect information) of the medicine prescribed to the patient and their initial symptoms (initial symptom information) are displayed. These display contents are selected by the pharmacist support system 200 from the characteristic information of the medicines stored in the medicine database 660, like the above-mentioned high risk medicine instruction, but in particular, a plurality of them are displayed for the patient. If the drug is prescribed, a serious side effect that overlaps with the most common drug among the unselected (undisplayed) serious side effects in the past is selected. In other words, the pharmacist support system 200 displays the serious side effects of each drug prescribed to the patient on the “guidance navigation” screen in the order of the number of duplicate drugs. In the example of FIG. 17, “anaphylaxis-like symptom” is displayed in the “side effect confirmation” column as a serious side effect of F tablets, H tablets, J and Q tablets. And as the initial symptoms of this "anaphylaxis-like symptom", "I feel sick" and "I sweat cold" are displayed.

Explaining a little further, if the pharmacist support system 200 is prescribing the drugs A, B, and C and “bleeding” is displayed in the “side effect confirmation” column, the same drug A, B, and D will be applied at the next prescription. Even if "bleeding" is a common serious side effect, since "bleeding" was confirmed last time, it is counted as already displayed. This is true even if the drugs are all different.

Further, when the prescribed drug is different from the previous time, the pharmacist support device 200 may clear and display the serious side effect displayed last time.

Thus, when multiple drugs with common serious side effects are prescribed, it is considered that the serious side effects common to more drugs are more likely to occur than other serious side effects. Therefore, by explaining the serious side effect to the patient in the order of the number of overlapping drugs, it is possible to more surely confirm whether or not the serious side effect occurs.

Note that the pharmacist support system 200 returns all the serious side effects of the medicines prescribed to the patient to the unselected state when all the serious side effects of the medicines prescribed to the patient have been selected. Then, the serious side effect information overlapping with the most drugs is selected as the characteristic information to be explained to the patient. That is, when all the serious side effects are selected, the pharmacist support system 200 selects the serious side effects again from the beginning (from the serious side effects with the most duplicated medicines) next time. According to such a mode, it becomes possible to continuously confirm with a patient whether or not there are serious side effects.

In the “prescription audit” column, drug combinations that require attention to interaction are displayed. For example, if the drug prescribed this time contains a first drug and a second drug, the first drug is indicated for heart failure, and the second drug is contraindicated for heart failure. Is displayed. With such a mode, it becomes possible to notice a drug combination which is contraindicated only in a patient with a specific disease. In the example shown in FIG. 17, it is displayed that there is no such drug combination.

In the column of "medicine counseling", the efficacy, side effects, and precautions of each drug prescribed to the patient this time are displayed. These display contents are selected by the pharmacist support system 200 from the characteristic information described in the drug efficacy/effect column, main side effect column (side effect information), and precautions column stored in the drug database 660. It is a thing.

The pharmacist support system 200 displays the same content about the efficacy of the drug each time, but displays different side effects and precautions from the information selected at the previous medication instruction. With such an aspect, the efficacy of the drug important to the patient can be surely explained every time, while the side effects and precautions can be explained to the patient from various angles little by little because of the wide variety of contents. By performing the above, it becomes possible to reduce the burden on both the pharmacist and the patient.

The pharmacist explains each of the above items to the patient with reference to the “guidance navigator”, and inputs a check into the check box each time medication instruction for each item is completed. Then, when the pharmacist clicks the “reflect on medication history” button (S1060), the pharmacy terminal 100 transmits a medication history reflection instruction including information indicating the checked items to the pharmacist support system 200 (S1070).

Then, the pharmacist support system 200 records in the medication history database 650 that the medication instruction regarding the characteristic information of each item included in the medication history reflection instruction has been completed (S1080). As described above, the pharmacist support system 200 records the characteristic information that the medication instruction is completed, so that another characteristic information can be selected and displayed on the “guidance navigation” screen at the next medication instruction.

Although the pharmacist support system 200, the pharmacist support method, and the program according to the present embodiment have been described above, according to the present embodiment, the pharmacist can efficiently provide patient with medication instruction.

The above-described embodiment is for facilitating the understanding of the present invention and is not for limiting the interpretation of the present invention. The present invention can be modified and improved without departing from the spirit thereof, and the present invention includes equivalents thereof.

100 pharmacy terminal 110 CPU
120 memory 130 communication device 140 storage device 150 input device 160 output device 170 recording medium reading device 200 pharmacist support system 201 characteristic information selection unit 202 characteristic information output unit 203 instruction completion storage unit 204 medication history storage unit 210 CPU
220 memory 230 communication device 240 storage device 250 input device 260 output device 270 recording medium reading device 500 network
600 drug history management database 610 patient database 620 questionnaire database 630 prescription history database 640 prescription database 650 drug history database 660 drug database 710 pharmacy terminal control program 720 pharmacist support system control program 800 recording medium 1000 information system

Claims (10)

A pharmacist support system for supporting a pharmacist who provides patient with medication instruction,
From the database that stores the characteristic information of the drug prescribed to the patient, a characteristic information selection unit that selects characteristic information that the pharmacist should explain to the patient when taking medication instructions,
A characteristic information output unit that outputs characteristic information to be explained to the patient to the information terminal used by the pharmacist when instructing medication,
A guidance completion storage unit that stores that the medication guidance regarding the characteristic information is completed,
Equipped with
The characteristic information selection unit, when selecting the characteristic information to be described to the patient, by not elect selected characteristic information in the previous medication instruction to the patient, selects the different characteristic information from the characteristic information , Pharmacist support system. The pharmacist support system according to claim 1, wherein
The characteristic information of the drug includes side effect information indicating side effects that may occur when the drug is taken,
The characteristic information selection unit selects side effect information different from the side effect information selected at the time of the previous medication instruction from the side effect information of the drug prescribed to the patient as characteristic information to be explained to the patient, pharmacist support system. The pharmacist support system according to claim 1 or 2, wherein
The characteristic information of the drug includes precautions when taking the drug,
The characteristic information selecting unit selects, from among the precautions of the medicine prescribed to the patient, a caution different from the caution selected during the previous medication instruction as characteristic information to be explained to the patient, pharmacist support system. The pharmacist support system according to any one of claims 1 to 3,
The drug characteristic information includes serious side effect information indicating serious side effects that may occur when the drug is taken,
The characteristic information selection unit, when a plurality of medicines are prescribed to a patient, the serious side effect information overlapping with the most medicines among the unselected serious side effect information in the past, characteristic information to be explained to the patient. Is a pharmacist support system. The pharmacist support system according to claim 4,
The characteristic information selection unit, if all the serious side effect information of the drug prescribed to the patient has been selected, after making all the serious side effect information of the drug prescribed to the patient unselected , A pharmacist support system that selects, as characteristic information to be explained to the patient, serious side effect information overlapping with the most drugs. The pharmacist support system according to any one of claims 1 to 5,
The drug characteristic information includes serious side effect information indicating serious side effects that may occur when the drug is taken,
The characteristic information selection unit, when a high-risk drug is included in the drug prescribed to the patient, from the serious side-effect information of the high-risk drug, the serious side-effect information selected at the time of the previous medication instruction is A pharmacist support system that selects different serious side effect information as characteristic information to be explained to the patient. The pharmacist support system according to claim 6,
The characteristic information of a drug includes initial symptom information indicating an initial symptom when a serious side effect occurs when taking the drug,
The characteristic information selecting unit selects, from the initial symptom information of the high-risk drug, initial symptom information different from the initial symptom information selected at the time of the previous medication instruction as characteristic information to be explained to the patient, a pharmacist Support system. The pharmacist support system according to any one of claims 1 to 7,
A pharmacist support system further comprising a drug history storage unit that stores, as a drug history, characteristic information in which a pharmacist gave a patient medication instruction. A pharmacist support method for supporting a pharmacist who provides patient compliance instruction,
Computer
From the database that stores the characteristic information of the drug prescribed to the patient, a step in which the pharmacist selects characteristic information to be explained to the patient at the time of medication instruction,
A step of outputting characteristic information to be explained to the patient to an information terminal used by the pharmacist when instructing medication,
A step of memorizing that the medication instruction regarding the characteristic information is completed,
Have
In the step of selecting the characteristic information to be described to the patient, by not elect selected characteristic information in the previous medication instruction to the patient, selects the different characteristic information from the characteristic information, pharmacists support method. A computer that supports a pharmacist who gives patient compliance instructions,
From the database that stores the characteristic information of the drug prescribed to the patient, a step in which the pharmacist selects characteristic information to be explained to the patient at the time of medication instruction,
A step of outputting characteristic information to be explained to the patient to an information terminal used by the pharmacist when instructing medication,
A step of memorizing that the medication instruction regarding the characteristic information is completed,
Is a program for executing
In the step of selecting the characteristic information to be described to the patient, by not elect selected characteristic information in the previous medication instruction to the patient, selects the different characteristic information from the characteristic information, a program.

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