JPH0994287A - Medicine dispensation assisting system and medicine retailing system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To realize high-efficiency, error-free dispensation by allowing each pharmacy server to access the master server for information and to audit inputted prescription data by examining such supplementary information as the patient's history of medicine taking, pathography, allergy, pregnancy, and lactation. SOLUTION: Provided are a master server 11 and plural pharmacy servers 12 (12A-12D) located respectively at pharmacies A-D. Data from the pharmacies A-D are stored in the master server 11 for the overall management of all the patients, and the server 12 in each of the pharmacies A-D stores its data about own patients only. The pharmacy server 12 accesses the master server 11 only upon receiving a new patient for the collection of all the informations about the new patient, and takes required steps. The pharmacy server 12 then audits the prescription data for the new patient by use of the supplementary information retrieved from the master server, resets its memory according to the retrieved information, and advises dispensation in compliance with the prescription that has been audited.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a dispensing support system for hospitals, pharmacies and the like, and a sales system for drugs and the like at pharmacies and pharmacies.

[0002]

2. Description of the Related Art A prescription is entered, the drug history of the patient is accumulated based on the entered prescription, and a prescription inspection is conducted,
A system (a pharmacy business support system using a computer) that performs window processing, daily processing, receipt issuing processing, monthly processing, and the like is known.

[0003]

In the conventional dispensing support system, prescription inspection and the like were possible only when the patient declared information such as his / her own disease name. However, filing is voluntary and patients are not always 100% filing. Also, the declared information is not always correct. Therefore, the conventional dispensing support system has a problem that the prescription inspection by the computer is not reliable.

Further, the preparation of the prescription and the input of the prescription are performed by humans, respectively, and some error occurs with a certain probability. However, the conventional dispensing support system cannot check this mistake.

Further, the conventional dispensing support system is a stand-alone type system arranged in each pharmacy, and it is difficult to share data among a plurality of pharmacies and perform prescription audits efficiently and with high reliability. there were. A method of installing a general-purpose machine in the center and arranging a terminal in each pharmacy is conceivable, but the number of terminals, that is, the number of pharmacies is limited by the capacity of the general-purpose machine.
There are problems such as slow response.

Further, the conventional dispensation support system targets only the medicines described in the prescription for inspection, and checks the suitability of general medicines, quasi-drugs, specified health foods, etc. purchased by patients. Can't
It was difficult to give appropriate advice to the patient.

The present invention has been made in view of the above circumstances, and provides a dispensing support system and a general drug sales system capable of accurately and swiftly selling dispensing, pharmaceuticals and quasi-drugs, and managing patients. The purpose is to do.

[0008]

In order to achieve the above object, a dispensing support system according to a first aspect of the present invention provides a master server that holds patient information and patient incidental information of all patients, and a pharmacy. It is arranged and connected to the master server via communication, and holds pharmacy data holding means for holding patient information and patient incidental information for its own pharmacy, input means for inputting data on prescriptions, and input by the input means. It is determined whether or not the incidental information regarding the patient information is stored in the pharmacy data holding means, and when the incidental information is not stored, the master server is accessed, and when the incidental information corresponding to the master server is stored. Read-out means for reading the incidental information from the master server and storing it in the pharmacy data holding means, and based on the incidental information read by the reading means Means for inspecting the input prescription data, means for updating the stored data in the pharmacy data holding means based on the information input by the input means, and dispensing into a plurality of dispensing sections based on the audited prescriptions And a pharmacy server including:

In this dispensing support system, the inputted prescription data is inspected on the basis of incidental information relating to drug history, medical history, allergies, pregnancy / lactation and the like. Therefore, prescription mistakes, input mistakes, etc. can be suppressed. Moreover, each pharmacy server only needs to store the data for its own station and access the master server to read the information as necessary. Therefore, the capacity of the database of each pharmacy server can be suppressed. Moreover, since the dispensing is instructed in parallel to the plurality of dispensing sections, the dispensing time can be shortened.

In order to achieve the above object, the second aspect of the present invention
Dispensing support system according to the above aspect stores a drug file that stores the relationship between the drug and its indications and contraindications, input means for inputting a prescribed drug, and the drug input by the input means is accumulated for each patient. Accumulation means, estimation means for estimating the disease of the patient according to the medicine inputted by the input means, the medicine history accumulated in the accumulation means and the medicine file, and the disease estimated by the estimation means is contraindicated A warning means for determining whether or not the medicine to be input is input by the input means, and issuing a warning when the input is made,
It is composed of

In this dispensing support system, the patient's disease is estimated based on the inputted drug, it is judged whether or not a drug contraindicated with the estimated disease is prescribed, and if it is prescribed. Give a warning to. Therefore, even if the patient does not report the disease, it is possible to estimate the patient's disease and prevent prescription mistakes.

In order to achieve the above object, a third aspect of the present invention is provided.
Dispensing support system from the perspective of
The history storage means is searched for by patient, hospital, medical department, doctor, etc., the input means for inputting the information described in the prescription, and the history storage means is searched based on the information input by the input means. However, when a medicine to be used for the first time is input, means for issuing a warning, and update means for updating the use history stored in the history storage means based on the information input by the input means are configured. To be done.

With this structure, a warning is issued when a drug is newly prescribed. Therefore, it is possible to prevent dispensing errors due to input errors and doctor's prescription errors.

In order to achieve the above object, a fourth aspect of the present invention is provided.
Dispensing support system according to the point of, the storage means for storing in advance a drug that easily causes an input error at the time of input, an input means for inputting the information described in the prescription, based on the information input by the input means, The storage means is searched, and when a drug listed in the storage means is input, a warning is issued, a correction means for correcting the information input by the input means, and a correction means for correcting the information input by the input means. Updating means for registering the stored information in the storage means,
It is composed of

With such a configuration, the next input error can be prevented by learning the input error that actually occurred. Therefore, it is possible to prevent input errors and accompanying dispensing errors.

In order to achieve the above object, a fifth aspect of the present invention is provided.
Dispensing support system from the viewpoint of
A storage unit that stores at least one piece of information on a hospital, a medical department, and a doctor who adopts the drug, an input unit that inputs information described in a prescription, and the storage unit that stores the information based on the information input by the input unit. It is characterized by comprising an auditing means for searching the means and issuing a warning when a non-adopted medicine is inputted.

The medicines adopted by hospitals, medical departments, doctors, etc. may be scattered. According to such a configuration,
It is possible to check that the medicine that is not adopted by the hospital that issued the prescription, the doctor, etc. has been entered.
Input mistakes can be prevented.

In order to achieve the above object, the sixth aspect of the present invention
Dispensing support system from the viewpoint of
Storage means for storing information indicating whether or not drugs having the same name but different contents are present, input means for inputting information described in a prescription, and the storage means based on the information input by the input means And a means for issuing a warning when the same drug having a different content is present, and a means for issuing a warning.

According to such a structure, when drugs having the same name but different contents are present, it is possible to prevent accidentally inputting drugs having different contents, prescription mistakes and input errors, and dispensing mistakes resulting from them. Can be prevented.

In order to achieve the above object, the seventh aspect of the present invention
Dispensing support system according to the viewpoint of, the input means for inputting the information described in the prescription, the storage means for storing the audit information for performing the prescription inspection, based on the audit information stored in the storage means, Regarding the information entered above,
Inspecting means for executing prescription inspection, means for issuing an alarm for an input judged to be inappropriate by the inspecting means, means for releasing the alarm, and alarm information storage for accumulating the alarm released by the releasing means Means and the inspecting means search the alarm information accumulating means when it is determined that the input is inappropriate, and prohibit the issuing of the alarm when the same alarm has been issued and canceled in the past. It is characterized by being configured by a prohibiting means for controlling.

When a prescription inspection is performed and a warning is given, it is a rule to check with the doctor in charge. However, this is not necessary when the doctor prescribes with the consent, and the work on the doctor side and the pharmacy side is stagnation when making an inquiry every time. According to the present invention, it is possible to prevent a situation in which the same warning is repeatedly issued, and to improve the efficiency of dispensing work.

In order to achieve the above object, the eighth aspect of the present invention
The drug sales system according to the above aspect includes a prescription input means for inputting a prescription, a prescription file for accumulating the information input by the prescription input means for each patient, and a part for inputting patient information and external products to be sold. External product input means, external product sales file for accumulating information input by the external product input means for each patient, information on interaction between external products, and interaction between external product and drug The information, the external product file that stores at least one of the information on the relationship between the external product and the contraindications, the content of the external product file, the prescription file, and the external product sales file. And a warning means for issuing a warning when the discrimination means determines that the external article to be sold is inappropriate for the patient's health, based on the history. Characterized in that it comprises a.

According to such a constitution, a quasi drug having the same efficacy as that of the prescription drug is sold, or a quasi drug having an interaction with the prescription drug is sold, and further, depending on the patient's disease or allergic constitution. You can prevent the situation where you sell something you cannot do.

[0024]

BEST MODE FOR CARRYING OUT THE INVENTION The configuration of a dispensing support system according to an embodiment of the present invention will be described below. This dispensing support system is basically composed of a distributed processing system, and as shown in FIG. 1, a master server 11 and pharmacies A to.
It is composed of a plurality of pharmacy servers 12A to 12D arranged in D. The master server 11 stores data of all patients in the pharmacies A to D in order to manage all patients in a centralized manner.
Each pharmacy server 12 stores only patient data for its own pharmacy. Each pharmacy server 12 accesses the master server 11 when a new patient arrives, and if the information about the patient is stored in the master server 11, fetches all the relevant information and performs the necessary processing. .

Next, the structure of the pharmacy system arranged in each pharmacy will be described with reference to FIG. This dispensing system
As shown in the figure, a barcode printing section 22 arranged at the reception 21, a prescription conveying section 23, and an input section 24
And a transport lane 26 for transporting a bucket 35 into which a prescription and a drug are loaded, a medicine bag printing section 27 and a liquid medication dispensing section 2 arranged along the transport lane 26.
8, a powder dispensing section 29, a heat dispensing section 30, a tablet dispensing section 31, a final audit section 32, a dosing / accounting section 33, a waiting section 34, and a patient terminal 36. .

The bar code printing unit 22 is arranged near the reception desk 21, attaches a unique number (prescription number) to the prescription brought by the patient, and prints the number and the bar code of the number on the prescription. The prescription transport unit 23 transports a prescription or the like on which a barcode is printed to the input section 24.
As shown in FIG. 3, the input section 24 includes an input terminal 24A connected to each pharmacy server 12. In the inspection section 25, the content of the prescription input in the input section 24 is inspected by a professional pharmacist. The inspection section 25 includes an inspection terminal 25A.

The transport lane 26 transports a bucket 35 for transporting the medicine adjusted in each preparation section. The medicine bag printing section 27 reads the bar code attached to the bucket 35 on the transport lane 26, prints the medicine bag according to the bar code reader 27A for notifying the pharmacy server 12 and the instruction of the pharmacy server 12, and puts the medicine bag in the bucket 35. And a printing / feeding device 27B.

The liquid medicine dispensing section 28 is provided in the transportation lane 2
Read the barcode attached to the bucket 35 on 6,
A barcode reader 28A for notifying the pharmacy server 12,
A terminal provided with a dispensing table 28B, an extrusion device 28C for pushing the bucket 35 to the dispensing table 28B based on an instruction from the pharmacy server 12, a printing section for printing a dispensing instruction sheet, a display section for displaying a prescription number, etc. 28D.

Similarly, the powder dispensing section 29, the heat dispensing section 30, and the tablet dispensing section 31 read the bar code attached to the bucket 35 to read the pharmacy server 1.
2, barcode readers 29A to 31A, dispensing tables 29B to 31B, and extrusion devices 29C to 31C.
And terminals 29D to 31D, respectively.

In the final inspection section 32, the dispensation content is visually confirmed by the pharmacist. The final inspection section 32 is a terminal 3 for final inspection equipped with a bar code reader for reading the prescription number of the prescription for which the inspection has been completed.
2A is arranged. The medication / accounting section 33
The accounting terminal 33A is provided to perform accounting processing. A plurality of buckets 35 are waiting in the waiting section 34. The patient terminal 36 includes a display unit and displays the progress of dispensing.

FIG. 3 shows the network configuration of the dispensing support system arranged in each pharmacy. As shown in the figure, the pharmacy server 12 includes an input terminal 24A arranged in the input section 24, an accounting terminal 33A arranged in the medication / accounting section 33, and an inspection terminal 25A arranged in the inspection section 25. A line control terminal 40 for controlling the dispensing line is connected via a bus 41.

The line control terminal 40 includes bar code readers 27A to 31A, a printing / charging device 27B, dispensing terminals 27D to 31D, and extrusion devices 28C to 31C.
A final inspection terminal 32A arranged in the final inspection section, an accounting terminal 33A, a progress display device 35, and a wireless calling device 37 described later are connected via a bus 42.

The pharmacy server 12 stores a prescription file (FIG. 4), a personal information file (FIG. 5), a drug file (FIG. 6), an erroneous input file, and a related file, and as described later, Prescription audit and control of each department. As shown in FIG. 4, the prescription file stores each input prescription for each prescription. As shown in FIG. 5, the personal information file stores patient information such as name, sex and age, and patient incidental information such as medication history, medical history, allergies, pregnancy / lactation, etc. for each patient.

As shown in FIG. 6, the drug file includes hospitals for each drug, indications, contraindications, restrictions on pregnant / lactating women, restrictions on living environment, side effects, drug interactions,
Memorize usage and dose restrictions for each drug. The erroneous input file stores drug names that are prone to input errors. The related file stores the correspondence relationship between the prescription number, the calling card number, and the number of the bucket 35 in which the prescription is put.

Next, the procedure from the patient bringing the prescription to receiving the medicine will be described with reference to FIGS. 9 and 10. The patient brings the prescription to the reception 21 of any of the pharmacies A to D. At the reception 21, the pharmacist in charge investigates and records the patient's disease name, medical history, allergies, presence of pregnancy, living environment, etc., through an interview or the like. Also, a call card to which a unique call code is assigned is lent to the patient, and the number of the call card and the like are also recorded.

Next, the bar code printing section 22 prints a unique identification number (prescription number) and its bar code on the prescription. The prescription on which the barcode is printed and the record of the interview are conveyed to the input section 24 via the prescription conveying section 23. In the input section 24, the input terminal 24
Read the barcode (prescription number) printed on the prescription with the barcode reader of A, and then read the patient information such as the patient number, name, sex, date of birth, etc. written on the prescription, the number of the calling card, etc. Input (S1). The input information is transmitted to the pharmacy server 12. Pharmacy server 1
2 registers the correspondence between the prescription number and the calling card number in the related file. Also, using the patient information as a key, a database for the drugstore is searched and the corresponding data is read from the personal information file (S2, S3).

On the other hand, when the corresponding personal information is not stored in the database for the self-pharmacy, the pharmacy server 12 accesses the master server 11 (S4), and when the corresponding patient information is stored in the master server 11. For, the corresponding personal information file is read (S5, S6). If the personal information of the patient is not stored in the master server 11 as well, a new patient is created and a corresponding personal information file is newly created (S7). Then, the data of the hospital, medical department, doctor, etc. which issued the prescription are input (S8).

Next, the prescription contents such as the name and content of the drug, the prescription amount, and the method of use stated on the prescription are input (S
9). When the drug name (including content) is input, it is determined whether or not the drug is registered in the drug file (S
10). If it is not registered, a screen prompting for correction is displayed on the input terminal 24A together with a warning (S11), and the process returns to step S9. For example, when "prostal" should be input but "protal" is input by mistake, the warning screen is displayed because the corresponding drug is not registered in the drug file.

When it is judged that the inputted medicine is registered in the medicine file, it is judged whether or not the medicine is registered in the erroneous input file (S12). If registered, the personal information file is referred to and it is determined whether or not the same drug has been prescribed in the previous prescription (S1).
3). If it is not prescribed, a warning is displayed to confirm the entered drug name (S14). When the operator corrects the input contents according to this warning,
Operate the A correction key. After this operation, input the correct medicine. Furthermore, the original drug (the drug that was erroneously entered) is registered in the erroneous input file. If it is determined in step S12 that the input drug is not registered in the erroneous input file, or if it is determined in step S13 that the input drug has been prescribed the previous time, the process proceeds to step S15.

For example, the drug “prostal” is a drug for benign prostatic hyperplasia, and the “pontal” is an antipyretic analgesic, which is a different drug, but there is a risk of confusion during input. Therefore, these drugs are registered in the erroneous input file.
Then, when these drugs are input, a warning is issued.

Subsequently, the prescription amount is input (S15), and the usage is further input (S16).

By repeating the above operation, the prescribed medicines (including the content), the prescribed amount, and the usage are sequentially input until it is judged in step S17 that the input of all the medicines is completed.

Next, from the contents of the prescription, the record of the interview at the reception 21, etc., the insurance type, the presence or absence of drug allergy of the patient,
The patient's incidental information such as pregnancy / lactation and living environment is input (S18). At this time, the contents of the personal information file are displayed on the screen, items that have already been input are skipped, and items that have not been input or items that have changed are input.

When the input of the patient incidental information is completed, the input person operates a predetermined inspection key. In response to this key press,
Move on to audit processing.

First, it is judged from the column of the applicable medical department of the drug file whether or not the inputted medical drug is a drug used in the inputted medical department (the medical department which issued the prescription) (S
19) If it is inappropriate, a warning is output (S20).
For example, the aforementioned drug “prostal” is a drug for benign prostatic hyperplasia and is prescribed by the urologist. In addition, "pontal" is an antipyretic analgesic and is prescribed by various clinical departments. Therefore, for example, in the prescription of internal medicine, "pontal" is replaced with "pros
tal ”is read and input, in step S11,
It is determined that the input medical department "internal medicine" and the medical department "urology" to which the prescription drug is prescribed do not match (S19), and a warning is output (S20).

Then, it is determined whether or not the medicine is adopted in the hospital that issued the prescription, based on the contents of the medicine file adopted hospital list file (S21). If it is determined that the job is not adopted, a warning is output (S2).
2).

For example, according to the medicine file shown in FIG.
Gasters with a content of 20 mg are used in hospitals, but gasters with a content of 40 mg are not used. Therefore, when 40 mg of Gaster is input in the prescription of Hospital A, a warning is output. Similarly, Hospital C does not use Gaster. Therefore, in Hospital C, if Gaster is prescribed, a warning is output.

Next, the prescription drug of this prescription is the past (3
Whether it is prescribed to the patient within 0 days) is determined by comparing the contents of the prescription file and the contents of the personal information file (S23). If there is a newly prescribed drug, a warning is issued (S24).

Next, the patient's disease is presumed from the entered prescription and the patient's medication history and history field and the indication field of the drug file (S25), and a drug inappropriate for this disease is prescribed this time. It is determined whether or not (S26), and if an inappropriate drug is prescribed, a warning is output (S26).
27). In this case, not only the input data of this time but also the drug history data of the patient for the past 30 days and the like are comprehensively audited.

For example, assume that a Gaster 20 mg tablet is prescribed in this prescription. From the indications registered in the drug file shown in FIG. 7, it can be inferred that this patient has peptic ulcer. On the other hand, it is assumed that Voltaren tablets are also prescribed with the same prescription. As shown in the drug file in FIG. 8, the contraindications for Voltaren tablets are digestive diseases, and there is a contradiction between the prescriptions for Gaster tablets and Voltaren tablets. Therefore, in this case, a warning is output. Also, a warning is output when, for example, Astomoridine D whose indication is bronchial asthma and Inderal 10 mg tablet whose contraindication is bronchial asthma are prescribed at the same time. In addition, when metligine, which is a drug for hypotension, and a drug having a side effect of lowering blood pressure are prescribed, the same warning is output.

Although the patient declares his / her disease to be a digestive disease, when Voltaren tablets are prescribed in the prescription, the description in the anamnesis column of the personal information file conflicts with the prescription. , A warning is issued. Furthermore, if Gaster 20 mg is prescribed in the past 30 days and Voltaren tablets are prescribed this time, it can be inferred that this patient has peptic ulcer from the drug history accumulated in the personal information file. In this case, a warning is output even when a Voltaren tablet is prescribed in the present prescription.

Next, for each drug prescribed this time, it is judged whether or not the drug causing the interaction is prescribed by referring to the drug interaction column of the drug file (S2).
8) If a drug causing an interaction is prescribed, a warning is issued (S29).

Further, it is judged whether or not drug allergy is registered in the personal information file, and it is judged whether or not a drug causing drug allergy is prescribed (S3).
0). If a drug causing drug allergy is prescribed, a warning is output (S31).

Whether or not the patient is pregnant / lactating woman is determined based on the personal information file, and the pregnancy / lactating woman column of the drug file of each prescribed drug is referred to
Determine whether administration to lactating women is permitted (S
32). If it is not recognized or if certain conditions are imposed, a warning is output (S33). In addition, it is determined whether or not the lifestyle attitude information is set for the patient, and it is determined whether or not an inappropriate drug is administered for this lifestyle attitude (S34). Outputs a warning (S35). For example, when a patient driving a vehicle is administered with a medicine that causes drowsiness, a warning is output.

Subsequently, for each inputted drug, the prescribed drug amount (dose) and usage are checked. That is, the prescribed drug amount and usage are compared with the normal dose set in the drug file (S36), and if the drug amount is smaller or larger than the normal dose range, the input usage is the normal usage. If not, a warning is output (S3
7). For example, in the medicine file in Fig. 7, "Gaster 20
As the usage of "mg", "1 tablet to 4 tablets before bed" is specified. On the other hand, when the inputted prescription specifies "1 tablet after eating 3 times a day" or "5 tablets before sleeping once a day", a warning is issued.

With the above processing, the audit processing by the computer is completed, and the previous prescription, the present prescription, and the list of warnings are printed (S38). In the list of warnings, the cause of the warning should also be specified.

The prescription, the printed prescription, the current prescription, and the list of warnings are passed to the audit section 25.
In the audit section 28, the pharmacist in charge of audit compares the prescription with the printed prescription data and the list of warnings,
Prescription audit and input check. If necessary, contact the doctor who created the prescription to confirm the prescription.

If an input error is found as a result of the audit, and if the input contents are to be corrected, the "correction" key is operated to display the correction screen, and an arbitrary item is designated on the correction screen. Enter again. When the medicine name is corrected, the medicine name before correction is registered in the erroneous input file. On the other hand, if there is a change in the prescription content as a result of the audit, and if you want to correct the input content, operate the "change" key to display the change screen, specify any item on the change screen and re-enter To do. In this case, even if the medicine name is corrected, the medicine name before correction is not registered in the erroneous input file.

When the inspection is completed, the inspector reads the bar code printed on the prescription with the bar code reader of the inspection terminal 25A. The read barcode is notified to the pharmacy server 12, and the pharmacy server 12 updates the medication history column, the preexisting disorder column and the like of the personal information file based on the input prescription.

Subsequently, the pharmacy server 12 notifies the line control terminal 40 of the prescription content of this time together with the prescription number.
The line control terminal 40 stores the notified prescription content in the internal memory together with the prescription number, and sets “1” in the progress status flag indicating the progress status of the dispensing.

Next, the line control terminal 40 classifies the notified prescription contents into a liquid medicine, a powder medicine, a heat medicine, and a tablet, and together with the prescription number, the corresponding dispensing sections 28 to 31.
To the terminals 28D to 31D. The terminal devices 28D to 31D of the respective dispensing sections print the dispensing instruction sheet according to the instructed contents.

According to the dispensing instructions, the pharmacist in each dispensing section starts dispensing in parallel.

The prescription for which the input processing and the inspection have been completed is put into the bucket 35 waiting in the waiting section 34. The inspector inputs the correspondence between the prescription number and the number of the bucket 35 from the inspection terminal 25A. Subsequently, the inspector places the bucket 35 in the bucket transportation lane 26. The bucket 35 is transported along the bucket transport lane 26. The information input from the inspection terminal 25A is notified to the pharmacy server 12. The pharmacy server 12 registers the prescription number and the number of the bucket 35 in the related file, and further notifies the line control terminal 40 of this information. The line control terminal 40 stores in the internal memory the number of the bucket 35 notified together with the corresponding prescription content.

When the bucket 35 approaches the medicine bag printing section 27, the bucket number printed on the side surface of the bucket 35 is read by the bar code reader 27A and is notified to the line control terminal 40. The line control terminal 40 is
The internal memory is accessed, the prescription number corresponding to the notified number of the bucket 35 is discriminated, the prescription content is read, and the print information is notified to the print / input device 27B. The printing / feeding device 27B prints the medicine bag according to the printing information,
The bucket 35 is moving and is loaded in synchronism.

The bucket 35 loaded with the medicine bag is conveyed to the liquid medication section 28. Bar code reader 28A of liquid medication section 28 reads the bar code recorded on the side surface of bucket 35 and notifies line control terminal 40 of the read number. The line control terminal 40 determines the corresponding prescription number from the notified bucket number,
"2" is set to the corresponding progress flag. Further, it is determined whether or not the corresponding prescription content contains liquid medication. When the liquid medicine is included, the line control terminal 40
Drives the pushing device 28C in synchronization with the movement of the bucket 35, and pushes the bucket 35 from the transportation lane 26 to the liquid medication dispensing table 28B. The line control terminal 40 displays the bucket number and the prescription number on the display unit of the liquid medication section terminal 28D.

According to the display, the pharmacist in the liquid medicine section prepares a dispensed drug, confirms the prescription drug from the prescription in the bucket 35, and then puts the prescribed drug and the dispensation instruction sheet into the bucket 35 for transportation. Return to lane 26.

When it is not necessary to prescribe a liquid medication, the line control terminal 40 does not drive the extrusion device 28C and the bucket 35 passes through the liquid medication section 28.

When the bucket 35 approaches the powder section 29 by the transportation lane 26, the bar code reader 29A reads the bucket number attached to the bucket 35 and notifies the line control terminal 40 of the read bucket number.
The line control terminal 40 determines the prescription number from the bucket number and sets "3" in the corresponding progress status flag. Further, it is determined whether or not the prescription content includes powder. In the case of containing a powder, the line control terminal 40
Drives the powder section extrusion device 29C in synchronism with the movement of the bucket 35, and drives the bucket 35 to the transport lane 2
6 and push out to the powder preparation table 29B. Further, the bucket number and the prescription number are displayed on the display unit of the terminal 29D in the powder section.

The pharmacist in the powder section has a bucket 35
The prescription medicine is confirmed from the prescription inside, the prescribed medicine and the dispensation instruction sheet are put into the bucket 35 and returned to the transportation lane 26.
If it is not necessary to prescribe a powder, the line control terminal 4
0 does not activate the extruder 29C and the bucket 35 passes through the powder section 29.

When the bucket 35 approaches the heating agent section 30, the bucket number is read by the barcode reader 30A, and the line control terminal 40 is notified of the bucket number. The line control terminal 40 determines the prescription number from the bucket number and sets "4" in the corresponding progress status flag. Further, it is determined whether or not the prescription content includes a heating agent. When the heating agent is included, the extruder for the heating agent section 30C is driven to push the bucket 35 to the heating agent preparation table 30B. Further, the bucket number and the prescription number are displayed on the display unit of the terminal 30D of the heat agent section 30. The pharmacist in the heat agent section writes the prescribed drug and dispensing instructions in bucket 3
5, and returns to the transportation lane 26. Line control terminal 4
0 does not drive the extruder 30C and the bucket 35 passes through the heat agent section 30 when it is not necessary to formulate the heat agent.

When the bucket 35 approaches the tablet section 31, the bar code reader 31A reads the bucket number and notifies the line control terminal 40 of the read bucket number. The line control terminal 40 determines the prescription number from the bucket number,
The corresponding progress status flag is set to "5". Furthermore, the line control terminal 40 determines whether or not the corresponding prescription content includes tablets. In the case of containing tablets, the line control terminal 40 drives the tablet section extrusion device 31 and pushes it to the tablet dispensing table 31B. Further, the bucket number and the prescription number are displayed on the display unit of the terminal 31D of the tablet section 31. The pharmacist in the tablet section puts the prescribed medicine and the dispensation instruction sheet into the bucket 35 and returns them to the transport lane 26. The line control terminal 40 is
If the tablets do not need to be formulated, the extruder 31C is not driven and the bucket 35 passes through the tablet section 31.

Bucket 35 into which the dispensed chemicals are put
Is transported to the final inspection section 32 by the transportation lane 26. In the final inspection section 32, a specialist pharmacist again inspects the medicine in the bucket 35 according to the prescription. If an input error or dispensing error is found in the final audit, the final inspector will contact the relevant section and take necessary actions such as re-entry and re-dispensing. If the next bucket 35 is conveyed during the inspection, it is guided to the standby lane 26A.

When the final inspection is completed, the inspector reads the bar code (prescription number) printed on the prescription with the bar code reader of the final inspection terminal 32A. The read prescription number is notified to the line control terminal 40. The line control terminal 40 sets “6” in the progress flag of the corresponding prescription file. The line control terminal 40 determines the calling card number recorded in the prescription file and issues an instruction to call this calling card to the wireless calling device 37.
To notify. According to this notification, the wireless calling device 37
A radio signal including a code assigned to the calling card is transmitted to call the calling card. The calling card that has received the call emits an electronic sound to notify the patient of the end of the dispensing.

The medicines and prescriptions for which the final inspection is completed are conveyed to the medication / accounting section 33 by the conveyance lane 26.

When the patient who receives the call comes out at the medication / accounting section 33, the accounting clerk displays the bar code printed on the prescription in the carried bucket 35 to the accounting terminal 3.
Read by 3A barcode reader. This prescription number is notified to the pharmacy server 12. The pharmacy server 12
The patient burden and insurance claim amount are calculated and displayed from the drug name, prescription amount, insurance type, etc. recorded in the corresponding prescription file.

When the patient completes the transaction and returns the calling card, the person in charge reads the bar code of the prescription and operates the processing end button. The read prescription number is notified to the pharmacy server 12. The pharmacy server 12 deletes the corresponding related file. Furthermore, the pharmacy server 12
Notifies the line control terminal 40 of this prescription number.
The line control terminal 40 erases the data corresponding to this prescription number.

If the calling card is inserted into the slot of the patient terminal 36 before each patient receives the medicine, the patient terminal 36 determines the number of the calling card and notifies the line control terminal 40 of this number. To do. The line control terminal 40 obtains the corresponding prescription number from the card number, reads out the progress status flag corresponding to the corresponding prescription number, and notifies the patient terminal 36A. The patient terminal 36A displays the progress of dispensing based on the value of the progress flag. This allows the patient to determine to what extent his dispensing has progressed.

As described above, according to the dispensing support system of this embodiment, the prescription input error is prevented, and the prescription is inspected based on the medication history of the patient, the disease, etc., that is, the prescription is performed. Audits can be done from a comprehensive perspective. Therefore, medication error can be prevented. Therefore, highly reliable dispensing can be performed. In addition, after the prescription is entered, the dispensing instructions are issued in parallel to each dispensing section, so the dispensing time can be shortened and the patient's waiting time can be shortened compared to the case of dispensing liquid medicine, powder medicine, heat medicine, etc. in order. The time can be shortened.

Further, since the system is constructed as a distributed system and each pharmacy server 12 stores only the patient data at the time, the storage capacity of the server 12 of each pharmacy is appropriately suppressed, and by extension, the processing is performed. It can speed up.
Moreover, for a new patient, if the master server 11 is accessed and patient data exists in the master server 11, the data is used. Therefore, it is suitable even when a patient from another pharmacy comes to the station. An audit can be conducted.

In the above-described embodiment, the medicines described in the prescription by the doctor as the object of inspection, that is,
Although the description has been given by taking only the prescription drug as an example, the prescription audit may be performed for so-called quasi drugs such as over-the-counter drugs, foods for specified health uses, and quasi drugs.

FIG. 11 shows an example of the system configuration in this case. In FIG. 11, the external item accounting terminal 51 is arranged in the external item sales section and is connected to the pharmacy server 12 via the bus 41. The pharmacy server 12 stores an external drug file and an external drug sales information file together with a prescription file and the like. The quasi-drug file stores information on interactions between quasi-drugs, information on interactions between quasi-drugs and ethical drugs, information on quasi-drugs and contraindications, and the like.
The external product sales information file stores patient information and external product sales information in a matched manner.

Here, when the patient brings the external product he / she wants to purchase to the external product accounting terminal 51, the person in charge reads the product code printed on the external product with the bar code reader and, based on the patient's declaration, Enter patient information. The external part accounting terminal 51 notifies the pharmacy server 12 of the input information.

The pharmacy server 12 searches the database for its own pharmacy using the patient information as a key, and reads the corresponding data from the personal information file.

On the other hand, when the corresponding personal information is not stored in the database for the self-pharmacy, the pharmacy server 12 accesses the master server 11, and when the corresponding patient information is stored in the master server 11, Read the corresponding personal information file. If the personal information of the patient is not stored in the master server 11 either, the patient is treated as a new patient and a corresponding personal information file is newly created.

Next, the pharmacy server 12 determines from the contents of the personal information file and the quasi-drug file whether or not the quasi-drug to be sold is appropriate for the patient. First, the pharmacy server 12 uses the information on the interaction between the quasi-drugs in the quasi-drug file and the quasi-drug sales information registered in the quasi-drug and the quasi-drug sales information file that the patient is going to sell. , It is determined whether or not the external item to be sold is appropriate.

Next, the pharmacy server 12 determines from the information on the interaction between the quasi drug and the ethical drug in the quasi drug file,
Determine if the quasi-drug the patient is trying to purchase and the medication the patient is taking are in an improper relationship. Furthermore, the pharmacy server 12 is inadequate for the quasi-drug that the patient is going to purchase and the illness of the patient (including past illness, allergy, pregnancy / lactation, etc.) based on the quasi-drug and contraindication information in the quasi-drug file It is determined whether or not it is.

When it is determined that the drug is inappropriate, the pharmacy server 12 notifies the external drug accounting terminal 51 of that fact, and the external drug accounting terminal 51 outputs the reason for determining the inappropriateness. On the other hand, when it is determined to be appropriate, the accounting information is notified to the external item accounting terminal 51, and the external item accounting terminal outputs the sales amount and the like.

For example, when it is determined that the patient's disease is diabetes mellitus based on prescription drugs, anamnesia, etc., a warning is output when a high-calorie food is sold. Also, for example, warfarin is an anticoagulant, and vitamin K should not be taken in large amounts while taking it. Therefore, a warning is generated when a patient who includes warfarin in the medical history purchases a chlorella preparation (containing vitamin K). Information regarding the quasi-drugs finally purchased by each patient is registered in the quasi-drug sales information file.

On the other hand, in the prescription inspection at the time of inputting the prescription, it is judged whether or not the prescription drug is appropriate based on the external drug information registered in the external drug sales information file, and a warning is issued if necessary. Emit.

In the above description, the condition of adoption / non-adoption of each drug is set for each hospital, but it is not limited to each hospital.
The conditions of adoption / non-adoption may be set for each medical department and each doctor.

Further, when there are drugs having the same name but different contents, a warning to that effect may be output. In this case, for example, a drug file is formed for each drug name and content, a flag is set when drugs of the same name with different contents exist, and when the drug is input, the presence or absence of a flag is determined, Warn if a flag is set.

For example, if there are inderals having a content of 10 mg and 20 mg and the pharmacy uses only 10 mg, information indicating that there is a content other than 10 mg is stored in the drug file, and the inderal 10 mg is stored. A warning may be output when is input. In addition, information indicating hospitals that do not warn may be set together with a flag that indicates whether or not drugs of the same content are present, and hospitals that do not warn may be designated.

In the above description, a warning is output when a new drug is dispensed for a patient. For example, a file of the drug to be used is formed for each doctor, and the prescription drug is stored. The medicine file may be referred to each time an input is made, and a warning may be issued for a medicine used by a doctor for the first time. Similar processing is performed for each medical department.
It is also possible to do this for each hospital.

Further, in the above description, when the medicine registered in the erroneous input file is input, the warning is output only when the medicine is not prescribed in the previous prescription, but step 13 is removed. A warning may be output whenever a drug registered in the erroneous input file is input. Further, whether or not step S13 is performed may be set by a flag or the like.

Although various warnings have been issued in the above-described embodiment, there are cases where prescription drugs subject to warning are constantly given depending on the patient, hospital, medical department, and doctor. For example, for a particular patient, a particular physician may prescribe more medication than usual. In addition, there are cases in which a drug having adverse side effects on the patient's disease is prescribed. In such cases, issuing a warning each time would confuse the dispensing process. Therefore, when the cause of the warning is generated, the patient information file may be referred to, and the warning may not be generated when the prescription having the same content is performed last time.

Further, an exceptional prescription is filed in the pharmacy server 12 for each doctor, and when a cause of warning occurs, the exception file of the doctor who issued the prescription is referred to, and the prescription content is registered in the file. If so, the warning may not be issued. In this case, when the warning is issued, the doctor in charge is contacted, and when the doctor in charge confirms the prescription, the prescription content is registered in the exception file.

In the above description, the medicine dispensed by the pharmacist in each section is described as being charged into the bucket, but the charging process may be automatically performed. For example, place a dosing device with a keyboard in each dispensing section,
When you put the medicine in the inlet and enter the prescription number,
The charging device may automatically charge the corresponding chemicals into each bucket. With such a configuration, the inserting action itself can be automatically performed. The burden on the dispenser is further reduced. In addition, the present invention is not limited to the configuration described above, and various modifications and applications are possible. For example, the dispensation lane is an example, and the prescription inspection may be performed using a computer and the actual dispensation may be performed manually.

[0098]

As described above, according to the dispensing support system according to this embodiment, prescription mistakes, input mistakes, etc. can be reduced, and highly reliable dispensing can be performed. Moreover, the dispensing time can be shortened and the waiting time of the patient can be shortened. Also, while suppressing the storage capacity of the pharmacy server,
Appropriate prescription audit for all patients.

[Brief description of drawings]

FIG. 1 is a diagram showing an overall configuration of a dispensing support system according to an embodiment of the present invention.

FIG. 2 is a diagram showing a configuration of a dispensing support system arranged in each pharmacy.

FIG. 3 is a network configuration diagram in each pharmacy.

FIG. 4 is a diagram showing an example of a prescription file.

FIG. 5 is a diagram showing an example of a personal information file.

FIG. 6 is a diagram showing an example of a medicine file.

FIG. 7 is a diagram showing a specific example of a medicine file.

FIG. 8 is a diagram showing a specific example of a medicine file.

FIG. 9 is a flowchart showing a processing procedure of prescription inspection.

FIG. 10 is a flowchart showing a processing procedure of prescription inspection.

FIG. 11 is a block diagram showing a system configuration when an external item accounting terminal is arranged.

[Explanation of symbols]

 11 Master Server 12 Pharmacy Server 21 Reception 22 Bar Code Printing Section 23 Prescription Transfer Section 24 Input Section 25 Audit Section 26 Transfer Lane 27 Drug Bag Printing Section 28 Liquid Dispensing Section 29 Powder Dispensing Section 30 Heat Dispensing Section 31 Tablet Dispensing Section 32 Final Audit section 33 Medication / accounting section 34 Standby section 35 Bucket 36 Patient terminal 37 Radio call device 40 Line control terminal 41 Bus 42 Bus

Claims (8)

[Claims] 1. A master server which holds patient information and patient incidental information of all patients, and which is arranged in each pharmacy and connected to the master server via communication, and outputs patient information and patient incidental information for its own pharmacy. It is determined whether or not the pharmacy data holding means possessed, the input means for inputting the data regarding the prescription, and the incidental information regarding the patient information input by the input means are stored in the pharmacy data holding means. When the master server is not present, the master server is accessed, and when the supplementary information corresponding to the master server is stored, the supplementary information is read from the master server and stored in the pharmacy data holding means, and the read means. Means for inspecting prescription data input based on the incidental information read by
A pharmacy server including means for updating stored data in the pharmacy data holding means based on the information input by the input means, and dispensing instruction means for instructing dispensing to a plurality of dispensing sections based on an audited prescription. And a dispensing support system comprising: 2. A drug file for storing the relationship between the drug and its indications and contraindications, input means for inputting a prescribed drug, and storage means for storing the drug input by said input means for each patient. According to the drug input by the input unit, the drug history accumulated in the accumulating unit, and the drug file, an estimating unit that estimates a disease of a patient, and a drug in which the disease estimated by the estimating unit is contraindicated A dispensing support system comprising: a warning unit that determines whether or not an input has been made by the input unit and issues a warning when the input is made. 3. A history storage means for storing a history of prescription drugs, an input means for inputting information described in a prescription, and a search for the history storage means based on the information input by the input means, It is composed of means for issuing a warning when a medicine to be used for the first time is input, and update means for updating the use history stored in the history storage means based on the information input by the input means. Dispensing support system characterized by the following. 4. A storage unit for storing in advance a drug that is likely to make an input error at the time of input, an input unit for inputting information written on a prescription, and the storage unit based on the information input by the input unit. A means for issuing a warning when a medicine listed in the storage means is searched, a correction means for correcting the information input by the input means, and the information corrected by the correction means A dispensing support system comprising: an updating unit that is registered in a storage unit. 5. For each drug, a storage unit for storing at least one information of a hospital, a medical department, and a doctor who employs the drug, an input unit for inputting information described in a prescription, and an input by the input unit. A dispensing support system comprising: an auditing unit that searches the storage unit based on the received information and issues a warning when an unadopted drug is input. 6. For each drug, a storage means for storing information indicating whether or not a drug having the same name but a different content exists, an input means for inputting information described in a prescription, and an input means for inputting the information. Based on the information obtained, the storage means is searched, and when the same drug having a different content is present,
A dispensing support system comprising a means for issuing a warning, and a dispensing support system. 7. Input means for inputting information described in a prescription, storage means for storing audit information for performing prescription inspection, and the input based on the audit information stored in the storage means. Regarding information, an auditing means for executing prescription auditing, a means for issuing an alarm for an input determined to be inappropriate by the inspecting means, a means for canceling the alarm, and an alarm released by the canceling means are accumulated. When the alarm information storage means and the inspection means determine that the input is inappropriate,
A dispensing support system, comprising: a prohibition unit that searches the alarm information storage unit and prohibits the issuance of the alarm when the same alarm has been issued and canceled in the past. 8. A prescription input means for inputting a prescription, a prescription file for accumulating the information input by the prescription input means for each patient, and an external product input means for inputting patient information and external products to be sold. , A quasi-drug sales file that accumulates the information input by the quasi-drug input means for each patient, information on interactions between quasi-drugs, information on interactions between quasi-drugs, and quasi-drugs. Based on the external information file that stores at least one of the information about the relationship between the product and the contraindication, the content of the external product file, and the history accumulated in the prescription file and the external product sales file A determination means for determining whether or not the quasi-drug to be sold is inappropriate for the health of the patient, and a warning means for issuing a warning when the determination means determines that it is inappropriate. Sales system for pharmaceutical products.