KR20060065683A - Medication management system - Google Patents

Abstract

A medication management system comprising a server (1) having a means (2) for storing prescription data, patient data and medication schedule data in association with each other and a control means (3) for outputting a notifying signal based on a medication schedule, a first part (7) to be detected for specifying the patient, a second part (14) to be detected for specifying a prescribed medicine, a means for detecting both parts (7, 14) to be detected, and a portable terminal (5) for making a decision as to whether the medicine is dosed appropriately to the patient or not by delivering a notice based on the notifying signal from the server (1), detecting each part (7, 14) to be detected by the detecting means and transmitting/receiving data to/from the server (1).

Description

Drug management system

The present invention relates to a drug management system. Here, the drug means to prepare a prescribed drug and provide it to the patient. Target patients include patients who are unable to take medication on their own, patients who are on medication, especially those who need attention, and those who are prescribed medications that are difficult to manage the medication time or time interval.

In general, the drug service works as follows. That is, the pharmacist prepares according to the prescription instructed by the doctor, and the nurse of each ward dispenses the prepared medicine, and when the medication time comes, the nurse goes to each hospital room and performs one dose of medicine for each patient. The confirmation of the drug is performed by checking a nursing worksheet, a drug schedule, and the like.

Background Art Conventionally, a medical support system is known in which a prescription is read by a barcode or the like, the data is displayed to confirm the prescription, and the patient is then drugged. 1)

In addition, a patient identification method is known in which a barcode is displayed on the nail to be read by the barcode reader 21 so as to reliably identify the patient. (See, for example, Patent Document 2)

Furthermore, a treatment confirmation system is known in which a barcode reader reads patient specific data and combination data from a bar code attached to a wristband and other documents to be given to a patient and combines them in association with the treatment instruction data. See, for example, Patent Document 3)

Patent Document 1: Japanese Patent Application Laid-Open No. 2002-83065

Patent Document 2: Japanese Patent Application Laid-Open No. 2001-175791

Patent Document 3: Japanese Patent Application Laid-Open No. 2002-83048

However, for example, in the case of a special usage such as "between meals", it is impossible to prevent weak forgetting properly even in any of the above inventions.

In particular, in the invention disclosed in Patent Literature 1, it is necessary to display and confirm the prescription, so the possibility of a mistake in confirmation cannot be denied. It is also unclear whether the patient to be prescribed is correct.

In addition, in the invention disclosed in Patent Literature 2, only a patient can be identified, and a configuration for associating a prescribed drug with a patient is not disclosed or suggested.

In addition, in the invention disclosed in Patent Literature 3, only a combination of a patient and a prescription can be combined, and it is not possible to confirm whether or not a medicament suitable for the prescription is provided or to intensively manage whether the prescription is properly performed.

Therefore, an object of the present invention is to provide a margin management system which can reliably perform a margin at a predetermined time.

The present invention provides a means for solving the above problems, the drug management system includes a storage means for storing the prescription data, patient data, drug schedule data in association with each other, and a control means for outputting a holding signal according to the drug schedule data; A server, a first to-be-detected part for specifying a patient, a second to-be-detected part for specifying a prescribed medicine, detection means for detecting the two to-be-detected parts, and a holding signal from the server. And a portable terminal for determining whether or not the medicine to be drugged by the patient is appropriate by detecting and outputting the detected data, and detecting each of the detected units and transmitting and receiving data with the server. A display unit for displaying the schedule of the drug schedule, which comprises a list of patients, and a details screen of the drug, which shows details of the contents of the patient; By selecting a particular patient in a scheduled yeoyak monitor screen displayed on the display unit, is switched to the yeoyak information detailed screen, characterized in that a control unit for displaying the call details of the contents of the selected patient yeoyak from the server.

With this configuration, it is possible to reliably perform a filter in accordance with the schedule of the schedule. In addition, at the time of drug use, it is possible to confirm whether or not the drug to be druged is appropriate to the patient, so that it is possible to reliably prevent drug error, and to check the contents of the drug before the drug or in some cases correct it. . Whether the medicine is appropriate or not depends on whether the type and number of drugs to be administered to a patient match, whether the time of the medicine is correct, whether or not the medicine is over.

The portable terminal includes a stop drug selection means for selecting a drug to stop the drug on the drug content detail screen displayed on the display unit, a drug to stop the drug by the stop drug selection means, and then the selection of a stop; And a stop period setting means for selecting a stop period after selecting a stop period for this stop selection means for selecting the stop period, the stop period of the margin can be freely changed, and the response to the demand on the site can be fully satisfied. It becomes possible.

If the control unit displays a stop confirmation message screen displaying only the selected drug by selecting a drug to stop the medicine by the stop drug selection means on the drug content detail screen displayed on the display unit, the control unit does not wish to stop the drug. It is possible to prevent the drug from being discontinued by mistake.

The stop period setting means can be set in more detail if the stop period can be set in units of days and doses, and can be set according to the needs of the site.

The control unit changes the contents of the stop confirmation message and displays the text according to the stop period set by the intermediate period setting means on the stop confirmation message screen displayed on the display unit. It is preferable in that it can set a suspension period, confirming.

The portable terminal is further configured to display, on the display unit, a memo input screen that can be switched from the drug content detail screen, and the server stores, in the storage means, the memo content input on the memo input screen, If it is available in the terminal is preferable in that the input information of each nurse can be shared.

The server has display means capable of displaying a total indication screen for setting the preparation date and the number of preparation days in units of wards, and the control means includes a ward and a display on the total indication screen displayed on the display unit. When the preparation date is selected, according to the prescription data stored in the storage means, if the total number of prescription patients in the ward is displayed in the corresponding column of the total instruction screen, only the preparation date and the number of preparation days can be freely set. In addition, since the number of patients to be prescribed can be confirmed, the preparation of the preparation can be appropriate.

1 is a block diagram showing a medication management system according to the present embodiment.

Fig. 2 is an exemplary diagram showing a total instruction screen displayed on the monitor of the server.

3 is a front view showing an example of a prescription.

4 is a front view showing an example of a prescription table accommodated in a tray in a cassette.

5 is an exemplary diagram showing a scheduled screen displayed on the monitor of the drug cart accessory terminal.

6A is a block diagram showing the configuration of the small portable terminal of FIG.

6B is a front view of the drug cart.

Fig. 6C is a partial perspective view of the cassette shown in Fig. 6B.

7 is a flowchart showing the process contents in the drug management system according to the present embodiment.

FIG. 8 is a flowchart showing the drug preparation process of FIG.

FIG. 9A is a flowchart showing the drug processing of FIG.

9B is a flowchart showing a drug identification process.

Fig. 9C is a flowchart showing the medication stop processing.

FIG. 10 is a flowchart showing the weak forgetting process of FIG.

FIG. 11 is a flowchart showing the stop / change processing of FIG.

12 is an exemplary diagram showing an outline of a process in the drug management system according to the present embodiment.

Fig. 13 is an illustration of a nurse ID input screen initially displayed on the screen of the PDA.

FIG. 14 is an exemplary diagram of a password input screen displayed by inputting an appropriate nurse ID on the screen of FIG.

FIG. 15 is an exemplary diagram of a menu screen displayed by inputting an appropriate password on the screen of FIG.

FIG. 16 is an exemplary diagram of a weak schedule scheduled monitor screen displayed by operating a "scheduled" button on the screen of FIG.

17 is an exemplary view of a detail screen displayed by selecting a patient on the screen of FIG.

FIG. 18 is an exemplary diagram of a memo input screen displayed by operating a " memo " button on the screen of FIG.

FIG. 19 is an exemplary view of a stop confirmation message screen displayed by operating the "stop" button on the screen of FIG.

FIG. 20 is an exemplary diagram of a stop message screen displayed by operating the "stop" button on the screen of FIG.

FIG. 21A is an exemplary diagram of a prescription monitor screen displayed by operating a "prescription" button on the screen of FIG.

FIG. 21B is an illustration of a biometric monitor screen displayed by operating a "biography" button on the screen of FIG.

FIG. 22 is an exemplary view of a drug execution monitor screen displayed by reading a bar code after operating a "feed" button on the screen of FIG.

FIG. 23 is an exemplary diagram of a detailed screen of a drug running monitor displayed on the screen of FIG. 22 in which the remaining other barcodes are read out and the combination result is appropriate; FIG.

FIG. 24 is an exemplary view of a drug screen monitor screen displayed on the screen of FIG. 22 when another remaining bar code is read out and a combination result is inappropriate.

FIG. 25 is an exemplary view of a patient input screen displayed by operating the "input" button on the screen of FIG.

FIG. 26 is an exemplary diagram of a medicine input screen displayed when a predetermined time elapses after displaying the screen of FIG.

FIG. 27 is an exemplary diagram of a medicine quantity input screen displayed when a predetermined time elapses after displaying the screen of FIG.

FIG. 28 is an exemplary view of a constant drug confirmation message screen displayed by operating the "dispensing end" button on the screen of FIG.

FIG. 29 is an exemplary diagram of a patient input screen displayed by operating the "execute" button on the screen of FIG.

FIG. 30 is an exemplary diagram of a constant execution monitor detail screen displayed when a predetermined time elapses after displaying the screen of FIG.

FIG. 31 is an exemplary view of a charge patient screen displayed by operating a "Patient Patient" button on the screen of FIG.

32 is an illustration of a temperature plate screen displayed by operating the " temperature plate " button on the screen of FIG.

33 is an exemplary diagram of a memo input screen displayed by operating a " memo " button on the screen of FIG.

FIG. 34 is an exemplary view of a business menu screen displayed by operating the "various tool" button on the screen of FIG.

35 is an exemplary view of a received mail screen displayed by operating a "receive mail" button on the screen of FIG.

FIG. 36 is an exemplary view of a detail screen of a received mail displayed by selecting a received mail on the screen of FIG.

FIG. 37 is an exemplary diagram of various dictionary screens displayed by operating the " various dictionaries " button on the screen of FIG.

FIG. 38 shows an example of a work menu screen when a notification indicating that a message has been input from a server on the screen of FIG. 34;

FIG. 39 is an exemplary view of various software screens displayed by operating the " various software " button on the screen of FIG.

40 is a front view showing an example of a medicine cart according to another embodiment.

FIG. 41 is a perspective view of a drawer employed in the dispense cart of FIG. 40; FIG.

42 is a perspective view illustrating an example of a cassette according to another embodiment.

Fig. 43 is a plan view of Fig. 42, (b) is a front sectional view, and (c) is a side sectional view.

Fig. 44 is a perspective view of a hand and a ring showing an example in which a detected part for obtaining patient information is provided in the ring.

Fig. 45 (a) is a perspective view of the ring showing another example in which the detected part for obtaining patient information is provided in the ring, and Fig. 45 (b) is a perspective view showing the deployed state thereof.

Fig. 46 (a) is a perspective view of the ring showing another example in which the detected part for obtaining patient information is provided in the ring, and Fig. 46 (b) is a perspective view showing the deployed state thereof.

*** Explanation of symbols for the main parts of the drawing ***

1 server

2 memory

3 controller

4 Pharmaceutical Cart Attachment Terminal

5 small portable terminal

6 Printing device

7, 14 barcode

8 medicine cart

9 receiving shelf

10 cassette

11 cartridges

12 trays

13 LED

15 display

16 control unit

17 stop drug selector (stop drug selector)

18 Stop selection section (stop selection means)

19 Stop period setting unit (stop period setting means)

20 memory

21 Communications Department

22 Stop column

22a first check box

22b second check box

23 "Stop" button

24 dose classification

EMBODIMENT OF THE INVENTION Hereinafter, embodiment which concerns on this invention is described according to an accompanying drawing.

1 shows a drug management system according to the present embodiment. In this system, various programs are executed by the control device 3 in accordance with data from various master files stored in the storage device 2 of the server 1 installed in the medicine container, and a medication cart attachment terminal such as a personal computer is provided. (4) A signal is transmitted and received to and from a small portable terminal 5 such as a PDA. As a communication method with the small portable terminal 5, PHS (PIAFS: PHS Internet Access Forum Standard) or wireless LAN (LAN) can be adopted.

In the storage device 2, prescription data and a drug schedule of all patients are stored. The prescription data is composed of patient information (name of patient, code number, etc., managed by the patient master file), type of prescribed medicine (managed by the drug master file), number of doses, time of taking, number of days taken, and the like. The drug schedule is managed by decomposing the prescription data of each patient to an arbitrary preparation date. In the example of the 1F copper ward shown in the total instruction screen shown in Fig. 2, the preparation date is managed on May 9 and the number of preparation days is 3 days. From the prescription data of all patients, only the prescription data of patients who need prescription on May 9 of the inpatients of the 1F ward are extracted, and only the total argument (here, 8 persons) is displayed.

In the storage device 2, various master files are stored. Various master files include, for example, a drug master file, a patient master file, a usage master file, a nurse master file, a nursing schedule master file, a prescription master file, and a cart master file. The medicine master file, the patient master file, and the usage master file are master data for registering various data for each code for the medicine, patient, and usage managed by the system. The nurse master registers a nurse ID (ID), a password, an IP address (Internet Protocol address), and an e-mail address. In the nursing schedule master file, the schedule of schedules is memorized for each working system in units of patients and rooms. Specifically, "Working 8:00", "Junnight Work 17:00", "Working Night 23:00" are set, and when the time is reached by the timer of the server 1, the work schedule (work schedule) is automatically set. Switch. Prescription data of each patient is registered in the prescription master file, and patient data managed by each cart is registered in the cart master file.

On the monitor of the server 1, the total instruction screen shown in FIG. 2 is displayed. In this screen, only the prescription data of the drug management patient is counted, the data to be issued is selected, and the "execution" button is pressed, so that the drug management side (pharmaceutical cart attachment terminal 4) and the drug support side (small portable terminal) are selected. , 5) transmit the prescription data. When the corresponding data is selected and the "Execute" button is clicked, the printing apparatus 6 issues the prescription shown in FIG. 3 and the prescription table shown in FIG. The prescription table is printed with a barcode 14 and supplied to the tray 12 of the cassette 10. Here, the drug manager is a patient who has difficulty in self-management and a patient who is taking a management-designated drug. The controlled drugs are drugs, psychotropic drugs, and medicines (nursery management only), and only these drugs are supplied to the tray 12 (in the case of drugs and medicines, only the prescription table is supplied). Managed drugs can be added and changed freely by the drug master. In addition, the self-administration patient refers to a patient who is in a state capable of taking medication, and the inpatient of the hospital can be distinguished from the drug management patient and the self-management patient. The drug management patient sets the drug management flag of the patient master. All medications are administered to all inpatients.

In the drug cart attachment terminal 4, a scheduled screen is displayed on the monitor at any time. The scheduled screen is composed of a list of nursing schedules displayed in units of wards, as shown in FIG. The nursing schedule consists of a room, a patient's name, drug category, and a nurse's column. Nursing schedules for working days, night shifts and holidays are entered by the nurse on the screen and can be changed later. Click on the title "Patient Name" to see a list of medications for that day. Title "morning; If you click "Dose category", the list of patients who are going to take medicine will be displayed in the dose category. Clicking on the grid "Patient Name" will display a list of the patients' daily medications. Grid morning; When we click "dose classification", list of medicines of this patient's dose classification is displayed. When the "data set" button is clicked, the data of the drug cart 8 is changed. The click of the "data set" button may be performed at the point of time when the cassette 10 is returned from the chemical | medical agent part and set to the medicine cart 8.

The small portable terminal 5 (here, PDA: Personal Digital Assistant) includes a display unit 15, a control unit 16, a storage unit 20, and a communication unit 21, as shown in FIG. 6A. . The display section 15 includes a stop drug selector 17, a stop stop selector 18, and a stop period setter 19. The control unit 16 receives the input signal from the stop drug selecting unit 17, the stop stopping selecting unit 18, and the stopping period setting unit 19, and causes the display unit 15 to perform a predetermined display, The data is stored in 20 and transmitted / received with the server 1 through the communication unit 21.

Here, as will be described later, the stopping drug selecting unit 17 is composed of a stopping column 22 displayed on the detail screen of the scheduled medicine scheduled monitor shown in FIG. The stop column 22 is provided with the 1st check box 22a provided corresponding to taking time, and the 2nd check box 22b corresponding to each chemical | medical agent. When the first check box 22a is checked, all the medicines prescribed at the time of taking can be selected. If the second check box 22b is checked, only the corresponding medicine can be selected. Then, by clicking the "stop" button 22c, the screen is switched to the stop confirmation message screen shown in Fig. 19, and a list of selected drugs is displayed. Then, the continue stop selector 18 is configured with a "continue stop" button 23 displayed on the stop confirmation message screen. Then, the pause period setting unit 19 displays a calendar (not shown) displayed by operating the "continue stop" button 23, and a stop message screen displayed by selecting the last stop date in the calendar (see FIG. 20). ) Is composed of a selection section (24).

In the small portable terminal 5, input of a nurse ID is required on the screen shown in FIG. The nurse ID may be directly input by hand using the Ten Key (number key on the right side of the keyboard) of the small portable terminal 5, and the barcode printed on the nurse's name plate may be input by the small portable terminal 4 It may be read as. In order to read a barcode, a barcode reader (not shown) is operated by operating the "barcode input" button of the small portable terminal 4. It is also possible to use other means, such as an IC chip, without being limited to barcodes. As the nurse ID is input, a password is required on the screen shown in FIG. Based on these input data, the server 1 can manage data on who is using. When a password is input on the screen shown in FIG. 14, the menu screen shown in FIG. 15 is displayed.

In the menu screen, according to the difference in the method of taking, in each column about the taking method of "underwear", "injection", "mixed injection", the schedule input and the medicine input can be performed, and the "integer arrangement", " Corresponding input can be performed in each column of "task" and "other", respectively.

The scheduled input is performed by operating the "scheduled input" button in each column of the taking method.

Predetermined input is used for confirming the patient's name, the medicine to be administered, the medicine's date, and the like before the start of the drug treatment and for inputting. For example, by operating the "scheduled" button of the internal oral column, the screen for the scheduled drug schedule monitor shown in FIG. In this screen, a list of patients scheduled to be dosed is displayed, and the treatment status is displayed for each time of taking (○: untreated, ●: completed treatment, △: partially stopped, ▲: stopped). When the patient is selected, the screen is switched to the detailed screen shown in Fig. 17, and the dosage method (type of medicine, dosage method, dose, etc.) is displayed. On the detail screen, when the "Memo" button is operated, the memo input screen shown in Fig. 18 is displayed, the memo can be memorized by hand using a pen (not shown), and the "Stop" box is checked. The prescription can be stopped by operating the " When the prescription is stopped, the screen is switched to the stop confirmation message screen shown in Fig. 19, and it is possible to select the stop type. Pressing the "Stop" button switches to the calendar. Then, when the last stop date is selected in the calendar, the screen is switched to the stop message screen shown in FIG. In addition, when the "prescription" button is operated on the detailed screen shown in FIG. 17, the prescription monitor screen shown in FIG. 21 is switched to display the prescription of the patient. And it is also possible to refer to the patient's biography by operating a "biography" button.

In addition, a drug input is performed by operating "drug input" button of each column regarding a taking method. The drug input is used to perform a combination of the patient and the medicine to be administered and the like when the drug treatment is actually performed. For example, by operating the "pharmaceutical" button of the internal oral egg and reading the barcode 7 of the label attached to the wristband or the bedside attached to the patient by the barcode reader 21 connected to the mobile terminal 5, The bar code input screen shown in Fig. 22 is displayed. Subsequently, when the barcode 14 of the prescription table is read by the barcode reader 21, the barcode 14 is combined, and if it is correct, the barcode combination screen shown in FIG. 23 is displayed. If not, the barcode 14 shown in FIG. An error screen is displayed.

The purified water batch is used to prepare a medicine cart (hereinafter referred to as a purified water dispenser), which is treated separately from the usual prescription, such as a medicine for emergency use or a medicine for emergency patients, in the medicine cart 8 and to be administered to a patient. In this case, the purified water dispensing drug contained in the drug cart 8 is housed in each cassette 10 in one dosage unit, similar to the prescribed drug, and a prescription table printed with a corresponding barcode 14 is attached. . The purified water dispensing drug in each cassette 10 is managed by the server 1 with its quantity and medicine name.

When the "input" button in the integer arrangement column is operated, as shown in Fig. 25, the patient input screen is displayed and the wristband or bed attached to the patient by the barcode reader 21 connected to the mobile terminal 5 is shown. By reading the barcode 7 of the label attached to the side, the selected patient information is displayed. When a predetermined time elapses, the medicine input screen is switched as shown in Fig. 26, and the medicine information is displayed by reading the barcode 14 of the prescription table. Further, when a predetermined time elapses, the screen switches to the medicine quantity input screen shown in Fig. 27, and the quantity can be input using the displayed ten key. By operating the " preparation " button, it is switched to the purified water medicine confirmation message screen shown in Fig. 28, and it is possible to confirm the input contents. And if another input is needed, the said process can be performed by operating a "Next chemical | medical agent" button. In addition, the time until the screen is switched can be freely set. The patient information and the medicine information can also be selected from the list transmitted from the server 1 side.

If the barcode 7 is read by the barcode reader 21 in the same manner as described above, the patient information is displayed on the patient input screen shown in FIG. When a predetermined time elapses, the screen is switched to the purified water monitoring screen shown in Fig. 30, and a list of drugs to be administered is displayed. On this screen, by operating the "execute" button, the administration of the purified water dispenser to the patient is transmitted to the server 1, and the information is updated.

The task column consists of a "Patient Patient" button and a "Temperature Plate" button. When the "Patient Patient" button is operated, a list of patients in charge of the nurse specified by the input of the ID and password is displayed on the patient screen shown in FIG. By operating the " temperature plate " button, the screen is switched to the patient input screen (see Fig. 25), and when the patient's barcode 7 is read from the wristband or the like, the screen is switched to the temperature board screen shown in Fig. 32. On the temperature plate screen, various data such as the body temperature, pulse rate, and blood pressure of the patient are displayed. By operating each displayed item, the standard value, the upper limit value, and the lower limit value of the item are displayed, and the comparison with the displayed value can be easily performed.

The other column is composed of a "note" button and a "various tool" button.

By operating the " memo " button, the screen switches to the memo input screen shown in Fig. 33, and the nurse can take notes by hand. The contents entered on the memo input screen are stored by operating the "register" button, and can be deleted by operating the "cancel" button. When the patient ID is read by the barcode 7 by operating the "patient" button, the input contents are then transmitted to the server 1, and the input contents can be shared among the nurses.

By operating the " various tools " button, the screen switches to the work menu screen shown in FIG. The work menu screen is composed of buttons for "Received mail", "Wallpaper setting", "Various dictionaries", "Conversation board", "Various software", and "Back".

When the " receive mail " button is operated, the reception mail screen shown in Fig. 35 is switched, and a list of mails sent from the server 1 in the past is displayed. When a mail is sent from the server 1 to the mobile terminal 5, each time, it switches to the received mail screen in real time by an assignment function. Here, if the administration of the medication is forgotten by the patient and no signal indicating the completion of administration is input to the server 1 side by the set time, it is automatically transmitted to the mobile terminal 5 and automatically displayed. 36 is a detailed screen showing the contents of the received mail.

By operating the " wallpaper setting " button, the wallpaper for attaching to the background of the screen is switched to the selectable screen.

By operating the " various dictionaries " button, for example, as shown in Fig. 37, the respective dictionaries screens such as " therapeutic medicines ", " medical dictionaries ", " medical dictionaries " In this screen, when any button is operated, the dictionary software corresponding to the operated button is started. In addition, these softwares are pre-installed in each mobile terminal 5 and registered in the menu button on the personal computer side such as the server 1 in advance.

When the "contact board" button is operated, the contact information input from the personal computer side such as the server 1 in advance is displayed. When the contact information is transmitted from the server 1 to the mobile terminal 5, as shown in Fig. 38, the "contact plate" button is displayed with an emphasis indicating the effect. Accordingly, the nurse can know that the contact information has been entered at a glance.

By operating the "various software" button, as shown in FIG. 39, each button such as "calculation of pediatric dose", "clinical standard value", "analysis of blood pressure gas", etc. is switched to various soft screens. On this screen, similar to the above dictionary, when any button is operated, the software corresponding to the operated button is started. In addition, these softwares are similar to the above-described dictionary, in which installation to each portable terminal 5 and registration with a menu button are simultaneously performed on the personal computer side such as the server 1 in advance.

 "Back" is used to return to the previous screen. This "Back" button is also displayed on all the switched screens described.

As shown in Fig. 6B, the medicine cart 8 includes a receiving shelf 9 in multiple stages, and each receiving shelf 9 includes a cartridge 11 having four cassettes 10 as one unit. The unit can be attached and detached freely. As shown in Fig. 6C, the cassette 10 is divided into a plurality of trays 12, and a medicine for one day prescribed in patient units is accommodated. The chemical | medical agent accommodated in each tray 12 is distinguishable by the barcode 14 provided by printing etc. in the attached prescription table (this barcode 14 corresponds to the 2nd to-be-detected part which concerns on this invention). Moreover, the front surface of the cassette 10 is provided with the LED 13 which is an example of the holding | maintenance part which concerns on this invention, and can be lighted by the signal from the server 1. The cassette 10 is provided with a lock mechanism (not shown), the lock is released only when the lamp is turned on, and the cartridge 10 can be removed from the cartridge 11.

The patient is made identifiable by the barcode 7 of the label attached to the wristband or the bedside wound on the arm (this barcode 7 corresponds to the first detected part according to the present invention). However, it is also possible to display a list of patients (see Fig. 15) on the screen of the small portable terminal 5 to specify it.

Next, a process (see FIG. 12) in the drug management system will be described.

As shown in Fig. 7, when a prescription is issued from a doctor and the prescription data is stored in the server 1 (step S1), the medicine department starts preparation in accordance with the prescription data. The prescription data can be printed by clicking the "Execute" button on the total display screen displayed on the monitor of the server 1. In detail, it is possible to print the drug schedule of the drug patient list for each ward and use it as a worksheet or a report of drug schedules. Since care products and the like need to be handled carefully, check boxes are printed next to printed characters. In addition to the printing of prescription data, a prescription table for one drug is printed for each patient. The prescription table is used to put in a medicine bag and label it about the homemade medicine and external medicine, and to manage it in a ward. If the oral medicine is only homemade, only the prescription table is placed in the cartridge 11 (the cassette 10 collected in four). The drug of the drug management patient, the pharmacist conducts pharmaceutical audit, and the pharmacist sets the medicine for 3 days and 4 days for each patient, daily, and taking classification into the cartridge 11. When the preparation by the pharmacist is finished, the nurse (or deliveryman) returns the cartridge 11 to the ward. The cartridge 11 for two days is returned only on the prescription day, and the cartridge 11 for the remaining number of days is stocked (managed by the medicine department as a reserve medicine). From the next day, the cartridge 11 is returned on a daily basis. Then, the cartridge 11 is set in the medicine cart 8 in the ward. After setting the cartridge 11, the "data set" button on the screen of the drug cart attachment terminal 4 is clicked to change the cart data. Thereby, synchronization with the drug cart data in the drug cart 8 can be achieved. When the self-administration patient receives the data from the medicine department, the data is transferred to the medicine cart 8, and the medicine management patient changes the data at the time of setting. Then, the medicine receipt monitor of the self-management patient and the approval are made in the small portable terminal 5 to enable the receipt confirmation operation.

Subsequently, it is judged about the update classification of prescription data (step S2), and if it is new prescription data, drug preparation preparation process is performed (step S3).

In the drug preparation process, as shown in Fig. 8, the nursing schedule is first monitored (step S11). Here, the work schedule of all the nurses set in advance in the nursing schedule is read out. Then, it is judged whether or not the present time is the time from the drug preparation time, that is, the time up to the dispense time from the drug preparation time (step S12). Herein, the time of dispensing means the time required for the work of dividing into a single dose of the patient and the work of preparing the drug. When the preparation time is reached, the patient to be drugged is extracted based on the work schedule of all nurses read in step S11 (step S13), the patient is assigned to each nurse in charge (step S14), and the small size of the nurse in charge. The mail address of the mobile terminal 5 is obtained (step S15), and a mail is sent to the small portable terminal 5 of the nurse in charge (step S16). As a result, the nurse in charge can recognize that it is time to start dispensing, and it becomes possible to reliably prevent the drug forgetting. Then, the position of the medicine cart 8 is acquired (step S17), and among the cassettes 10 accommodated in the medicine cart 8, the LED 13 of the one containing the corresponding medicine is turned on (step S18). For this reason, it can recognize at a glance which chemical | medical agent corresponding to which cassette 10 is accommodated, and workability improves remarkably.

The nurse, having received the mail, starts the drug processing in accordance with the flowchart shown in Fig. 9A (step S4).

Prior to the drug treatment, the nurse performs a process (pharmaceutical confirmation process) for confirming the medicine contained in the drug cart 8. As shown in the flow chart of Fig. 9B, the drug confirmation process displays the menu screen shown in Fig. 15 on the small portable terminal 5 (step S100), and operates the "scheduled" button (step S101), The schedule scheduled monitor screen shown in FIG. 16 is displayed (step S102). On this screen, when the corresponding patient name is manipulated (step S103), the screen is switched to the detailed screen shown in Fig. 17 (step S104), and the details of the medicine to be taken to the patient are called from the server 1 and displayed. It is possible. The schedule scheduled monitor screen can also be used when the nurse confirms the number of drug treatments in advance, or when the prescription is stopped, as described later.

In addition, by operating the "memo" button on the schedule scheduled monitor screen, it is switched to the memo input screen shown in FIG. 18, and it is possible to input a memo. This memo is transmitted to the server 1 by operating the "register" button, and the data contents are changed. That is, it is possible to share a memo input by a nurse, and it is possible for another nurse to read the memo. Therefore, for example, when a doctor's instruction requires attention to a patient's condition (for example, a decrease in body temperature), the other nurse reads the memo so that the patient can be appropriately responded to the patient. do.

On the schedule scheduled monitor screen, for example, when the medication is stopped by a doctor's instruction, on the detailed screen of the schedule scheduled monitor shown in Fig. 17, the medication stop processing is started by selecting a drug to stop the medication. It is possible to do that.

 That is, in the dosing stop process, as shown in the flowchart of Fig. 9C, when the check box of the drug to stop the dosing is checked and the "Stop" button is operated (step S110), the stop confirmation message screen shown in Fig. 19 is shown. Is switched to (step S111). In this screen, the "temporary stop" button or the "continue stop" button 13 is operated (step S112). When the "temporary stop" button is operated, the prescription is stopped and the prescription of the temporary stop is output from the printer (step S113). Then, when the "Continue" button 13 is operated, a calendar is displayed (step S114), and the date already prescribed is displayed there. Then, from the displayed prescription date, the last stop date can be selected. When the last stop date is selected (step S115), the screen is switched to the stop message screen shown in Fig. 20 (step S116), and the selected date and the dose classification are displayed. If you select the dose category ("Lunch") (step S117), the message displayed on the upper part changes from "When do you want to stop?" To "Do you want to stop by lunch on April 13, 2003?" S118). In the dose category, only the prescribed dose category is displayed in a different color (here, light blue) (step S119). And the prescription of continuation is output from a printer (step S113).

Then, when the "Prescription" button is operated on the schedule scheduled monitor screen, the prescription monitor screen shown in Fig. 21A is switched to display the contents of the prescription of the selected patient. In addition, by operating the "Biography" button, the user can switch to the biomedical monitor screen shown in FIG. 21B, and display the biography of the selected patient.

In the drug treatment process, the corresponding tray 12 is taken out from the drug cart 8, transferred to the drug cart, and the drug cart is returned to the patient's room, and the menu screen is displayed on the small portable terminal 5. . For example, in the case of administering an oral medicine, the medicine execution monitoring screen is displayed by operating the "drug" button in the "oral" column displayed on the menu screen.

Subsequently, the bar code reader 21 (not shown) connected to the small portable terminal 5 reads the barcode 7 printed on the wristband attached to the patient or the label provided on the bedside (step S21). In this case, a list of patients may be displayed on the screen of the small portable terminal 5 and a corresponding patient may be selected therefrom. As a result, the patient data (see Fig. 22) is displayed on the screen of the small portable terminal 5 (step S22).

Then, the barcode reader 21 reads the barcode 14 provided in the prescription table attached to the tray 12 accommodated in the corresponding cassette 10 (step S23). In the prescription table, the patient's name, his / her ward, his / her ward, the name of the administration method, the medication time, the name of the medicine, the dosage, and the like are described.

However, as described above, the patient-side label may be first, but the barcode 14 of the prescription table may be first, and the order thereof is free to read the bar code 7. At the time point at which any of the barcodes 7 and 14 are read, a list of patients may be displayed on the screen as in the above.

In this manner, when the barcodes 7 and 14 are respectively read from the label on the patient side and the prescription table attached to the tray 12, and the corresponding barcode data is called, both barcode data 7 and 14 are automatically generated. Are compared, and it is determined whether or not they match (step S24). Judgment in this case includes, in addition to the coincidence and inconsistency of the patient data, the coincidence and inconsistency of the drug time or whether or not the drug has already been completed.

If the barcode data match, the corresponding margin data is displayed. The drug data includes a patient's name, affiliation ward, affiliation room, a name of taking a drug, a drug duration, a drug name, a dose, a symbol of a controlled drug, and the like. Here, the nurse checks whether the contents of the tray 12 and the medicine displayed on the screen of the small portable terminal 5 coincide. If it is determined to match, the "Complete" button is clicked (step S26), and the weak data is sent to the server 1 to change the data content (step S27). The drug is then delivered to the patient. Thus, the margin to the patient is completed.

On the other hand, if the barcode data do not coincide, the warning message shown in FIG. 24 is displayed on the screen of the small portable terminal 5 (step S28).

And when barcode data does not match, what is necessary is to read the barcode 14 provided in the attached prescription table with respect to the appropriate tray 12 again by the barcode reader 21. FIG.

In this way, since the patient can be checked many times when the patient is weak, it is possible to prevent the medical error in which the medicines of other patients are delivered.

When the transmission of the mail is completed, the weak forgetting process is performed (step S35).

In the weak forgetting process, as shown in FIG. 10, first, the work schedule of all nurses set in the nursing schedule is monitored (step S31). Then, it is determined whether or not the set time has elapsed from the completion of the transmission of the buckwheat (step S32). When the set time has elapsed, the drug completion data is acquired (step S33), and it is judged whether or not the completion is completed (step S34). If the medical condition is not completed, a nursing schedule is obtained (step S35), the nurse in charge is specified based on this nursing schedule (step S36), and the mail address is obtained (step S37). Then, it is judged whether or not the chief nurse is registered (step S38). If registered, the chief nurse is specified (step S40), the e-mail address is acquired (step S41), and the nurse and chief nurse are e-mailed. Is automatically sent (step S42). If not registered, the e-mail is automatically sent only to the nurse in charge (step S39). Then, the positions of the weak cart 8 and the cassette 10 are specified (step S43), and the LED 13 is turned on (step S44). By this check, the forgetful forgetting by regular prescription can be prevented beforehand. Then, after the end of the work day or the next day, the nurse returns the cartridge 11 to the medicine department.

By the way, if it is determined in step S2 that the prescription data is not the new prescription data but the cancellation / change prescription data, the stop / change process is performed (step S6). The stop / change processing is performed when a stop / change prescription is issued by a doctor. For the suspension and alteration prescription, for example, a doctor draws a horizontal line (cancellation line) on the medicine, confirms it and stamps it.

In the stop / change process, as shown in Fig. 11, if a stop / change prescription is issued and the stop / change data is registered in the storage device 2 of the server 1 (step S51), the weak cart accessory terminal ( The patient on the scheduled screen displayed on the monitor 4) is inverted in red letters (step S52). Then, until the "data set" button is clicked (step S53), the margin to the patient (locked so that it cannot be stopped or changed) is locked (step S54). In the drug department, the pharmacist performs the final audit. That is, since the list of patients who are to be stopped and changed (patients who issued a stop or change prescription) is displayed on the monitor of the drug cart attached terminal 4, the stop and change medicine are selected from the prescription of the stop and change patient. · Change it. In some cases, the drug can be stopped and continued to be stopped. Therefore, when the drug name is clicked on the screen and the stop is clicked, the drug drug is stopped. If you click Stop at the name of the drug (morning), the drug will be stopped only at that time. When the audit by the pharmacist is finished, the nurse repairs the medicine and prescription table at the medicine department, returns it to the ward, and sets the medicine cart 8. When the "data set" button is clicked, the data of the weakness cart 8 is updated (step S55). When the patient is drugged, the small portable terminal (5) confirms that the patient is a modified patient. In this case, the monitor displays "Prescription change" next to the right side of the statement, and calls attention to changing patients. In the above stop / change processing, if the urgent need to stop the drug occurs, the nurse may be notified by sending an e-mail.

In the case where the data is not changed by the time of fleeting or overtime, it is preferable to issue a stop prescription and lock the data so that it cannot be changed.

 In the above embodiment, the drug cart 8 is configured as shown in Fig. 6B. However, as shown in Fig. 40, the tray 12 may be accommodated in each drawer by dividing time. That is, the drug cart 8 shown in FIG. 40 is provided with "stop", "sleep before", "morning", "lunch", "evening", other drawers 16, and a folding worktable 17. It is in one configuration. Each drawer 16 accommodates a plurality of trays 12, and as shown in FIG. 41, a plurality of trays 12 containing medicines are accommodated in each tray 12, and each tray 12 is accommodated. 41, a plurality of cassettes 10 containing medicines are placed. On the bottom surface of the tray 12, a projection tank (not shown) matching the width dimension of the cassette 10 is formed, and the cassette 10 to be mounted can be arranged in a matrix.

In the above embodiment, the prescription table printed with the bar code 14 is attached to the tray 12, but it is preferable to use a rewrite card so that the description can be rewritten according to the prescription data. In this way, the medication is accommodated in each tray 12 in accordance with the prescription data, and at the same time, the description of the rewrite card is replaced with the corresponding information, thereby automating the work to be mounted on the corresponding tray 12. can do. Therefore, the chemical | medical agent accommodated in the tray 12 and the content written on the rewrite card can be reliably matched.

As shown in Figs. 42 and 43, the cassette 10 is composed of an opening and closing plate 17 which is rotatable around the support shaft 17a of the lower edge portion, and is disposed on the upper surface. Bar code, such as a prescription table or a rewrite card, can be set as the structure provided with the clamping part 18 which can mount the printed card C. As shown in FIG. An arc-shaped cutout 17b is formed at the upper edge of the opening and closing plate 17, so that the card C can be attached and detached to the clamping portion 18 easily. The clamping portion 18 is a pair of clamping pieces 18a and 18b each having a substantially “co” shape so as to guide three sides of the card C (shown by a dashed-dotted line in Fig. 43 (a)). ) The upper clamping piece 18a can guide the edge part of the card C in three places. The lower gripping piece 18b protrudes inward from the upper gripping piece 18a.

The card C such as a prescription table or a rewrite card may be provided with a part to be detected other than a barcode, and the data can be communicated in a non-contact manner using an IC card having an IC chip or the like. It is possible.

Further, in the above embodiment, patient information is read by a barcode 7 printed on a wristband attached to a patient or a label provided on a bedside, or the like. As shown in FIG. It is also possible to set it as the structure which installed 16). And the ring 15 may be comprised by the strip | belt-shaped body 17 which wound and makes a ring shape, as shown in FIG. That is, as shown in Fig. 45 (b), the connecting portions 17a and 17b formed by cutting the other side edges are formed at both ends, and as shown in Fig. 45 (a), the connecting portions 17a and 17b are annular. ) May be connected by welding or adhesion. According to this structure, it is preferable at the point that it can manufacture easily at low cost, and can simply discard. As shown in Fig. 46, the ring 15 has an engagement hole in which a saw blade-shaped locking portion 18a is inserted into one end of the belt-shaped body 18 and the locking portion 18a is inserted into the other end. 18b) may be formed. In other words, the band 18 is wound around the patient's finger, and the locking portion 18a is inserted into the locking hole 18b. Then, the locking position is changed by pulling the locking portion 18a or tightening until a good attachment state is obtained. Then, what is necessary is just to cut | disconnect the part which protruded from the locking hole 18b among the locking part 18a. According to this, it can respond flexibly to the wrong finger size of a patient, and can prevent a patient from intentionally pulling out or falling out unconsciously. In addition, as a structure which can prevent this fallout, the connection structure which can not be released unless a special tool is used can be employ | adopted. For example, it is possible to adopt a concave-convex fitting structure that cannot release the fitting state unless it is a special tool (for example, a driver whose tip is of a special shape).

According to the present invention, since the details of the drug content of each patient can be displayed by the portable terminal, it is possible to reliably prevent the drug error by confirming before the drug.

Claims (7)

A server comprising storage means for storing prescription data, patient data, and drug schedule data in association with each other, and control means for outputting a holding signal according to the drug schedule; A first detected portion for specifying a patient, A second detected portion for specifying a prescribed medicine; Detecting means for detecting both of the detected parts; Outputting in accordance with a holding signal from the server, and detecting each detected part by the detecting means and transmitting and receiving data to and from the server to determine whether or not a medicine to be drugged is appropriate for the patient. Equipped with a mobile terminal, The portable terminal selects a specific patient from a display scheduled display screen including a schedule of the patient, and a details screen showing the details of the contents of the patient's contents, and a schedule scheduled monitor screen displayed on the display. And a control unit which switches to the details screen of the contents of the medicine contents and displays the details of the contents of the medicines of the selected patient by calling the server. The method of claim 1, wherein the mobile terminal, Stop drug selection means for selecting a drug to stop the drug on the drug content detail screen displayed on the display unit, and select the drug to stop the drug in the stop drug selection means, and then select the stop to continue And a stop period setting means for selecting a stop period after selecting the stop period from the stop selection means. The method of claim 2, wherein the control unit, A drug management system, characterized in that to display the stop confirmation message screen to display only the selected drug by selecting the drug to stop the drug by the stop drug selection means in the drug content detail screen displayed on the display unit. The method of claim 2, wherein the stop period setting means, Dosage management system, characterized in that it is possible to set the stop period in units of date and dose. The method of claim 3 or 4, wherein the control unit, And the contents of the suspension confirmation message are displayed in accordance with the suspension period set by the intermediate period setting means, and displayed on the suspension confirmation message screen displayed on the display unit. The method according to any one of claims 1 to 5, The portable terminal is further capable of displaying, on the display unit, a memo input screen that can be switched from the drug detail information screen, and the server stores, in the storage means, the memo contents input on the memo input screen, A drug management system, characterized in that enabled at the terminal. The method of claim 1, wherein the server, And display means capable of displaying a total indication screen for setting the preparation date and the number of preparation days in units of wards,  When the ward and the preparation date are selected on the total indication screen displayed on the display unit, the control means determines the total number of prescription patients in the ward in the corresponding column of the total indication screen according to the prescription data stored in the storage means. Drug management system, characterized in that for displaying.

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