JP6831823B2 - Information display system, information display method and program - Google Patents

Description

The present invention relates to an information display system , an information display method and a program for supporting a business of providing a drug.

The development of information processing technology has spread widely to medical institutions such as pharmacies that dispense and provide drugs, and is increasing convenience. For example, in medical institutions, computers such as receipt computers that support the creation of receipts (statement of medical fees) have been known for a long time, and it is possible to create receipts without requiring advanced specialized knowledge or complicated calculations. ing. Further, in recent years, a system for electronically managing patient information such as drug history has become widespread.

In the past, the receipt computer and the drug history management system were hardware-independent computers. Therefore, for example, Patent Document 1 describes both functions in a pharmacy computer having a receipt computer function and a drug history management function. A computer for a pharmacy that is effectively linked is disclosed.

Japanese Unexamined Patent Publication No. 2011-118535

By the way, since the drug supply work is composed of many tasks, if one person in charge is in charge of these many tasks, it takes time from receiving the prescription to delivering the drug, and the patient Makes you wait for a long time. Therefore, in recent years, the division of labor has been promoted in the drug provision work at pharmacies, and a large number of tasks are shared by a plurality of persons in charge. As a result, since the drug delivery work is carried out in parallel by a plurality of persons in charge at the same time, the time from the reception of the prescription to the drug delivery can be shortened.
In the following, "business" refers to a series of steps from receiving a prescription to providing a drug, and the drug therapy instructed based on the diagnosis is individually optimized for the patient according to the specialty of the pharmacist. It means to monitor the progress and results, grasp the evaluation and problems, and convey them to doctors and patients. More specifically, (1) the information of prescription is appropriate for the patient from a pharmaceutical point of view as a "pharmacist" and information on the drug such as the latest drug information and information on the patient's physiological function and living environment. (2) Dispensing design (preparation processing such as crushing of drugs, or examination of preparation, mixing, packaging, etc.) so that it can be provided by the optimal method for patients based on prescription information, and diagnosis The drug therapy instructed based on the above is to be individually optimized and implemented for the patient by the specialty of the pharmacist, and the progress and results are monitored, the evaluation and the problem are grasped, and the doctor and the patient are informed. Communicate and (3) deliver with information provision (medication guidance) to enable patients to use medicines properly (maximize their own management ability to avoid interactions or side effects), and (4) ) Confirm that the patient used it properly, (5) Evaluate the efficacy after use, confirm the presence or absence of interactions and side effects, etc., and (6) Feed this information back to the prescription. Refers to a cycle. In addition, "work" refers to individual processes (for example, prescription reception, dispensing, drug provision, etc.) that constitute the work.

Here, when the work is shared by a plurality of persons in charge, each person in charge performs the work independently of the other persons in charge, so that it is desirable to appropriately grasp the progress status of the entire work. In addition, from the patient who accepts the drug donation, it is desired to understand how soon the drug can be provided.

The present invention has been made in view of such a request, and an object of the present invention is to enable a patient who receives a drug and a person in charge of providing the drug to easily grasp necessary information. To do.

(1) A progress management system used by the person in charge of providing drugs.
When the drug supply business is accepted, it is related to the work distribution means for allocating the provision business to a plurality of tasks and the work to be dealt with by being selected and corresponding to the plurality of the tasks allocated by the work distribution means. A selection unit generation means for generating a work selection unit including a plurality of work selection buttons for displaying information to be performed, an end reception means for receiving the end of work, and a plurality of the work selection buttons generated by the selection unit generation means. A display control means for displaying in a predetermined order and displaying the end in the vicinity of the work selection button corresponding to the work whose end has been accepted by the end receiving means is provided, and the work is performed in a predetermined order. A progress management system that can be in progress at the same time, at least the prescription audit work selection button is located upstream of the dispensing work selection button.

(2) Further provided with work pre-processing means for confirming whether there is information for which medication should be withheld based on drug information and patient information, and the selection unit generating means for the receiving patient who is the target of further work. A patient selection unit including a plurality of patient selection buttons for displaying corresponding information is generated, and the display control means further displays the result confirmed by the work preprocessing means in association with the patient selection button (1). Progress management system described in.

(3) The pre-work estimates the patient's disease based on the prescribed drug, and confirms whether there is information between the estimated disease and the prescribed drug that the patient should refrain from taking the drug. The progress management system described in (2).

(4) The pre-work is to confirm whether there is information that the patient should refrain from taking the drug between the prescribed drugs or between the prescribed drug and the drug prescribed in the past. Progress management system described in 2).

(5) The work that is in progress at the same time is a work selected from any of the different categories of the group consisting of patient-handling work, analysis work, and dispensing room work, (1) to (4). Progress management system described in any of.

(6) The work that is in progress at the same time is a work selected from two different categories of the group consisting of patient handling work, analysis work, and dispensing room work, and the work of the same classification is The progress management system according to any one of (1) to (4), wherein the state of progress is restricted at the same time.

(7) The progress described in any one of (1) to (4), wherein the work that is in progress at the same time is a work selected from any of prescription audit, patient information collection, and dispensing. Situation management system.

(8) When a computer used by a person in charge of providing a drug receives a drug providing business, a work distribution means for allocating the providing business to a plurality of tasks, and a plurality of the above-mentioned tasks distributed by the work distribution means. A selection unit generating means for generating a work selection unit including a plurality of work selection buttons that correspond to a work and display information related to the corresponding work by being selected, an end receiving means for receiving the end of the work, and the selection unit. A display control means that displays a plurality of the work selection buttons generated by the generation means in a predetermined order, and displays the end in the vicinity of the work selection button corresponding to the work whose end has been accepted by the end reception means. The work can be in progress at the same time regardless of the predetermined order, and at least the work selection button for the prescription audit is located upstream of the work selection button for dispensing.

According to the present invention, the person in charge or the patient can easily grasp the progress status of the entire work.

It is a figure which shows the structure of the progress management system. It is a figure which shows the outline of the drug providing business. It is a block diagram which shows the functional structure of the person-in-charge device. It is a figure which shows the log database of the storage part. It is a figure which shows an example of the display screen displayed on the person in charge apparatus. It is a figure which shows the allocation of the person in charge to the work which constitutes the drug providing business. It is a figure which shows the progress | calculation method of the progress | progress | progress of the drug providing work and the progress | state of each work. It is a figure which shows an example of the display screen displayed for the patient who visited a pharmacy. It is a flowchart which shows the process flow of the progress management system. It is a block diagram which shows the functional structure of the person-in-charge device. It is a figure which shows the drug database of a storage part. It is a figure which shows an example of the display screen displayed on the person in charge apparatus. It is a figure which shows an example of the display screen displayed on the person in charge apparatus.

[First Embodiment]
Hereinafter, embodiments of the present invention will be described with reference to the drawings.

[Configuration of progress management system 100]
With reference to FIG. 1, the progress management system 100 of the present invention informs the patient of the progress of the drug providing business, the person in charge device 1a ... 1n and the manager device 2 used by the person in charge on the pharmacy side. The display 3 and the like are included.

Person in charge devices 1a ... 1n are terminal devices used by persons in charge of each work constituting the drug providing business.
Here, referring to FIG. 2 (1), in the drug providing business, after receiving a prescription from a patient at the counter, the drug is dispensed according to the prescription, and when the final audit confirms that the dispensing is appropriate, It consists of a series of steps such as providing the drug to the patient at the counter. As an example, such drug provision operations are shown in FIG. 2 (2), that is, "reception", "drug history confirmation", "prescription audit", "patient information collection", "dispensing design", "explanation of medication", and "dispensing decision". It can be composed of "dispensing", "final audit", and "drug delivery accounting". Some of these operations can proceed independently of each other, and in the present embodiment, each of these operations is divided by a plurality of persons in charge. For example, among the tasks that make up the drug provision business, pharmacist A is in charge of "reception,""patient information collection,""dispensing," and "drug delivery accounting," and "drug history confirmation,""prescriptionaudit,""dispensingdesign," and "dispensing design." Pharmacist B is in charge of "explanation about medication" and "dispensing decision", and pharmacist C is in charge of "final audit".
In such an embodiment, for example, the person in charge device 1a is used by the pharmacist A, the person in charge device 1b is used by the pharmacist B, and the person in charge device 1c is used by the pharmacist C. Of course, the person in charge devices 1a ... 1n may be used not only by one person in charge but also shared by a plurality of persons in charge. Since the configurations of the person in charge devices 1a ... 1n are basically the same, they may be simply referred to as "person in charge device 1" below.

Here, the work of "reception" means the work of accepting the prescription brought by the patient and inputting the contents of the prescription. In addition, the work of "confirming drug history" refers to the work of confirming the history of drugs delivered to patients in the past. In addition, the work of "prescription audit" should refer to the patient's information, the drugs delivered in the past and the drugs described in the prescription, check if there are any drugs that should be withheld, and refrain from taking the drug. If there is a drug that is said to be, it means the work of contacting the doctor who issued the prescription and changing the drug of the prescription. In addition, the work of "collecting patient information" refers to the work of hearing from the patient information that may affect the medication such as the patient's constitution / lifestyle and the history of side effects of the drug. In addition, "dispensing design" refers to how to classify drug bags into which drugs are to be placed, to perform processing such as splitting and crushing drugs, or to package them into one package for each dose. It refers to the work of designing a method of dispensing such as shavings. In addition, "explanation regarding medication" refers to the work of explaining to the patient when and how often to take the drug and how to take the drug. Further, "dispensing decision" means a work of deciding to dispense based on a drug designed for dispensing. Further, "dispensing" refers to the work of collecting, processing, packaging, and putting a drug in a drug bag based on the dispensing design. In addition, "final audit" refers to the work of confirming that there are no errors in the upstream work. In addition, "drug delivery accounting" refers to the work of delivering a dispensed drug to a patient and performing accounting.

The person in charge device 1 is intended to support the work in a pharmacy from various aspects, and is realized by a keyboard, a touch panel, etc. in addition to a control unit that performs various arithmetic processes and a storage unit that stores various information. It is a general-purpose personal computer provided with an input unit and a display unit using a display. Various programs are installed in such a person in charge device 1, and when the control unit operates according to these programs, in addition to the receipt computer function and the drug history management function, the work sharing function peculiar to the present invention is exhibited. The work sharing function is a function that divides the drug provision work to each person in charge and manages the progress of the work by each person in charge.

The administrator device 2 is a terminal device that is used by an administrator who manages each person in charge and has administrator authority such as expansion, change, and restriction of the functions of the person in charge device 1, and is general-purpose like the person in charge device 1. Realized by a personal computer. The administrator device 2 can change, for example, the type and number of operations constituting the drug providing business.
The person in charge device 1 and the manager device 2 are connected by a predetermined network line and cooperate with each other to support the drug providing business to the patient.

The display 3 is arranged toward the patient who visited the pharmacy, and displays the progress status indicating the progress of the drug providing business to the patient. The display 3 is communicably connected to the person in charge device 1 and / or the administrator device 2, and displays the progress status according to the instructions from the person in charge device 1 and / or the administrator device 2.

[Functional configuration of the person in charge device 1]
Subsequently, the functional configuration of the person in charge device 1 for exerting the work sharing function will be described with reference to FIG. When demonstrating the work sharing function, the control unit 10 of the person in charge device 1 includes the work distribution means 11, the selection unit generation means 12, the charge distribution means 13, the work progress calculation means 14, and the end reception means 15. , The business progress calculation means 16 and the display control means 17 function. Further, the storage unit 20 is provided with a log database 21.

When the work distribution means 11 receives the drug supply work, the work distribution means 11 divides the provision work into a plurality of work (for example, each work shown in FIG. 2 (2)). The drug provision business is accepted when the person in charge of the counter receives the prescription from the patient and performs a predetermined registration in the log database 21.

Here, the log database 21 will be described with reference to FIG. The log database 21 is composed of a business log that manages the drug providing business and a work log that manages each work that constitutes the drug providing business. The log database 21 does not necessarily have to be possessed by the person in charge device 1 itself, and may be freely accessible by each of the plurality of person in charge devices 1. FIG. 4 (1) shows a business log, and FIG. 4 (2) shows a work log of each work constituting the drug providing business of business A02 stored in the business log.
In the business log, information such as "prescription drug", "reception number", "patient", "start time", and "end time" is stored in association with the "business" that identifies the drug providing business. Further, in the work log, information such as "person in charge", "input information according to the work", "start time", and "end time" is stored in association with each "work" constituting the drug providing business.
When the drug provision business is accepted, a new "business" is added to the business log, and a new work log corresponding to the "business" is generated. When a new work log is generated, the fields such as "person in charge", "input information according to work", "start time", and "end time" in the work log remain blank.

Returning to FIG. 3, the selection unit generation means 12 generates a selection unit corresponding to each work constituting the drug providing business. More specifically, the selection button corresponding to each work is read from the storage unit 20 and the selection button is pressed. Generate selections arranged in a predetermined order. Here, the predetermined order is arranged so that if the work is performed in accordance with the order when the drug providing business is performed, there is little need to redo the work as long as there is no mistake in the already performed work. For example, in the case of a prescription audit that checks whether there is a problem in administering a drug to a patient and a dispensing that prepares by adjusting and packaging the drug to be administered, a prescription audit is performed after the dispensing. If a drug that cannot be used in combination is found in, the drug must be dispensed again. Therefore, in a predetermined order, the prescription audits are arranged upstream and the dispensing is arranged downstream. In the present embodiment, the predetermined order is "reception", "drug history confirmation", "prescription audit", "patient information collection", "dispensing design", "explanation on medication", "dispensing decision", "dispensing", "final audit", and "drug". It is organized in the order of "delivery accounting".

Here, the selection unit will be described with reference to FIG. As shown in FIG. 5 (1), the selection unit 120 includes selection buttons 121A, 121B ... 121J, person in charge displays 122A and 122B, progress display 123, and work process display 124. To. As shown in FIG. 5 (2), the selection unit 120 configured in this way is displayed in the lower area of the display unit 30 of the person in charge device 1.

The selection buttons 121A to 121J (hereinafter sometimes referred to as "selection buttons 121") correspond to and are in charge of each work constituting the drug provision business such as "reception", "drug history confirmation", and "drug delivery accounting". Accepts choices from people. When the selection button 121 is selected by the person in charge, information related to the button type is displayed in the central area of the display unit 30. FIG. 5 (2) shows a display example when the selection button 121D corresponding to “Patient information collection” is selected, and a screen 301 for collecting patient information is displayed in the central area of the display unit 30. ing.
Person in charge display 122A and 122B (hereinafter, may be referred to as “person in charge display 122”) display the person in charge of the corresponding work in the drug providing business. In FIG. 5, "Nishi Hanako" performs "patient information collection" of the drug providing business for the patient "Ichiro East Japan", and the detailed screen is displayed. In addition, at the same time as "Patient information collection", it is displayed that "Totaro" is in charge of "prescription audit" of drug provision work for patient "East Japan Ichiro" performed by other person in charge device 1. There is. The person in charge of each work is assigned by the person in charge distribution means 13 described later.

The progress display 123 displays the progress status of the drug providing business. In the present embodiment, the progress status of the drug providing business is displayed by clearly indicating the completed work to the person in charge device 1 (pharmacy side). At this time, the progress display 123 also displays a display indicating that the work has been completed (for example, 125A and 125B in FIG. 5) and an end time of the completed work (for example, 126A and 126B in FIG. 5). In FIG. 5, it is displayed that "reception" and "drug history confirmation" have been completed in the drug provision business, "reception" is completed at "15:40", and "drug history confirmation" is "15:00". It is displayed that it was completed in "41 minutes". In addition, the progress display 123 also displays the elapsed time from the start of the drug providing business, and in FIG. 5, it is displayed that "4 minutes" has passed from the start.
The display indicating that the work has been completed and the end time of the completed work are displayed in the vicinity of the corresponding selection button 121. Here, the neighborhood of the corresponding selection button may be displayed in a range in which the status of the selection button naturally falls within the field of view of the person in charge when the selection button is selected. As such, it may be displayed directly above or below the selection button, or may be displayed inside the selection button button.
When each work includes a plurality of steps (individual work), the work process display 124 displays how far the work has progressed by displaying the completed process and the unfinished process in different modes. .. In FIG. 5, it is displayed that the “prescription audit” consists of three steps, of which the second step has been completed.

In such a selection unit 120, by using the selection button 121, the person in charge can easily display the information necessary for the work in charge, and the convenience can be enhanced. In addition, the progress status of the entire drug providing business can be easily grasped from the progress display 123, and the entire business can be smoothly progressed. At this time, since the person in charge of each work is displayed as the person in charge display 122, it is possible to appropriately care for the person in charge who is behind in the work. Further, since the status of each work is displayed in detail as in the work process display 124, it is possible to grasp which work of each work is delayed and grasp the overall progress status in more detail. can do. In addition, by displaying the display indicating that the work has been completed and the end time of the completed work in the vicinity of the selection button 121, a multi-step act of selecting the work after grasping the progress of the work. When the person in charge tries to perform the work corresponding to the selection button 121, the progress of the work can be grasped and the work can be selected at the same time.

Returning to FIG. 3, the responsible distribution means 13 allocates the person in charge to the work assigned by the work distribution means 11, and stores the assigned person in charge and the allocated time in the work log of the log database 21. The person in charge may be assigned by an arbitrary method. For example, the person in charge at work may be automatically assigned based on the shift status of the pharmacy, or the person in charge may select the person in charge for each work. The person in charge may be assigned.
An example of assigning persons in charge will be described with reference to FIG. FIG. 6 (1) shows a login screen of a person in charge for the progress management system 100. The person in charge selects the person in charge name and the work in charge (with the password) from the login screen shown in FIG. 6 (1), and logs in to the progress management system 100. As a result, the person in charge and the work in charge can be acquired.
After that, when the patient is accepted, the person in charge device 1 of the person in charge displays the cards 131, 132, 133, 134 corresponding to the patient who received the reception. Each of these cards 131-134 indicates a drug delivery service to the corresponding patient. For example, card 131 indicates the drug provision business for the patient "Hanako East Japan" and indicates that the "final audit" is currently being conducted. The person in charge selects the cards 131 to 134 displayed on the person in charge device 1, and selects one drug providing business from a plurality of drug providing operations. As a result, the progress management system 100 can acquire the drug providing business that performs the work among the plurality of drug providing operations.
When the type of drug providing business, the type of work, and the person in charge are acquired in this way, the person in charge distribution means 13 allocates the person in charge to each work based on the acquired information. In addition, the person in charge needs to be able to acquire at least three pieces of information such as the type of drug providing work, the type of work, and the person in charge, and FIG. 6 is only one method for acquiring these three pieces of information. , Not limited to this.

The selection units corresponding to each work are arranged in a predetermined order as described above, while the person in charge of allocating the work may divide the work without being restricted by the predetermined order. it can. That is, while the work units are arranged in a predetermined order, it is possible to simultaneously perform the work corresponding to the work units from the viewpoint of the efficiency of division of labor.
The work that can be performed at the same time in this way may be classified from the viewpoint of the efficiency of division of labor. For example, some of the tasks can be categorized as patient response tasks that require direct patient response, and patient response tasks include "reception,""patient information gathering," and "explanation of medication." included. In addition, for example, a part of the work can be classified into an analysis work that analyzes whether or not there is a drug that should be withheld based on patient information, drug information, etc., and the analysis work includes "drug history confirmation". Includes "prescription audit" and "final audit". Further, for example, a part of the work can be classified into a dispensing room work in which adjustment of the drug to be administered is performed in the dispensing room, and the dispensing room work includes "dispensing design", "dispensing decision" and "dispensing". Is done. With respect to the work classified in this way, work different from the classified work can be performed at the same time.
Specifically, for example, the “prescription audit” of the analysis work may be performed and the “dispensing” of the dispensing room work may be performed at the same time. Further, for example, the “patient information collection” or the “explanation regarding medication” of the patient handling work may be performed, and at the same time, the “prescription audit” of the analysis work may be performed. Further, for example, the “patient information collection” or the “explanation regarding medication” for the patient handling work may be performed, and at the same time, the “dispensing” for the dispensing room work may be performed.

Returning to FIG. 3, the work progress calculation means 14 calculates the progress status of the work according to the time after the person in charge is assigned by the charge distribution means 13. The calculation of the progress of the work will be described later in FIG.

The end receiving means 15 accepts the end of the work. The reception of the end may be performed arbitrarily. For example, the end can be accepted by operating the end button (not shown) by the person in charge to whom the work is assigned. Further, for example, the end may be accepted in conjunction with the operation of a dispensing machine or the like (not shown) (for example, detecting that the dispensing machine has placed the drug at a predetermined position).
In response to the end receiving means 15 receiving the end of the work, the selection unit generating means 12 includes a display indicating that the work has been completed in the vicinity of the selection button and a selection unit including the end time of the completed work. Is generated and displayed on the display unit 30 by the display control means 17 described later.

The business progress calculation means 16 calculates the progress status of the drug providing business from the presence / absence of completion of each work constituting the drug providing business and the progress status of each work.

The display control means 17 controls the display on the display unit 30. As an example, the display control means 17 arranges the selection buttons 121 generated by the selection unit generation means 12 in a predetermined order and displays them on the display unit 30, and selects that the work whose end has been accepted by the end reception means 15 has been completed. It is displayed on the progress display 123 of the unit 120. Further, the display control means 17 displays the person in charge assigned by the person in charge distribution means 13 as the person in charge display 122 in association with the selection button 121 corresponding to the work in charge.

Here, with reference to FIG. 7, an example of calculating the progress status of the drug providing business and the progress status of each work will be described.
First, the calculation of the progress of the drug providing business will be described with reference to FIG. 7 (1). 7 (1) and 7 (a) are progress bars showing the progress of the drug providing business. The progress bar can be divided into a plurality of parts according to each work constituting the drug providing business. In the present embodiment, since the drug providing work is divided into nine tasks, the progress bar is divided into nine. In FIG. 7 (1), the progress bars corresponding to each work have the same length for easy explanation. The progress bar corresponding to each work progresses according to the elapsed time from the allocation of the work, and all progresses with the completion of the work. In FIGS. 7 (1) and 7 (b), the progress bars corresponding to the leftmost work are all in progress (work completed), and the progress bars corresponding to the second, third, fourth, and fifth work from the left are. It is still in progress (work in progress), and the progress bar corresponding to other work is in the state where progress has not yet started (work has not started). The progress of the drug providing business is calculated by adding up the progress bars of each of these operations. That is, the progress status of the progress bar in FIGS. 7 (1) and 7 (c) is the sum of the progress bars of each work in FIGS. 7 (1) and 7 (b).

Subsequently, the calculation of the progress status of each work will be described with reference to FIG. 7 (2). The progress of each work progresses according to the elapsed time since the person in charge was assigned. By the way, some of the operations constituting the drug providing business are completed in a relatively short time, and some operations are relatively long. If the progress of these works is managed uniformly, it does not necessarily indicate an appropriate progress.
Therefore, in FIGS. 7 (2) and 7 (a), the progress speed with respect to the elapsed time is made different while keeping the length of the progress bar of each work. That is, the progress speed with respect to the elapsed time is increased for the work completed in a relatively short time, and the progress speed with respect to the elapsed time is decreased for the work completed in a relatively long time. This is advantageous in that it becomes easy to grasp the number of completed works when the progress of the entire drug providing business is shown.
On the other hand, in FIGS. 7 (2) and 7 (b), the progress speed with respect to the elapsed time is the same, but the length of the progress bar of each work is made different for each work. That is, the progress bar itself is shortened for work that is completed in a relatively short time, and the progress bar itself is lengthened for work that is completed in a relatively long time. This is advantageous in that when the progress of the entire drug providing business is shown, the remaining time until the drug providing business is completed can be easily grasped visually.

In addition, in FIG. 7 (2), it was explained that the progress rate is adjusted according to the type of work, but the present invention is not limited to this, and the progress rate is adjusted according to the drug providing the adjustment and the patient's disease. You may do it. For example, for a drug having many explanation items to the patient, the work such as "explanation about medication" may take a long time, so the progress rate is as shown in FIG. 7 (2) depending on the drug to be provided and the patient's disease. May be adjusted.
Further, since the daily drug providing work is sequentially accumulated in the log database 21, the progress speed may be adjusted based on the accumulated information. As an example, the time required for each work stored in the work log is collectively totaled for each of the same or similar prescription drugs, and the time required for each work for the prescription drug is calculated based on the totaled result. Then, as a result of the calculation, it can be realized by slowing down the progress speed for the work that tends to take a long time, and increasing the progress speed for the work that tends to take only a short time.

The progress status of the drug providing business calculated in this way is displayed on the display 3 under the control of the display control means 17 (see FIG. 8). Since the display 3 is arranged for the patient who visits the pharmacy, it is supposed to display information different from the information displayed to the operator.
For example, although the patient's name is displayed to the person in charge (see FIG. 6 (2)), the patient's name is not displayed on the display 3 (FIG. 8) arranged for the patient, and the prescription Patients are identified by the reception number that received the reception. Displaying the patient's name to the person in charge is preferable to identify the individual patient as the person in charge, such as adjusting the speed of work according to the importance of the patient (patient's medical condition or customer's patient). This is because the name is not displayed to the patient because it is preferable to protect the personal information in relation to other patients. Similarly, while the person in charge is displayed with the department in which the patient was examined (Fig. 6 (2)), the department is not displayed with the patient (Fig. 8). .. This is because, as a person in charge, it is easy to make inquiries to the hospital by grasping the clinical department, but displaying the clinical department to the patient is not suitable for protecting personal information.
Further, for example, although the current work is displayed for the person in charge (see FIG. 6 (2)), the current work is not displayed for the patient and the expected remaining time is displayed. (Fig. 8). This is because it is easy for the person in charge to respond flexibly by displaying the current work, but it is meaningless because the patient cannot understand even if the individual work is displayed to the patient. On the other hand, for the patient, the expected remaining time is also displayed, so that the patient's dissatisfaction due to the waiting time can be reduced. The expected remaining time can be calculated by subtracting the elapsed time from the reception from the past actual time for the same or similar prescription drugs.
In this way, since the progress of the drug delivery work is displayed to the patient, the patient can grasp how long it will be possible to receive the drug, and reduce dissatisfaction during the waiting time. can do. At this time, since the progress status is calculated using not only the presence or absence of the completion of the work but also the progress status of the work according to the elapsed time, it is possible to inform the patient of the detailed progress status.

[Processing of progress management system 100]
Subsequently, the processing of the progress management system 100 will be described with reference to FIG.
First, the person in charge device 1 constituting the progress management system 100 determines whether or not the registration of a new patient has been accepted from the reception person in the pharmacy (S1). That is, the patient who visits the pharmacy wants to provide the drug by giving the prescription to the receptionist, and in S1, it is determined whether or not the acceptance registration of the drug provision business has been performed based on the received prescription. ..

When a new patient is accepted in S1, the work distribution means 11 of the person in charge device 1 subsequently generates a drug providing business corresponding to the patient, and the business log of the log database 21 (FIG. 4 (1). )) Write the necessary information (S2). Further, in this S2, the work distribution means 11 divides the drug providing work into each work, and writes the information corresponding to the divided work in the work log (FIG. 4 (2)) of the log database 21. Then, the work distribution means 11 is a card for selecting the work to be shared by the other person in charge with respect to the person in charge device 1 used by the person in charge other than the reception person (card 131 of FIG. 6 (2)). ~ 134) Sends information to display.

Following S2 or when a new patient is not accepted in S1, the responsible distribution means 13 of the person in charge device 1 determines whether or not the person in charge of the work constituting the drug providing business has been accepted ( S3). That is, the person in charge device 1 determines whether or not the displayed card has been selected by the person in charge.

When the person in charge is accepted in S3, the person in charge distribution means 13 subsequently assigns the person in charge of the work constituting the drug providing business to the person in charge, and is in charge of, for example, the work log of the log database 21. Write information such as the person and start time (S4). Based on the information written in the work log, the display control means 17 displays the person in charge display 122 on the selection unit 120 displayed on the display unit 30 of the person in charge device 1.

Subsequently, the work progress calculation means 14 of the person in charge device 1 measures the elapsed time from the start of the work by the person in charge for the work assigned by the person in charge, and measures the progress status of the work from this elapsed time. Calculate (S5).

Subsequently, the end receiving means 15 of the person in charge device 1 determines whether or not the person in charge of each work has received the end of the work (S6). For the work whose end is accepted in S6, the end acceptance means 15 ends the measurement of the elapsed time and writes the end time in the work log of the log database 21. Based on the information written in the work log, the display control means 17 displays the end time on the progress display 123 of the selection unit 120 displayed on the display unit 30 of the person in charge device 1, thereby displaying the end time. Do (S7).

Following S7 or when the end is not accepted in S6, the work progress calculation means 16 of the person in charge device 1 calculates the progress status of the drug providing work from the presence or absence of the end for each work and the progress status for each work. (S8). Subsequently, the display control means 17 of the person in charge device 1 displays the calculated progress status of the drug providing work on the display directed to the patient (S9), and ends the process.

The present embodiment has been described above. According to such a progress management system 100, the selection unit 120 corresponding to the work constituting the drug providing business is displayed on the person in charge device 1 used by the person in charge, and when the person in charge finishes the work, the selection unit 120 Displays that it has finished. As a result, from the end display shown in the selection unit 120, it is possible to distinguish between the completed work and the unfinished work among the operations constituting the drug providing business, and each of the plurality of persons in charge provides the drug. The progress of the entire business can be easily grasped.

Further, according to the progress management system 100, when each work includes a plurality of processes, the completed process and the unfinished process are displayed in different modes on the work process display 124 of the selection unit 120. .. As a result, the progress of each work can be grasped, and the progress status of the entire work can be grasped in more detail.
Further, since the person in charge of the work is displayed on the selection unit 120 as the person in charge display 122, it is possible to prevent the entire work from being delayed by appropriately providing care for the person in charge who is late, for example. ..

Further, in the progress status management system 100, not only the person in charge grasps the progress, but also the patient is notified of the progress status of his / her own drug providing business. Therefore, the patient can grasp how long the drug can be provided later, and can reduce dissatisfaction during the waiting time. At this time, since the progress status of the drug providing work is calculated not only by the presence or absence of the completion of the work but also by using the progress status of the work according to the elapsed time, the patient can be informed of the more detailed progress of the drug providing work. I can inform you.
In addition, the progress status of the work according to the elapsed time may be advanced at a different speed depending on the medicine to be provided, the patient's disease, and the type of work, thereby making the progress status more realistic. Can inform the patient.

[Second Embodiment]
In the first embodiment, in order to divide the drug providing work to each person in charge and to realize the work sharing function of managing the progress of the work by each person in charge, the control unit 10 of the person in charge device 1 performs the work. The distribution means 11, the selection unit generation means 12, the responsible distribution means 13, the work progress calculation means 14, the end reception means 15, the work progress calculation means 16, and the display control means 17 function. The storage unit 20 is provided with a log database 21. On the other hand, in the present embodiment, in order to realize the work sharing function, as shown in FIG. 10, the control unit of the person in charge device 1a includes the work distribution means 11, the work preprocessing means 11a, and the selection unit generation. The means 12a, the patient reception means 13a, the selection unit reception means 13b, the work progress calculation means 14, the end reception means 15, the work progress calculation means 16, and the display control means 17 function in the storage unit 20. Is provided with a log database 21 and a drug database 22.
The description of the same functions as those of the first embodiment will be omitted.

Does the work pretreatment means 11a have information that the work distribution means 11 should refrain from taking the medicine based on the medicine information and the patient information according to the reception of the medicine providing work and the distribution to a plurality of works? Perform pre-processing to confirm.
Here, the information that should be refrained from taking the drug is information on situations where it is not desirable to take the drug, such as when the side effects of the drug increase or the effect of the drug cannot be expected, and is mainly the package insert (drug). It is detected based on a document that describes the drug issued by the providing pharmaceutical company. More specifically, for example, information that side effects increase when administered to a predetermined disease, information that side effects increase when administered in combination with a predetermined drug, and a drug having the same efficacy and mechanism of action are administered. Therefore, there is information such as information that no effect can be expected even if further administration is performed.
In the work pretreatment, in the work of prescription audit, is there information that the patient's disease should be estimated based on the prescribed drug and that the patient should refrain from taking the drug between the estimated disease and the prescribed drug? The process of confirming is performed. In addition, the work pretreatment is, for example, a process of confirming whether there is information that the drug should be withheld between the prescribed drugs or between the prescribed drug and the drug prescribed in the past. In addition, in order to estimate the patient's disease, in this embodiment, it is performed based on the item of the estimated disease name of the drug database 22 created based on the efficacy in the package insert of the drug, and the information that the drug should be refrained from taking. Whether or not there is is based on the information on contraindications and other disease items in the drug database 22 created based on the information such as contraindications and cautions in the drug package insert and the information such as contraindications and cautions in the drug package insert. This is done based on drug items such as contraindications in the created drug database 22.
Further, in the work of collecting patient information, a process of extracting the emphasized information from the description of the package insert is performed in order to emphasize the information to be heard based on the description of the package insert and the patient information.

Here, the drug database 22 will be described with reference to FIG. The drug database 22 contains a drug ID that identifies a drug, a drug name that is the name of the drug, a presumed disease estimated from the prescribed drug, and contraindicated diseases that the drug should refrain from taking. , Contraindicated drugs, which are drugs that should be refrained from being taken in combination with other drugs.

Returning to FIG. 10, the selection unit generating means 12a includes a work selection unit (for example, a region 302 of FIG. 12, which will be described later, and a work selection button of 127a to 127j) corresponding to each work constituting the drug providing business. Area 305 and includes the work selection buttons 128a to 128j) and / and the patient selection unit corresponding to the patient who is the target of the drug providing business (for example, the patient selection unit 135a to 135d in area 303 of FIG. 12 described later). (Including buttons) is generated, and display screen data including a work selection unit and a patient selection unit is generated. The display screen data generated by the selection unit generation means 12a is displayed on the display unit 30 by the display control means 17.
Specifically, the selection unit generation means 12a configures the work selection unit with a display indicating that the work has been completed, the end time of the work for which the work has been completed, the person in charge of performing the work, and the work. Data for displaying a display showing the progress of individual work and a display showing the progress of the work are generated. In addition, the selection unit generation means 12a displays on the patient selection unit the result of pre-processing for each work of the patient, the progress status of the work being performed on the patient, and the display of the work being performed on the patient. It is designed to generate data to be used.

For example, with reference to FIG. 12, the data of the display screen that is first displayed on the display unit 30 after the person in charge logs in is illustrated and described. The display screen of FIG. 12 is a display screen immediately after the person in charge "Nishi Hanako" logs in, and is displayed in a state where the work selection unit of the receptionist is selected and the patient selection unit is not selected. The data on the display screen includes an area 302 in which the work selection unit is displayed and an area 303 in which the patient selection unit is displayed.
The area 302 in which the work selection unit is displayed includes the work selection buttons 127a to 127j. The person in charge "Nishi Hanako" is displayed above the work selection button 127a, the person in charge "Totaro" is displayed above the work selection button 127c, and the person in charge "Totaro" is displayed above the work selection button 127d. "Kitajiro" is displayed, the person in charge "Sakurako Minami" is displayed above the work selection button 127e, and the person in charge performing each work is displayed above the work selection button. Also, since the patient has not been selected yet, the person in charge for all patients in progress today is displayed, not the progress.
The area 303 on which the patient selection unit is displayed includes the patient selection buttons 135a to 135d. The patient selection unit displays the progress of the patient selection buttons 135a and 135b, respectively, and the work being performed is displayed. The patient selection button 135a indicates that the "final audit" work is being performed, and that the patient The selection button 135b indicates that the operations of "prescription audit" and "patient information collection" are being performed. In addition, the "last-minute login" that identifies who is the person in charge who finally performed the drug provision work to the patient and the reception date and time when the prescription was accepted are displayed. Further, on the patient selection button 135b, "contraindication", which is the result of the prescription audit pretreatment, is displayed, indicating that it corresponds to the item of contraindicated drug. On the patient selection button 135c, "prohibition", which is the result of prescription audit pretreatment, is displayed, indicating that the patient corresponds to a contraindicated disease.

For example, the data of the display screen displayed on the display unit 30 after the person in charge selects the patient selection button and the work selection button will be described by way of exemplifying with reference to FIG. On the display screen of FIG. 13, the person in charge "Nishi Hanako" selects the patient selection button of the patient "East Japan Saburo", and the patient reception means 13a described later accepts the selection of the patient "East Japan Saburo", and the person in charge "Nishi Hanako" Is the data of the display screen generated by the selection unit generation means 12a in response to the selection of the work selection button of the “dispensing” and the reception of the work of the “dispensing” by the selection unit reception means 13b described later. The data on the display screen is configured to include an area 304 in which information necessary for performing work corresponding to the work selection unit is displayed and an area 305 in which the work selection unit is displayed.
The area 302 in which the work selection unit is displayed includes the work selection buttons 128a to 128j. Below the work selection buttons 128a to 128j, the progress information of the work of the drug providing work for the patient "Eastern Japan Saburo" is displayed. In addition, a check mark (indication indicating that the work has been completed) is displayed above (near) the work selection buttons 128a and 128b, and below (near) the work selection buttons 128a and 128b, the completed work is displayed. The end time is displayed, and it is displayed that the work corresponding to the work selection buttons 128a and 128b has been completed. In addition, the person in charge "Totaro" is displayed above the work selection button 128c, and the person in charge "Hanako Nishi" is displayed above the work selection button 128h, and each of the drug provision operations for the patient "East Japan Saburo" The person in charge of the work is displayed above the work selection button.

In this way, the necessity of displaying the result of the work pre-processing at the time of work selection and / or patient selection will be described. In addition to the person in charge consistently taking charge of one patient, the drug providing work is divided into divisions of labor so that each person in charge performs only a predetermined work. By dividing the labor, it is possible to save the trouble caused by performing only the work in charge and switching to another work, and if there is no need to redo the work, the efficiency of the entire drug providing work is improved. However, if the division of labor is performed and the drug provision business is performed, the business is not performed in the predetermined order. Therefore, if a change occurs in the upstream work in the predetermined order, it is necessary to redo the downstream work. When such a change occurs, there is a problem that the efficiency of the drug providing business of the patient is deteriorated.
For example, in the prescription audit work, is there any drug that should be withheld while referring to the display section of the person in charge device 1a (patient information, drugs delivered in the past and drugs described in the prescription are displayed)? The work of dispensing is the work of collecting and processing the medicine in the dispensing room while referring to the display part (displaying the medicine and the medicine contained in the prescription) of the person in charge device 1a. It is a work that can be divided and work can be done at the same time, and unless there is a change in the prescription audit, it is more efficient to do it at the same time because there is less time to wait for the patient, but in the prescribed order, the medication is taken in the upstream prescription audit. If a drug that should be withheld is discovered and the content of the prescription is changed, it is necessary to redo the collection and processing of the drug in the downstream dispensing in a predetermined order, resulting in inefficiency.
Therefore, by displaying the result of the work pre-processing and grasping the patients / work that may change the work in advance, the work can be performed according to a predetermined order, or the work can be performed without following the predetermined order due to the division of labor. Provide a system that allows you to choose whether to do this.

Returning to FIG. 10, the patient receiving means 13a receives an operation in which the person in charge selects the patient selection button via the input unit, and displays a display screen relating to the patient corresponding to the patient selection button selected by the selection unit generating means 12a. Instruct data generation.

The selection unit receiving means 13b accepts an operation in which the person in charge selects the work selection button via the input unit, and generates data on the display screen related to the work corresponding to the work selection button selected by the selection unit generating means 12a. Instruct.

The present embodiment has been described above. According to the progress management system 100a including the person in charge device 1a, when the person in charge starts the work, the progress status of the drug providing work is displayed on the screen of the patient reception work. As a result, the person in charge can confirm whether or not the progress is progressing, so that it is possible to grasp which patient should be prioritized when performing the work, and the drug delivery work is efficient. It is possible to manage and display the work as if it were done in a targeted manner.

Further, according to the progress management system 100a including the person in charge device 1a, the work selection unit is displayed side by side in a predetermined order of work, and the work selection unit is displayed regardless of the predetermined order of work. You can choose, and different people can do each work at the same time. Then, the progress management system 100a displays the result of the pre-processing in the drug providing business. As a result, the person in charge must refer to the result of the pre-processing and perform the work in the order of the work, otherwise the contents of the prescription etc. will be changed and the work performed will be redone. It is possible to understand the patients who should perform the work and the patients who should perform the work out of the work order because the work efficiency is improved if the work is done out of the work order from the viewpoint of dividing the work. It is possible to manage and display the work so that the drug providing work can be performed efficiently.

Although the embodiments of the present invention have been described above, the present invention is not limited to the above-described embodiments. Further, the effects described in the present embodiment merely list the most preferable effects arising from the present invention, and the effects according to the present invention are not limited to those described in the present embodiment.

Further, the present invention can be applied to a terminal device having the functional configuration shown in FIG. 3 or FIG. At this time, having the functional configuration shown in FIG. 3 or FIG. 10 means that the terminal device network the software installed on the predetermined server in addition to installing the software that realizes the functional configuration on the terminal device. Including the state available through. That is, the present invention can also be applied to a so-called ASP service that provides a business application to a customer via the Internet.

Further, in the embodiment of the present application, the invention of the present application can simultaneously perform the classified work among the patient-handling work, the analysis work, and the dispensing room work, which are different in classification. Therefore, there may be a restriction that the work of the same classification can be performed at the same time. The limitation of doing the work at the same time here is, for example, that a warning message is displayed when trying to work at the same time, or even if the work is tried at the same time, the work is completed unless the classification is the same and the upstream work is completed. This refers to restrictions such as being unable to perform work, or being unable to perform the same work in the same classification even if you try to work at the same time.

Further, in the embodiment of the present application, the present invention can display the result of the pretreatment in the patient selection unit, and can simultaneously perform the work of different classification among the patient handling work, the analysis work and the dispensing room work. However, as a result of pretreatment, for patients who are displayed with information that they should refrain from taking medication, it may be restricted to perform tasks at the same time even in tasks of different classifications. The limitation of doing the work at the same time here is, for example, that a warning message is displayed when trying to work at the same time, or even if the work is tried at the same time, the work is completed unless the classification is the same and the upstream work is completed. This refers to restrictions such as being unable to perform work, or being unable to perform the same work in the same classification even if you try to work at the same time.

Further, in the embodiment of the present application, the present invention can simultaneously perform tasks of different classifications among patient-handling work, analysis work, and dispensing room work, but work selection corresponding to work of the same classification. The parts may be the same color, and the work classified into different categories may be easily grasped visually.

Further, in the embodiment of the present application, the present invention can simultaneously perform the work of different classifications regardless of the predetermined order among the patient handling work, the analysis work and the dispensing room work, but in the predetermined work. If a problem such as a change in the contents of the prescription occurs, the work already performed for the work located downstream of the predetermined order of the work in response to the acceptance of the predetermined operation by the person in charge. Alternatively, the work being performed at the same time may be processed so as to reflect the change accompanying the change in the upstream work and to bring the work into a state of being performed again.

Further, in the embodiment of the present application, the present invention has the predetermined order of "reception", "drug history confirmation", "prescription audit", "patient information collection", "dispensing design", "explanation of medication", "dispensing decision", and "dispensing". It is composed in the order of "final audit" and "drug delivery accounting", but if you follow the order when performing drug provision business, you do not have to redo if there is no mistake in the work you have already done. The work is not limited to this as long as it is arranged, and for example, the work may be further subdivided / integrated, or any work may be added / excluded.

The series of processes described above can be executed by hardware or software.
In other words, the functional configurations of FIGS. 3 and 10 are merely examples and are not particularly limited. That is, it suffices if the computer is provided with a function capable of executing the above-mentioned series of processes as a whole, and what kind of functional block is used to realize this function is not particularly limited to the examples of FIGS. 3 and 10. ..
Further, one functional block may be configured by a single piece of hardware, a single piece of software, or a combination thereof.

When a series of processes are executed by software, the programs constituting the software are installed on a computer or the like from a network or a recording medium.
The computer may be a computer embedded in dedicated hardware. Further, the computer may be a computer capable of executing various functions by installing various programs, for example, a general-purpose personal computer.

1 Person in charge device 10 Control unit 11 Work distribution means 12 Selection unit generation means 13 Person in charge distribution means 14 Work progress calculation means 15 End reception means 16 Business progress calculation means 17 Display control means 20 Storage unit 21 Log database 30 Display unit 2 Administrator terminal 3 Display 100 Progress management system

Claims (7)

It includes a first device having a drug history management function and a function of supporting work related to drug delivery, and a second device for displaying information directed to a patient.
The work related to the provision of the drug is carried out on the side of the person in charge without requiring a dialogue between the person in charge of performing the work and the patient and a work in which the person in charge of performing the work and the patient are not required to interact with each other. Including work
The first device is
A first display means for displaying the first information received and stored by the first device for the work related to the provision of the drug of the target patient to the person in charge of the work is provided. ,
The second device is
A second piece of information corresponding to the first information about the patient, which represents the content in which some information is deleted from the first information or the content in which the expression format is changed from the first information. A second display means for displaying information toward the patient is provided.
The first display means corresponds to an operation in the first device for a work that requires a dialogue between a person in charge of performing the work and the patient among the works performed based on the first information. display the information in order to support the dialogue with the patient by the person in charge Te and,
The second display means is characterized in that the second information is displayed to the patient with respect to the work related to the provision of the drug of the target patient performed based on the first information. Information display system. The first information is updated by the input performed according to the progress of the work of the person in charge of performing the work.
The information display system according to claim 1, wherein the first display means and the second display means display contents according to an update result of the first information. The work is a patient-handling work as a work requiring a dialogue between the person in charge of performing the work and the patient, and a work to be progressed by the person in charge without requiring a dialogue between the person in charge of performing the work and the patient. The information display system according to claim 1 or 2, wherein at least one of the analysis work and the dispensing room work is included. The first information includes information that changes with the progress of the work for the person in charge of performing the work.
The information display system according to any one of claims 1 to 3, wherein the second information includes information for the patient that changes with the progress of the work. An information display method performed by an information display system including a first device having a drug history management function and a work support function related to drug provision, and a second device for displaying information directed to a patient. There,
The work related to the provision of the drug is carried out on the side of the person in charge without requiring a dialogue between the person in charge of performing the work and the patient and a work in which the person in charge of performing the work and the patient are not required to interact with each other. Including work
The first device
Execute the first display step of displaying the first information received and stored by the first device for the work related to the provision of the drug of the target patient to the person in charge of performing the work. And
The second device
A second piece of information corresponding to the first information about the patient, which represents the content in which some information is deleted from the first information or the content in which the expression format is changed from the first information. Perform a second display step of displaying the information towards the patient.
In the first display step, among the operations performed based on the first information, the operations requiring dialogue between the person in charge of performing the operations and the patient correspond to the operations in the first device. display the information in order to support the dialogue with the patient by the person in charge Te and,
The second display step is characterized in that the second information is displayed to the patient with respect to the work related to the provision of the drug of the target patient performed based on the first information. Information display method to be performed. A program characterized in that a computer realizes the function of the first device constituting the information display system according to claim 1. A program characterized in that a computer realizes the function of the second device constituting the information display system according to claim 1.

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