JPS62156771A - Prescription processor - Google Patents

Abstract

PURPOSE:To confirm the safety for all handling prescriptions by outputting the propriety of the prescription whose contents are checked by a check means through an output means. CONSTITUTION:The means of medicines, the dose of each recipe, the number of recipe days, etc., written on a prescription are inputted when the screen of a CRT 43 is switched with push of an input key after input of a patient code. Then a check key is pushed after the input key is pushed when the coincidence is secured between the screen and the contents of the prescription. Here the propriety of the recipe is checked including the relation between the inhibition of compound and the past recipe of the patient in terms of the prescription contents. Then a printer 45 prints out an information on an inappropriate recipe and this information can be sent to a doctor, In case the recipe is appropriate, the contents of prescription are sorted into the medicines to be processed by a fully automatic medicine wrapping machine 1 and others. The latter medicines are registered to a memory 44 and at the same time the printer 45 prints out the contents of prescription. Thus the second check is possible with comparison give between the output information and the prescription.

Description

DETAILED DESCRIPTION OF THE INVENTION [Field of Industrial Application] This invention relates to a prescription processing device used in pharmacies such as hospitals.

[Prior Art] In general, pharmacies in hospitals and the like perform various operations such as dispensing drugs to be prescribed according to the contents of prescriptions received from doctors. By the way, the drugs prescribed must above all be safe.
In order to ensure its safety, not only the safety of the drug ingredients themselves, but also the dosage and administration are important factors, and individual differences must also be considered. It needs to be confirmed by more clinical data. Needless to say, pharmacists are not just dispensing workers; they are people with specialized knowledge about drugs, and they have the opportunity to access more clinical data regarding drugs than individual doctors. Therefore, one of the important tasks is to judge the safety of drug prescriptions from a large amount of clinical data and provide advice to doctors.

In making this judgment, it is not enough to just know the contents of the prescription bottle to be prescribed at that time; it is essential to know the contents of the previous prescription for the patient (hereinafter referred to as "past prescription"). be.

[Problems to be solved by the invention] However, since past prescriptions are generally not specifically described in the prescriptions passed from doctors to pharmacies, pharmacists do not know the appropriate prescriptions, including past prescriptions, even when they look at the received prescriptions. Therefore, there are problems such as, for example, even if a prescription received includes prescription contents that should be avoided based on a large amount of clinical data, it is difficult to notice this and take appropriate measures. Oh yeah.

SUMMARY OF THE INVENTION An object of the present invention is to solve the above problems of the conventional apparatus and to provide a prescription processing apparatus that can automatically check the suitability of the contents of a prescription.

[Means for Solving the Problems] In order to achieve the above object, the present invention includes means for inputting the contents of a prescription, means for checking the suitability of the prescription with respect to the contents of the prescription input by the input means, and the above-mentioned method. and means for outputting the suitability of the prescription checked by the checking means.

[Operation] By employing the above means, the output means outputs the suitability of the prescription checked by the checking means for the content of the prescription, and the safety of the prescriptions is not leaked for all the prescriptions handled. This means that you can check without any problems.

[Example code] Embodiments of the invention shown in the drawings will be described below.

FIG. 1 shows an embodiment of the present invention, in which 1 is a fully automatic drug packaging machine, 41 is an operating device, and both are connected online. The fully automatic drug packaging machine 1 has a drug storage and extraction device W.
2 and a packaging device 24. As shown in FIGS. 2 to 5, the drug storage/retrieval device 2 has vertical drawer bodies 3 and 3 provided adjacent to each other within a 2° box body with an open front.
, . . . When each vertical drawer 3 is unlocked by pressing the lock button 4 provided on the front, and then placing a hand on the handle 5 and pulling it toward the user, the box will slide along a rail (not shown). It can be pulled out from the front opening of the box 2', and the front opening of the box 2' is sealed when all the vertical drawer bodies 3.3,... are stored in the box 2'. It has become. 6.6, . . . are multiple shelves stacked vertically on each vertical drawer 3, and 7.7, . . . are shelves 6.6, . . . on each vertical drawer 3.・A duct provided behind (on either the left or right side when viewed from the front of the box body 2') passing through the upper and lower spaces, 8. 8, . . . is a plurality of tablet feeders arranged in parallel in each column 6. Each tablet feeder 8 includes a storage section 9 that stores a large number of tablets of one type, and a discharge section l that discharges the tablets in the storage section 9 one by one upon receiving an appropriate ejection signal.
O, and is positioned on the tII6 so that the ejected tablet enters the duct 7 and falls. 11 is a hopper provided in the lower part of the box body 2' in communication with all the ducts 7, 7, . . .

The lower part of the vertical drawer 3 in the third row from the left when viewed from the front of the box 2° contains items that are rarely prescribed, easily destroyed by a slight force, or have a special shape. , therefore, a dispensing container for handling tablet types not stored in the tablet feeder 8.8,...! 2 and a packet conveyor 13 are provided. As shown in FIG. 4.6.7, the distribution container 12 is configured to be able to be pulled out from the vertical drawer body 3 along a rail (not shown) fitted with a rail groove 14, and partition plates 15, 15, A plurality of (21 compartments in the illustrated example) compartments 1 partitioned by...
6.16, . . . are arranged in parallel. Partition plate 15.15
,... has an almost circular hole 17,! 7,... are formed, and these holes 17,! A gutter-like body 18 having an approximately semicircular arc cross section extending through the sections 16.1 and 7.
6, . . . are provided for the common bottom plate, and the gutter-like body 18 has substantially circular partition plates 19.19, . , the gutter-like body 18 is moved approximately 18 times around the central axis of the partition plates 19, 19, . . . by turning the knob 20 provided at the front end of the distribution container 12.
Rotate 0° and flip vertically, thereby opening compartment I6.1
The stored tablets are made to fall downward at the same time every 6, . . . 21 is a lid of the distribution container 12. The packet conveyor 13 carries 21 packets 22, 22, . . . in the compartment 1 below the distribution container 12.
6. Packet 22 so that it is located directly below 16,...
A large number of packets are arranged in parallel in an endless manner, and upon receiving an appropriate drive signal, the motor 23 is driven, and thereby the packet 2
The packets 22 are intermittently conveyed forward one by one, and the tablets in the packets 22 coming to the front end are successively dropped into the hopper 11.

This drug storage/retrieval device 2 can arrange the tablet feeders 8, 8, . Although the number of tablet feeders 8.8, . . . is large, the tablet feeders 8.8, . Since there are no holes in the tablet, the tablet removal speed is relatively fast. In addition, each contracted drawer body 3
The tablet feeders 8.8, . . . can be brought in front of the operator by simply pulling out the tablet feeders 8.8, .
8,... can be carried out easily and quickly, and all the tablet feeders 8.8,...
・It has high work efficiency because it can be operated. Furthermore, all the vertical drawer bodies 3.3,... are connected to the box body 2.
Store all the tablets in the tablet feeder 8.8,
... can be sealed within 2 degrees of the box body, which increases the dustproof effect, and if necessary, if air conditioning is applied inside the box body 2 inches, the air conditioning effect is high, and the box body 2' and the vertical drawer bodies 3, 3, . . . are made of a light-shielding material, the light-shielding effect is high and deterioration of the tablet can be prevented.

The packaging device 24 is conventionally known, and includes a tablet loading mechanism 25 for loading the tablets taken out from the hopper 11 into a packaging body, 26 a winding frame around which the packaging strip 27 is wound, and 28
29 is a dividing line welding mechanism that forms longitudinal division lines on the rolled-out packaging strip 27; and 30 is a section of the packaging strip 27. A medicine bag printing mechanism 31 prints various data such as a patient code and date on the sachet, and 31 is an enclosing line welding t1 that seals the opening at the upper edge of the sachet after the tablets have been inserted. 32 is an outlet for the sealed package, and 33 is a viewing window.

As shown in FIG. 1, the operating device 41 includes a keyboard 42, a CRT 43, and a memory 4 using a floppy disk.
4, printer 45, and a CP that controls all of these and the fully automatic drug packaging machine 1 according to a predetermined program.
It is composed of U46. As shown in FIG. 8, the keyboard 42 has a JIS key 47 that is used as a character key to enter a patient code, and a B-TSU key that is used as an address key to enter a pre-registered drug name. 48, a character input key 49 for selecting whether to use the JIS key 47 as a character key (when set) or as an address key (when reset), a start key 50, an input key 51, and a numeric keypad. 52
, a clear key 53 , a number of days key 54 , a cursor movement key 55 , an erase key 56 , a check key 57 , and a packaging start key 58 .

The CPU 46 is configured to operate according to a predetermined program, as shown in the flowchart of FIG. That is, when the start key 50 is pressed, a blank screen 59a shown in FIG. 10a is displayed on the CRT 4, for example.
Display on 3. Next, when the character input key 49 is pressed once to set it and the patient code is input using the JIS key 47, the screen 59b with the patient code written in it, for example as shown in Figure 1 Ob, is displayed on the CRT 43. Display. Next, when the input key 51 is pressed, it is checked whether the same patient code as the patient code displayed on the screen 59b is registered in the memory 44, and if it is not registered, the character input key 49 is pressed. After being pressed again, the drug name is entered using the book key 48, the daily dose of each concave side of the drug is entered using the numeric keypad 52, and then the number of days key 54 is pressed and the numeric key 52 is pressed again.
When the number of prescription days for the drug is entered, CR displays the screen 59c shown in FIG.
If registered, the registered patient code and past prescriptions are read from the memory 44 and displayed on the CRT 43 (see screen 59c). Next, when the cursor is appropriately positioned using the cursor movement key 55 and the erase key 56 is pressed while the input key 51 is not pressed, the content of the location indicated by the cursor on the screen 59c is erased, and the content of the location indicated by the cursor is erased. drug name,
Wait for the daily dose of each concave side or the number of prescription days etc. to be newly written. When the input key 51 is pressed and the check key 57 is pressed while the screen 59c on which all prescribed contents are written is displayed on the CRT 43, information including combination contraindications and relationships with the patient's past prescriptions is displayed. A predetermined check program for checking the suitability of the prescription is called, and if the content displayed on the screen 59c is inappropriate for the prescription, the printer 45 is activated to print out the fact, while the screen 59c is displayed. If the displayed content is not inappropriate for prescribing, the content is classified into File A for drugs processed by the fully automatic drug packaging machine 1, and File B for other drugs. The files are further classified by type of dispensing work and registered in the memory 44, and the printer 45 is operated to print out the contents. Furthermore, if the packaging start key 58 is pressed without the check key 57 being pressed, the contents displayed on the screen 59c are changed to fully automatic drug packaging &! The drugs to be processed in step 11 are classified into A file, and the other drugs are classified into B file, and the B file is further classified by type of dispensing work and registered in the memory 44, and the contents of A file are classified. The fully automatic drug packaging machine 1 is operated according to a predetermined program to perform the packaging process, while the printer 45 is operated to print out the contents of the B file. Furthermore, when the check key 57 is not pressed and the packaging start key 58 is not pressed for a predetermined period of time, the C
Screen 59c displayed on RT43 is blank screen 59a
It is now possible to switch to .

When using the above prescription processing device, first press the start key 50, press the character input key 49 once to set it, operate the JIS key 41 to input the patient code, and press the input key 51. If the display screen of the CRT 43 remains at the screen 59b at this time, press the character input key 49 again to reset it, operate the book key 48 to enter the drug name written on the prescription, and operate the numeric keypad 52. Enter the daily dose of each drug in question, press the number of days key 54, and operate the numeric keypad 52 to input the number of prescription days for the drug.

The screen 59c will then be displayed on the CRT 43, but if there is an error in the content of the screen 59c due to an operational error, etc., use the cursor movement key 55 to position the cursor at the incorrect location. After pressing the delete key 56, the user correctly inputs the drug name, each dose per day, the number of prescription days, etc. On the other hand, if the display screen on the CRT 43 changes from screen 59b to screen 59c when the patient code is input and the input key 51 is pressed as described above, compare the contents of screen 59c with the contents of the prescription. , if the contents of the screen 59c include items to be changed (that is, if there is a difference between the contents of the prescription and the patient's past prescription displayed on the screen 59c), press the cursor movement key 55. The operator positions the cursor at the location to be changed, presses the delete key 56, and inputs the name of the drug written on the prescription, the daily dose of each concave side, the number of prescription days, etc.

Then, if the contents of the screen 59c match the contents of the prescription,
After pressing the input key 51, either the check key 57 or the wrapping start key 58 is pressed. check key 5
If you press 7, the contents of the screen 59c, that is, the contents of the prescription, are checked for suitability of the prescription, including any contraindications to the prescription and the relationship with the patient's past prescriptions, and if it is inappropriate to prescribe, the printer 45 This information can be printed out to inform the doctor of the situation. In addition, if it is not suitable for prescription, the prescription contents are classified into the A file for drugs processed by the fully automatic drug packaging machine 1, and the B file for other drugs. It is classified by type of dispensing work and registered in the memory 44, and is also stored in the printer 45.
The prescription information will be printed out, so that the information output from the printer 45 and the prescription can be compared and checked again.

On the other hand, when the packaging start key 58 is pressed, the screen 59c
In other words, the contents of the prescription are classified into files A for drugs processed by the fully automatic drug packaging machine 1, files other than those in files B, and files B are further classified by type of dispensing work and stored in the memory. 4
4, and the fully automatic drug packaging machine 1 will package and process the contents of the A file according to a predetermined program. That is, the discharge section 10 of the tablet feeder 8 corresponding to the contents of the A file operates to discharge the tablets from the storage section 9 one by one, passing through the duct 7 to the hopper 1.
1, and if necessary, the motor 23 is driven and the packet conveyor 13 intermittently transports the packets 22 forward one by one, and the tablets in the packets 22 that have reached the front end are sequentially dropped into the hopper 11. . The tablets that have fallen into the hopper 11 are then divided and packaged according to the contents of the A file by the operation of the packaging device 24. The printer 45 prints out the contents of the Manari file classified by type of dispensing work, so each pharmacist in charge can perform the work while confirming the work he/she should do according to the output information of the printer 45. can.

In addition, in the above embodiment, the fully automatic drug packaging machine 1 and the operating device 4 are
Although the prescription processing device was constructed by combining the operating device 4! A prescription processing device may be configured by combining the prescription device and an appropriate dispensing device. Further, in the above embodiment, only one dispensing container 12 is shown in the fully automatic drug packaging machine 1, but if a plurality of dispensing containers 12 are prepared, the dispensing container 12 containing tablets in advance can be immediately pulled out of the vertical drawer as needed. 21 compartments I6.16, . An appropriate tablet dispensing and dropping device may be provided, and the fully automatic drug packaging machine 1 may be capable of handling not only tablets but also other drugs.

Furthermore, in the above embodiment, the JIS key 47 and the book key 48 are used to input the patient code and drug name on the operating device 4I. It is also possible to use a memory device having a large number of item keys in which information such as drug names and drug names can be written freely, and the memory 44 may be other than a floppy disk. , it goes without saying that correction is possible.

[Effects of the Invention] Since the present invention is configured as described above, the suitability of the prescription can be automatically checked simply by inputting the contents of the prescription. Therefore, the safety of the prescription can be checked for all prescriptions handled. Therefore, for example, if a received prescription contains prescription details that should be avoided based on a large amount of clinical data, it will be possible to notice this and take appropriate measures. It is something that you have.

[Brief explanation of drawings]

FIG. 1 is a perspective view showing one embodiment of the present invention, and FIG.
A perspective view of a fully automatic drug packaging machine showing a state in which two vertical drawers are pulled out halfway; FIG. 3 is a front view of the machine shown in FIG. Fig. 2 is a partially cutaway side view of the model shown in Fig. 2 with the vertical drawer body pulled out in a retracted state, and Fig. 5 is a plan view of the model shown in Fig. 2 with the vertical drawer body pulled out to the end. , 6th
The figure is an enlarged exploded perspective view showing details of the dispensing container and the packet conveyor, Figure 7 is a longitudinal sectional front view of the one in Figure 6 in an assembled state, Figure 8 is an enlarged plan view of the keyboard, Figure 9 is a flow chart, and Figure 10a. Figures 10c to 10c are diagrams showing the display screen of a CRT.

Claims (1)

[Scope of Claims] 1. A means for inputting the contents of a prescription, a means for checking the suitability of the prescription entered by the input means, and a means for outputting the suitability of the prescription checked by the checking means. A prescription processing device comprising: 2. The prescription processing device according to claim 1, wherein the input means inputs the contents of the prescription using a key. 3. The prescription processing device according to claim 1, wherein the checking means checks the suitability of the prescription, including contraindications to the prescription and relationships with past prescriptions for the patient. 4. The prescription processing device according to claim 1, wherein the output means prints out the suitability of the prescription.