201009633 九、發明說明： 【發明所屬之技術領域】 本發種降低給藥錯料㈣法及 中樂調配包裝過程中之自動包藥機及配藥系統整人一=將 與一條碼辨識，進而降低配藥作業過程中的時;： 【先前技術】 e201009633 IX. Description of the invention: [Technical field of invention] The automatic drug-dispensing machine and the dispensing system in the process of reducing the dosage of the wrong material (four) and the process of packaging in the Chinese music distribution system will be identified with one code, thereby reducing Time during dispensing operation;: [prior art] e
就法規現況看來’以醫學中心為例，每位藥師每天人 理配藥量為7G張門急診處方菱，而根據美國醫學中心與^ 内的醫學中心的比較’美國醫學中心的藥師人力配置約為 台灣的4〜5倍，美國一張「處方笑」是指一筆藥嘱（單一藥 品）；台灣一張處方箋可能是一至一二十筆藥品。 曰此外，美國工會與藥師簽訂合約規定，藥師每小時配 藥，多不可超過25〜30種藥品；澳洲則建議最多不超過17 種藥品。但以國内實際工作現場的門診為例，某些醫學中 心藥局第一線的藥師，每人每天平均需調配4〇〇~6〇〇張處 方箋，以一天工作八小時來算，平均每一小時分配到將近 別〜75張處方箋，但藥師的工作還包含處方覆核、病患諮 詢、藥品資訊、教學研究、臨床服務、藥品管理…等，而 醫院藥事人力須扣去周休二日、年休假、國定假日等各種 休假以及主管行政和藥品管理的總藥師、組長等部分的人 力，且國内一張處方箋可能有1〜20筆的藥品，因此藥師工 作負擔相當的重。 醫改會以93年健保局門診藥費申報及醫院藥事人員 201009633 資料，粗略估算出在醫院門診工作的藥事人員平均需花費 2. 9分鐘處理一張處方箋，且每張處方箋平均有3. 58筆藥 品的情形下，處理一筆藥品的時間竟然不到一分鐘。要強 調的是，這是假設所有醫院藥事人員全年沒有年休假、事 假、病假等缺席，且上班時間八小時完全不離座的不人道 的情況下。另外，醫改會也就現行醫院狀況來作評鑑及研 究，各級醫院每名藥師每天處理門急診處方箋約為60〜80 張，因此藥師須在繁雜的業務壓力下，還要快速調配藥品 φ並確保其錯誤率降到最低，以為國人之用藥安全把關實有 其辛苦之處。 現今之中醫醫療院所皆採用科學中藥粉為多，其缺點 在於藥劑大多皆為粉狀且顏色區分不易，僅能於給付藥品 時，確認核對藥包包數（天份）、處方與領藥單内容、以及 確認患者姓名…等，另外，中藥藥粉於分包前須充分混合， 若要像西藥一般逐一確認藥品實為困難；而中藥皆為長期 服用，若無有效的確認或查核機制，其危害程度不在西藥 ⑩之下，甚至可能導致腎衰竭或慢性中毒…等。 同時，現行醫院的中藥局因作業空間不足，常有多位 藥師同時配藥的狀況發生，且傳統中藥調配作業並未使用 輔助提示系統，不論是單方或複方的中藥罐，其藥罐外觀 極為近似，容易造成藥師取錯藥品；此外，傳統藥袋在交 付時，通常只有外包裝或大藥袋有包裝，但若一次看診有 多種服藥方式，或家中有多人看診時，容易造成患者用藥 的混亂。 7 201009633 【發明内容】 爰是，本發明之主要目的，旨在提供一種降低給藥錯 誤率的方法及其系統，以燈號設備來輔助藥師取藥，並在 配藥過程中整合警示裝置、條碼及電子磅秤、並運用CCD 來做記錄並以利醫療糾紛之責任釐清，讓藥師們工作單純 化並直覺化，進而降低配藥作業過程中的時間與配藥錯誤 率。 本發明之另一目的，藉由結合藥師身份識別、藥師配 ❹藥處方箋條碼識別、不同人員使用不同燈號顏色提示等方 式，在不影響配藥正確性的前提下，讓一個調配藥櫃最多 可讓多位藥師同時作業，以增加配藥的效率。 本發明之再一目的，將自動包藥機上結合喷印設備， 在每一小藥包上列印病患名、藥名、服用方式等資訊，有 效降低服藥錯誤問題，相同列印方式，應用於大量調配作 業，方便水劑、成方等之事先調配及藥品資訊列印，不需 再以傳統人工書寫方式標示，減少錯誤發生。 ® 為達上揭目的，本發明一種降低給藥錯誤率的方法及 其系統，其方法步驟至少包含： A. 藥商到貨，藥師將藥品依用途分類，並將分類完成 的藥品存放於配藥系統之藥櫃及冰箱中； B. 在管理系統的資料庫輸入所須調配藥品的所有相 關資訊，並把相關資訊儲存於資料庫中； C. 醫師由管理系統的HIS系統產生處方，由資料庫進 行處方箋拋轉作業； 8 201009633 D. 藥師取單並進行處方箋核對作業，並於配藥前，進 行身份識別作業； E. 藥師配藥時，依燈號提示直接取下藥品，並輔以電 子磅秤秤重以精確藥品數量及劑量的正確性，藥師 配藥完，放回取出藥品並按熄提示燈號，再按下配 藥結束鍵； F. 將調配及混合作業完成後的正確數量藥品投入自 動包藥機，並將處方資訊列印於小藥包上，再回報 ❹ 分包完成訊息至管理系統存查； G. 最後交付藥品前，依條碼輸入給藥序號來確認藥品 是否有誤，核對無誤則將藥品交付予病人。 於可行實施例中，上述藥品依用途分為常用藥、非常 用藥及生藥材三部份；上述常用藥與非常用藥依單方與複 方分區存放於藥櫃中；上述生藥材分類編號後，存放於煎 煮室藥庫，待煎煮完成及分包作業完成後再轉至藥櫃内存 放，湯劑存放於冰箱中。 ❹ 於可行實施例中，上述配藥過程進一步運用CCD來做 記錄，以利醫療糾紛之責任釐清。 於可行實施例中，上述處方資訊至少包括處方箋號、 藥名、服用方式、本包序號及總包數等資料。 本發明為一種降低給藥錯誤率的方法及其系統，其系 統至少包含： 一管理裝置，其包含一儲存配藥藥品所有相關資訊的 資料庫；一供醫師設定藥品處方的HIS系統；以及一確認 9 201009633 處方箋藥品及藥師身份的辨識系統； 一配藥系統，其與上述管理裝置連接，該配藥系統設 有一儲存常用藥與非常用藥的藥櫃；一儲存煎煮完成湯劑 的冰箱；以及一量測藥物劑量的電子磅秤； 一自動包藥機，其連接於上述配藥系統及管理裝置， 核對處方箋及藥師身分後，將藥品分包至小藥包。 於可行實施例中，上述藥櫃、冰箱及電子磅秤更進一 步包含一感應裝置。 ❿ 於可行實施例中，上述感應裝置為一 RFID感應讀取 器。 於可行實施例中，上述藥櫃設有一警示燈號設備，該 燈號設備在單一燈號位置，可同時顯示多種顏色；而上述 冰箱及電子磅秤設有一結合燈號、聲音及影像的警示裝置。 於可行實施例中，上述自動包藥機更包含進一步將處 方資訊印製於小藥包上的列印裝置。 @【實施方式】 茲為便於更進一步對本發明之構造、使用及其特徵有 更深一層明確、詳實的認識與瞭解，舉出較佳實施例，配 合圖式詳細說明如下： 請參閱第1圖至第4圖所示，於圖示較佳實施例中， 本發明一種降低給藥錯誤率的方法至少包含： (A)前端入庫科學中藥粉及生藥材部份，當藥商到貨 時，經由醫療單位内部之合格藥師清點並簽收， 201009633 將藥品分為常用藥、非常用藥以及生藥材三部 份，常用藥與非常用藥部份依單方與複方分區存 放於藥櫃中，並加以編號；生藥材部份分類編號 後存放於煎煮室藥庫，待煎煮完成及茶包分包作 業完成後再轉至藥櫃内存放，湯劑存放於冰箱中。 (B) 在管理系統的資料庫輸入所須配藥藥品之所有相 關資訊，並把相關資訊儲存於資料庫中。 (C) 當醫師處方產生後，進行處方箋拋轉作業，資料 參 庫會接收自HIS系統所拋出之處方箋資料，存入 待配藥暫存區，可依需求設定為一有處方箋就列 印等待配藥，或是人工列印需配藥之處方箋，列 印時，會在處方箋上列印條碼，以供配藥時輸入 或感測處方箋號碼使用（處方上顯示所配藥區 域）。 (D) 藥師每次取得處方箋後，在進行配藥作業之前， 藥師必需核對處方箋中藥品用量、給藥方式等， ® 確定無誤才進行配藥作業，若發現有問題時，不 可進行配藥，必需回報看診醫師確認，必要時請 醫師重新開立處方箋；而藥師在核對藥品用量及 給藥方式無誤後，必需在工作站輸入或感測所取 得之處方箋編號及配藥藥師識別卡，以做為稽核 及身份確認，同時啟動CCD(Charge Coupled Device，電荷偶合原件影像感測器）攝影，以利醫 療糾紛之責任釐清。 11 201009633 (E)當作業開始時，配藥的藥櫃及冰箱會將所需之藥 品以電子標籤亮燈提示，依燈號提示直接取下藥 品，以方便藥師快速準確取得藥品，藥師確認處 方箋與藥櫃、冰箱上亮燈之藥瓶是否一致（第一 讀），取下藥品後並確認藥品資訊用法及安全事項 (第二讀）。輔以電子磅秤秤重以精確藥品數量及 劑量之正確性，若超出處方之容許誤差則配藥系 統發出警示燈閃爍。請參閱第5圖，其中，配藥 φ 的藥櫃分A面與B面，各面可同時供兩名藥師同 時作業，但為區分所拿取藥品以電子標籤之顏色 區別（A面分黃與綠，B面亦同），若兩座配藥台以 上以此類推2AB黃綠、3AB黃綠。將藥罐放回原指 定藥櫃（第三讀），確認藥品放入藥櫃的指定位 置，同時按熄電子標籤之燈號，在確認藥品全部 放回且燈號全部熄滅後，按下配藥結束按鍵，同 時觸發CCD(Charge Coupled Device，電荷偶合原 ⑩ 件影像感測器）攝影結束。 (F )將調配藥品及混合作業完成後的正確數量藥劑投 入自動包藥機，並需輸入處方箋之號碼及藥師身 份，系統連線至HIS暫存系統，取得本次包裝之 處方資訊，並將處方資訊列印於小藥包上，再回 報分包完成訊息至管理系統存查，若未輸入處方 箋號碼時及藥師身份時，自動包藥機無法啟動， 以避免列印錯誤的小藥包資訊；於一可行實施例 12 201009633 中，上述處方資訊至少包括處方箋號、藥名、服 用方式、本包序號及總包數等資料。 (G)最後交附藥品時，依條碼輸入給藥序號，管理裝 置產生回報資訊包括處方箋號及給藥藥師身份資 料，確認藥品對、劑量對、時間對、途徑對及發 藥對之五對（三讀五對），核對確認即可將藥品交 付與病人，若有錯誤即重新配藥。 本發明為一種降低給藥錯誤率的系統，其係包含： Φ 一管理裝置，其包含一儲存配藥藥品所有相關資訊的 資料庫；一供醫師設定藥品處方的HIS系統；以及一確認 處方箋藥品及藥師身份的辨識系統。 一配藥系統，其與上述管理裝置連接，該配藥系統設 有一儲存常用藥與非常用藥的藥櫃；一儲存煎煮完成湯劑 的冰箱；以及一量測藥物劑量的電子磅秤。 一自動包藥機，其連接於上述配藥系統及管理裝置， 核對處方箋及藥師身分後，將藥品分包至小藥包。 像 於一可行實施例中，上述藥櫃、冰箱及電子磅秤更進 一步包含一感應裝置，該感應裝置可為一 RFID感應讀取 器。於另一可行實施例中，上述藥櫃設有一燈號設備，該 燈號設備在單一燈號位置，可同時顯示多種顏色，並於藥 櫃平台上設有一顯示裝置，達成多位藥師同時使用配藥系 統的工作要求；而上述冰箱及電子磅秤設有一結合燈號、 聲音及影像的警示裝置，若處方超出之容許誤差，則電子 磅秤發出警示音效及警示燈閃爍，此外，上述自動包藥機 13 201009633 更進一步包含將處方資訊印製於小藥包上的列印裝置。 綜上所述，本發明降低給藥錯鵪率的方法及 以燈號設備來輔助取藥，且在調配過程中整人警示裝統， 條碼及電子碎秤，並運用CCD來做記錄並以;；^糾^之 責任釐清，進而降低配藥作業過程中的時間及錯誤率，·此 外，每一小藥包上列印病患名、藥名、服用方式等資訊， 有效降低患者服藥錯誤問題，並結合藥師身份識別、處方 箋條碼識別，藉此增加配置藥品的效率。 ❹ 所舉實施例僅用為方便㈣本發明，在不離本發 明精神範脅’熟悉此一行業技藝人士所可作之各種簡易變 形與修飾，均仍應含括於以下申請專利範圍中。 【圖式簡單說明】 第1圖係本發明整體作業之流程圖； 第2圖係本發明管理系統之步驟圖； 第3圖係本發明藥包列印系統之步驟圖； 第4圖係本發明配藥系統之步驟圖；以及 第5圖係本發明系統動線之示意圖。 【主要元件符號說明】 無。As far as the current situation of the law is concerned, 'taking the medical center as an example, each pharmacist's daily pharmacy is 7G Zhangmen emergency prescription, and according to the comparison between the American Medical Center and the medical center within the 'medical center of the American Medical Center' For Taiwan's 4 to 5 times, a "prescription smile" in the United States refers to a drug (single drug); a prescription in Taiwan may be one to twenty drugs. In addition, the US trade union and the pharmacist signed a contract stipulating that the pharmacist should dispense more than 25 to 30 drugs per hour, and Australia should recommend no more than 17 drugs. However, taking the outpatient clinics in the actual domestic work site as an example, the pharmacists on the first line of some medical center pharmacies need to allocate 4〇〇~6〇〇 prescriptions per person per day, which is calculated by working eight hours a day. Every hour is assigned to nearly ~75 prescriptions, but the pharmacist's work also includes prescription review, patient consultation, drug information, teaching research, clinical services, drug management, etc., and the hospital pharmacy manpower must be deducted from the week. The rest of the day, the annual leave, the national holiday, and other personnel, and the chief pharmacist and team leader in charge of administrative and pharmaceutical management, and a domestic prescription may have 1 to 20 drugs, so the pharmacist's workload is equivalent. weight. The medical reform will use the 93-year health care bureau outpatient drug fee declaration and the hospital pharmacy staff 201009633. It is estimated that the pharmacy staff working in the outpatient clinic should spend an average of 2.9 minutes to process a prescription, and each prescription has an average 3. In the case of 58 drugs, the time for processing a drug was less than one minute. It is important to emphasize that this is assuming that all hospital pharmacists do not have annual leave, leave, sick leave, etc., and that they are not in a humane situation when they go to work for eight hours. In addition, the Medical Reform Association will also evaluate and study the current hospital conditions. Each pharmacist at each level of hospitals handles about 60 to 80 prescriptions per day. Therefore, pharmacists must quickly deploy medicines under complicated business pressure. φ and ensure that its error rate is minimized, so that the safety of medication for the Chinese people has its own hard work. Today, Chinese medicine hospitals use scientific Chinese medicine powders. The disadvantage is that most of the medicines are powdery and the color is difficult to distinguish. Only when the medicines are given, the number of medicine bags (days), prescriptions and prescriptions can be confirmed. Single content, as well as confirming the patient's name, etc. In addition, the Chinese medicine powder must be thoroughly mixed before subcontracting. It is difficult to confirm the medicine one by one like Western medicine; while Chinese medicine is taken for a long time, if there is no effective confirmation or check mechanism, The degree of harm is not under Western medicine 10, and may even lead to kidney failure or chronic poisoning...etc. At the same time, due to insufficient working space, the Chinese Medicine Bureau of the current hospital often has multiple pharmacists dispensing the drug at the same time, and the traditional Chinese medicine dispensing operation does not use the auxiliary reminder system. Whether it is a single or compound Chinese medicine can, the appearance of the canister is very similar. It is easy for the pharmacist to take the wrong medicine; in addition, when the traditional medicine bag is delivered, usually only the outer packaging or the large medicine bag is packaged, but if there are multiple medications for one visit, or when there are many people in the family, it is easy to cause the patient. The confusion of medication. 7 201009633 [Description of the Invention] The main purpose of the present invention is to provide a method and system for reducing the error rate of administration, which is used to assist the pharmacist in taking the medicine, and to integrate the warning device and the barcode in the dispensing process. And electronic scales, and use CCD to record and clarify the responsibility of medical disputes, so that pharmacists work simplification and intuition, thereby reducing the time and dispensing error rate during dispensing operations. Another object of the present invention is to make a dispensing medicine cabinet the most, without affecting the correctness of the dispensing, by combining the identification of the pharmacist, the identification of the prescription of the pharmacist, the identification of the barcode, and the use of different light color prompts by different people. It allows multiple pharmacists to work at the same time to increase the efficiency of dispensing. According to still another object of the present invention, an automatic medicine wrapping machine is combined with a printing device, and information such as a patient name, a drug name, and a taking method are printed on each small drug bag, thereby effectively reducing the problem of taking the medicine and the same printing method. It can be used in a large number of blending operations to facilitate the prior preparation of liquids, prescriptions, etc. and printing of drug information. It does not need to be marked by traditional manual writing to reduce errors. In order to achieve the above, the present invention provides a method and system for reducing the error rate of administration, and the method steps thereof include at least: A. When the drug dealer arrives, the pharmacist classifies the drug according to the purpose, and deposits the classified drug in the dispensing. In the medicine cabinet and refrigerator of the system; B. Input all relevant information of the drugs to be dispensed in the database of the management system, and store the relevant information in the database; C. The physician generates the prescription from the HIS system of the management system, and the data is generated. The library performs the prescription and throwing operation; 8 201009633 D. The pharmacist takes the order and performs the prescription, check the operation, and carries out the identification work before the dispensing; E. When the pharmacist dispenses the medicine, the medicine is directly taken off according to the light prompt, supplemented by The electronic scale weighs the correct quantity and dosage of the exact drug. After the pharmacist dispenses the medicine, put it back and take out the medicine and press the warning light, then press the dispensing end button; F. Put the correct amount of medicine after the preparation and mixing operation is completed. Automatically pack the drug machine, and print the prescription information on the small drug package, and then return the ❹ subcontract completion message to the management system for investigation; G. Before the final delivery of the drug, Enter the serial number to confirm that the administration of drugs is wrong, check the correct medicines will be delivered to the patient. In a feasible embodiment, the above-mentioned medicines are divided into three parts according to the use of common medicines, very medicines and raw medicines; the above-mentioned common medicines and extraordinary medicines are stored in the medicine cabinet according to the unilateral and compound parts; after the above-mentioned raw materials are classified, they are stored in The decoction room drug storehouse, after the completion of the decoction and the subcontracting operation, is transferred to the medicine cabinet for storage, and the decoction is stored in the refrigerator.于 In the feasible embodiment, the above-mentioned dispensing process is further logged with CCD to clarify the responsibility for medical disputes. In a feasible embodiment, the above prescription information includes at least a prescription nickname, a drug name, a dosage method, a serial number of the package, and a total number of packages. The invention relates to a method for reducing the error rate of administration and a system thereof, the system comprising at least: a management device comprising a database for storing all relevant information of the drug dispensing; a HIS system for the physician to set the drug prescription; and a confirmation 9 201009633 Prescription, drug and pharmacist identification system; a dispensing system connected to the above-mentioned management device, the dispensing system is provided with a medicine cabinet for storing commonly used medicines and very medicine; a refrigerator for storing decoction-completed decoction; An electronic scale for measuring a drug dose; an automatic medicine dispenser connected to the above dispensing system and management device, and after checking the prescription and the identity of the pharmacist, the medicine is subcontracted to the small medicine package. In a possible embodiment, the above medicine cabinet, refrigerator and electronic scale further comprise an inductive device. In a possible embodiment, the sensing device is an RFID inductive reader. In a feasible embodiment, the medicine cabinet is provided with a warning light device, and the light device can display multiple colors at the same time in a single light position; and the refrigerator and the electronic scale have a warning device combined with the light, sound and image. . In a possible embodiment, the automatic dispensing machine further comprises a printing device for further printing the partial information on the small medicine package. @[Embodiment] In order to facilitate further understanding and understanding of the structure, use and features of the present invention, a preferred embodiment will be described with reference to the drawings as follows: Please refer to Figure 1 to As shown in Fig. 4, in the preferred embodiment of the present invention, a method for reducing the error rate of administration of the present invention comprises at least: (A) a front-end storage scientific Chinese medicine powder and a raw medicine portion, when the pharmaceutical company arrives, via Qualified pharmacists in the medical unit count and sign, 201009633 The medicines are divided into three parts: common medicine, very medicine and raw medicine. The common medicine and the very medicine part are stored in the medicine cabinet according to the unilateral and compound parts, and numbered; After the partial classification of the medicinal materials, they are stored in the decoction room drug storey. After the decoction is completed and the tea bag subcontracting operation is completed, it is transferred to the medicine cabinet for storage. The decoction is stored in the refrigerator. (B) Enter all relevant information about the drugs to be dispensed in the database of the management system and store the relevant information in the database. (C) After the prescription of the doctor is produced, the prescription and the transfer operation will be carried out. The data repository will receive the information from the place where the HIS system is thrown, and store it in the temporary storage area to be dispensed, which can be set as a prescription. Print awaiting dispensing, or manually print the area where the dispensing is required. When printing, the barcode will be printed on the prescription sheet for input or sensing the prescription number when dispensing (the prescription area is displayed on the prescription). (D) After the pharmacist obtains the prescription, the pharmacist must check the dosage of the prescription, the method of administration, etc. before the dispensing operation. ® Make sure that the preparation is correct. If there is any problem, do not dispense. Return to the doctor to confirm, if necessary, ask the doctor to re-open the prescription; and after the pharmacist checks the dosage and the method of administration, the pharmacist must input or sense the location number and the pharmacist identification card at the workstation to do For auditing and identity verification, CCD (Charge Coupled Device) photography was launched at the same time to clarify the responsibility for medical disputes. 11 201009633 (E) When the operation starts, the medicine cabinet and the refrigerator will use the electronic label to light up the required medicines, and remove the medicine directly according to the light number, so that the pharmacist can quickly and accurately obtain the medicine, and the pharmacist confirms the prescription. Whether it is consistent with the medicine bottle and the light bottle on the refrigerator (first reading), after removing the medicine, confirm the drug information usage and safety matters (second reading). It is supplemented by an electronic scale to weigh the correct quantity and dose of the correct drug. If the tolerance of the prescription is exceeded, the dispensing system will flash the warning light. Please refer to Figure 5, in which the medicine cabinet for dispensing φ is divided into side A and side B. Each side can be used for two pharmacists to work at the same time, but to distinguish the color of the medicine taken by the color of the electronic label (A side is divided into yellow and Green, B side is also the same), if the two dispensing stations above and so on, 2AB yellow green, 3AB yellow green. Put the medicine can back to the original designated medicine cabinet (third reading), confirm that the medicine is placed in the designated position of the medicine cabinet, and press the light number of the electronic label, and after confirming that all the medicines are put back and the lights are all extinguished, press the medicine. At the end of the button, the CCD (Charge Coupled Device) is triggered to end the shooting. (F) Put the correct amount of the drug after the preparation of the drug and the mixing operation into the automatic drug-packing machine, and enter the number of the prescription and the identity of the pharmacist. The system is connected to the HIS temporary storage system to obtain the information of the package. Print the prescription information on the small drug package, and then return the subcontract completion message to the management system for checking. If the prescription number and the pharmacist identity are not entered, the automatic medicine machine cannot be started to avoid printing the wrong drug package. Information; In a feasible embodiment 12 201009633, the above prescription information includes at least a prescription nickname, a drug name, a dosage method, a serial number of the package, and a total number of packages. (G) When the drug is finally delivered, the serial number of the drug is input according to the barcode, and the management device generates the return information including the prescription nickname and the identity of the drug pharmacist, and confirms the drug pair, dose pair, time pair, route pair and drug delivery For (three readings and five pairs), the drug can be delivered to the patient after verification, and the drug is re-dispensed if there is an error. The invention relates to a system for reducing the error rate of administration, comprising: Φ a management device comprising a database for storing all relevant information of the drug dispensing; a HIS system for the physician to set the prescription of the drug; and a confirmation prescription drug And identification system for pharmacist identity. A dispensing system is coupled to the management device, the dispensing system having a medicine cabinet for storing the commonly used medicine and the very medicine; a refrigerator for storing the decoction-completed decoction; and an electronic scale for measuring the dose of the medicine. An automatic medicine dispensing machine is connected to the above dispensing system and management device, and after checking the prescription and the identity of the pharmacist, the medicine is subcontracted to the small medicine package. In a possible embodiment, the medicine cabinet, the refrigerator and the electronic scale further include an inductive device, and the sensing device can be an RFID inductive reader. In another possible embodiment, the medicine cabinet is provided with a light number device, and the light number device can display multiple colors at the same time in a single light number position, and a display device is arranged on the medicine cabinet platform to achieve simultaneous use by multiple pharmacists. The working requirements of the dispensing system; and the above-mentioned refrigerator and electronic scale have a warning device combining the signal, sound and image. If the prescription exceeds the tolerance, the electronic scale emits a warning sound and the warning light flashes. In addition, the above automatic medicine dispenser 13 201009633 Further includes a printing device that prints prescription information on a small drug pack. In summary, the present invention reduces the rate of misfeeding and the use of the lamp device to assist in taking the drug, and in the process of the deployment, the whole person is warned to install the system, the bar code and the electronic chip scale, and the CCD is used for recording and ;; ^ Correction of the responsibility to clarify, thereby reducing the time and error rate in the dispensing process, · In addition, each small drug package printed on the patient name, drug name, taking methods and other information, effectively reduce the patient's medication error And combined with pharmacist identification, prescription bar code identification, thereby increasing the efficiency of dispensing drugs. The present invention is to be construed as being limited to the scope of the invention as claimed in the appended claims. BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 is a flow chart of the overall operation of the present invention; Fig. 2 is a step diagram of the management system of the present invention; Fig. 3 is a step diagram of the printing system of the medicine package of the present invention; A step diagram of the invention of the dispensing system; and a fifth diagram of the system of the invention. [Main component symbol description] None.