JP7332854B2 - Medication support system, Medication support program - Google Patents

Description

The present invention relates to a medicine distribution support system and a medicine distribution support program for assisting dispensing work or drug distribution work.

2. Description of the Related Art In pharmacies and the like, a packing device (see Patent Document 1) that packs medicines such as tablets or powdered medicines into divided packaging containers such as medicine packages for each time of administration is sometimes used. Then, the medicines divided and packaged by the packaging device are transported to residential facilities such as hospitals or health care facilities for the elderly, and are distributed to the users by medicine distribution personnel such as nurses. In addition, the drug distribution timings such as morning, noon, and night when the drug packaging container is delivered to the patient before or after being transported to the facility. It may be accommodated in a predetermined tray or the like corresponding to each. As a result, it is possible to reduce the workload of the person in charge of medicine distribution at each timing of medicine distribution.

JP 2011-104077 A

However, when the work of distributing the sachet containers of a plurality of doses for each drug distribution timing is performed, the worker who performs the work must be responsible for all the doses who need to be distributed at each drug distribution timing, and It has not been possible to easily grasp information such as the medicines to be distributed to each patient at each medicine distribution timing. Therefore, for example, there is a problem that work efficiency deteriorates because it takes time to confirm the distribution of the sachet-package containers, or there is a possibility that mistakes may occur in the work of distributing the sachet-package containers.

An object of the present invention is to provide a medicine distribution support system and a medicine distribution support program that can suppress mistakes in the work of distributing the sachet containers of a plurality of users for each drug distribution timing and improve the work efficiency. be.

A medicine distribution support system according to the present invention includes an acquisition processing unit that acquires information related to medicine distribution to a plurality of recipients, including information on the recipient, the medicine, the date of medicine distribution, and the timing of medicine distribution, and the acquisition processing unit. a first output process for outputting the information on the patient and the drug for each drug distribution date based on the information acquired by the above; and the information on the patient and the drug for each drug delivery timing based on the information acquired by the acquisition processing unit and an output processing unit capable of executing at least one of second output processing for outputting. Then, in the first output process, the information on the takers and medicines on each medicine distribution day is collectively output for each medicine distribution timing, and in the second output process, the information on the takers and medicines at each medicine distribution timing is output. It is collectively output for each drug distribution date.

A medicine distribution support program according to the present invention includes an obtaining step of obtaining information about medicine distribution to a plurality of recipients, which is information about the recipient, the medicine, the date of distribution of the medicine, and the timing of the distribution of the medicine; a first output process for outputting information on the patient and the drug for each drug distribution date based on the obtained information; and an output step capable of executing at least one of 2 output processes, and a medicine distribution support program for causing one or more processors to execute. Then, in the first output process, the information on the takers and medicines on each medicine distribution day is collectively output for each medicine distribution timing, and in the second output process, the information on the takers and medicines at each medicine distribution timing is output. It is collectively output for each drug distribution date.

ADVANTAGE OF THE INVENTION According to this invention, the medicine-distribution assistance system and medicine-distribution assistance program which can improve working efficiency while suppressing the mistake in the operation|work which distributes the packaging container of several users for every medicine distribution timing are provided.

FIG. 1 is a block diagram showing a schematic configuration of a medicine distribution support system according to an embodiment of the present invention. FIG. 2 is a diagram showing an example of the result of the medicine packaging process executed by the medicine distribution support system according to the embodiment of the present invention. FIG. 3 is a diagram showing an example of medicine distribution management information used in the medicine distribution support system according to the embodiment of the present invention. FIG. 4 is a diagram showing an example of packaging data used in the medicine distribution support system according to the embodiment of the present invention. FIG. 5 is a diagram showing an example of packaging data used in the medicine distribution support system according to the embodiment of the present invention. FIG. 6 is a diagram showing an example of packaging data used in the medicine distribution support system according to the embodiment of the present invention. FIG. 7 is a diagram showing an example of packaging data used in the medicine distribution support system according to the embodiment of the present invention. FIG. 8 is a flow chart showing an example of the procedure of the medicine distribution support process executed by the medicine distribution support system according to the embodiment of the present invention. FIG. 9 is a diagram showing an example of a medicine distribution sheet output by the medicine distribution support system according to the embodiment of the present invention. FIG. 10 is a diagram showing an example of a medicine distribution sheet output by the medicine distribution support system according to the embodiment of the present invention. FIG. 11 is a diagram showing an example of a medicine distribution sheet output by the medicine distribution support system according to the embodiment of the present invention. FIG. 12 is a diagram showing an example of a medicine distribution sheet output by the medicine distribution support system according to the embodiment of the present invention. FIG. 13 is a diagram showing an example of a medicine distribution sheet output by the medicine distribution support system according to the embodiment of the present invention. FIG. 14 is a diagram showing an example of a medicine distribution sheet output by the medicine distribution 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.

[Drug distribution support system 10]
As shown in FIG. 1, a medicine distribution support system 10 according to an embodiment of the present invention includes a medicine distribution support device 1, a dispensing device 2, a packaging device 3, a printer 4, and the like. The medicine distribution support device 1, the dispensing device 2, the packaging device 3, and the printer 4 are connected to communicate wirelessly or by wire via a network N1. The network N1 is a LAN, WAN, Internet, intranet, or the like. In the medicine distribution support system 10, the printer 4 is used for printing a medicine distribution sheet P1 (see FIGS. 9 to 14), which will be described later. It may be used for printing such as.

Further, the drug distribution support device 1 is connected to a host system 6 such as an electronic chart system or a prescription input terminal for inputting prescription data to the drug distribution support device 1 via the network N1. The medicine distribution support device 1 may be configured to be able to actively acquire the prescription data from the host system 6 .

The prescription data includes date of issuance, order number, prescription classification (new, change, etc.), recipient ID, recipient name, recipient date of birth, drug information (drug code, drug name, dose, etc.), It includes information such as dosage form information (oral use, external use, etc.), starting date of dosing, dosing period, usage information (including dosing period), type of medical care (outpatient, inpatient, etc.), clinical department, doctor in charge, and the like. The prescription data also includes information on the packaging state of the drug, such as "tablet" and "pot".

The drug distribution support device 1, the dispensing device 2, the packaging device 3, and the printer 4 are used in a pharmacy, hospital, or the like where drugs are dispensed based on the prescription data issued by the host system 6. placed in the facility. In addition, the arrangement place of the said medicine distribution support apparatus 1 may be the exterior of the said dispensing facility, if it is connectable with the said network N1.

The medicines dispensed at the dispensing facility based on the prescription data are delivered to residential facilities such as hospitals or health care facilities for the elderly where a plurality of users who take the medicine reside. For example, the recipient is a patient receiving medical treatment in a hospital or a resident in a health care facility for the elderly. The residential facility is an example of a preset drug distribution group including a plurality of recipients who take drugs dispensed at the dispensing facility. The drug distribution group may be a room or floor in the residential facility, an area including the homes of a plurality of dosers, or a delivery route.

[Dispensing equipment 2]
The dispensing device 2 is used for drug dispensing work in the dispensing facility. For example, each of the dispensing devices 2 is a liquid medication dispensing machine, a PTP sheet dispensing device, a mixed injection device, or a picking support device. For example, the liquid medication dispensing machine has a plurality of medicine bottles containing a plurality of types of liquid medications, and according to the dispensing data input from the medicine distribution support device 1, the liquid medicine dispensing machine dispenses the required amount from the medicine bottles. automatically dispenses liquid medications. The PTP sheet dispensing device has a plurality of sheet cassettes containing PTP sheets or heat seals in which tablets are packaged in advance. Automatically dispense the PTP sheet or the heat seal. 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 the dispensing data input from the medicine distribution support device 1, the necessary The sheet cassette containing the PTP sheet or the heat seal may be automatically delivered. 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 drug distribution support apparatus 1 . The picking assistance device executes display processing of various information for assisting a pharmacist, a technician, or the like in arranging medicines.

[Packaging device 3]
The packaging device 3 divides the medicine to be taken by the patient into medicine packages 81 shown in FIG. It is a dispensing device that can be divided into packaging containers. In addition, in the packaging device 3, a plurality of the medicine packages 81 are formed by heating and melting a part of the continuous long medicine package sheet loaded in the packaging device 3, and the medicine packages 81 are formed. Perforations 82 are formed between each of 81 to facilitate separation.

Specifically, the packaging device 3 is a tablet packaging machine for packaging tablets, a powder medicine packaging machine for packaging powdered medicine, or the like. The tablet packaging machine has a plurality of tablet cassettes containing a plurality of types of tablets, and a packaging operation of dispensing tablets from the tablet cassettes according to the packaging data D1 and packaging them in the medicine packages 81 for each dosing period. to run. The powdered medicine packaging machine executes a packaging operation of packaging the fed powdered medicine in the medicine package 81 for each dosing period according to the packaging data D1. Further, the powdered medicine packaging machine has a plurality of powdered medicine cassettes, and performs a packaging operation of dispensing powdered medicines from the powdered medicine cassettes according to the packaging data D1 and packaging them in the medicine packages 81 for each dosing period. may Further, the tablet packaging machine or the powdered medicine packaging machine may be configured to be able to package tablets and powdered medicine together for each dosing period.

The packaging device 3 includes a control unit 31, a packaging printer 32, and the like. The control unit 31 includes a CPU, a ROM, a RAM, and the like, and controls the operation of the packaging device 3 based on a control program stored in the ROM or a storage device (not shown). For example, the control unit 31 uses the packaging printer 32 to generate a dosing person name or a dosing person ID that can identify the person who takes the medicine contained in the medicine package 81, as shown in FIG. and dosing time information that can identify the dosing date and dosing time of the medicine contained in the medicine package 81 is printed on the medicine package 81 .

The packaging device 3 performs the same medicine distribution group in the packaging order according to any one of the four types of packaging methods of the first to fourth packaging processes set in advance described below. It is possible to divide and package medicines corresponding to a plurality of users belonging to the above into the medicine packages 81 for each dosing time. Specifically, based on the packaging data D1 input from the medicine distribution support device 1, the control unit 31 performs packaging according to any one of the first packaging process to the fourth packaging process. Execute wrap processing. That is, the medicine distribution support apparatus 1 can generate the packaging data D1 for executing a specific packaging process among the first to fourth packaging processes. Note that the packaging device 3 may be capable of executing only three or less packaging methods among the first packaging process to the fourth packaging process.

In the first packaging process, as shown in FIG. 2(A), medicines having the same combination of dosing days and dosing times but different users are divided into successive medicine packages 81 . In other words, one set of the medicine packages 81 corresponding to each of the dosing patients with different dosing times for one dosing day is a continuous set, and the one set of the medicine packages 81 is continuous for each dosing time for the same dosing day. will do. For example, in the example shown in FIG. 2(A), the drugs whose dosing date is "March 3" and whose dosing time is "after breakfast" are "Ichiro Yuyama", "Jiro Yuyama", and "Saburo Yuyama". Next, the drugs with the dosing date of "March 3" and the dosing time of "after lunch" are "Ichiro Yuyama", "Jiro Yuyama", and "Saburo Yuyama". It is divided and packaged in the order of After that, similarly, the drugs whose dosing date is "March 3" and whose dosing time is "after dinner" are divided and packaged in the order of "Ichiro Yuyama", "Jiro Yuyama", and "Saburo Yuyama". be done. Then, when the drug packaging for all the users on the same day of administration is completed, the drug is similarly packaged on the next day of administration.

In the second packaging process, as shown in FIG. 2(B), when the medicines of a plurality of users are divided and packaged according to the date of administration, the combination of the date of administration and the person who takes the medication is the same, and the timing of administration is the same. are divided into the continuous medicine packages 81 . In other words, the medicine packages 81 corresponding to each dosing period on one dosing day for one dosing person form a continuous set, and the one set of the medicine packages 81 for different dosing days are continuous for different dosing days. It will be. For example, in the example shown in FIG. 2(B), the medicine whose administration date is "March 3" and whose recipient is "Ichiro Yuyama" is "after breakfast", "after lunch", and "after dinner". Next, the medicines whose date of administration is "March 3" and whose recipient is "Jiro Yuyama" are packaged "after breakfast," "after lunch," and "after dinner." are divided and packaged in the order of the dosing time. After that, similarly, the drug whose dose date is "March 3" and whose dose is "Saburo Yuyama" is divided and packaged in the order of "after breakfast", "after lunch", and "after dinner". be done. Then, when the drug packaging for all the users on the same day of administration is completed, the drug is similarly packaged on the next day of administration.

In the third packaging process, as shown in FIG. 2(C), medicines having the same combination of dosing times and dosing persons but different dosing days are divided into the continuous medicine packages 81 . In other words, the medicine packages 81 corresponding to different dosing days of one dosing person for one dosing period form a continuous set, and the one set of the medicine packages 81 are continuous for the same dosing period for the same dosing person. will do. For example, in the example shown in FIG. 2(C), for the patient "Ichiro Yuyama", the medicines whose dosing time is "after breakfast" are "March 3", "March 4", "3 Next, for the person taking "Ichiro Yuyama", the drug whose dosing period is "after lunch" is "March 3", "March 4", "3 The 5th of the month” is divided and packaged in order. After that, in the same way, for the taker of "Ichiro Yuyama", the drug whose dosing time is "after dinner" is divided in the order of "March 3", "March 4", and "March 5". be done. When the drug packaging for all dosing periods for the same patient is completed, the drug packaging for the next patient is performed in the same manner.

In the fourth packaging process, as shown in FIG. 2(D), when the medicines of a plurality of recipients are packaged according to the recipients, the date of administration and the combination of recipients are the same and the timing of administration is the same. are divided into the continuous medicine packages 81 . In other words, the medicine packages 81 corresponding to each dosing period on one dosing day for one dosing person form a continuous set, and the one set of the medicine packages 81 for the same dosing day continues for each dosing day. It will be. For example, in the example shown in FIG. 2(D), the medicine whose administration date is "March 3" and whose recipient is "Ichiro Yuyama" is "after breakfast", "after lunch", and "after dinner". Next, the medicines whose date of administration is "March 4" and whose recipient is "Ichiro Yuyama" are packaged "after breakfast," "after lunch," and "after dinner." are divided and packaged in the order of the dosing time. After that, similarly, the drug whose dose date is "March 5" and whose dose is "Ichiro Yuyama" is divided and packaged in the order of "after breakfast", "after lunch", and "after dinner". be done. Then, when the drug packaging for all the dosing days of the same dosing person is completed, the drug dosing is similarly performed for the next dosing person. Note that the series of medicine packages 81 outputted as the packaging results in the first packaging process, the second packaging process, the third packaging process, and the fourth packaging process include the As shown, the empty cartridges 81 are included in some batch. Specifically, in the first packaging process and the second packaging process, the timing when the date of administration changes, and in the third packaging process and the fourth packaging process, the empty A medicine package 81 is output.

By the way, the medicine package 81 for each patient, which has been divided and packaged by the packaging device 3, may be delivered to the patient in the morning or at noon before or after being transported to the residential facility. , may be accommodated in a predetermined tray or the like corresponding to each medicine distribution timing such as at night. However, when the work of distributing the medicine packages 81 of a plurality of doses for each medicine distribution timing is performed, the operator who performs the work must be responsible for all the doses who need to be distributed at each medicine distribution timing. In addition, it has not been possible to easily grasp information on medicines to be distributed to each patient at each medicine distribution timing. Therefore, for example, there is a problem that work efficiency deteriorates because it takes time to confirm the distribution of the medicine packages 81, or a problem that mistakes may occur in the work of distributing the medicine packages 81.例文帳に追加On the other hand, in the medicine distribution support system 10 according to the present embodiment, as will be described below, it is possible to suppress mistakes in the work of distributing the medicine packages 81 of a plurality of users for each medicine distribution timing and to improve the work efficiency. Is possible.

[Medicine distribution support device 1]
The medicine distribution support device 1 is a personal computer including a control unit 11, a data storage unit 12, a communication interface 13, a display device 14, an operation device 15, a drive device 16, and the like. In this embodiment, the medicine distribution support device 1 alone is an example of the medicine distribution support system according to the present invention. Further, the packaging device 3 may acquire necessary information from the medicine distribution support device 1 and execute a medicine distribution support process, which will be described later. is an example. Furthermore, the medicine distribution support device 1 and the packaging device 3 may cooperate to execute a medicine distribution support process described later. is an example of a drug distribution support system.

Further, the operation and display of the medicine distribution support device 1 described in this embodiment may be performed by an operation device and a display device of a client terminal capable of communicating with the medicine distribution support device 1 via the network N1. good. In this case, the control unit 11 receives user operations on the client terminal, executes various processes, and transmits display data for displaying various information on the client terminal. That is, the drug distribution support device 1 and the client terminal may constitute a server client system, and the client terminal may be used as an operation terminal for the drug distribution support device 1 .

The control unit 11 includes a CPU, a ROM, a RAM, and the like. The CPU is a processor that controls the medicine distribution support device 1 by executing processes according to various control programs. The ROM is a non-volatile memory in which programs such as BIOS executed by the CPU are stored in advance. The RAM is a volatile memory or nonvolatile memory used by the CPU to develop various control programs and temporarily store data. Using the CPU, the control section 11 executes various processes according to various control programs pre-stored in the ROM, the data storage section 12, or the like.

The data storage unit 12 is non-volatile storage means such as a hard disk or SSD for storing various application programs and various data executed by the control unit 11 . For example, the data storage unit 12 stores the prescription data acquired from the host system 6 .

The data storage unit 12 also stores various databases such as drug masters, patient masters, pharmacist masters, clinical department masters, and hospital ward masters. For example, the drug master includes drug code, drug name, JAN code (or RSS), drug bottle code, category (dosage form: powdered medicine, tablet, liquid medicine, topical medicine, etc.), specific gravity, drug type (ordinary drug, (poisons, narcotics, powerful drugs, antipsychotics, remedies, etc.), compounding changes, excipients, precautions, etc. The drug code or the drug name is an example of drug identification information that can identify the drug. In addition, in the patient master, information such as the patient ID, patient name, gender, age, address, medical history, family information, clinical department, and inpatient ward of each patient, as well as information such as the facility where the patient resides is included. The dosing person ID or the dosing person name is an example of dosing person identification information that can identify the dosing person.

Further, the data storage unit 12 stores medicine distribution management information D0 in which one or more dosing periods and medicine distribution timings are associated with each other. Specifically, as shown in FIG. 3, the medicine distribution management information D0 corresponds to each medicine distribution timing such as "when waking up," "morning," "afternoon," "night," and "before going to bed." One or more dosing times are stored. In addition, the said medicine distribution management information D0 may be set individually by preset units, such as the said medicine distribution group.

For example, in the example shown in FIG. 3, the medicine distribution timing "morning" is associated with the dosage periods "before breakfast" and "after breakfast", and the medicine distribution timing "afternoon" is associated with "before lunch" and "after breakfast". The dosing time "after lunch" is associated, and the drug distribution timing "night" is associated with the dosing times "before dinner" and "after dinner". The medicine distribution timing "when waking up" is associated with the dosing timing "when waking up", and the medicine distribution timing "before going to bed" is associated with the dosing timing "before going to bed". there is Further, the timing of "on-demand" medicine distribution is associated with the "on-demand" dosing timing, and the "external use" dosage timing is associated with the "external use" medicine distribution timing.

In the medicine distribution support device 1, the data storage unit 12 stores the packaging data D1 generated by the control unit 11 based on the prescription data. 4 to 7 are diagrams showing an example of the packaging data D1. As shown in FIGS. 4 to 7, in the packet data D1, information such as dosing date, dosing time, dosing person ID, dosing person's name, medicine taken, etc. are stored in association with each other. When the packaging data D1 is input, the packaging device 3 performs packaging of medicines in the order shown in the packaging data D1.

Specifically, in the packaging data D1 shown in FIG. 4, medicines having the same combination of dosing days and dosing times but different users are grouped for the same dosing times and packaged into the continuous medicine packages 81. The data are ordered as shown. As a result, when the packaging data D1 is input to the packaging device 3, the packaging result shown in FIG. 2(A) is obtained. In addition, in the divided packaging data D1 shown in FIG. 5, medicines having the same combination of administration days and dosing persons but different dosing times are grouped by the same dosing date unit for different dosing persons, and the medicine packages 81 are continuous. The data are arranged in order so that they can be packed into . As a result, when the packaging data D1 is input to the packaging device 3, the packaging results shown in FIG. 2(B) are obtained.

Similarly, in the divided packaging data D1 shown in FIG. 6, drugs having the same dosing period and the same combination of dosing persons but different dosing days are grouped by dosing period for all the dosing days of the same dosing person and are continuous. The data are arranged in order so as to be packaged in the medicine package 81 . As a result, when the packaging data D1 is input to the packaging device 3, the packaging result shown in FIG. 2(C) is obtained. In addition, in the divided packaging data D1 shown in FIG. 7, drugs with the same combination of administration days and doses but different dosing times are grouped for each administration date for all the administration dates of the same dosers and are continuous. The data are arranged in order so as to be packaged in the medicine package 81 . As a result, when the packaging data D1 is input to the packaging device 3, the packaging result shown in FIG. 2(D) is obtained.

Further, the data storage unit 12 stores a medicine distribution support program for causing the control unit 11 to execute a medicine distribution support process (see FIG. 8), which will be described later. The control unit 11 functions as various processing units such as an acquisition processing unit 111 and an output processing unit 112 by executing various processes according to the medicine distribution support program. Specifically, the control unit 11 functions as the various processing units by executing various processing according to the medicine distribution support program. Further, one or more of the various processing units may be an electronic circuit such as ASIC or DSP.

The acquisition processing unit 111 acquires information relating to drug distribution to a plurality of drug recipients, such as drug recipients, medicines, drug distribution dates, and drug distribution timings. For example, the acquisition processing unit 111 acquires the dosing person identification information, the medicine identification information, the detailed timing based on the plurality of prescription data corresponding to the plurality of dosing persons acquired from the host system 6 and the medicine distribution management information D0. , packaging status, dose, unit of dose, drug delivery date, and drug delivery timing. The said dosing person identification information is information for identifying a dosing person, and is information, such as a dosing person's name or dosing person ID. The drug identification information is information for identifying a drug, and is information such as a drug name or a drug code. The information on the detailed timing is information indicating the detailed dosing timing of the medicine at the medicine distribution timing, and is information such as "before meals" or "after meals". For example, if the dosing time is "before breakfast", the medicine distribution timing is "morning" and the detailed timing is "before meals". The packaging state is information indicating a packaged tablet of medicine prescribed based on the prescription data. Hereinafter, information acquired by the acquisition processing unit 111 may be referred to as first information.

The output processing unit 112 performs a first output process for outputting information on the recipient and the drug by drug distribution date based on the information acquired by the acquisition processing unit 111, and outputting information on the information acquired by the acquisition processing unit 111. At least one of a second output process for outputting the information on the dosing person and the medicine for each medicine distribution timing can be executed based on the information. Here, in the first output process, the information on the person taking each medicine and the medicine on each medicine distribution day is collectively output for each medicine distribution timing. On the other hand, in the second output process, the information on the dosing person and medicine at each medicine distribution timing is collectively output for each medicine distribution day. In the present embodiment, the output processing unit 112 outputs the second information D2 including the information on the dosing person and the medicine among the first information. The second information D2 is information including the information of the dosing person for each dosing person included in the first information and the drug corresponding to the dosing person. More specifically, the output processing unit 112 executes either the first output process or the second output process according to the order of packaging of the medicines in the packaging device 3 . Here, as a mode in which the second information D2 is output according to the medicine distribution date or the medicine distribution timing, it is conceivable that the second information D2 is output to different pages for each medicine distribution date or medicine distribution timing. Further, the mode in which the second information D2 is output for each medicine distribution date or each medicine distribution timing is not limited to this. They may be output continuously. Note that the output processing unit 112 may be capable of executing only one of the first output process and the second output process.

The communication interface 13 is a network card that performs wireless or wired data communication according to a predetermined communication protocol with the predispensing device 2, the packaging device 3, and the printer 4 via the network N1. etc. The display device 14 is display means such as a liquid crystal display or an organic EL display that displays various information according to control instructions from the control section 11 . The operation device 15 is operation means operated by a user to input various information to the medicine distribution support device 1 . Specifically, the operation device 15 includes a keyboard and a mouse (pointing device) for receiving various information input operations according to the display screen of the display device 14 .

The drive device 16 can read the drug distribution support program from a computer-readable recording medium 17 in which the drug distribution support program is recorded. The recording medium 17 is a CD, DVD, BD, USB memory, or the like. Then, in the medicine distribution assistance device 1 , the medicine distribution assistance program read from the recording medium 17 by the drive device 16 is installed in the data storage section 12 by the control section 11 .

[Medicine distribution support processing]
Next, an example of the procedure of the medicine distribution support process executed in the medicine distribution support system 10 will be described. The medicine distribution support process is executed by the control unit 11 when a predetermined user operation for executing the medicine distribution support program is performed on the medicine distribution support device 1 . In addition, the present invention provides a medicine distribution support method for executing part or all of the procedure of the medicine distribution support process, or the distribution support method for causing a computer such as the medicine distribution support device 1 to execute the medicine distribution support method. It may be regarded as an invention of a drug assistance program.

<Step S1>
In step S1, the control unit 11 executes a selection process for selecting prescription data of a plurality of users as dispensing targets according to user's operation. Specifically, the control unit 11 causes the display device 14 to display a selection screen for selecting a dispensing target, and selects the dispensing target according to a user's selection operation on the operation device 15 .

For example, in the selection process, the control section 11 selects arbitrary prescription data from the prescription data stored in the data storage section 12 according to user's operation. Further, in the selection process, when a preset medicine distribution group such as the residential facility is selected by user operation, the control unit 11 collects prescription data of a plurality of dosing persons belonging to the medicine distribution group. It may be selected as a dispensing target. Furthermore, in the selection process, when a plurality of dosing persons are selected by user operation, the control section 11 may select each prescription data corresponding to the plurality of dosing persons as dispensing targets. In addition, the control unit 11 may select a group of prescription data to be dispensed according to conditions set by a user's operation such as a prescription issue date or a dosing period.

<Step S2>
In step S2, the control unit 11 causes the packing device 3 to start packing processing. Specifically, the control unit 11 generates the packaging data D1 based on each of the prescription data selected as dispensing targets in step S1, and inputs the packaging data D1 to the packaging device 3. . As a result, the packaging device 3 executes the packaging process based on the packaging data D1. The packaging data D1 is also stored in the data storage unit 12. As shown in FIG.

At this time, the control unit 11 causes the packaging device 3 to perform the packaging process by a packaging method preselected from among the first packaging process to the fourth packaging process. A package data D1 corresponding to the package method is generated. For example, the selection of one of the packaging methods from the first packaging process to the fourth packaging process is performed by the user's operation when the prescription data is selected in step S1 or by initial setting. Further, the control unit 11 inputs the prescription data and the classification of the packaging method to the packaging device 3, and the packaging device 3 performs the packaging processing according to the specified classification of the packaging method. may be executed. When there is a drug to be dispensed using the dispensing device 2, the control unit 11 inputs dispensing data to the dispensing device 2, but detailed description thereof will be omitted here.

<Step S3>
In step S3, the control unit 11 performs an acquisition step of acquiring the first information, which is information related to drug distribution to a plurality of users and includes information on users, drugs, drug distribution dates, and drug distribution timings. Execute. The acquisition step is executed by the acquisition processing section 111 of the control section 11 . Specifically, the control unit 11 acquires the first information based on a plurality of prescription data corresponding to a plurality of patients selected as dispensing targets in step S1 and the drug distribution management information D0. .

In this embodiment, the processing after step S3 will be described as being executed continuously after step S2 is executed. , may be executed at any timing before or after execution of step S2. For example, the arbitrary timing is the timing at which the user performs an operation requesting output of a medicine distribution sheet P1, which will be described later.

For example, the control unit 11 acquires each day from the start date of dosing until the end of the dosing period as the drug distribution date based on the dosing start date and the dosing period included in the prescription data. do. Further, the control unit 11 acquires the drug distribution timing corresponding to each dosing time indicated in the usage information based on the usage information and the drug distribution management information D0 included in the prescription data. In addition, the control unit 11, based on the drug information included in the prescription data, for each combination of the drug distribution date and the drug distribution timing, the information of the patient who needs to be distributed and Information on medicines to be distributed is acquired. For example, based on the drug distribution management information D0, the control unit 11 determines that the drug distribution timing is "morning" for the drugs whose dosing times included in the dosing information are "before breakfast" and "after breakfast". judge there is. Further, in this embodiment, the medicine distribution timing and the dosing time are described as being different in some cases, but the medicine distribution timing may be the same as the dosing time. Information D0 is unnecessary.

<Step S4>
In step S4, the control unit 11 determines whether or not to output the medicine distribution sheet P1 generated by the medicine distribution support process in the first format. Specifically, the first format is a medicine distribution sheet P1 that is output by the first output process for outputting information on the patient and the medicine by medicine distribution date based on the information acquired by the acquisition processing unit 111. It corresponds to the aspect. Then, the control unit 11 determines whether or not to output in the first format according to the order of packaging of the medicines in the packaging device 3 . For example, the control unit 11 can determine the packing order of the medicines in the packing device 3 based on the format of the packing data D1 generated in step S2. The control unit 11 may acquire information on the packing order of the medicines from the packing device 3 .

Specifically, when the packaging data D1 is data corresponding to the first packaging process or the second packaging process, the control unit 11 outputs the second information D2 for each drug distribution date. It is determined that the medicine distribution sheet P1 is to be output in the first format. Further, when the packaging data D1 is data corresponding to the third packaging process or the fourth packaging process, the control unit 11 outputs the second information D2 for each medicine distribution timing. It is determined to output the medicine distribution sheet P1 in 2 formats. That is, the control unit 11 determines that the medicine distribution sheet P1 is to be output in the first format when the order of packaging the medicines in the packaging device 3 is the order in which the same dosing days continue. If the dates are mixed, it is determined that the medicine distribution sheet P1 is to be output in the second format. Then, when it is determined to output in the first format (S4: Yes), the process proceeds to step S5, and when it is determined not to output in the first format (S4: No), the process proceeds to step S6. Transition.

<Step S5>
In step S5, the control unit 11 generates the medicine distribution sheet P1 in the first format based on the first information acquired in step S3. Here, an example of the medicine distribution sheet P1 generated in the first format will be described with reference to FIGS. 9 to 11. FIG. 9 to 11 are diagrams showing an example of the 3-page medicine distribution sheet P1 generated in the first format. The specific information described in the medicine distribution sheet P1 shown in FIGS. 9 to 11 includes information for convenience of explanation, and the packaging data D1 in FIGS. is not related to

As shown in FIGS. 9 to 11, when the medicine distribution sheet P1 is generated in the first format, the control section 11 distributes a plurality of the second information D2 corresponding to a plurality of dosers. A plurality of pieces of medicine distribution unit information D3 are generated by grouping for each combination of medicine date and medicine distribution timing. That is, in the medicine distribution unit information D3 corresponding to one medicine distribution timing on one medicine distribution day, the medicine is distributed at one medicine distribution timing on one medicine distribution day corresponding to the medicine distribution unit information D3. Information is included for one or more recipients for whom the drug should be present. And the said control part 11 produces|generates the said medicine distribution sheet|seat P1 which put together and arrange|positioned each of the said medicine distribution unit information D3 according to the said medicine distribution day. Here, in the medicine distribution sheet P1, the control unit 11 arranges each of the medicine distribution unit information D3 from the top in chronological order of the medicine distribution timing corresponding to the medicine distribution unit information D3. Specifically, in the examples shown in FIGS. 9 to 11, the medicine distribution unit information D3 corresponding to the medicine distribution date is arranged side by side on the one-page medicine distribution sheet P1 corresponding to each medicine distribution date. ing. That is, the control unit 11 generates the medicine distribution sheet P1 whose page is changed each time the medicine distribution date changes. In addition, when the said medicine distribution sheet|seat P1 is output by double-sided printing, the switching to the back side from the front surface of the said medicine distribution sheet|seat P1 of 1 sheet is also included in the said page break.

In the example shown in FIGS. 9 to 11, the three-page medicine distribution sheet P1 corresponding to three medicine distribution days from "March 3, 2019" to "March 5, 2019" In each case, the medicine distribution unit information D3 corresponding to each medicine distribution timing of "when waking up", "morning", "noon", "night", and "before going to bed" is listed from above in chronological order of the medicine distribution timing. They are arranged in order. That is, in each of the medicine distribution sheets P1, the second information D2 is collectively arranged for each medicine distribution timing with respect to the medicine distribution date corresponding to the medicine distribution sheet P1. For example, in the example shown in FIG. 9, in the medicine distribution sheet P1 corresponding to the medicine distribution date of "March 3, 2019", regarding the medicine distribution timing of "morning", "dosing person A" to "dosing The medicine distribution unit information D3 including the second information D2 for nine persons of "person I" is arranged. In addition, as shown in FIG. 9, the medicine distribution sheet P1 corresponding to the first medicine distribution date in the prescription data selected as the dispensing object shows that the medicine distribution timing is "once" and "external use". Some second information D2 is output. In addition, the second information D2 in which the medicine distribution timing is arbitrary timing of "on-demand" and "external use" may be output to another medicine distribution sheet P1.

Among the information included in the first information D1, the second information D2 includes information such as the dosing person identification information, the drug identification information, the detailed timing, the packaging state, the dose, and the unit of the dose. Contains information.

The packaging state is information indicating the state in which the medicine is packaged. For example, the packaging state includes tablets, tablets, tablets D, powders, powders, powders, powders, powders, powders, water, water, and the like. "Tablet" is tablet packaging, "Tablet H" is tablet heat, "Tablet D" is tablet DTA packaging, "Ka" is capsule packaging, "Kahi" is capsule heat, "KaD" is capsule DTA , “dispersed” indicates powdered medicine sachet, “sanhi” indicates powdered medicine heat, “mizuki” indicates liquid drug dilution, “suwon” indicates liquid drug undiluted solution, and “mizuhi” indicates liquid drug heat. In other words, “Min” and “D” included in the packaging state indicate that the medicine is contained in the medicine package 81 . Further, "H" included in the packaging state indicates that the medicine is not to be divided and packaged by the packaging device 3 and has already been heat-packaged separately from the medicine package 81 . In addition, "one" included in the packaging state indicates that the medicine is not to be divided and packaged by the packaging device 3 and is a necessary one-off medicine separately from the medicine package 81, and is included in the packaging state. The included "outside" indicates that the medicine is not to be packaged by the packaging device 3 and is a required topical medicine separately from the medicine package 81 . In the following description, the medicines that are not to be packaged may be referred to as unpackaged medicines.

Specifically, in the drug distribution sheet P1 shown in FIG. , “after meals”, it is necessary to take “one tablet” of each of “medicine A”, “medicine B”, and “medicine C” divided into the medicine package 81 . As a result, the user can understand that there is no medicine other than the medicine package 81 that should be distributed at the same time by the user at the medicine distribution timing.

Similarly, in the medicine distribution sheet P1 shown in FIG. "1 tablet" of "medicine A" dividedly packaged in the medicine package 81 is taken "before a meal", and "1 tablet" of "medicine B" and "medicine C" dividedly packaged in the medicine package 81 is taken "1 tablet". It can be seen that it is necessary to take each tablet "after meals". As a result, the user can understand that there are two medicine packages 81 corresponding to each of preprandial and postprandial medicines to be dispensed at the same time by the patient with respect to the medicine distribution timing. In the medicine distribution sheet P1, the number of the medicine packages 81 may be specified as the second information D2.

Furthermore, in the medicine distribution sheet P1 shown in FIG. 9, regarding the medicine distribution timing of "Morning" on "March 3, 2019", "Dosing Person I" living in "Facility A" "after a meal", "one tablet" of "medicine G" dividedly packaged in the medicine package 81 and "one tablet" of "medicine K" contained in a capsule heat separate from the medicine package 81. It turns out that you need to take As a result, the user can understand that the drug package 81 and the capsule heat other than the drug package 81 are medicines to be delivered to the patient at the same time with respect to the drug distribution timing. In this way, when the prescription data includes information (type, time of use, etc.) of the unpackaged medicine that is not packaged in the medicine package 81, the control unit 11 stores the packaged medicine in the second information D2. The medicine distribution sheet P1 including the information of the external medicine is output. As a result, when the medicine package 81 is distributed to a predetermined tray or the like corresponding to the medicine distribution timing, the operator can easily grasp the presence of the extra-packaged medicine to be distributed together with the medicine package 81. This improves work efficiency and prevents mistakes in sorting work.

<Step S6>
In step S6, the control unit 11 generates the medicine distribution sheet P1 in a second format different from the first format, based on the first information acquired in step S3. Specifically, the second format is a medicine distribution sheet P1 that is output by the second output process for outputting information on the patient and the medicine for each medicine distribution timing based on the information acquired by the acquisition processing unit 111. It corresponds to the aspect. Here, an example of the medicine distribution sheet P1 generated in the second format will be described with reference to FIGS. 12 to 14. FIG. 12 to 14 are diagrams showing an example of the 3-page medicine distribution sheet P1 generated in the second format. 12 to 14 includes information for convenience of explanation, and the packaging data D1 in FIGS. is not related to

As shown in FIGS. 12 to 14, when the medicine distribution sheet P1 is generated in the second format, the control unit 11 distributes a plurality of the second information D2 corresponding to a plurality of dosers. A plurality of pieces of medicine distribution unit information D3 are generated by grouping for each combination of medicine date and medicine distribution timing. Then, the control unit 11 generates the medicine distribution sheet P1 in which each of the medicine distribution unit information D3 is collectively arranged according to the medicine distribution timing. Here, the control unit 11 arranges each of the medicine distribution unit information D3 in chronological order of the medicine distribution date corresponding to the medicine distribution unit information D3 on the medicine distribution sheet P1. Specifically, in the examples shown in FIGS. 12 to 14, the medicine distribution unit information D3 corresponding to the medicine distribution timing is arranged side by side on the medicine distribution sheet P1 of one page corresponding to each medicine distribution timing. ing. That is, the control unit 11 generates the medicine distribution sheet P1 whose page is changed each time the medicine distribution timing is switched.

In the example shown in FIGS. 12 to 14, in each of the three-page medicine distribution sheets P1 corresponding to three medicine distribution timings of "morning", "noon", and "night", "March 3, 2019 The drug distribution unit information D3 corresponding to each drug distribution date of "Day", "March 4, 2019", and "March 5, 2019" is arranged in chronological order from the top according to the drug distribution date. are placed. That is, in each of the medicine distribution sheets P1, the second information D2 is collectively arranged for each medicine distribution day with respect to the medicine distribution timing corresponding to the medicine distribution sheet P1. For example, in the example shown in FIG. 12, in the medicine distribution sheet P1 corresponding to the medicine distribution timing of "morning", for the medicine distribution date of "March 3, 2019", "dosing person A" to "dosing The medicine distribution unit information D3 including the second information D2 for nine persons of "person I" is arranged. Incidentally, as shown in FIG. 12, the medicine distribution sheet P1 corresponding to the first medicine distribution timing in the prescription data selected as the dispensing object shows that the medicine distribution timing is "once" and "external use". Some second information D2 is output. In addition, the second information D2 in which the medicine distribution timing is arbitrary timing of "on-demand" and "external use" may be output to another medicine distribution sheet P1.

<Step S7>
In step S7, the control unit 11 outputs the medicine distribution sheet P1 generated in step S5 or S6. Specifically, the control unit 11 outputs the print data of the medicine distribution sheet P1 to the printer 4 and causes the printer 4 to print the medicine distribution sheet P1. Further, the control unit 11 may display the medicine distribution sheet P1 on the display device 14 or the like, and may transmit data corresponding to the medicine distribution sheet P1 to an external device such as a mobile terminal. In steps S5 to S7, the output step of outputting the medicine distribution sheet P1 generated in the first format or the second format is executed by the output processing unit 112 of the control unit 11. .

As described above, in the medicine distribution support system 10 , the medicine distribution sheet P<b>1 is printed in the first format or the second format according to the packing order of the medicines in the packing device 3 . Therefore, a worker who distributes the medicine packages 81 of a plurality of doses to a predetermined tray or the like at each medicine distribution timing can avoid mistakes in the work by referring to the medicine distribution sheet P1. It is possible to suppress and improve work efficiency. In particular, the pharmacist or the like at the dispensing facility uses the medicine package 81 and the medicine distribution sheet P1 to sort the medicine package 81 for each medicine distribution timing and to perform dispensing inspection of the medicine package 81. is also possible.

By the way, in the dispensing facility where the medicine distribution support system 10 is used, when the arrangement of the medicine storage units in the predetermined tray used when distributing the medicine packages 81 for each medicine distribution timing is determined, It is conceivable that the control unit 11 arranges the second information D2 on the medicine distribution sheet P1 in the same arrangement as the arrangement of the drug storage units in the predetermined tray, and outputs the second information D2. Specifically, when the prescription data is selected in step S1, or in response to a user operation in initial setting, the control unit 11 selects either vertical or horizontal orientation of the second information D2 on the medicine distribution sheet P1. It is conceivable that one or both arrangement numbers can be set in advance as arrangement information. Then, when outputting the medicine distribution sheet P1, the control unit 11 arranges the second information D2 in the same manner as the arrangement of the medicine storage units in the predetermined tray based on the arrangement information. to output the medicine distribution sheet P1. For example, the medicine distribution sheet P1 shown in FIGS. 9 to 14 is an example showing an output result when the second information D2 is arranged horizontally in four rows as the arrangement information. be. As a result, the arrangement of the second information D2 on the medicine distribution sheet P1 can be aligned with the arrangement of the drug storage units on the predetermined tray for each medicine distribution group or each dispensing facility. Therefore, it is possible to improve the efficiency of the operation of allocating medicines to the predetermined trays while looking at the medicine distribution sheet P1, and to prevent mistakes in the work.

It is conceivable that the control unit 11 includes information on the medicine outside the packaging in the packaging data D1 when generating the packaging data D1. In this case, in the packaging device 3, the controller 31 uses the packaging printer 32 to determine whether the medicine outside the packaging exists in the medicine package 81 corresponding to the timing of dispensing the medicine outside the packaging. It is conceivable to print information such as the fact that the medicine will be administered and the content of the medicine outside the package in characters or pictograms (images). As a result, the presence of the unpackaged medicine can be easily grasped at the time of distributing the medicine package 81, and forgetting to use the unpackaged medicine can be suppressed. Further, even if the medicine package 81 corresponding to the dispensing timing of the unpackaged medicine does not exist, the control unit 31 outputs the empty medicine package 81 and inserts the unpackaged medicine into the medicine package 81 . It is also conceivable to print information such as the presence of the drug and the content of the medicine outside the package in characters or pictograms (images). As a result, even if there is the medicine to be dispensed at a different timing than the medicine package 81, the presence of the medicine outside the package can be easily detected by referring to the empty medicine package 81. Therefore, it is possible to prevent forgetting to dispense the medicine outside the package.

1 Medicine distribution support device 11 Control unit 111 Acquisition processing unit 112 Output processing unit 12 Data storage unit 2 Dispensing device 3 Dispensing device 31 Control unit 32 Dispensing printer 4 Printer 81 Medicine package 10 Medicine distribution support system

Claims (12)

an acquisition processing unit that acquires information on medicine distribution to a plurality of recipients, which is information on the recipient, the medicine, the date of medicine distribution, and the timing of medicine distribution;
a first output process for outputting information on the patient and the drug by drug distribution date based on the information acquired by the acquisition processing unit; and outputting the information on the patient and the drug based on the information acquired by the acquisition processing unit. an output processing unit capable of executing at least one of second output processing for outputting according to medicine distribution timing;
with
In the first output process , one or a plurality of sheets corresponding to each medicine distribution date are printed, and on each of the sheets, information on the person taking the medicine and the medicine on the medicine distribution date corresponding to the sheet is printed at the same medicine distribution timing . Printed together in units ,
In the second output process , one or a plurality of sheets corresponding to each medicine distribution timing are printed, and on each of the sheets, the information on the person taking the medicine and medicine at the medicine distribution timing corresponding to the sheet is printed on the same medicine distribution date . Printed together in units ,
Medication support system. means for generating packaging data for causing the packaging device to package the medicine in a preset packaging order based on prescription data corresponding to each patient;
The output processing unit determines , based on the packaging data, that the packaging device will package the medicines having the same combination of dosing date and dosing time but different recipients into successive divided packaging containers. In the case of executing the second output process,
The medicine distribution support system according to claim 1 . means for generating packaging data for causing the packaging device to package the medicine in a preset packaging order based on prescription data corresponding to each patient;
Based on the packaging data, the output processing unit is configured to, in the packaging device, divide and package the medicines of a plurality of users according to the date of administration, and the combination of the date of administration and the person who takes the medication is the same. executing the second output process when it is determined that medicines with different timings will be packaged in continuous packaging containers;
The medicine distribution support system according to claim 1 . means for generating packaging data for causing the packaging device to package the medicine in a preset packaging order based on prescription data corresponding to each patient;
The output processing unit determines , based on the packaging data, that the packaging device divides and packages medicines having the same combination of dosing times and dosing persons but different dosing dates into continuous divided packaging containers. In the case of executing the first output process,
The medicine distribution support system according to claim 1 . means for generating packaging data for causing the packaging device to package the medicine in a preset packaging order based on prescription data corresponding to each patient;
Based on the packaging data, the output processing unit is configured to, in the packaging device, divide and package the medicines of a plurality of recipients according to the recipients, and the combination of dosage days and recipients is the same. executing the first output process when it is determined that medicines with different timings will be packaged in continuous packaging containers;
The medicine distribution support system according to claim 1 . The acquisition processing unit acquires information about the packaging state of the drug from the prescription data corresponding to each patient,
The output processing unit outputs information on the medicine determined to be excluded from the packaging by the packaging device based on the information on the packaging state of the medicine acquired by the acquisition processing unit, together with information on the person taking the medicine and the medicine. output ,
A medicine distribution support system according to any one of claims 2 to 5 . Each of the drug distribution timings includes one or more preset dosing times,
A medicine distribution support system according to any one of claims 1 to 6 . In the first output process, a medicine distribution sheet with a new page is output each time the medicine distribution date changes.
The medicine distribution support system according to any one of claims 1 to 7 . In the second output process, a medicine distribution sheet with a new page is output each time the medicine distribution timing is switched.
The medicine distribution support system according to any one of claims 1 to 8 . In the first output process, in each of the sheets, areas corresponding to each dosing timing are arranged in the vertical direction, and in each of the areas, information on the dosing person and the drug at the dosing timing corresponding to the area is displayed at least horizontally. The sheet is printed in a direction lined up,
In the second output process, in each of the sheets, areas corresponding to each dosing day are arranged in the vertical direction, and in each of the areas, information on the dosing person and medicine on the dosing day corresponding to the area is displayed at least horizontally. the sheets are printed in a directionally aligned manner;
The medicine distribution support system according to any one of claims 1 to 9. The output processing unit is capable of setting, according to a user's operation, the number of vertical and horizontal layouts of either or both of the information on the patient and medicine when the information is output.
The medicine distribution support system according to claim 10 . an obtaining step of obtaining information on drug distribution to a plurality of users, which includes information about the users, the drug, the date of distribution, and the timing of distribution;
a first output process for outputting information on the patient and the drug by drug distribution date based on the information obtained by the obtaining step; and distributing the information on the patient and the drug based on the information obtained by the obtaining step. an output step capable of executing at least one of a second output process of outputting according to timing;
A drug distribution support program for causing one or more processors to execute
In the first output process , one or a plurality of sheets corresponding to each medicine distribution date are printed, and on each of the sheets, information on the person taking the medicine and the medicine on the medicine distribution date corresponding to the sheet is printed at the same medicine distribution timing . Printed together in units ,
In the second output process , one or a plurality of sheets corresponding to each medicine distribution timing are printed, and on each of the sheets, the information on the person taking the medicine and medicine at the medicine distribution timing corresponding to the sheet is printed on the same medicine distribution date . Printed together in units ,
Medication assistance program.

Images