TW202244939A - Drug identification system before administering drugs - Google Patents
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本發明是有關一種給藥前藥品辨識系統，特別是一種能夠提高在醫療機構或養護機構中護理人員給予病人藥品前或病人於家中自行使用藥品前之藥品正確性，以避免藥品種類錯誤或藥品劑量錯誤之給藥系統。The present invention relates to a pre-administration drug identification system, especially a drug identification system that can improve the correctness of drugs before nursing staff in medical institutions or nursing institutions give drugs to patients or before patients use drugs at home, so as to avoid wrong types of drugs or drugs. Dosage errors in drug delivery systems.
目前之技術中並無此於醫療臨床上可用之給藥前藥品辨識系統。目前住院病患所服用之藥品來源大都係經由藥劑人員調劑後，放置於標示有不同病房、病室及病人姓名的藥盒中，再將該藥盒放置於藥局每日送往各個不同住院病房的藥車中。藥局再將各病房所需要的藥車，由藥局送至各個住院病房之護理站，護理人員再依照醫師處方，將藥車上分別屬於不同病人的藥盒內的藥品，在各個特定的藥品使用時間點由該藥車中取出藥品，並將該藥品給予病人。There is no such pre-administration drug identification system available in clinical practice in the current technology. At present, most of the medicines taken by hospitalized patients are adjusted by the pharmacists and placed in medicine boxes marked with different wards, wards and patient names, and then the medicine boxes are placed in the pharmacy and sent to different inpatient wards every day in the medicine cart. The pharmacy then sends the medicine carts required by each ward to the nursing stations of each inpatient ward, and the nursing staff then, according to the doctor's prescription, distributes the medicines in the medicine boxes belonging to different patients on the medicine cart to each specific ward. The medicine is taken out from the medicine cart at the point of time when the medicine is used, and the medicine is given to the patient.
亦有部份醫院開始採用將各個病房之常用藥品，儲放於各個病房護理站中之資訊藥櫃內，此一資訊藥櫃中可儲存數天或數星期內之常用藥品，因此護理人員亦可由此一管道，取得依照醫師處方要給予病人使用的各種藥品。該資訊藥櫃可以儲放數十個甚至上百個儲放藥品的藥盒，這些藥盒可由資訊系統管控是否開啟，亦可以資訊系統輔助藥品之補充及護理師自該資訊藥櫃中取出藥品，並給予病人之流程與授權管控。但護理人員所將給予住院病人之藥品，無論來源為藥局每日配送之藥車，或是已儲放於護理站內的資訊藥櫃，均係由護理人員將藥品取出後給予病人。在此一護理人員給予病人藥品的過程中，對於所將給予病人的藥品其種類、品項、數量、劑型是否正確，均係由護理人員倚賴其個人之注意力及其個人之經驗能力等來進行判斷。由於住院病人所服用之藥品種類可能多達十種以上，整個醫院中所使用的藥品亦可能多達上千種，再加上每個病人使用的劑量不同，又有一天四次或一天一次等等不同之使用頻次和時間，因此護理人員之此一給藥過程中，發生錯誤的機率並不低，在醫療臨床實務中，護理給藥錯誤也是護理人員最常發生的醫療錯誤。Some hospitals have also started to store the commonly used medicines in each ward in the information medicine cabinets in the nursing stations of each ward. The medicine medicine cabinets can store the commonly used medicines for several days or weeks, so the nursing staff also Through this channel, various medicines to be given to patients according to the doctor's prescription can be obtained. The information medicine cabinet can store dozens or even hundreds of medicine boxes for storing medicines. These medicine boxes can be controlled by the information system to open or not, and the information system can assist the supplement of medicines and nurses can take medicines from the information medicine cabinet. , and give the patient process and authorization control. However, the medicines that the nursing staff will give to the inpatients, regardless of whether they come from the medicine carts delivered daily by the pharmacy, or the information medicine cabinets that have been stored in the nursing station, are taken out by the nursing staff and given to the patients. In the process of giving medicines to patients by nursing staff, whether the types, items, quantities, and dosage forms of the medicines to be given to patients are correct or not depends on the nursing staff relying on their personal attention and personal experience and ability. judge. Since the types of medicines taken by inpatients may be as many as ten or more, and the number of medicines used in the entire hospital may also be as many as a thousand. In addition, the dosage used by each patient is different, and there are four times a day or once a day, etc. The frequency and time of use are different, so the probability of errors in the process of administering medicine by nursing staff is not low. In medical clinical practice, nursing administration errors are also the most common medical errors that occur in nursing staff.
因此，由藥局所配送到護理站的單位單日劑量藥車或者設置在護理站的資訊藥櫃，已成為現代醫院護理人員取得藥品給予住院病人藥品的重要工具。這些單位單日劑量藥車或小型資訊藥櫃，在設計上為了能儲放多種藥品，每座藥車或小型資訊藥庫均會有多個儲放藥品之藥盒設計，並能夠利用電腦輔助方式及無線感應確認取藥的護理師及病人身分後，再由護理師從藥車或資訊藥櫃的藥盒中取出藥品，再放入護理人員於病房工作時所使用之護理工作車上，她所負責照護的每一個住院病人的藥盒中。Therefore, the unit single-dose drug cart delivered by the pharmacy to the nursing station or the information medicine cabinet installed in the nursing station has become an important tool for modern hospital nurses to obtain medicines and give them to inpatients. These unit single-dose medicine carts or small information medicine cabinets are designed to store multiple medicines. Each medicine cart or small information medicine warehouse has multiple medicine box designs for storing medicines, and can use computer assistance After confirming the identities of the nurse and the patient taking the medicine by means of wireless sensing, the nurse takes out the medicine from the medicine cart or the medicine box of the information medicine cabinet, and then puts it into the nursing work cart used by the nursing staff when working in the ward. In the medicine box of every inpatient she takes care of.
但由於在護理人員數量有限的條件下，每位護理人員必須照護5到10位病人，甚至在深夜的大夜班時段，每位護理師可能照護超過15位病人以上。因此每位護理人員，在工作時均會有在不同的時間點(例如白班、小夜班、大夜班)，執行上述取出藥品、放置於護理工作車的藥盒中，將護理工作車推送到病房中的不同病室，再將藥品由藥盒中取出，於確認病人身份之後，給予正確的病人在此一時間點，所應正確使用的藥品品項與正確數量及正確的給藥途徑（例如是口服還是注射，是一次性注射或是緩慢滴注）的複雜工作任務。However, due to the limited number of nursing staff, each nursing staff must take care of 5 to 10 patients, and even in the middle of the night, each nurse may take care of more than 15 patients. Therefore, every nursing staff will have different time points (such as day shift, small night shift, and large night shift) when working, perform the above-mentioned taking out of medicines, place them in the medicine box of the nursing work cart, and push the nursing work cart to the ward In different wards, the medicines are taken out of the medicine box, and after confirming the identity of the patient, the correct medicine item, the correct quantity and the correct route of administration (for example, Oral or injection, is a one-time injection or slow drip) complex tasks.
由於藥品種類繁多，而且同一種藥品亦有可能給予不同劑量，同時又有多位病人要給藥，再加上護理人員尚有給藥之外的其他護理工作要執行（例如翻身、換藥、給予衛教…），因此工作時間壓力很大，故常常必須在短暫時間內，取出各種不同種類不同數量的藥品，再分別放好於護理工作車內的各個病人的藥盒中，才能於正確的時間給予病人正確品項與正確劑量之藥品。Due to the wide variety of medicines and the possibility of giving different doses of the same medicine, there are many patients who need to administer medicines at the same time, and the nursing staff still have other nursing tasks to perform besides administration (such as turning over, changing dressings, administering medicines, etc.) Health education...), so the pressure of working hours is very high, so it is often necessary to take out various types of medicines in different quantities in a short period of time, and then put them in the medicine boxes of each patient in the nursing work car, in order to use them correctly Give patients the right items and the right doses of medicines on time.
因此在此一忙碌的過程中，就有可能造成給予病人藥品時發生藥品錯誤，或是藥品劑量錯誤的各種給藥錯誤狀況的發生。此外即使是病人在家中自行服用各種由醫院醫師所處方之藥品時，由於病人本身身體狀況不佳，或是年齡較大以及藥品種類繁多等因素，也常會造成病人服用藥物發生劑量錯誤或是服用時間錯誤或甚至是品項錯誤等狀況。因此無論是在醫療機構中的護理人員給予病人藥品之前，或是在家中的病人自己服藥之前，如果能有一個可以辨識某一特定時間點時所使用的藥品品項及劑量的正確性的機制，將可以大幅改善各種可能的給藥錯誤狀況。Therefore, in this busy process, it is possible to cause drug errors when giving medicines to patients, or the occurrence of various drug administration errors such as wrong drug dosages. In addition, even when the patient takes various medicines prescribed by the doctor at home, due to factors such as the patient's own poor physical condition, older age, and a wide variety of medicines, it is often possible for the patient to take the wrong dose or take the medicine. Things like the wrong time or even the wrong item. Therefore, whether there is a mechanism that can identify the correctness of the drug item and dosage used at a certain point in time, whether it is before the nursing staff in the medical institution gives the patient the drug, or before the patient at home takes the drug himself , will greatly improve various possible drug administration errors.
另外由於每一次護理人員在給予病人藥品之後，都必須在護理給藥紀錄上加以記錄，因此當護理師完成給藥工作之後，都必須另外花費一段時間在電腦上輸入或勾選給予上述各種藥品的紀錄。雖然目前在醫院的臨床實務上，均以電腦系統來輔助完成此項護理給藥記錄，但由於住院病人的藥品很多，在電腦螢幕上以滑鼠點選各種藥品甚至是輸入藥品名稱，以完成護理給藥記錄是非常繁瑣的程序，若是負責病人越多，也越容易有鍵入或勾選錯誤的情況發生，因此這個問題也迫切需要被解決。In addition, after the nurses give medicines to the patients, they must be recorded on the nursing administration records, so after the nurses finish the administration work, they must spend a period of time inputting or checking the above-mentioned medicines on the computer. record. Although the current clinical practice in the hospital uses a computer system to assist in the completion of this nursing administration record, due to the large number of medicines for inpatients, it is necessary to click on various medicines or even enter the name of the medicine on the computer screen to complete. Nursing medication records are a very cumbersome procedure. If there are more patients in charge, it is more likely to make typing or ticking errors. Therefore, this problem needs to be solved urgently.
因此，若能夠於護理人員給藥之前，可以先拍攝即將給予病人使用的全部藥品之照片，並將此藥品照片呈現於藥品顯示屏幕上，由於屏幕較大因此藥品上的各種文字與標記可呈現得更清楚，此時就有提醒護理人員再行審視與避免發生給藥錯誤的功能。如果所拍攝的藥品相片，可進一步與該時點應使用的藥品照片資料檔進行辨識比對，確認所給予的藥品的品項及數量是否正確，如果藥品辨識結果與該時間點應使用的藥品照片資料檔不符時，即可以各種警示方式提醒護理人員重新檢視藥品以避免給藥錯誤。如果辨識比對結果與應使用之藥品相片檔符合，並在辨識比對完成之後，再於護理人員確認已經實際完成將藥品給予病人之後，即產生一筆給予藥品之紀錄並儲存於一實際用藥紀錄檔或寫入醫院醫療資訊系統的護理給藥記錄。如此不但將可以使護理人員在給予病人藥物之前，以此一給藥前藥品辨識系統避免給藥錯誤，更可因為確認比對正確後可直接寫入記錄之方式，減少護理人員在已完成給藥之後，還要再次完成護理給藥記錄之電腦文書作業，如此將可大幅減輕護理人員之非直接護理工作，因此本發明應為一最佳解決方案。Therefore, if the nursing staff can take pictures of all the medicines that will be given to the patient before administering the medicine, and present the pictures of the medicines on the medicine display screen, various texts and marks on the medicines can be displayed due to the large screen At this time, there is a function of reminding the nursing staff to re-examine and avoid medication errors. If the drug photos taken can be further identified and compared with the drug photo data files that should be used at that time point, to confirm whether the items and quantities of the drugs given are correct, if the drug identification results are consistent with the drug photos that should be used at that time point When the data files do not match, various warning methods can be used to remind the nursing staff to re-examine the medicines to avoid medication errors. If the identification and comparison result matches the photo file of the drug that should be used, and after the identification and comparison is completed, and after the nursing staff confirms that the drug has been given to the patient, a record of drug administration will be generated and stored in an actual medication record Nursing and administration records written into the hospital medical information system. This will not only enable the nursing staff to use this pre-administration drug identification system to avoid medication errors before administering the medicine to the patient, but also reduce the need for the nursing staff to complete the administration of the drug because it can be directly written into the record after confirming that the comparison is correct. After taking the medicine, the computer paperwork of the nursing administration record will be completed again, which will greatly reduce the indirect nursing work of the nursing staff, so the present invention should be an optimal solution.
本發明給藥前藥品辨識系統，係包含至少一個拍攝設備，用以拍攝將給予一或多位病人的藥品，並產生出至少一組藥品影像檔；至少一顯示螢幕，用以將該拍攝設備所拍攝之藥品影像檔顯示於該顯示螢幕上，該顯示螢幕用以於該拍攝設備啟動拍攝後，將所攝得之照片立即呈現於該顯示螢幕上，以使護理人員可利用該顯示螢幕即時辨識藥品之正確性；至少一個圖片檔案資料儲存設備，用以儲存多個具有藥品特徵之圖片特徵檔案（包括一或多個角度之藥品包裝、外觀上之文字、顏色、大小、形狀、商標或其他特徵之圖片）；至少一個醫師處方資料儲存設備，用以儲存多個醫師處方資料檔，而該醫師處方資料檔內係包含有一個或一個以上的病人所使用之藥品資料，而該藥品資料係至少包含有病人姓名、病歷號、帳號、藥品名稱、藥品劑量、給藥時間、給藥途徑、給藥方法或其他用藥注意事項；至少一個電子病歷資料儲存設備，用以儲存多個護理給藥記錄檔，而該護理給藥記錄檔係包含有一個或一個以上給予藥品之給藥紀錄資料；以及至少一個主控設備，係與該拍攝設備、該顯示螢幕、該圖片檔案資料儲存設備、該醫師處方資料儲存設備及該電子病歷資料儲存設備進行連線，而該主控設備能夠接收該拍攝設備所攝得之藥品影像檔及拍攝時間點之病人應正確使用之藥品的圖片特徵檔案，並將所拍攝之藥品影像檔與該應使用之正確藥品之圖片特徵檔案進行辨識比對，以辨識藥品是否為正確品項。The pre-administration drug identification system of the present invention includes at least one photographing device for photographing the medicines to be given to one or more patients and generating at least one set of drug image files; at least one display screen for the photographing device The captured medicine image file is displayed on the display screen, and the display screen is used to present the captured photos on the display screen immediately after the shooting device starts shooting, so that the nursing staff can use the display screen to real-time Identify the correctness of drugs; at least one image file data storage device to store multiple image feature files with drug characteristics (including one or more angles of drug packaging, text on appearance, color, size, shape, trademark or pictures of other features); at least one doctor’s prescription data storage device is used to store multiple doctor’s prescription data files, and the doctor’s prescription data file contains the drug information used by one or more patients, and the drug data The system contains at least the patient's name, medical record number, account number, drug name, drug dosage, administration time, administration route, administration method or other medication precautions; at least one electronic medical record data storage device is used to store multiple nursing drug record file, and the nursing drug administration record file contains one or more drug administration record data; and at least one master control device is connected with the shooting device, the display screen, the picture file data storage device, The doctor's prescription data storage device is connected to the electronic medical record data storage device, and the main control device can receive the drug image file captured by the shooting device and the picture feature file of the drug that the patient should use correctly at the shooting time point, And identify and compare the captured drug image file with the image feature file of the correct drug that should be used to identify whether the drug is the correct item.
更具體的說，所述醫師處方資料檔之藥品資料，係至少包含有病人姓名、病歷號、帳號、用藥藥品資訊、給藥時間、給藥方法，該用藥藥品資訊係具有用藥藥品之名稱與相關資料，並能夠連結至該圖片檔案資料儲存設備內，相對應儲存有該用藥藥品之一個或多個角度包含藥品廠牌、藥品商標、藥品名稱、藥品規格含量、藥品條碼、藥品外觀包括顏色、形狀、大小或其他特徵之藥品影像檔。由於本案是直接將某個時間點的某位病人需要服用的藥物進行藥品比對，故要比對的藥品影像檔數量很少，因此可以在很短時間內即完成，也因為必須如此快速，才能在臨床護理給藥時達到實際可用於辨識藥品正確性之效果。More specifically, the drug information in the doctor's prescription data file includes at least the patient's name, medical record number, account number, medication information, administration time, and administration method. Relevant information, which can be linked to the image file data storage device, correspondingly stores one or more angles of the drug, including drug brand, drug trademark, drug name, drug specification and content, drug barcode, drug appearance including color , shape, size or other characteristics of the drug image file. Since this case directly compares the drugs that a patient needs to take at a certain point in time, the number of drug image files to be compared is small, so it can be completed in a very short time, and because it must be so fast, In order to achieve the effect that can actually be used to identify the correctness of drugs in clinical nursing administration.
更具體的說，所述主控設備將所拍攝之藥品影像檔與該應使用之正確藥品之圖片特徵檔案進行辨識比對並確認品項、劑量、時間（辨識給藥當下時間與應吃藥時間）均符合後，並於護理師實際完成將藥品給予病人之動作後，則能夠透過該主控設備操作以執行確認完成給藥、以產生一筆於該時間點給予病人已完成辨識並比對無誤的藥品紀錄，並將正確使用之藥品的數量、種類、品項資料儲存於該護理給藥記錄檔內。More specifically, the main control device identifies and compares the captured drug image file with the image feature file of the correct drug that should be used, and confirms the item, dosage, and time (identifying the current time of administration and the time when the drug should be taken) time) are all met, and after the nurse actually completes the action of giving the drug to the patient, the master control device can be operated to confirm the completion of the drug administration, so as to generate a list of completed identification and comparison given to the patient at that time point Correct drug records, and store the quantity, type, and item information of the correctly used drugs in the nursing administration record file.
更具體的說，所述主控設備係能夠與該電子病歷資料儲存設備之任一或是任多個護理給藥記錄檔進行連結與綁定，若是該拍攝設備未啟動拍攝或/及該主控設備未進行辨識比對，而護理人員直接將藥品給予病人，並要直接透過該主控設備鍵入該時間點之給藥紀錄資料時，該主控設備能夠依據檢核需求，進行確認未執行藥品拍攝或/及藥品圖片辨識比對過程，進而暫時停止給藥紀錄資料之完成，並且直到運作拍攝設備，並執行且通過藥品辨識流程，再確認已給予病人藥品後，才可透過該主控設備完成給藥紀錄資料。More specifically, the main control device can be linked and bound with any or any number of nursing administration record files of the electronic medical record storage device. If the shooting device does not start shooting or/and the main When the control device has not been identified and compared, and the nurse directly gives the drug to the patient, and directly enters the dosing record data at that time point through the master control device, the master control device can confirm that it has not been executed according to the verification requirements Drug shooting or/and drug image recognition and comparison process, and then temporarily stop the completion of drug administration record data, and until the operation of the shooting equipment, and execution and through the drug identification process, and then confirm that the drug has been given to the patient, the main control can be used The device completes the drug administration record data.
更具體的說，所述主控設備於辨識比對並確認正確或不正確後，若是正確，該主控設備能夠透過一發聲裝置以聲音或是該顯示螢幕以影像或直接以文字提示，可進行給予經辨識為正確使用藥品之護理給藥；若是不正確，該主控設備能夠透過一發聲裝置以聲音或是該顯示螢幕以影像或直接以文字進行提示選取的藥品有錯誤之警告訊息，用來提醒護理人員，應重新檢視所給予的藥品是否有數量或品項不符之錯誤。More specifically, after the master control device is identified and compared and confirmed to be correct or incorrect, if it is correct, the master control device can prompt with sound through a sounding device or the display screen with images or directly with text. Carry out nursing administration that is identified as the correct use of medicines; if it is incorrect, the master control device can prompt a warning message that the selected medicine is wrong with a sound through a sounding device or the display screen with images or directly in text, It is used to remind nursing staff that they should re-examine whether there are any errors in the quantity or items of the medicines given.
更具體的說，所述主控設備於辨識比對前，能夠於該圖片檔案資料儲存設備及該醫師處方資料儲存設備內預先下載或預先儲存對應於某位病人之醫師處方資料檔及該位病人於某個時間應服用藥品之藥品影像檔。More specifically, before the identification and comparison, the main control device can pre-download or pre-store the doctor's prescription data file corresponding to a certain patient and the doctor's prescription data file in the image file data storage device and the doctor's prescription data storage device. The drug image file of the drug that the patient should take at a certain time.
更具體的說，所述主控設備係至少包含有至少一個處理器及至少一個電腦可讀取記錄媒體，該等電腦可讀取記錄媒體儲存有至少一個給藥辨識應用程式，其中該電腦可讀取記錄媒體更進一步儲存有電腦可讀取指令，當由該等處理器執行該等電腦可讀取指令時，能夠使該給藥辨識應用程式進行運作，以於該藥品影像檔與該圖片特徵檔案進行辨識比對，並於辨識比對完成後，並確認已完成給藥動作時，即能夠透過該給藥辨識應用程式產生一筆至少包含有給予病人藥品之藥品給予時間、藥品給予品項的資料儲存於該護理給藥記錄檔內。More specifically, the main control device at least includes at least one processor and at least one computer-readable recording medium, and the computer-readable recording medium stores at least one drug delivery identification application program, wherein the computer can The readable recording medium further stores computer-readable instructions, and when the computer-readable instructions are executed by the processors, the drug delivery identification application can be operated, so that the drug image file and the picture The feature files are identified and compared, and after the identification and comparison is completed, and when the drug administration action is confirmed, it is possible to generate a drug administration time and drug administration items that include at least the drug administration time and drug administration items for the patient through the drug administration identification application The data stored in the nursing administration record file.
更具體的說，所述給藥辨識應用程式係包含：一擷取與輸入影像模組，用以於護理人員在給予病人藥品之前，將藥品放置在拍攝設備之拍攝區域內，並啟動該拍攝設備進行拍攝藥品影像檔（照片或是影像的定格圖片）；一影像顯示模組，係與該擷取與輸入影像模組相連接，用以將該拍攝設備所拍攝之藥品影像檔顯示於該顯示螢幕上；一提取模組，能夠於該圖片檔案資料儲存設備及該醫師處方資料儲存設備內，進行提取對應於某位病人之醫師處方資料檔及該病人之醫師處方資料檔於某個應給藥時間應服用藥品之藥品影像檔，而該藥品影像檔能夠同步顯示於該顯示螢幕上；一藥品辨識比對模組，係與該擷取與輸入影像模組及該提取模組相連接，用以將拍攝設備所攝得之藥品影像圖片照片與該時間點應正確給予之醫師處方藥品影像圖片相片進行辨識比對；以及一給藥紀錄儲存模組，係與該藥品辨識比對模組相連接，用以依據辨識比對結果，產生一筆該時間點給予病人之藥品給予時間、藥品給予品項的藥品紀錄，並儲存於該護理給藥記錄檔內。More specifically, the drug administration recognition application program includes: a capture and input image module, used for the nursing staff to place the medicine in the shooting area of the shooting device before administering the medicine to the patient, and start the shooting The device shoots drug image files (photos or image freeze-frame pictures); an image display module is connected with the capture and input image module to display the drug image files shot by the shooting device on the On the display screen; an extraction module can extract the doctor's prescription data file corresponding to a certain patient and the doctor's prescription data file of the patient in the image file data storage device and the doctor's prescription data storage device in an application The drug image file of the drug that should be taken at the time of administration, and the drug image file can be displayed on the display screen simultaneously; a drug identification and comparison module is connected with the capture and input image module and the extraction module , which is used to identify and compare the image pictures of medicines captured by the shooting equipment with the picture pictures of medicines prescribed by doctors that should be correctly given at that time point; Groups are connected to generate a drug record of drug administration time and drug administration items given to the patient at the time point according to the identification and comparison results, and store them in the nursing administration record file.
有關於本發明其他技術內容、特點與功效，在以下配合參考圖式之較佳實施例的詳細說明中，將可清楚的呈現。Other technical contents, features and effects of the present invention will be clearly presented in the following detailed description of preferred embodiments with reference to the drawings.
請參閱第1~3圖，為本發明給藥前藥品辨識系統之整體架構示意圖、主控設備之架構示意圖及給藥辨識應用程式之架構示意圖，由圖中可知，該給藥前藥品辨識系統係包含有主控設備1、拍攝設備2、顯示螢幕3、圖片檔案資料儲存設備4、醫師處方資料儲存設備5、電子病歷資料儲存設備6；Please refer to Figures 1 to 3, which are a schematic diagram of the overall structure of the drug identification system before administration, a schematic diagram of the architecture of the main control device, and a schematic diagram of the architecture of the application program for drug delivery identification of the present invention. It can be seen from the figures that the drug identification system before administration The system includes a
其中該拍攝設備2用以拍攝將給予一或多位病人的藥品，並產生出至少一組藥品影像檔；而該顯示螢幕3用以將該拍攝設備2所拍攝之藥品影像檔顯示於該顯示螢幕3上，該顯示螢幕3用以於該拍攝設備2啟動拍攝後，將所攝得之照片立即呈現於該顯示螢幕3上，以使護理人員可利用該顯示螢幕即時辨識藥品之正確性；Wherein the
其中該圖片檔案資料儲存設備4用以儲存多個具有藥品特徵之圖片特徵檔案（包括一或多個角度之藥品包裝、外觀上之文字、顏色、大小、形狀、商標或其他特徵之圖片）；Wherein the image file
其中該醫師處方資料儲存設備5用以儲存多個醫師處方資料檔，而該醫師處方資料檔內係包含有一個或一個以上的病人所使用之藥品資料，而該藥品資料係至少包含有病人名稱、用藥藥品資訊、給藥時間、給藥方法，該用藥藥品資訊係具有用藥藥品之名稱與相關資料，並能夠連結至該圖片檔案資料儲存設備內，相對應儲存有該用藥藥品之一或多個角度之藥品廠牌、藥品商標、藥品種類、藥品名稱、藥品條碼、藥品外觀包括顏色、形狀、大小或其他特徵之藥品影像檔；Among them, the doctor's prescription
其中該電子病歷資料儲存設備6用以儲存多個護理給藥記錄檔，而該護理給藥記錄檔係包含有一個或一個以上藥品之給藥紀錄資料。Wherein the electronic medical record
其中該主控設備1係與該拍攝設備2、該顯示螢幕3、該圖片檔案資料儲存設備4、該醫師處方資料儲存設備5及該電子病歷資料儲存設備6進行連線，而該主控設備1能夠接收該拍攝設備2所攝得之藥品影像檔及拍攝時間點之病人應正確使用之藥品的圖片特徵檔案，並將所拍攝之藥品影像檔與該應使用之正確藥品之圖片特徵檔案進行辨識比對，以辨識藥品是否為正確品項。Wherein the
另外該主控設備1，能夠將所拍攝之藥品影像檔與該應使用之正確藥品之圖片特徵檔案進行辨識比對並確認種類、劑量、時間（辨識給藥當下時間與應吃藥時間）均符合後，並於實際完成將藥品給予病人之動作後，則能夠透過該主控設備操作以執行確認完成給藥、以產生一筆於該時間點給予病人已完成辨識並比對無誤的藥品紀錄，並將正確使用之藥品的數量、種類資料儲存於該護理給藥記錄檔內。In addition, the
另外該主控設備1，係能夠與該電子病歷資料儲存設備6之任一或是任多個護理給藥記錄檔進行連結與綁定，若是該拍攝設備2未啟動拍攝或/及該主控設備1未進行辨識比對，而護理人員要直接將藥品給予病人，並要直接透過該主控設備1輸入該時間點之給藥紀錄資料時，該主控設備1則能夠依據檢核需求，進行確認未執行藥品拍攝或/及藥品圖片辨識比對過程，進而暫時停止給藥紀錄資料之完成，並且直到運作拍攝設備，並執行且通過藥品辨識流程，再確認已給予病人藥品後，才可透過該主控設備完成給藥紀錄資料。In addition, the
另外該主控設備1於辨識比對前，能夠於該圖片檔案資料儲存設備4及該醫師處方資料儲存設備5內預先下載對應於某位病人之醫師處方資料檔及對應該病人醫師處方資料檔於某個應給藥時間應服用藥品之藥品影像檔。In addition, the
如第2圖所示，該主控設備1主控設備係至少包含有至少一個處理器11及至少一個電腦可讀取記錄媒體12，該等電腦可讀取記錄媒體12儲存有至少一個給藥辨識應用程式121，其中該電腦可讀取記錄媒體更進一步儲存有電腦可讀取指令，當由該等處理器11執行該等電腦可讀取指令時，能夠使該給藥辨識應用程式121進行運作，以於該藥品影像檔與該圖片特徵檔案進行辨識比對，並於辨識比對完成後，並確認已完成給藥動作時，即能夠透過該給藥辨識應用程式121產生一筆至少包含有給予病人藥品之藥品給予時間、藥品給予品項的資料儲存於該護理給藥記錄檔內。As shown in Figure 2, the
如第3圖所示，該給藥辨識應用程式121係包含：
(1) 一擷取與輸入影像模組1211，用以於護理人員在給予病人藥品之前，將藥品放置在拍攝設備之拍攝區域內，並啟動該拍攝設備進行拍攝藥品影像檔（照片或是影像的定格圖片）；
(2) 一影像顯示模組1212，係與該擷取與輸入影像模組1211相連接，用以將該拍攝設備所拍攝之藥品影像檔顯示於該顯示螢幕上；
(3) 一提取模組1213，能夠於該圖片檔案資料儲存設備4及該醫師處方資料儲存設備5內，進行提取對應於某位病人之醫師處方資料檔及該位病人於某個應給藥時間應服用藥品之藥品影像檔，而該藥品影像檔能夠同步顯示於該顯示螢幕3上；
(4) 一藥品辨識比對模組1214，係與該擷取與輸入影像模組121及該提取模組相連接1213，用以將拍攝設備2所攝得之藥品影像圖片照片與該時間點應正確給予之醫師處方藥品影像圖片相片進行辨識比對；
(5) 一給藥紀錄儲存模組1215，係與該藥品辨識比對模組1214相連接，用以依據辨識比對結果，產生一筆該時間點給予病人之藥品給予時間、藥品給予品項的藥品紀錄，並儲存於該護理給藥記錄檔內；
(6) 一提示模組1216，係與該藥品辨識比對模組1214相連接，用以於辨識比對後，若是正確，該主控設備1能夠透過一與該主控設備1電性連接之發聲裝置7以聲音或是該顯示螢幕3以影像進行提示可繼續進行給予已正確辨識之藥品；若是不正確，該主控設備1能夠透過一發聲裝置7以聲音或是該顯示螢幕3以影像進行提示選取的藥品有錯誤之警告訊息，用來提醒護理人員，應重新檢視所給予的藥品是否有數量或品項不符之錯誤。
As shown in Fig. 3, the medication identification application program 121 includes:
(1) A capture and input image module 1211, used for the nursing staff to place the medicine in the shooting area of the shooting device before giving the medicine to the patient, and start the shooting device to shoot the medicine image file (photo or video freeze-frame image);
(2) An image display module 1212, which is connected with the capture and input image module 1211, is used to display the drug image files captured by the shooting device on the display screen;
(3) An extraction module 1213, which can extract the doctor's prescription data file corresponding to a certain patient and the patient's prescription data file in a certain medication The drug image file of the drug that should be taken at the time, and the drug image file can be displayed on the display screen 3 synchronously;
(4) A drug identification and comparison module 1214, which is connected with the capture and input image module 121 and the extraction module 1213, is used to compare the drug image pictures captured by the shooting device 2 with the time point Identify and compare images and pictures of medicines prescribed by doctors that should be given correctly;
(5) A drug administration record storage module 1215, which is connected to the drug identification and comparison module 1214, is used to generate a record of the drug administration time and drug administration items given to the patient at the time point according to the identification and comparison results Drug records, and stored in the nursing administration record file;
(6) A reminder module 1216 is connected to the drug identification and comparison module 1214, and is used for identification and comparison. If it is correct, the
本發明所提供之給藥前藥品辨識系統，與其他習用技術相互比較時，其優點如下： (1) 本發明能夠於病人自己或護理人員給予病人藥品前，先拍攝所將給予或將所使用之藥品照片，並將該照片檔與醫師處方中應該在此時所給予或所使用之藥品圖片資料檔進行辨識比對。且由於該時間點時要給予的藥品只有個位數內的品項，且數量也很少，因此此一藥品辨識比對過時程將可以極快速度完成。 (2) 本發明更能夠於完成藥品辨識比對程序後，如藥品正確無誤且經護理人員確認已實際執行給序病人藥品程序後，則能夠產生一筆給藥紀錄並將給藥記錄傳送或寫入電子病歷中之護理記錄；或於完成藥品辨識比對程序後，如護理人員或病人自己將使用之藥品與醫師處方中應於此時間點服用之藥品種類或數量不符合時，則能夠產生聲音或影像文字等型式之警告訊息。 When the pre-administration drug identification system provided by the present invention is compared with other conventional technologies, its advantages are as follows: (1) The present invention can take a photo of the drug to be given or used before the patient himself or the nursing staff give the drug to the patient, and file the photo with the drug that should be given or used at this time in the doctor's prescription Image data files are identified and compared. And because the medicines to be given at this time point are only single-digit items, and the quantity is also very small, so this medicine identification and comparison process can be completed extremely quickly. (2) The present invention is more able to generate a drug administration record and transmit or write the drug administration record after completing the drug identification and comparison program. into the nursing records in the electronic medical records; or after completing the drug identification and comparison process, if the drugs to be used by the nursing staff or the patient themselves do not match the type or quantity of the drugs that should be taken at this time point in the doctor's prescription, it can generate Warning messages in the form of sound or video text.
本發明已透過上述之實施例揭露如上，然其並非用以限定本發明，任何熟悉此一技術領域具有通常知識者，在瞭解本發明前述的技術特徵及實施例，並在不脫離本發明之精神和範圍內，當可作些許之更動與潤飾，因此本發明之專利保護範圍須視本說明書所附之請求項所界定者為準。The present invention has been disclosed above through the above-mentioned embodiments, but it is not intended to limit the present invention. Anyone who is familiar with this technical field and has common knowledge can understand the foregoing technical characteristics and embodiments of the present invention without departing from the present invention. Within the spirit and scope, some changes and modifications can be made, so the patent protection scope of the present invention must be defined by the claims attached to this specification.
1:主控設備 11:處理器 12:電腦可讀取記錄媒體 121:給藥辨識應用程式 1211:擷取與輸入影像模組 1212:影像顯示模組 1213:提取模組 1214:藥品辨識比對模組 1215:給藥紀錄儲存模組 1216:提示模組 2:拍攝設備 3:顯示螢幕 4:圖片檔案資料儲存設備 5:醫師處方資料儲存設備 6:電子病歷資料儲存設備 7:發聲裝置 1: Master control device 11: Processor 12: Computer-readable recording media 121: Medication Recognition App 1211: capture and input image module 1212: Image display module 1213: Extract module 1214: Drug identification and comparison module 1215: Medication record storage module 1216: Prompt module 2: Shooting equipment 3: display screen 4: Image file data storage device 5: Physician prescription data storage equipment 6: Electronic medical record data storage equipment 7: sound device
[第1圖]係本發明給藥前藥品辨識系統之整體架構示意圖。 [第2圖]係本發明給藥前藥品辨識系統之主控設備之架構示意圖。 [第3圖]係本發明給藥前藥品辨識系統之給藥辨識應用程式之架構示意圖。 [Fig. 1] is a schematic diagram of the overall structure of the pre-administration drug identification system of the present invention. [Fig. 2] is a schematic diagram of the structure of the main control device of the pre-administration drug identification system of the present invention. [Fig. 3] is a schematic diagram of the structure of the medication identification application program of the pre-administration drug identification system of the present invention.
1:主控設備 1: Master control device
2:拍攝設備 2: Shooting equipment
3:顯示螢幕 3: display screen
4:圖片檔案資料儲存設備 4: Image file data storage device
5:醫師處方資料儲存設備 5: Physician prescription data storage equipment
6:電子病歷資料儲存設備 6: Electronic medical record data storage equipment
7:發聲裝置 7: sound device
Claims (6)
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