JP7311747B2 - Medication Guidance Support System, Medication Guidance Support Program - Google Patents

Description

TECHNICAL FIELD The present invention relates to a medication guidance support system and a medication guidance support program for supporting drug compliance guidance work performed by pharmacists in medical institutions such as hospitals.

In a medical institution such as a hospital, prescription data is issued by inputting medical examination records and prescription contents into an electronic chart system or the like, and drugs are dispensed based on the prescription data. Thereafter, the drug dispensed based on the prescription data is taken by the patient in the hospital ward. Note that there is known a prescription inspection system capable of executing a prescription check for automatically judging whether the prescription data is appropriate or not before dispensing medicine based on the prescription data (see, for example, Patent Document 1).

By the way, in a hospital ward of a medical institution, a pharmacist may perform a drug-taking guidance service for hospitalized patients. Specifically, in the medication guidance service, the pharmacist self-confirms the drug taking status and the patient's condition according to a problem list containing predetermined confirmation information before or after taking the drug by the patient. includes the task of confirming In this way, unified medication guidance can be realized by performing the medication guidance work according to the problem list.

JP 2013-125377 A

However, the more confirmation information is included in the problem list, the lower the efficiency of the medication guidance work. Therefore, it is desirable that the confirmation information contained in the problem list is the minimum necessary.

An object of the present invention is to provide a medication guidance support system and a medication guidance support program capable of creating a problem list for efficiently performing medication guidance work.

A medication guidance support system according to the present invention corresponds to a prescription check check result for judging suitability of a plurality of check items for said prescription data among a plurality of pieces of confirmation information relating to medication administration of a drug dispensed based on prescription data. a presentation processing unit that presents only one or more of the confirmation information; and an output processing unit that outputs a list including one or more of the confirmation information selected from the confirmation information presented by the presentation processing unit. Prepare.

A medication instruction support program according to the present invention corresponds to a check result of a prescription check for determining suitability of a plurality of check items for the prescription data among a plurality of pieces of confirmation information relating to medication administration of a drug dispensed based on the prescription data. A presentation step of presenting only one or more of the confirmation information, and an output step of outputting a list including one or more of the confirmation information selected from the confirmation information presented by the presentation step are executed by a computer. It is a program for

According to the present invention, a medication guidance support system and a medication guidance support program capable of creating a problem list for efficiently performing medication guidance work are realized.

FIG. 1 is a block diagram showing the configuration of a medication guidance support system according to an embodiment of the present invention. FIG. 2 is a diagram showing an example of prescription check information used in the medication guidance support system according to the embodiment of the present invention. FIG. 3 is a diagram showing an example of problem information used in the medication guidance support system according to the embodiment of the present invention. FIG. 4 is a flow chart showing an example of the procedure of prescription check processing executed by the medication guidance support system according to the embodiment of the present invention. FIG. 5 is a diagram showing an example of check result information used in the medication guidance support system according to the embodiment of the present invention. FIG. 6 is a flow chart showing an example of the procedure of the medication guidance support process executed by the medication guidance support system according to the embodiment of the present invention. FIG. 7 is a diagram showing an example of a management screen displayed in the medication guidance support system according to the embodiment of the present invention. FIG. 8 is a diagram showing an example of a management screen displayed in the medication guidance support system according to the embodiment of the present invention. FIG. 9 is a diagram showing an example of a management screen displayed in the medication guidance support system according to the embodiment of the present invention. FIG. 10 is a diagram showing an example of a problem list output by the medication guidance support system according to the embodiment of the present invention.

BEST MODE FOR CARRYING OUT THE INVENTION Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings for understanding of the present invention. It should be noted that the following embodiment is an example that embodies the present invention, and is not intended to limit the technical scope of the present invention.

[Medication Guidance Support System 10]
As shown in FIG. 1, the medication guidance support system 10 according to the embodiment of the present invention includes a server 1, a client terminal 2, a dispensing device 3, and a printer 4. The server 1, the client terminal 2, the dispensing device 3, and the printer 4 are connected via a communication network 5 so as to be communicable wirelessly or by wire. The communication network 5 is LAN, WAN, Internet, intranet, or the like. Further, in the server 1, a host system 6 such as an electronic medical chart system, an ordering system, or a receipt system for inputting prescription data indicating prescription contents and patient data indicating patient information into the server 1 is connected to the communication network. 5. The server 1 may be configured to read out the prescription data, the patient data, etc. from the host system 6 . In this embodiment, users of the medication guidance support system 10 are, for example, pharmacists, doctors, nurses, or medical staff.

[Dispensing equipment 3]
Each of the dispensing devices 3 is used for drug dispensing work in a medical institution such as a hospital or a pharmacy where the medication instruction support system 10 is used. For example, each of the dispensing devices 3 is a tablet packaging machine, a powder medicine packaging machine, a liquid medicine dispensing machine, a PTP sheet dispensing machine, or a co-infusion machine. For example, the tablet packing machine has a plurality of drug cassettes containing a plurality of types of tablets, and dispenses the tablets from the drug cassettes according to dispensing data input from the server 1 and divides them into doses. Executes a packing operation of wrapping with wrapping paper. The powdered medicine packaging machine executes a packaging operation of packaging the supplied powdered medicine with a packaging paper for each dosage according to the dispensing data input from the server 1 . The liquid medication dispensing machine has a plurality of drug bottles containing a plurality of types of liquid medications, and dispenses the required amount of liquid medications from the drug bottles in accordance with dispensing data input from the server 1. put out. The PTP sheet dispensing device has a plurality of sheet cassettes containing PTP sheets or heat seals in which tablets are packaged in advance, and according to dispensing data input from the server 1, the PTP sheet or the PTP sheet or Dispense the heat seal. The co-injection apparatus automatically performs a co-infusion operation of injecting a drug such as an anticancer drug into an infusion solution in accordance with dispensing data input from the server 1 .

[Printer 4]
The printer 4 is a color printer or monochrome printer that prints information included in print data input from the server 1 or the client terminal 2 via the communication network 5 on a sheet such as paper. Specifically, the printer 4 is used to print a problem list, which will be described later, created in the medication guidance support system 10 .

[Server 1]
The server 1 is a personal computer including a control unit 11, a storage unit 12, a communication I/F 13, a display device 14, an operation device 15, a drive device 16, and the like. The server 1 may be provided outside a medical institution such as a hospital or a pharmacy in which the medication guidance support system 10 is used. Also, the server 1 may be a mobile terminal such as a smart phone or a tablet terminal.

The control unit 11 has control devices such as a CPU, ROM, RAM, and EEPROM. The CPU is a processor that executes various kinds of arithmetic processing. The ROM is a non-volatile storage section in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a nonvolatile storage unit. The RAM and EEPROM are used as temporary memory (work areas) for various processes executed by the CPU. Using the CPU, the control unit 11 executes various processes according to various control programs pre-stored in the ROM, the EEPROM, or the storage unit 12 .

The storage unit 12 is a non-volatile storage unit such as a hard disk or SSD in which various application programs executed by the control unit 11 and various data are stored. Specifically, the storage unit 12 includes a program storage unit 121 , a master storage unit 122 and an information storage unit 123 .

The program storage unit 121 is a storage area that stores a medication guidance support program for causing the control unit 11 to execute a prescription check process (see FIG. 4) and a medication guidance support process (see FIG. 6), which will be described later.

The master storage unit 122 is a storage area in which various kinds of master information such as drug master, patient master, pharmacist master, prescription category master, department master, and ward master are stored. For example, the drug master contains, for various drugs, drug code (YJ code, etc.), drug name, JAN code, RSS code, vial code, dosage form, unit, specific gravity, drug type, compounding change, excipient drug , notes, and other information. The patient master includes, for each patient, information such as patient name, patient ID, sex, age, drinking alcohol, smoking, disease name, and allergy. The patient master also includes various information such as whether the patient is pregnant or breast-feeding, which is confirmed at the time of medical examination or interview. The control unit 11 can update various kinds of master information stored in the master storage unit at any time based on information acquired from the host system 6 . Further, the control unit 11 can also edit the patient master or the like according to user operations using the server 1 or the client terminal 2 .

The information storage unit 123 is a storage area used for storing various kinds of information such as prescription check information D11, problem information D21, and check result information D31. The information storage unit 123 also stores prescription data acquired from the host system 6 . The prescription data includes information such as patient ID, patient name, prescription ID, prescription issue date, prescription content (medicine type, dosage, usage), doctor in charge, clinical department, ward, and the like. The drug type is information such as a drug code or drug name, the dosage is information such as a dosage per dose or a total dosage of the drug, and the usage is information such as dosage of the drug. It is information such as time. The control unit 11 can edit the content of the prescription check information D11 or the problem information D21 according to the user's operation on the server 1 or the client terminal 2. FIG.

As shown in FIG. 2, the prescription check information D11 is information used in a prescription check to be described later. item is stored. For example, the prescription check information D11 includes prescription check No. Check items corresponding to "1" to "5" are included.

Although omitted in FIG. 2, the prescription check information D11 includes determination information for determining whether or not each of the check items is appropriate. Then, in the prescription check described later, based on the drug type, dosage, or dosing time contained in the prescription data, and predetermined determination information about the drug type, dosage, or dosing time Compliance with the check items is determined. If the check item is determined to be inappropriate in the prescription check, it is determined that an error exists, and a check result including the content of the error (hereinafter referred to as "error content") is output. In addition, the error content for one of the check items is not limited to one type, and may exist in a plurality of types. The check items described in the present embodiment are items whose suitability can be determined based only on the prescription data and the determination information without depending on the patient's own information corresponding to the prescription check. For this reason, the check items do not include items that require determination of suitability based on, for example, the patient's sex, age, disease, or the like.

Specifically, as shown in FIG. 2, the check items include "interaction", "duplication (same efficacy, same drug, same ingredient)", "dosage", "combination change", and "dosage classification". ” and other items are included. “Interaction” is a check item regarding whether or not there are any contraindications or precautions in the combination of drugs included in the prescription data. “Duplicate (same efficacy, same drug, same ingredient)” is a check item regarding the presence or absence of duplication of drugs included in the prescription data. “Dose” is a check item regarding whether or not the dose of the drug contained in the prescription data is within a predetermined range. "Combination change" is a check item regarding the presence or absence of abnormalities when mixing injection drugs. The “dosing category” is a check item regarding whether or not the dosing period of the medicine contained in the prescription data matches the dosing period set in advance for the medicine.

For example, in the prescription check information D11, for the check item "interaction", concomitant contraindication information indicating combinations of drugs with contraindications for interactions, and concomitant cautions indicating combinations of drugs with cautions regarding interactions. Medicine information is stored as the determination information. Then, in the prescription check described later, if a plurality of drugs to be prescribed to the patient corresponding to the prescription data includes a combination of drugs indicated in the contraindicated drug information, the result of the prescription check is an error, The check result of the prescription check will include the error content of "contraindications for co-administration". Similarly, if a plurality of drugs to be prescribed to the patient corresponding to the prescription data includes a combination of drugs indicated in the drug information to be cautioned for concomitant use, the result of the prescription check is an error, and the check result of the prescription check is will include the error content of "Caution for combined use". In addition, the contraindicated drug information and the cautionable drug information may be stored for each drug in the drug master.

In addition, in the prescription check information D11, the maximum dose and minimum dose for each drug are stored as the determination information for the check item "dosage". Then, in the prescription check described later, if the dose of the drug prescribed to the patient corresponding to the prescription data exceeds the maximum dose, the prescription check result is an error, and the prescription check check result is will include the error content of "dosage maximum exceeded". If the dosage is below the minimum dosage, the result of the prescription check will be an error, and the result of the prescription check will include the error content of "dosage minimum exceeded".

As shown in FIG. 3, the problem information D21 is an example of correspondence information in which error contents in the check result are associated with one or a plurality of pieces of confirmation information. The confirmation information is information such as sentences indicating the contents to be confirmed by the pharmacist regarding the taking of the medicine dispensed based on the prescription data.

Specifically, in the problem information D21, the confirmation information is associated with each error content. For example, in the problem information D21 shown in FIG. 3, "Concomitant drug confirmation (contraindicated drug combination) (target drug name 1, target drug name 2, . , "Due to contraindications for concomitant use, examination of the appropriateness of administration is necessary." On the other hand, in the problem information D21 shown in FIG. 3, "concomitant drug confirmation (concomitant use caution) (target drug name 1, target drug name 2, . , ``Caution for co-administration, but no problem with co-administration due to (@@)'', ``Caution for co-administration, but . . . no problem.'' are stored. Thus, in the problem information D21, at least one or more different confirmation information are associated with different error contents.

In addition, when presenting the text of "(target drug name 1, target drug name 2, ...)" included in the confirmation information, the control unit 11 causes the content of the error in the text. Insert and present the drug name. In addition, the control unit 11 may edit and present the confirmation information according to the specific content or cause of the error content, for example. In the problem information D21, it is not necessary to store the confirmation information corresponding to all the error contents in the check result, and the confirmation information corresponding only to the preset check items or the error contents. may be stored.

Each piece of confirmation information is classified into a plurality of preset classifications such as "S", "O", "A", and "P". Here, "S" is subjective information, which is information about symptoms subjectively felt by the patient. "O" is Objective Information, such as information obtained from physical examination, test results, and prescription data. "A" is assessment information, which is information about evaluation as a pharmacist conceivable from the subjective information "S" and the objective information "O". 'P' is plan information, which is information about medication and treatment plans. Furthermore, the classification of "P" includes an education plan (EP), which is information about medication guidance or medication explanation, an intervention plan for patient drug treatment (CP: Care Plan), and side effects of medication Classifications such as Observation Plans (OPs) related to observations of In this embodiment, a case in which the confirmation information is classified into four SOAP items will be described as an example, but the number of classifications is not limited to this.

The communication I/F 13 communicates data wirelessly or by wire with external devices such as the client terminal 2, the dispensing device 3, and the printer 4 via the communication network 5 according to a predetermined communication protocol. is a communication interface having a network card or the like that executes

The display device 14 is a display unit such as a liquid crystal display or an organic EL display that displays various information according to control instructions from the control unit 11 . The operation device 15 is an operation unit operated by a user to input various information to the server 1 . Specifically, the operation device 15 includes a keyboard and a mouse (pointing device) for receiving input operations on various operation screens displayed on the display device 14 . Further, the operation device 15 may include a touch panel that receives touch operations on various operation screens displayed on the display device 14, or a voice input device that receives input of various information by voice recognition.

The drive device 16 can read the medication guidance assistance program from a computer-readable recording medium 161 in which the medication guidance assistance program is recorded. The recording medium 161 is a CD, DVD, BD, USB memory, or the like, and the drive device 16 is a CD drive, DVD drive, BD drive, USB port, or the like. Then, in the server 1 , the control section 11 installs the medication guidance support program read from the recording medium 161 using the drive device 16 into the program storage section 121 of the storage section 12 .

The control unit 11 of the server 1 includes various processing units such as an acquisition processing unit 111, a presentation processing unit 112, an output processing unit 113, an editing processing unit 114, and the like. Specifically, the control unit 11 functions as the various processing units by executing various processing according to the medication guidance support program. Further, one or more of the various processing units may be an electronic circuit such as ASIC or DSP.

Based on the prescription check information D11, the acquisition processing unit 111 executes a prescription check for determining suitability of a plurality of check items for the prescription data, and acquires the check result of the prescription check. In the prescription check, it is determined whether or not the check items included in the prescription check information D11 for the prescription data are appropriate based on the determination information. In addition, if the check result of the prescription check can be acquired, the acquisition processing unit 111 can obtain the prescription check via the communication network 5 from an external device such as the host system 6 capable of executing the prescription check. You can get the check result of

The presentation processing unit 112 presents only one or a plurality of pieces of confirmation information corresponding to the check result of the prescription check, among a plurality of pieces of confirmation information related to taking medicine dispensed based on the prescription data. Specifically, the presentation processing unit 112, based on the problem information D21 in which the error content in the check result of the prescription check and one or more of the confirmation information are associated, out of the plurality of confirmation information, the Only one or a plurality of the confirmation information corresponding to the content of the error that occurred in the prescription check is presented.

The output processing unit 113 outputs a problem list including one or a plurality of pieces of confirmation information selected from the confirmation information presented by the presentation processing unit 112 . The problem list is used by a pharmacist to self-confirm or confirm with a patient the drug taking status and the patient's condition before or after taking the drug by the patient in the drug administration guidance service. Specifically, the output processing unit 113 can execute processing for displaying the problem list on the server 1 or the client terminal 2 . Further, the output processing unit 113 can execute processing for causing the printer 4 to print the problem list.

By the way, as the amount of confirmation information included in the problem list increases, the efficiency of the medication guidance work decreases. Therefore, it is desirable that the confirmation information included in the problem list is the minimum necessary. On the other hand, as described below, the medication guidance support system 10 according to the present embodiment can create a problem list for efficiently performing medication guidance work.

The editing processing unit 114 executes processing for editing the confirmation information presented by the presentation processing unit 112 according to a user's operation. The output processing unit 113 can output a problem list including the confirmation information edited by the editing processing unit 114 . Specifically, the plurality of confirmation information includes editable first confirmation information and non-editable second confirmation information. For example, the first confirmation information is classified into either 'A' evaluation information or 'P' plan information among the classifications of the confirmation information. On the other hand, the second confirmation information is classified into one of 'O' objective information, 'A' evaluation information, and 'P' plan information among the classifications of the confirmation information. That is, the editing processing unit 114 cannot edit the confirmation information classified as objective information of "O" among the classifications of the confirmation information.
The editing processing unit 114 may be able to arbitrarily edit the entire first confirmation information. good.

[Client terminal 2]
The client terminal 2 is a personal computer including a control unit 21, a storage unit 22, a communication I/F 23, a display device 24, an operation device 25, a drive device 26, and the like. Each of the client terminals 2 is an operation terminal arranged in a medical institution where the medication guidance support system 10 is used and operated by a user such as a pharmacist. In particular, the client terminal 2 may be installed in a ward of the medical institution and used by a pharmacist or the like who provides medication instruction in the ward. Note that the client terminal 2 may be a mobile terminal such as a smart phone or a tablet terminal.

The control unit 21 has control devices such as a CPU, ROM, RAM, and EEPROM. The CPU is a processor that executes various kinds of arithmetic processing. The ROM is a non-volatile storage section in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a nonvolatile storage unit. The RAM and EEPROM are used as temporary memory (work areas) for various processes executed by the CPU. Using the CPU, the control section 21 executes various processes according to various control programs pre-stored in the ROM, the EEPROM, or the storage section 22 .

The storage unit 22 is a non-volatile storage unit such as a hard disk or SSD in which various application programs executed by the control unit 21 and various data are stored. Specifically, the storage unit 22 includes a program storage unit 221 that stores application programs such as an operating system (OS) and browser software. The browser software accesses the server 1 via the communication network 5 to display various operation screens on the display device 24 and to perform input operations on the operation screen using the operation device 25. application software for transmission to the server 1; For example, when address information such as a URL (Universal Resource Locator) corresponding to the server 1 is input at a predetermined position on the operation screen displayed by the browser software, the control unit 21 performs to access the server 1.

The communication I/F 23 performs wireless or wired data communication according to a predetermined communication protocol with external devices such as the server 1, the dispensing device 3, and the printer 4 via the communication network 5. It is a communication interface having a network card etc. to execute.

The display device 24 is a display unit such as a liquid crystal display or an organic EL display that displays various information according to control instructions from the control unit 21 . The operation device 25 is an operation unit operated by a user to input various information to the client terminal 2 . Specifically, the operation device 25 includes a keyboard and a mouse (pointing device) for receiving input operations on various operation screens displayed on the display device 24 . Further, the operation device 25 may include a touch panel that receives touch operations on various operation screens displayed on the display device 24, or a voice input device that receives input of various information by voice recognition.

The drive device 26 can read the OS or the browser software from a computer-readable recording medium 261 in which the OS or the browser software is recorded. The recording medium 261 is a CD, DVD, BD, USB memory, or the like, and the drive device 16 is a CD drive, DVD drive, BD drive, USB port, or the like. In the client terminal 2 , the OS or the browser software read from the recording medium 261 using the drive device 26 is installed in the program storage section 221 of the storage section 22 by the control section 21 .

In the medication guidance support system 10, the problem list can be created, displayed, printed, etc. according to the user's operation of the client terminal 2. FIG. Specifically, in this embodiment, the server 1 and the client terminal 2 constitute a server-client system, and the server 1 creates, displays, and A case of executing various types of processing such as printing will be described. That is, the client terminal 2 is used as an operation terminal for the server 1, and the following operations such as "display", "operation", "selection", and "input" are performed by the display device 24 of the client terminal 2. and the operating device 25.

On the other hand, the server 1 can display and print the problem list using the display device 14 and the operation device 15, and the server 1 alone can be regarded as a medication guidance support system according to the present invention. good too. Furthermore, the client terminal 2 alone may be regarded as a medication guidance system according to the present invention. For example, part or all of the medication guidance support program is installed in the client terminal 2, and the control unit 21 of the client terminal 2 appropriately acquires necessary information from the server 1, and the present implementation It is also conceivable to execute the same processing as the server 1 described in the form. Further, the server 1 and the client terminal 2 may work together to perform the same processing as the server 1 described in this embodiment.

[Prescription check process]
Next, prescription check processing executed by the control unit 11 of the server 1 will be described with reference to FIG. The prescription check process is performed, for example, when the server 1 acquires the prescription data from the host system 6, when dispensing of the prescription data is started, or when a user requests a prescription check for the prescription data. It is executed by the control unit 11 with the prescription data as a processing target. The prescription check process is executed by the acquisition processing section 111 of the control section 11 .

<Step S11>
First, in step S11, the control unit 11 determines whether each of the check items is appropriate based on the prescription data to be processed in the prescription check process and the prescription check information D11 stored in the information storage unit 123. Run a prescription check to determine if there is. Specifically, the control unit 11 determines whether or not the plurality of check items of the prescription check information D11 are appropriate based on the prescription data according to the determination information.

<Step S12>
And the said control part 11 makes a process transfer to step S13, when it is judged that all the said check items are appropriate by the said prescription check acquired by the said step S11 (S12: Yes side). Moreover, the said control part 11 makes a process transfer to step S121, when it is judged that any of the said check items are not appropriate by the said prescription check (S12: No side).

<Step S13>
In step S13, the control unit 11 records the check result of the prescription check in step S11 in the information storage unit 123 as check result information D31 in association with the prescription data. As a result, the control unit 11 refers to the check result information D31 stored in the information storage unit 123 in the medication guidance support process (see FIG. 6), which will be described later, to perform the prescription check for the prescription data. It is possible to grasp the check result.

<Step S14>
Thereafter, in step S14, the control unit 11 executes dispensing control processing for starting dispensing of medicine based on the prescription data, and ends the prescription checking processing. For example, the control unit 11 generates dispensing data corresponding to each of the dispensing devices 3 based on the prescription data, and stores the data in a predetermined shared data folder secured in the storage unit 12 . As a result, each of the dispensing devices 3 acquires the dispensing data from the shared data folder, and dispenses medicine based on the dispensing data. Further, the control unit 11 causes the printer 4 to print picking information necessary for the pharmacist to pick the drug based on the prescription data, or transmits the picking information to a picking assist device used in the picking operation. It is also conceivable to

<Step S121>
On the other hand, if any of the check items is determined to be inappropriate in the prescription check (S12: No side), the control section 11 executes a predetermined error notification process in subsequent step S121. Specifically, in the error notification process, a warning to the effect that an error exists in the prescription data is displayed on the display device 24 of the client terminal 2 installed in a dispensing room where medicines are dispensed based on the prescription data. to be displayed. Further, the host system 6 may be informed that there is an error in the prescription data.

<Step S122>
In step S122, the control unit 11 records the check result of the prescription check in step S11 as the check result information D31 in the information storage unit 123 in association with the prescription data, and ends the prescription check process. . Here, FIG. 5 is a diagram showing an example of the check result information D31 corresponding to one prescription data. As shown in FIG. 5, the check result information D31 includes information such as "patient ID", "prescription check date", "prescription check No.", "check result", and "error content". Then, in the check result information D31 shown in FIG. 5, the prescription check No. for the prescription data whose patient ID is "00000001" and whose prescription check date is "2019/1/10". The check result of the check items corresponding to "1" and "2" is "error (inappropriate)", and the error contents are "contraindications for co-administration" and "precautions for co-administration", respectively. . In addition, in the check result information D31 shown in FIG. 5, the prescription check No. for the same prescription data. Information indicating that the check results of the check items corresponding to "2", "3", "4", and "5" are "OK (appropriate)" is included.

[Medication Guidance Support Processing]
Next, referring to FIG. 6, the medication guidance support process executed by the control unit 11 of the server 1 will be described. In addition, the present invention is an invention of a medication guidance support method for assisting a pharmacist's medication guidance work by executing the medication guidance support processing, or a medication guidance support for causing the server 1 to execute the medication guidance support method. You can think of it as a program.

Note that the control unit 11 is predetermined for executing the medication guidance support program using the client terminal 2 located in a hospital ward or the like where a patient who takes medicine dispensed based on the prescription data is hospitalized. When the user's operation is performed, the medication guidance support process is executed.

<Step S21>
First, in step S21, the control unit 11 executes a process for selecting a patient (hereinafter referred to as "subject patient") to be subjected to the medication guidance support process. Specifically, the control unit 11 displays a patient list screen or the like for selecting a target patient, and selects the target patient according to a user operation on the patient list screen or the like.

<Step S22>
In step S22, the control section 11 acquires the check result information D31 corresponding to the target patient. The check result information D31 acquired here is the check result of the prescription check corresponding to the prescription data issued to the target patient at a preset specific time. For example, the specific time may be the entire past period, the past three months from the present, or the last issue date of the prescription data.

Further, instead of steps S21 and S22, when the specific prescription data is selected by the user operation, the control unit 11 selects the patient corresponding to the prescription data as the target patient, and selects the patient corresponding to the prescription data. You may acquire the check result information D31 of the said prescription data.

<Step S23>
At step S23, the control unit 11 determines whether or not the check result indicated by the check result information D31 acquired at step S22 includes error content. Here, if it is determined that the error content is included in the check result (S23: Yes), the process proceeds to step S24, and if it is determined that the check result does not include the error content (S23: No), the process proceeds to step S25.

<Step S24>
In step S24, the control unit 11 selects the check result indicated by the check result information D31 acquired in step S22 among the plurality of pieces of confirmation information related to taking medicine dispensed based on the prescription data. Identify the confirmation information. Specifically, based on the problem information D21, the control section 11 extracts only the confirmation information corresponding to the error content included in the check result from among the plurality of confirmation information.

For example, if the content of the error is "contraindications for co-administration", one piece of confirmation information classified as "O" and one piece of information classified as "A" are displayed based on the problem information D21 shown in FIG. 1 confirmation information and 5 confirmation information classified as "CP" are extracted. Further, when the error content is "Caution for combined use", one confirmation information classified as "O" and three 1 confirmation information and 4 confirmation information classified as "CP" are extracted. If the error content included in the check result information D31 is not associated with the confirmation information in the problem information D21, it is determined in step S24 that there is no confirmation information corresponding to the check result. be.

<Step S25>
At step S25, the control unit 11 displays the management screen P1 for creating the problem list on the display device 24 of the client terminal 2. FIG. In particular, when the confirmation information is specified in step S24, the control section 11 executes a presentation step of presenting the confirmation information on the management screen P1. Here, the presentation step is executed by the presentation processing section 112 of the control section 11 .

Here, FIG. 7 is a diagram showing an example of the management screen P1. As shown in FIG. 7, the control unit 11 displays display areas A11, A21, A22, and A23 in which various types of information are displayed, and operation keys K11, K12, and K13 for accepting user operations on the management screen P1. , K14, etc. are displayed.

The display area A11 is an area in which information on the target patient is displayed. For example, in the display area A11, information such as the ID, name, sex, age, ward, department, etc. of the target patient is displayed based on the patient master and the prescription data. In addition, in the display area A11, it is possible to input information such as the date of guidance, the instructor, and the date of entry as information related to the medication guidance for the target patient.

The display area A21 is a display area in which a list of problems in the past of the target patient can be displayed. The control unit 11 displays an arbitrary problem list created in the past in the display area A21 according to the user's operation.

The display area A22 is a display area in which the current editing status of the problem list created for the target patient is displayed. Further, in the display area A221, an operation section A221 for recording whether or not confirmation has been made for each of the confirmation information included in the problem list being created is displayed. The control unit 11 switches the confirmation status of each of the confirmation information between confirmed and unconfirmed according to the operation of the operation unit A221.

The display area A23 is a display area used for editing the problem list displayed in the display area A22. Specifically, the control unit 11 selects only one or more of the confirmation information specified as the confirmation information corresponding to the error content in step S24 from among the plurality of confirmation information included in the problem information D21. It is displayed in the display area A23 as a selection candidate. When the check result information D31 does not include the error content, that is, when no error occurs in the prescription check (S23: No), the confirmation information is not displayed in the display area A23. . Similarly, even if the error content is included in the check result information D31 (S23: Yes), the error content is not associated with the confirmation information in the check result information D31. Even if there is, the confirmation information is not displayed in the display area A23. When the confirmation information is not displayed in the display area A23, a specific message suggesting that there is no confirmation information to be confirmed may be displayed in the display area A23.

Further, in the display area A23, an operation part A231 for selecting whether or not each of the confirmation information presented in the display area A23 is included in the problem list is displayed in association with each of the confirmation information. . Further, in the display area A23, an operation key K231 is displayed for reflecting the operation content in the display area A23 in the display area A22. Then, the control section 11 selects confirmation information to be included in the problem list according to the operation of the operation section A231. Further, the control section 11 causes the confirmation information currently selected in the display area A23 to be reflected in the display area A22 in response to the operation of the operation key K231. That is, the user can select confirmation information to be included in the problem list in a state in which only the confirmation information corresponding to the error content is presented as selection candidates among a large number of confirmation information.

In addition, the control unit 11 selects the editable first confirmation information among the confirmation information displayed in the display area A23, and the sentence includes a specific character such as "(@@)". As for the confirmation information, it is possible to execute an editing process for editing the portion of the specific character according to the user's operation. The editing process is executed by the editing processing section 114 of the control section 11. FIG. On the other hand, the control unit 11 can insert "(@@ )” will not be accepted for editing of the confirmation information. In this embodiment, a case will be described in which the area of the specific characters in the confirmation information can be edited in the display area A23. The region of the specific character may be editable in the state.

For example, as shown in FIG. 5, when the error contents included in the check result information D31 are "contraindications for co-use" and "precautions for co-use", as shown in FIG. The confirmation information corresponding to "Attention" is presented in the display area A23. In addition, FIG. 7 shows that for a specific patient, three types of drugs, "Menatetrenone capsule 15 mg", "Caronal fine granules 20%", and "Warfarin tablet 1 mg", are included in one or more prescription data taken at the same time. It is a display example when it is included.

Specifically, since the error content includes "contraindications for co-use", as shown in FIG. One confirmation information classified as "O", one confirmation information classified as "A", and five confirmation information classified as "CP" are displayed. Further, since the error content includes "Caution for combined use", as shown in FIG. One confirmation information classified as "O", three confirmation information classified as "A", and four confirmation information classified as "CP" are displayed.

In this way, the control unit 11 presents only the confirmation information corresponding to each of the error contents of "contraindications for co-administration" and "precautions for co-administration" in the display area A23, and does not present other confirmation information. Therefore, in the display area A23, the selection candidates required for creating the problem list are narrowed down, compared to the case where a large number of confirmation information are displayed regardless of the content of the error. Work efficiency for selecting is increased.

If, for example, the check result information D31 contains only the error content of "contraindications for co-administration", as shown in FIG. Only the confirmation information that is displayed is presented in the display area A23. Further, for example, when the check result information D31 includes only the error content of "caution for combined use", as shown in FIG. Only one confirmation information classified as "O", three confirmation information classified as "A", and four confirmation information classified as "CP" are presented in the display area A23. That is, the control unit 11 presents different confirmation information depending on whether the content of the error is the contraindication for concurrent use or the contraindication for concurrent use. Here, for the check item of "interaction", a case where different confirmation information is presented when the check result information D31 includes different error contents such as "contraindications for co-administration" or "precautions for co-administration" is taken as an example. mentioned and explained. On the other hand, when the check result D31 includes error contents of different check items such as "interaction" or "long-term administration restriction", different confirmation information may be presented.

When the operation key K231 is operated after an operation of selecting one or more of the confirmation information in the display area A23 is performed on the operation unit A231, the control unit 11 The confirmation information selected by the operation unit A231 in the display area A23 is added to the problem list displayed in the display area A22.

Further, when a plurality of pieces of confirmation information are selected in the display area A23 and the combination of the confirmation information is a predetermined specific combination, the control unit 11 displays a specific message. You may perform the alerting|reporting process which alert|reports. For example, in the specific notification process, a message prompting reconfirmation of the combination of confirmation information is displayed on the display device 24 . Accordingly, it is possible to prevent the confirmation information from being selected with the preset specific combination such as a contradictory combination.

When the operation key K11 of the management screen P1 is operated, the control section 11 erases the confirmation information being selected in the display area A22 from the display area A22. Further, when the operation key K12 of the management screen P1 is operated, the control section 11 displays a problem list including each of the confirmation information displayed in the display area A22 as a history in the display area A21. The information for the purpose is stored in the information storage unit 123 . Furthermore, when the operation key K14 of the management screen P1 is operated, the control unit 11 displays the problem list displayed in the display area A22 as the confirmation information according to the selection state of the operation unit A221. is stored in the information storage unit 123 together with the status of whether or not the confirmation is made.

<Step S26>
After that, in step S26, the control section 11 determines whether or not the output request for the problem list has been made. Specifically, the control unit 11 determines that the output request has been made when the operation key K13 is operated on the management screen P1 (S26: Yes side), and shifts the process to step S27. If the output request has not been made (S26: No side), the control unit 11 causes the process to wait in step S26, and accepts the editing operation of the problem list on the management screen P1. If an operation for closing the management screen P1 is performed during execution of the medication guidance support process, the control unit 11 ends the medication guidance support process.

<Step S27>
In step S27, the control section 11 causes the information storage section 123 to store the current state of the management screen P1 as temporary registration information. For example, the temporary registration information includes the confirmation information displayed in the display area A22 and the selection state of the confirmation information, the confirmation information displayed in the display area A23, the edited content of the confirmation information, and The selection state of the confirmation information and the like are included.

<Step S28>
At step S28, the control unit 11 executes an output step of outputting the problem list. The output step is executed by the output processing section 113 of the control section 11 . Specifically, the control unit 11 displays a print screen for printing the problem based on the display contents of the display area A22, and sends the problem list to the printer 4 in response to a predetermined print start operation by the user. output to and print.

Here, FIG. 10 shows an example of the sheet P2 on which the problem list is printed. As shown in FIG. 10, a problem list including the confirmation information displayed in the display area A22 when the operation key K13 is operated is printed on the sheet P2. In the sheet P2, each piece of confirmation information is described in association with the classification of the confirmation information, a check column for entering whether or not the confirmation information is confirmed, and the like.

If the client terminal 2 is a mobile terminal such as a smart phone or a tablet terminal, the pharmacist may refer to the display device 24 of the client terminal 2 and perform confirmation work according to the problem list. . In this case, in step S28, display processing for displaying the same content as that of the sheet P2 on the client terminal 2 is executed. Further, the content of the output processing in step S28 is not limited to printing or display, and may be other output modes such as data transmission by e-mail or the like and storage in the storage unit 12. FIG.

As described above, in the medication guidance support system 10, only the confirmation information corresponding to the error contents in the prescription check among the plurality of confirmation information is presented when the problem list is created. Therefore, when creating the problem list, the user selects the confirmation information to create the problem list in a state where the unnecessary confirmation information is omitted and only the necessary confirmation information is presented. It is possible to efficiently perform the work of creating the problem list.

1: Server 11: Control Unit 12: Storage Unit 13: Communication I/F
14: Display device 15: Operation device 16: Drive device 2: Client terminal 21: Control unit 22: Storage unit 23: Communication I/F
24: Display device 25: Operation device 26: Drive device 3: Dispensing device 4: Printer 10: Medication guidance support system

Claims (8)

Only one or more of the confirmation information corresponding to the error content included in the check result of the prescription check that determines the propriety of the check items for the prescription data from among the plurality of confirmation information regarding the taking of the prescription drug corresponding to the prescription data a presentation processing unit for presenting;
an output processing unit that outputs a list including one or more of the confirmation information selected from the confirmation information presented by the presentation processing unit;
with
The prescription check relates to the check items based on the drug type, dosage, or dosing period included in the prescription data, and predetermined judgment information about the drug type, dosage, or dosing period. eligibility is determined,
Medication guidance support system. The presentation processing unit corresponds to the content of the error occurring in the prescription check among the plurality of confirmation information based on correspondence information in which the content of the error in the check result is associated with one or more of the confirmation information. presenting only one or more of said confirmation information;
The medication guidance support system according to claim 1 . the type of the error content includes at least contraindications and precautions for concomitant use of a plurality of drugs prescribed to the patient corresponding to the prescription data;
The presentation processing unit presents at least one or more different confirmation information depending on whether the error content is the contraindication for combination use or the contraindication for combination use.
The medication guidance support system according to claim 2 . further comprising an editing processing unit that edits the confirmation information presented by the presentation processing unit according to a user operation;
The output processing unit is capable of outputting a list including the confirmation information edited by the editing processing unit.
A medication guidance support system according to any one of claims 1 to 3 . the plurality of confirmation information includes editable first confirmation information and non-editable second confirmation information;
The edit processing unit is capable of editing an editable area preset in the first confirmation information.
The medication guidance support system according to claim 4 . The first confirmation information is information classified into either evaluation information or planning information, and the second confirmation information is information classified into objective information, evaluation information, or planning information. ,
The medication guidance support system according to claim 5 . The output processing unit notifies a specific message when the confirmation information is selected in a specific preset combination.
A medication guidance support system according to any one of claims 1 to 6 . Only one or more of the confirmation information corresponding to the error content included in the check result of the prescription check that determines the propriety of the check items for the prescription data from among the plurality of confirmation information regarding the taking of the prescription drug corresponding to the prescription data a presenting step of presenting;
an output step of outputting a list including one or more of the confirmation information selected from the confirmation information presented in the presentation step;
A medication instruction support program for causing a computer to execute
The prescription check relates to the check items based on the drug type, dosage, or dosing period included in the prescription data, and predetermined judgment information about the drug type, dosage, or dosing period. eligibility is determined,
Medication guidance support program.