KR20090073125A - Medicine management guidance support system - Google Patents

Abstract

The medicine management guidance support system comprises first prescription data storage means for storing patient prescription data, medicine information storage means for storing information on medicines, search means for searching information stored in the medicine information storage means for the medicine name on the basis of the features of the medicine which the patient carries, a determining means for determining the specific name of the medicine from the medicines hit by the searching means, and second prescription data storage means for storing the medicine as the patient previous prescription data when the determining means determines the specific medicine. The medicine management guidance support system further comprises checking means for checking the prescription data with the prescription data stored in the second prescription data storage means when the prescription data stored in the first prescription data storage means is ordered to a medicine department as a medicine preparing instruction and display means for displaying a message that there is a possibility to cause an event harmful to the patient if the result of checking by the checking means indicates the possibility.

Description

Pharmaceutical management instruction support system {MEDICINE MANAGEMENT GUIDANCE SUPPORT SYSTEM}

The present invention relates to a medication management guidance support system for supporting medication management guidance performed by a medical practitioner such as a doctor or a pharmacist for a patient.

In medical institutions such as hospitals and clinics, prescription instructions are given after examination by a doctor. Patients may receive medication at hospitals or non-hospital pharmacies based on these prescription instructions.

The drug is dosed and dosed according to the kind thereof, and the expected effects can be obtained by properly taking and taking these doses and doses. However, if you take it without keeping the usage and dosage, you will not be able to achieve the expected effect, and there is a risk of causing harmful effects on your body. In addition, when taking several kinds of drugs at the same time, there is a risk of causing harmful symptoms by the interaction of the drugs. In addition, even if the drug is properly administered and dosed, the drug may cause harmful symptoms. That is a side effect.

Therefore, when a pharmacist provides a prescription drug to a patient in order to avoid the above-mentioned harmful phenomenon, he or she gives a medication guidebook containing drug information such as usage of the drug and side effects, and provides oral medication management instruction. This is common.

In the past, however, there were limitations on the number of days for providing a drug, that is, the number of prescription days. However, with the revision of the medical treatment fee in 2002, the long-term prescription of the drug was banned. In 2003, the burden of medical expenses on patients increased. With these amendments, there are an increasing number of inpatients bringing their own medicines.

Here, the medicated medicament refers to a medicament that a patient with a disease such as diabetes brings to another hospitalization, and an increasing number of patients continue to take the medicinal medicament to avoid the burden of new drug prices.

Since many drugs have the same effect but different drug names (brand names), the imported medicine prescribed by a certain medical institution is often not employed in the medical institution brought in by the patient.

For this reason, the discriminating operation by a pharmacist is performed in order to specify what the chemical | medical agent carried in conventionally is. In order to support this discrimination work, a search system for specifying the name of a target drug based on a search item such as the form, color, and code of a drug has been considered (see, for example, Patent Documents 1 and 2).

[Patent Document 1] Japanese Laid-Open Patent Publication No. 2001-331583

[Patent Document 2] Japanese Patent Application Laid-Open No. 09-16681

Challenge to be solved

Such a retrieval system can clearly specify what the bringing medicine is based on the search items such as the form, color, code, and the like described above, but it is only a system that exists as a group to the last.

In order to prevent harmful phenomena such as interaction caused by using the conventional medicine and the prescription medicine by using the conventional search system, it is necessary to reflect the information of the imported medicine into the past medical history of the patient. For this reason, it was necessary to double the task of obtaining the information of the bringing medicine in one system and comparing the bringing medicine and the prescription medicine in another system. Therefore, there is a problem that the management of members of the information becomes difficult and the work becomes complicated. In addition, there is a problem that the more complicated the work, the higher the risk for the harmful phenomenon of the patient.

Therefore, an object of the present invention is to provide a drug management guidance support system that can easily manage a pill and a prescription drug in a single way, and can reliably check the amount of interaction overlap between the two drugs.

Challenge solution

The present invention provides a means for solving the above problems, comprising: a prescription input means for inputting prescription data of a patient to a medication management guidance support system; first prescription data storage means for storing prescription data input by the prescription input means; Drug information storage means for storing various information about the medicine, drug name search means for searching for the medicine name based on the characteristics of the medicine brought by the patient from the information stored in the medicine information storage means, and the medicine name. Drug determination means for determining one drug when there are a plurality of drug names searched by the search means, second prescription data storage means for storing the drug determined by the drug determination means as at least the previous prescription data of the patient, and When the prescription data stored in the first prescription data storage means is ordered to the pharmaceutical department as a preparation instruction A constitution means for matching data and prescription data stored in said second prescription data storage means, and a display means for displaying therein a case in which a harmful phenomenon may occur to a patient as a result of the contrast by said contrast means; I did it.

In addition, the present invention, as a means for solving the above problems, the drug management instruction support system comprising a storage means for storing the drug data and prescription data and a variety of data to provide clues for specifying the drug An input means for inputting the data, an extraction means for searching for drug data stored in the storage means based on the fetch data entered by the input means, and extracting the medicament data; Data registration means for storing in said storage means as past prescription data based on the medicine data extracted by this, and a check means for performing prescription check processing by comparing new prescription data and past prescription data stored in said storage means. It was set as the structure provided.

When the plurality of terminals are network-connected, the storage means may be configured as a network-connected storage device, or may be configured as a single unit, but may be stored in a plurality of storage devices depending on the contents to be stored.

Preferably, the data registration means further includes selecting means for selecting whether or not the medicine data relating to the medicine to be carried is stored in the storage means.

effect

According to the present invention, since the medication brought by the patient can be stored as the previous prescription data of the patient, the imported medication and the prescription medication can be easily managed in one place, and the interaction between the two medications, the double administration, and the like can be reliably checked. It becomes possible.

1 is a conceptual diagram illustrating a configuration example of a drug management guidance support system according to the present embodiment.

It is a figure which shows the medicine discrimination report preparation screen displayed on the display means of the drug room terminal device shown in FIG.

FIG. 3 is a diagram illustrating a state in which a patient attribute information input field is displayed in a separate window from the drug discrimination report preparation screen of FIG. 2.

FIG. 4 is a diagram illustrating a state in which a necessary matter is input into a drug search field of the drug discrimination report preparation screen of FIG. 2.

FIG. 5 is a diagram illustrating a state in which a specific drug is selected in a drug search result column of the drug discrimination report preparation screen of FIG.

FIG. 6 is a diagram illustrating a state in which a print processing confirmation screen is displayed in a separate window from the medicine discrimination report preparation screen of FIG. 2.

FIG. 7 is a diagram illustrating a state when the print processing screen of the discrimination report determined on the screen of FIG. 6 is displayed.

It is a figure which shows the error inquiry screen displayed on a display means as a result of the check process in the chemical | medical agent room terminal shown in FIG.

FIG. 9 is a flowchart showing the input processing contents of patient information executed in the drug room terminal device of FIG. 1.

FIG. 10 is a flowchart showing the differentiation processing contents of a medicine to be carried out in the medicine room terminal device of FIG. 1. FIG.

FIG. 11 is a flowchart showing the contents of the confirmation processing of the medicines to be carried out in the drug room terminal device of FIG. 1. FIG.

FIG. 12 is a flowchart showing the contents of check processing executed in the drug room terminal device of FIG. 1.

[Description of the code]

1-management unit

2-Office Terminal

3-Drug Room Terminal

4-Ward Terminal

5-Hospital LAN

6-memory

7-central processing unit

8-drug database

9-Management Program

10-pharmacy

  11-Drug Identification Report Creation Screen

  12-Patient Information

13-Drug Search Box

14-Drug search results

15-Image information

16-What is the drug?

17-enter button

  18-Patient Attribute Information Field

  19-Edit Specification Screen

20-Print Process Confirmation Screen

21-differential report

Invention  Conduct  Best form for

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

1 is a conceptual diagram illustrating a configuration example of a drug management guidance support system according to the present embodiment. This medication management guidance support system is provided with a management apparatus 1, a clinic terminal apparatus 2, a medicinal apparatus terminal apparatus 3, and a ward terminal apparatus 4, which are connected to each other via a hospital LAN 5. It is.

The management device 1 includes a storage device 6 and a central processing unit 7 (CPU).

The storage device 6 stores a drug database 8, a management program 9 and the like. The drug database 8 stores various types of information about the drug as a whole whether or not it is employed in a hospital. Specifically, data relating to drugs such as drug name, generic name, shape, main ingredient, side effects, and interactions are stored in association with each drug. The medication database 8 is appropriately accessed from the office terminal device 2, the medicine room terminal device 3, and the ward terminal device 4 via the intra-hospital LAN 5, and described in detail below. As such, it is possible to obtain information necessary for the differentiation processing of the medicine brought by the inpatient.

The CPU 7 reads and executes the management program 9 stored in the storage device 6 to manage the entire system in medical institutions such as hospitals and clinics.

The medical office terminal device 2 has a function as a so-called electronic medical record card that electronically stores findings, medical records, and the like when a doctor examines a patient. The medical office terminal device 2 includes a CPU, a recording means, a storage means, a communication means, input means such as a keyboard, and display means such as a liquid crystal display. The doctor's office terminal device 2 transmits the prescription data in the medical examination record to the doctor's office terminal device 3 in the medicine room (preparation section). In addition, the treatment room terminal device 2 may be an ordering terminal that transmits prescription data only to the medicine room.

The drug room terminal device 3 is a terminal for supporting the preparation work by the pharmacist, and mainly performs a check process of the prescription data transmitted from the terminal device 2 for the treatment room by a doctor to perform various preparation devices 10a, 10b. ) And command (10c) to operate. The medicine room terminal device 3 is provided with input means, such as a CPU, a recording means, a memory means, a communication means, a keyboard, and display means, such as a liquid crystal display, similarly to the said examination room terminal device 2. In particular, the recording means stores the biographies of each patient. In addition, the storage means stores master data and the like of the medicines employed in the hospital. Moreover, the medicine discrimination report preparation screen 11 shown in FIG. 2 is displayed on a display means.

As shown in FIG. 2, the drug discrimination report preparation screen 11 includes a patient information field 12, a drug search field 13, a drug search result field 14, an image information field 15, a drug target field 16 for discrimination, and It consists of various buttons.

In the patient information field 12, a patient number, a patient name, a ward, a medical department, a doctor, and a pharmacist are displayed. Input of each of these items is performed by operating the input button 17 to start the patient attribute information input field 18 by starting a separate window.

The chemical | medical agent search column 13 is comprised from the chemical | medical agent external appearance item selection part 13a, the chemical | medical agent external appearance item input box 13b, the dosage form selection part 13c, the splitting | selection selection part 13d, and the employment | division classification selection part 13e. In the chemical | medical agent appearance item selection part 13a, the category (carving, color, chemical | medical agent name, etc.) regarding the external appearance of the target chemical | medical agent is pull-down displayed by clicking, for example, and a corresponding category is selected from it. In the medicine appearance item input box 13b, specific contents regarding the category selected by the medicine appearance item selection unit 13a are input. In the example of FIG. 4, the imprint is selected in the chemical | medical agent exterior item selection part 13a, and the stamp "121" is input into the chemical | medical agent external appearance item input field 13b. In the formulation selection unit 13c, formulations such as "tablets" and "capsules" are input. In the splitting presence selecting section 13d, the presence or absence of splitting is input. In the employment classification selection unit 13e, it is input whether or not the hospital employment drug or the entire medicine is a search target. However, any data that may serve as a clue for specifying the bearer may be added freely. For example, it is also possible to find out the medicine contained from a brand name etc.

The ward terminal 4 is a terminal for supporting a medication management instruction (medicine instruction instruction) performed on an inpatient. The ward terminal 4 is provided with input means such as a CPU, recording means, storage means, communication means, keyboard, and display means such as a liquid crystal display, similarly to the examination room terminal device 2 or the medicine room terminal device 3. . In the ward terminal device 4, the hearing contents heard from the inpatients, the medication management maps (drug medication maps) performed for the inpatients, and the like are recorded, and the biomedical history of each patient recorded in the pharmacy room terminal device 3 is appropriately stored. Reference may be made. As described above, the ward terminal 4 may employ a small portable terminal such as a PDA or the like in place of a normal desktop computer in order to support medication management instruction (medicine instruction) for the inpatient.

Next, the processing content in the said chemical | medical agent management guidance support system is demonstrated according to the flowchart shown to FIGS. 9-11. In other words, the input processing of patient information, the discrimination processing of the bringing medicine, the determination processing of the bringing medicine, the prescription check processing and the interaction check processing will be described. Such a process can be executed in any of the terminals described above, but in the following, the input processing of patient information, the discrimination processing of the medicine to be taken, and the determination processing of the medicine to be taken are carried out by the ward terminal device 4, and the prescription check processing and interaction are performed. The check processing will be described as being performed in the medicine chamber terminal apparatus 3.

(Input processing of patient information)

In the input process of patient information, as shown in the flowchart of FIG. 9, first, the display means displays the medicine discrimination report preparation screen 11 shown in FIG. 2 (step S1). When the input button 17 of the patient information field 12 is operated (step S2), the patient attribute information input field 18 shown in FIG. 3 is displayed in another window (step S3). In the patient attribute information input field 18, patient information, such as a patient number and a date of birth, is input using a keyboard, a mouse, etc. However, if the patient number has already been assigned to the patient, such as when the patient has completed the hospitalization procedure, the patient number may be input in the patient number field 18a on the upper left of the patient attribute information input field 18 (step S4). As a result, various pieces of information (patient name, ward, date of birth, etc.) related to the patient number are automatically read and displayed (step S5).

If the OK button 18b is operated after input of patient information is completed (step S6), it will return to medicine discrimination report preparation screen 11 shown in FIG. 2 (step S7). In the medicine discrimination report preparation screen 11, a search item necessary for differentiation of a drug is input by using an input means such as a keyboard or a mouse, based on the description of the drug in kind carried by the patient or the medicine bag containing the medicine. The drug discrimination process is performed.

In the differentiation process of a pill, as shown in the flowchart of FIG. 10, first, the item required for a search is input into the medicine search column 13 (part of the search means or extraction means of this invention) arrange | positioned at the left middle part of FIG. (Step S11).

When the input of the necessary matter (not necessarily all) is completed and the search button 14f is operated (step S12), the database relating to the medicine stored in the storage device 6 of the management device 1 is searched ( Step S13). In the medicine search result column 14, a list of medicines (drug name, manufacturer, generic name, etc.) as the search result is displayed (step S14). When each medicine displayed in the medicine search result column 14 is selected by a pointing device or the like (step S15), each aspect such as a general image and a constant image of the selected medicine is displayed in the image information column 15. (Step S16). In this way, the pharmacist can perform the discrimination work while confirming the image based on the medication information brought by the patient, so that it is possible to reliably specify what the medication is.

(Confirmation of Bringing Agreement)

If the medicine to be taken is specified and the target medicine displayed in the medicine search result column 14 is selected as a pointing device or the like, as shown in the flowchart of Fig. 11, the selection button 15a is made operable (step S17). The drug confirmation process is performed. That is, when the selection button 15a is operated (step S18), the selected medicine is displayed in the discrimination target medicine column 16 shown in FIG. 5 (step S19).

If the specification edit button 17a is operated in the state in which the medicine displayed on the discrimination target medicine column 16 is selected (step S20), the specification edit screen 19 is displayed (step S21). On the specification editing screen 19, as shown in FIG. 5, the amount of one day, the usage name, and the number of days are inputted, and when the registration button 19a is operated (step S22), the information on the specified medicated medicine is displayed at the last time of the patient. It records as prescription data (step S23).

When the print button 7b is operated (step S24), the print processing confirmation screen 20a shown in Fig. 6 is displayed (step S25). The first check box 20a and the second check box 20b are displayed on the print processing confirmation screen 20. The first check box 20a is for confirming whether or not to print the discrimination report 21. In addition, the second check box 20b is for confirming whether or not to confirm the data relating to the dowry specified by the discrimination processing (part of the determining means of the present invention, data registration means or selection means).

If the discrimination report is printed or not, and if the discrimination history data transmission is selected, and the execution button 20c is operated (step S26), it is judged whether or not the check boxes 20a and 20b are checked (step S26). S27, S28). If the first check box 20a is checked (step S27: YES), the discrimination report 21 shown in FIG. 7 is printed by completing the input of the specified amount of the dowry, the usage name, and the number of days (step S29: YES) (step S29). ). If the second check box 20b is checked (step S28: YES), data relating to the bear contract specified by the discrimination process is transmitted (step S30). The transmitted data, that is, the medicine data related to the medicine to be taken, is recorded in the Do file stored in the recording means of the medicine room terminal device 3 as the previous prescription data of the patient (step S31). However, the medicine data concerning the medicine carried may be stored in the storage device 6 of the management device 1.

(Check processing)

In the medicine room terminal device 3, the duplicate prescription check process and the interaction check process between the current prescription data and the past prescription data (prescription history) already recorded are shown in the flowchart of FIG. 12 in the actual check process. By inputting information (step S41). It is determined whether or not the patient has past prescription data (step S42). If there is past prescription data for the patient, past prescription data is read from the Do file (step S43). If there is no past prescription data, the process proceeds to the next step.

Subsequently, when a prescription order (prescription data) transmitted from the examination room terminal device 2 is input (step S44), it is determined whether there is a duplicate prescription between the past prescription data read in step S43 and the prescription data transmitted this time. (Step S45).

Here, it is determined whether or not the entire drug (including the drug prescribed in the past and the medicine taken in the past) already included in all the departments for a patient already includes the drug prescribed at this time. In this case, the past prescription data includes drug data relating to the medicine taken in the above process. Therefore, it is possible to reliably prevent the double-dose administration by carrying out one-way management with the prescription medicine also about the bringing medicine which was not considered conventionally.

The interaction check process determines whether the entire prescribed drug (including the past prescribed drug and any medications) contains contraindications that may be harmful to the patient and which are subject to attention (step) S47). Also in this interaction check, similarly to the above-mentioned duplicate prescription check process, it can apply also to the data regarding a bringing-in medicine, and can prevent the contraindication of a drug etc. reliably.

As a result of the check processing, if there is no problem, a prescription is issued (step S49), and the medicine is provided to the patient. On the other hand, if there is a problem with the check result, as shown in Fig. 8, the error inquiry screen 22 displays an error (steps S46 and S48) and suspends issuance of the prescription.

Claims (3)

Prescription input means for inputting prescription data of a patient; First prescription data storage means for storing prescription data input by said prescription input means, Drug information storage means for storing various information about the drug; Drug name retrieving means for retrieving the drug name from the information stored in said drug information storage means based on the characteristics of the drug possessed by the patient; Drug determination means for determining one drug when there are a plurality of drug names searched by the drug name search means; Second prescription data storage means for storing the medicine determined by the drug determination means as at least the previous prescription data of the patient; Matching means for matching the prescription data stored in the second prescription data storage means with the prescription data when ordering the prescription data stored in the first prescription data storage means as a preparation instruction; And a display means for displaying the case where there is a possibility that a harmful phenomenon occurs to the patient as a result of the collation by the control means. Storage means for storing drug data and prescription data; Input means for inputting dowry data consisting of various data serving as clues for specifying dowry, Extraction means for retrieving drug data stored in the storage means and extracting the corresponding drug data based on the medicinal medicine data inputted by the input means; Data registration means for storing the bringing medicine in the storage means as past prescription data based on the medicine data extracted by the extraction means; A drug management instruction support system comprising check means for executing a prescription check process by comparing new prescription data with past prescription data stored in the storage means. The method according to claim 2, And a selection means for selecting whether or not to store the medicine data related to the medicine carried by the data registration means in the storage means.

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