TWI765377B - Dispensing device and dispensing method for hospital prescription - Google Patents

Dispensing device and dispensing method for hospital prescription Download PDF

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TWI765377B
TWI765377B TW109136570A TW109136570A TWI765377B TW I765377 B TWI765377 B TW I765377B TW 109136570 A TW109136570 A TW 109136570A TW 109136570 A TW109136570 A TW 109136570A TW I765377 B TWI765377 B TW I765377B
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medicine
drug
control machine
processing unit
dispensing
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TW109136570A
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TW202217833A (en
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李建立
林佩怡
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高雄榮民總醫院
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Abstract

A dispensing device and a dispensing method for hospital prescription are provided. The dispensing device includes a control machine and at least one storage cabinet, wherein the control machine includes a body, a processing unit, a human-machine interface unit, a user recognition module, a medical identification module, and a medicine channel. By disposing the dispensing device on the ward floor, the medical staff can take medicine on the ward floor, eliminating the need to go to the pharmacy to pick up the medicine box in the medicine cart.

Description

住院處方的配藥裝置及配藥方法Dispensing device and dispensing method for inpatient prescription

本發明係關於一種配藥裝置及配藥方法,特別是關於一種住院處方的配藥裝置及配藥方法。The invention relates to a dispensing device and a dispensing method, in particular to a dispensing device and a dispensing method for inpatient prescriptions.

單一劑量給藥制度(Unit Dose Distribution System :UDDS)是在住院病患藥物治療中,病患所服用之藥品完全經由藥劑人員調配成單一劑量包裝,分別存於藥車之藥盒中,再由護理人員於每日固定時間內向藥局領取藥車,並按照每一單一劑量上標籤所指示之姓名、藥名、服藥時間給藥,以取代傳統式由護理人員於護理站調配給藥方式。Unit Dose Distribution System (UDDS) is that in the drug treatment of hospitalized patients, the medicines taken by the patients are completely formulated into single-dose packages by the pharmacists, stored in the medicine boxes of the medicine carts, and then distributed by the pharmacists. Nursing staff pick up the medicine cart from the pharmacy at a fixed time every day, and administer the medicine according to the name, drug name, and taking time indicated on the label of each single dose, instead of the traditional way of dispensing and dispensing by the nursing staff at the nursing station.

當病患住進病房後,護理人員即根據病歷資料,填寫病患用藥記錄卡上之姓名、身份、床號、病歷號、年齡、性別、身高、體重、主要疾病、入院日期、主治醫師姓名、科別等各欄,送至藥局,當作病患入院通知。接著,醫師將藥囑及其他醫囑分開,並將醫囑開列於單一劑量處方箋上。每一處方送至藥局前,護理人員須將先檢查處方箋上之各項有關病患資料,是否填寫正確,及醫師是否簽名或蓋章,而後將藥囑填入處方,再將處方送至藥局。When the patient is admitted to the ward, the nursing staff will fill in the name, identity, bed number, medical record number, age, gender, height, weight, main disease, admission date, and the name of the attending physician on the patient's medication record card according to the medical records. , department and other columns, and send it to the pharmacy as a patient admission notice. The physician then separates the medication order from other orders and writes the order on a single-dose prescription. Before each prescription is sent to the pharmacy, the nursing staff must first check the relevant patient information on the prescription, whether it is filled in correctly, and whether the doctor has signed or stamped it. to the pharmacy.

藥師於收到處方後,首先應核對處方內容,包括劑量,使用次數,配伍禁忌,過敏記錄,藥物相互作用等,然後依照用藥記錄卡調配藥品,依病患服藥時間,以單一劑量包裝,供病患使用。例如,在3:00PM以前處方送到藥局者,依病患服藥期間,先給予當天3:00PM所需要的量(包括3:00PM所用之藥),由護理人員領回置於病房藥車之藥盒內,藥師於病患用藥記錄卡之首日劑量欄內登記數量。當日5:00PM至次日5:00PM所需用藥,則置於藥局藥車之藥盒內,待交換藥車時領用。病房與藥局二部藥車之藥盒上,須註明新入院病患之姓名及床號。5:00PM以後送到藥局者,一律給予至次日5:00PM的量,並由護理人員領回置於病房藥車之藥盒內。After receiving the prescription, the pharmacist should first check the content of the prescription, including the dosage, frequency of use, incompatibility, allergy records, drug interactions, etc., and then prepare the medicine according to the medication record card. patient use. For example, if the prescription is sent to the pharmacy before 3:00PM, during the period of taking the medicine according to the patient, first give the required amount at 3:00PM on the day (including the medicine used at 3:00PM), and the nursing staff will take it back and put it in the pharmacy cart of the ward. In the medicine box, the pharmacist registers the quantity in the first day's dose column of the patient's medication record card. The medicines needed from 5:00PM on the same day to 5:00PM on the next day will be placed in the medicine box of the pharmacy medicine cart and will be used when the medicine cart is exchanged. The names and bed numbers of newly admitted patients must be marked on the medicine boxes of the two medicine carts in the ward and the pharmacy. Those who are sent to the pharmacy after 5:00PM will be given the amount until 5:00PM the next day, and the nursing staff will take it back and put it in the medicine box of the ward medicine cart.

然而,由護理人員來回領取置於藥車之藥盒,不僅耗費時間,在人工的核對也容易發生疏漏,進而造成作業效率無法有效提升,對於藥盒領取的控管也無法即時掌握。However, it is not only time-consuming for the nursing staff to pick up the medicine box placed in the medicine cart, but it is also prone to omissions in manual verification, which results in the inability to effectively improve the work efficiency, and the control of the medicine box collection cannot be grasped immediately.

因此,為克服現有技術中的缺點和不足,本發明有必要提供改良的一種住院處方的配藥裝置及配藥方法,以解決上述習用技術所存在的問題。Therefore, in order to overcome the shortcomings and deficiencies in the prior art, it is necessary for the present invention to provide an improved dispensing device and dispensing method for inpatient prescriptions, so as to solve the problems existing in the above-mentioned conventional technology.

本發明之主要目的在於提供一種住院處方的配藥裝置及配藥方法,利用配置該住院處方的配藥裝置在病房樓層中,取藥者只要在病房樓層取藥即可,免去往返藥局領取置於藥車之藥盒。The main purpose of the present invention is to provide a medicine dispensing device and a medicine dispensing method for inpatient prescriptions. By using the medicine dispensing device equipped with the inpatient prescription on the ward floor, the person who takes the medicine only needs to take the medicine on the ward floor. Medicine Cart Box.

為達上述之目的,本發明提供一種住院處方的配藥裝置,該住院處方的配藥裝置包括一控制機台及至少一儲藥櫃,該控制機台包含一本體、一處理單元、一人機介面單元、一取藥人員辨識模組、一藥品資訊辨識模組及一出藥通道,該處理單元設置在該本體內;該人機介面單元設置在該本體上且與該處理單元電性連接;該取藥人員辨識模組設置在該本體上且與該處理單元電性連接;該藥品資訊辨識模組設置在該本體上且與該處理單元電性連接;該出藥通道形成在該本體上;該儲藥櫃設置在該控制機台的本體的一側,該儲藥櫃包含一櫃體、多個儲藥層及一承接平台,該等儲藥層間隔設置在該櫃體中,其中每一儲藥層具有一層板及多個第一輸送帶,該等第一輸送帶間隔設置在該層板上,用以供藥品放置並進行輸送;該承接平台設置在該等儲藥層的前側,該承接平台具有一升降座及一第二輸送帶,該第二輸送帶設置在該升降座上,而且該第二輸送帶配置用以承接該藥品並朝該出藥通道的方向輸送,其中該第二輸送帶的一行進方向與該等第一輸送帶的行進方向相交。In order to achieve the above purpose, the present invention provides a dispensing device for hospital prescriptions, the dispensing device for hospital prescriptions includes a control machine and at least one medicine storage cabinet, and the control machine includes a main body, a processing unit, and a one-person-machine interface unit. , a medicine-taking person identification module, a medicine information identification module and a medicine-discharging channel, the processing unit is arranged in the body; the man-machine interface unit is arranged on the body and is electrically connected with the processing unit; the The medicine-taking person identification module is arranged on the main body and is electrically connected with the processing unit; the medicine information identification module is arranged on the main body and is electrically connected with the processing unit; the medicine dispensing channel is formed on the main body; The medicine storage cabinet is arranged on one side of the main body of the control machine, and the medicine storage cabinet includes a cabinet body, a plurality of medicine storage layers and a receiving platform. A drug storage layer has a layer of board and a plurality of first conveyor belts, the first conveyor belts are arranged on the layer board at intervals for placing and transporting drugs; the receiving platform is arranged on the front side of the drug storage layers , the receiving platform has a lift seat and a second conveyor belt, the second conveyor belt is arranged on the lift seat, and the second conveyor belt is configured to receive the drug and transport it toward the direction of the drug discharge channel, wherein A direction of travel of the second conveyor belt intersects the direction of travel of the first conveyor belts.

在本發明之一實施例中,每一儲藥層另具有多個缺槽,該等缺槽間隔形成在該層板上,該等第一輸送帶設置對應的缺槽中。In an embodiment of the present invention, each drug storage layer further has a plurality of grooves, the grooves are formed on the layer plate at intervals, and the first conveyor belts are arranged in the corresponding grooves.

在本發明之一實施例中,每一儲藥層另具有多個隔板,每一第一輸送帶的二側分別設置二隔板。In an embodiment of the present invention, each drug storage layer further has a plurality of partitions, and two partitions are respectively provided on two sides of each first conveyor belt.

在本發明之一實施例中,每一儲藥層另具有多個固定孔,該等固定孔配置用以供該等隔板插設固定,使得每一第一輸送帶的二側的二隔板能夠活動調整彼此的距離。In an embodiment of the present invention, each drug storage layer further has a plurality of fixing holes, and the fixing holes are configured for inserting and fixing the partitions, so that the two partitions on the two sides of each first conveyor belt The plates can move to adjust the distance from each other.

在本發明之一實施例中,每一儲藥層另具有多個檔塊,該等檔塊間隔形成在該等第一輸送帶上。In an embodiment of the present invention, each drug storage layer further has a plurality of blocks, and the blocks are formed on the first conveyor belts at intervals.

在本發明之一實施例中,該儲藥櫃另包含一溫度控制器,該溫度控制器設置在該櫃體上且與該處理單元電性連接,用以控制該櫃體的溫度。In an embodiment of the present invention, the medicine storage cabinet further includes a temperature controller, and the temperature controller is disposed on the cabinet body and is electrically connected with the processing unit to control the temperature of the cabinet body.

為達上述之目的,本發明提供一種住院處方的配藥方法,包括一處方開立步驟、一藥師確認步驟、一條碼產出步驟、一取藥者辨識步驟、一條碼掃描步驟、一第一輸送步驟及一第二輸送步驟;在該處方開立步驟中,醫師透過一作業系統開立單一劑量處方箋,並儲存於該作業系統中;在該藥師確認步驟中,藥師透過該作業系統確認該單一劑量處方箋是否合適,若否則與醫師確認,若是則進行下一步驟;在該條碼產出步驟中,護理人員透過該作業系統產生一條碼,其中該條碼對應該單一劑量處方箋的藥品資訊;在該取藥者辨識步驟中,護理人員操作一配藥裝置的一控制機台,並透過該控制機台的一本體的一取藥人員辨識模組進行辨識,由該控制機台的一處理單元核對該護理人員是否為取藥者,若否則重新辨識,若是則進行下一步驟;在該條碼掃描步驟中,護理人員透過該控制機台的本體的一藥品資訊辨識模組進行取藥辨識,由該控制機台的處理單元核對該單一劑量處方箋的藥品資訊;在該第一輸送步驟中,該控制機台的處理單元驅動對應的一儲藥層的一第一輸送帶動作,使得放置在二檔塊之間的藥品向一承接平台移動;在該第二輸送步驟中,該控制機台的處理單元驅動該承接平台的一升降座抬升至對應該儲藥層的高度來承接該藥品,使得該藥品被輸送至該第二輸送帶上,接著驅動該升降座下降至與該出藥通道同高的水平,透過該第二輸送帶將該藥品輸送至該出藥通道中。In order to achieve the above-mentioned purpose, the present invention provides a method for dispensing hospital prescriptions, including a prescription issuing step, a pharmacist confirming step, a barcode generating step, a medicine taker identification step, a barcode scanning step, and a first conveying step. step and a second delivery step; in the prescription issuing step, a doctor issues a single-dose prescription through an operating system and stores it in the operating system; in the pharmacist confirming step, the pharmacist confirms the Whether the single-dose prescription is suitable, if not, confirm with the doctor, and if so, proceed to the next step; in the barcode generation step, the nursing staff generates a barcode through the operating system, wherein the barcode corresponds to the drug information of the single-dose prescription ; In the medicine-taking person identification step, the nursing staff operates a control machine of a dispensing device, and identifies through a medicine-taking person identification module of a main body of the control machine, and is processed by a processing machine of the control machine. The unit checks whether the nursing staff is a drug taker, if not, re-identifies, and if so, proceeds to the next step; in the barcode scanning step, the nursing staff identifies the drug taking through a drug information identification module on the main body of the control machine , the drug information of the single-dose prescription is checked by the processing unit of the control machine; in the first conveying step, the processing unit of the control machine drives a first conveyor belt of a corresponding drug storage layer to move, so that The medicine placed between the second blocks moves to a receiving platform; in the second conveying step, the processing unit of the control machine drives a lifting seat of the receiving platform to lift up to the height corresponding to the drug storage layer to receive the medicine The medicine is transported to the second conveyor belt, and then the lifting seat is driven to descend to the same level as the medicine outlet channel, and the medicine is transported into the medicine outlet channel through the second conveyor belt.

在本發明之一實施例中,在該條碼產出步驟中,護理人員是利用紙本列印產生該條碼。In an embodiment of the present invention, in the barcode generating step, the nursing staff uses paper to print and generate the barcode.

在本發明之一實施例中,在該取藥者辨識步驟中,透過預先建立一取藥者清單,來核對該護理人員是否為取藥者。In an embodiment of the present invention, in the step of identifying the medicine taker, it is checked whether the nursing staff is a medicine taker by pre-establishing a medicine taker list.

在本發明之一實施例中,在該第二輸送步驟中,利用一紅外線掃描器掃描該藥品,以獲得該藥品數量的資訊。In one embodiment of the present invention, in the second delivery step, an infrared scanner is used to scan the medicine to obtain information on the quantity of the medicine.

在本發明之一實施例中,在該第二輸送步驟之後,該配藥方法另包含一取藥品項影像辨識步驟,當該藥品輸送至該出藥通道中,會利用該出藥通道的一攝影鏡頭對該藥品進行外觀辨識。In an embodiment of the present invention, after the second delivery step, the dispensing method further includes an image recognition step of taking a medicine item. When the medicine is delivered to the medicine discharge channel, a photograph of the medicine discharge channel is used. The lens identifies the appearance of the drug.

如上所述,透過配置該住院處方的配藥裝置在病房樓層,取藥者只要在病房樓層取藥即可,免去往返藥局領取置於藥車之藥盒,不僅能夠有效節省時間,也可以避免人工核對所產生的疏漏,進而能夠大幅提升作業效率,對於藥盒領取的控管也能夠即時掌握。As mentioned above, by disposing the dispensing device for the inpatient prescription on the ward floor, the person who takes the medicine only needs to take the medicine on the ward floor, eliminating the need to go to the pharmacy to collect the medicine box placed in the medicine cart, which not only saves time effectively, but also saves time. Avoid the omissions caused by manual verification, which can greatly improve the operation efficiency, and the control and management of the medicine box collection can also be grasped in real time.

為了讓本發明之上述及其他目的、特徵、優點能更明顯易懂,下文將特舉本發明較佳實施例,並配合所附圖式,作詳細說明如下。再者,本發明所提到的方向用語,例如上、下、頂、底、前、後、左、右、內、外、側面、周圍、中央、水平、橫向、垂直、縱向、軸向、徑向、最上層或最下層等,僅是參考附加圖式的方向。因此,使用的方向用語是用以說明及理解本發明,而非用以限制本發明。In order to make the above-mentioned and other objects, features and advantages of the present invention more clearly understood, the preferred embodiments of the present invention will be exemplified below and described in detail in conjunction with the accompanying drawings. Furthermore, the directional terms mentioned in the present invention, such as up, down, top, bottom, front, rear, left, right, inner, outer, side, surrounding, center, horizontal, lateral, vertical, longitudinal, axial, Radial, uppermost or lowermost, etc., are only directions with reference to the attached drawings. Therefore, the directional terms used are for describing and understanding the present invention, not for limiting the present invention.

請參照圖1及圖2所示,為本創作住院處方的配藥裝置的一較佳實施例。該住院處方的配藥裝置應用於單一劑量給藥制度而配置在病房樓層,而且該住院處方的配藥裝置包括一控制機台2及二個儲藥櫃3。本創作將於下文詳細說明各部分的細部構造、關係及其原理。Please refer to FIG. 1 and FIG. 2 , which is a preferred embodiment of a dispensing device for creating a hospital prescription. The inpatient prescription dispensing device is applied to a single-dose administration system and is arranged on the ward floor, and the inpatient prescription dispensing device includes a control machine 2 and two medicine storage cabinets 3 . This creation will explain the detailed structure, relationship and principle of each part in detail below.

續參照圖1及圖2所示,該控制機台2包含一本體21、一處理單元22、一人機介面單元23、一取藥人員辨識模組24、一藥品資訊辨識模組25及一出藥通道26,其中該處理單元22設置在該本體21內;該人機介面單元23設置在該本體21上且與該處理單元22電性連接;該取藥人員辨識模組24設置在該本體21上且與該處理單元22電性連接;該藥品資訊辨識模組25設置在該本體21上且與該處理單元22電性連接;該出藥通道26形成在該本體21上。1 and 2, the control machine 2 includes a main body 21, a processing unit 22, a man-machine interface unit 23, a drug-taking person identification module 24, a drug information identification module 25, and an output The medicine channel 26, wherein the processing unit 22 is arranged in the main body 21; the human-machine interface unit 23 is arranged on the main body 21 and is electrically connected with the processing unit 22; the medicine-taking person identification module 24 is arranged in the main body 21 and is electrically connected to the processing unit 22 ; the medicine information identification module 25 is disposed on the main body 21 and is electrically connected to the processing unit 22 ; the medicine dispensing channel 26 is formed on the main body 21 .

請參照圖1及圖3所示,每一個儲藥櫃3包含一櫃體31、多個儲藥層32及一承接平台33,該等儲藥層32間隔設置在該櫃體31中,其中每一儲藥層32具有一層板321及多個第一輸送帶322,在本實施例中,該等儲藥層32有不同類型選擇可依使用品項需求特性更換。1 and FIG. 3 , each medicine storage cabinet 3 includes a cabinet body 31 , a plurality of medicine storage layers 32 and a receiving platform 33 , and the medicine storage layers 32 are arranged in the cabinet body 31 at intervals, wherein Each drug storage layer 32 has a layer of plate 321 and a plurality of first conveyor belts 322. In this embodiment, the drug storage layers 32 have different types and can be replaced according to the characteristics of the used items.

續參照圖1及圖3所示,該等第一輸送帶322間隔設置在該層板321上,用以供藥品(未繪示)放置並進行輸送。該承接平台33設置在該等儲藥層32的前側,該承接平台33具有一升降座331及一第二輸送帶332,該第二輸送帶332設置在該升降座331上,而且該第二輸送帶332配置用以承接該藥品並朝該出藥通道26的方向輸送,其中該第二輸送帶332的一行進方向與該等第一輸送帶322的行進方向相交,在本實施例中,該第二輸送帶332的行進方向與該等第一輸送帶322的行進方向呈正交。1 and 3, the first conveyor belts 322 are arranged on the layer plate 321 at intervals for placing and conveying medicines (not shown). The receiving platform 33 is disposed on the front side of the drug storage layers 32. The receiving platform 33 has a lift seat 331 and a second conveyor belt 332. The second conveyor belt 332 is arranged on the lift seat 331, and the second The conveyor belt 332 is configured to receive the drug and transport it toward the direction of the drug discharge channel 26, wherein a traveling direction of the second conveyor belt 332 intersects with the traveling direction of the first conveyor belts 322. In this embodiment, The traveling direction of the second conveyor belt 332 is orthogonal to the traveling direction of the first conveyor belts 322 .

續參照圖1及圖3所示,在本實施例中,該住院處方的配藥裝置的二儲藥櫃3分別設置在該控制機台2的本體21的二相反側,在其他實施例中,該住院處方的配藥裝置也可以僅設置有一個儲藥櫃3,該儲藥櫃3設置在該控制機台2的本體21的一側。1 and 3, in this embodiment, the two medicine storage cabinets 3 of the medicine dispensing device for the hospital prescription are respectively arranged on two opposite sides of the main body 21 of the control machine 2. In other embodiments, The medicine dispensing device for the hospital prescription may also be provided with only one medicine storage cabinet 3 , and the medicine storage cabinet 3 is arranged on one side of the main body 21 of the control machine 2 .

續參照圖1及圖3所示,每一儲藥層32另具有多個缺槽323、多個隔板324、多個固定孔325及多個檔塊326,該等缺槽323間隔形成在該層板321上,該等第一輸送帶322設置對應的缺槽323中,在本實施例中,該等第一輸送帶322的上表面與該層板321的上表面齊平,每一第一輸送帶322的二側分別設置二隔板324,以限制藥品被輸送時的行進空間,而且該等固定孔325配置用以供該等隔板324插設固定,使得每一第一輸送帶322的二側的二隔板324能夠活動調整彼此的距離。另外,該等檔塊326間隔形成在該等第一輸送帶322上,用以提高藥品在該等第一輸送帶322的移動阻力。1 and 3, each drug storage layer 32 further has a plurality of notches 323, a plurality of partitions 324, a plurality of fixing holes 325 and a plurality of stoppers 326, and the notches 323 are formed at intervals in the On the layer board 321, the first conveyor belts 322 are arranged in the corresponding grooves 323. In this embodiment, the upper surfaces of the first conveyor belts 322 are flush with the upper surface of the layer board 321. Each Two partitions 324 are respectively provided on two sides of the first conveyor belt 322 to limit the traveling space of the medicine when the medicine is conveyed, and the fixing holes 325 are configured for the partitions 324 to be inserted and fixed, so that each first conveying The two partitions 324 on the two sides of the belt 322 can movably adjust the distance from each other. In addition, the blocks 326 are formed on the first conveyor belts 322 at intervals to improve the moving resistance of the medicine on the first conveyor belts 322 .

請參照圖1及圖2所示,該取藥人員辨識模組24可建置兩種以上取藥人員,該取藥人員辨識模組24具有一攝影鏡頭241,該攝影鏡頭241配置用以擷取取藥者的影像(例如人臉)來進行辨識。該藥品資訊辨識模組25具有一條碼掃描器251,該條碼掃描器251配置用以掃描藥品資訊的條碼來進行取藥辨識。在其他實施例中,該取藥人員辨識模組24也可以建置透過卡片或密碼來進行辨識。Please refer to FIG. 1 and FIG. 2 , the medicine taking person identification module 24 can set up more than two kinds of medicine taking personnel. The medicine taking person identification module 24 has a photographing lens 241 , and the photographing lens 241 is configured to capture Take the image of the person taking the medicine (such as the face) for identification. The medicine information identification module 25 has a barcode scanner 251, and the barcode scanner 251 is configured to scan the barcode of the medicine information to perform medicine retrieval identification. In other embodiments, the medicine-taking person identification module 24 can also be configured to be identified through a card or a password.

請參照圖1、圖2及圖3所示,該控制機台2另包含一紅外線掃描器27,設置在該出藥通道26上,用以偵測藥品通過該出藥通道26的數量,其中,該出藥通道26設置有一攝影鏡頭261,該攝影鏡頭261配置用以對藥物的外觀進行辨識,進而能夠避免取藥品項錯誤。在本實施例中,該櫃體31具有位於後方的一後側儲放區A及位於前方的一前側移動區B,該等儲藥層32位於該後側儲放區A,該承接平台33位於該前側移動區B。另外,該控制機台2另包含一溫度控制器28,該溫度控制器28設置在該櫃體31上且與該處理單元22電性連接,用以控制該櫃體31的溫度,而使得其中的溫度調整為冷藏或室溫。Please refer to FIG. 1 , FIG. 2 and FIG. 3 , the control machine 2 further includes an infrared scanner 27 , which is disposed on the medicine dispensing channel 26 to detect the quantity of medicines passing through the medicine dispensing channel 26 , wherein , the medicine dispensing channel 26 is provided with a photographic lens 261, and the photographing lens 261 is configured to identify the appearance of the medicine, so as to avoid errors in taking medicine items. In this embodiment, the cabinet 31 has a rear storage area A at the rear and a front moving area B at the front, the drug storage layers 32 are located in the rear storage area A, and the receiving platform 33 Located in the front side moving area B. In addition, the control machine 2 further includes a temperature controller 28 . The temperature controller 28 is disposed on the cabinet 31 and is electrically connected to the processing unit 22 for controlling the temperature of the cabinet 31 so that the Adjust the temperature to refrigerated or room temperature.

依據上述的結構,醫師將醫囑開列於單一劑量處方箋(單一劑量處方調劑)上之後,由作業系統輸送至藥師評估是否適當,藥師於作業系統確認之後,即產出單一劑量處方箋對應含有藥品資訊的條碼(例如QR code),接著將該條碼印出,透過預先指定的護理人員(取藥者)至該住院處方的配藥裝置前,經該攝影鏡頭241辨識,接著掃描該條碼,使得該控制機台2的處理單元22能夠核對取藥者及藥品資料,進而驅動對應的第一輸送帶322動作,使得放置在二檔塊326之間的藥品向該承接平台33移動,同時該升降座331也會抬升至對應的儲藥層32來承接藥品,使得藥品被輸送至該第二輸送帶332上,最後,該升降座331會下降至與該出藥通道26同高的水平,透過該第二輸送帶332將藥品輸送至該出藥通道26中,並且由該紅外線掃描器27掃描該藥品的數量,再由該取藥者自該出藥通道26中拿取該藥品,進而完成住院處方的取藥作業。According to the above structure, after the doctor writes the doctor's order on the single-dose prescription (single-dose prescription dispensing), the operation system sends it to the pharmacist to evaluate whether it is appropriate. information barcode (such as QR code), and then print the barcode, through the pre-designated nursing staff (medicine takers) to the dispensing device of the hospital prescription, identified by the camera lens 241, and then scan the barcode, so that the The processing unit 22 of the control machine 2 can check the drug taker and drug information, and then drive the corresponding first conveyor belt 322 to move, so that the drug placed between the second blocks 326 moves to the receiving platform 33, and the lifting seat 331 will also be lifted to the corresponding drug storage layer 32 to receive the drug, so that the drug will be transported to the second conveyor belt 332, and finally, the lift seat 331 will be lowered to the same level as the drug discharge channel 26, through the The second conveyor belt 332 transports the medicine into the medicine discharge channel 26, and the infrared scanner 27 scans the quantity of the medicine, and then the medicine taker takes the medicine from the medicine discharge passage 26, thereby completing the hospitalization Prescription dispensing operations.

如上所述,透過配置該住院處方的配藥裝置在病房樓層,取藥者只要在病房樓層取藥即可,免去往返藥局領取置於藥車之藥盒,不僅能夠有效節省時間,也可以避免人工核對所產生的疏漏,進而能夠大幅提升作業效率,對於藥盒領取的控管也能夠即時掌握。As mentioned above, by disposing the dispensing device for the inpatient prescription on the ward floor, the person who takes the medicine only needs to take the medicine on the ward floor, eliminating the need to go to the pharmacy to collect the medicine box placed in the medicine cart, which not only saves time effectively, but also saves time. Avoid the omissions caused by manual verification, which can greatly improve the operation efficiency, and the control and management of the medicine box collection can also be grasped in real time.

請參照圖4並配合圖1至圖3所示,為本發明住院處方的配藥方法的一較佳實施例,該配藥方法透過上述的配藥裝置進行操作,其中該住院處方的配藥方法包括一處方開立步驟S201、一藥師確認步驟S202、一條碼產出步驟S203、一取藥者辨識步驟S204、一條碼掃描步驟S205、一第一輸送步驟S206、一第二輸送步驟S207及一取藥品項影像辨識步驟S208。本發明將於下文詳細說明各步驟的運作原理。Please refer to FIG. 4 in conjunction with FIGS. 1 to 3 , which is a preferred embodiment of a method for dispensing a hospital prescription according to the present invention. The dispensing method is operated through the above-mentioned dispensing device, wherein the method for dispensing a hospital prescription includes a prescription Opening step S201, a pharmacist confirming step S202, a barcode generating step S203, a medicine taker identification step S204, a barcode scanning step S205, a first delivery step S206, a second delivery step S207 and a medicine item Image recognition step S208. The present invention will describe the operation principle of each step in detail below.

續參照圖4並配合圖1至圖3所示,在該處方開立步驟S201中,醫師透過一作業系統(例如Windows或IOS)開立單一劑量處方箋,並將該單一劑量處方箋儲存於該作業系統中。Continuing to refer to FIG. 4 and in conjunction with FIGS. 1 to 3 , in the prescription issuing step S201 , the physician issues a single-dose prescription through an operating system (such as Windows or IOS), and stores the single-dose prescription in in this operating system.

續參照圖4並配合圖1至圖3所示,在該藥師確認步驟S202中,藥師透過該作業系統確認該單一劑量處方箋是否合適,若否則與醫師確認(例如電話聯絡),若是則進行下一步驟。4 and in conjunction with FIGS. 1 to 3 , in the pharmacist confirmation step S202, the pharmacist confirms through the operating system whether the single-dose prescription is suitable, if not, confirms with the physician (eg, by telephone), and if so, proceed to next step.

續參照圖4並配合圖1至圖3所示,在該條碼產出步驟S203中,護理人員透過該作業系統產生一條碼(例如QR code),其中該條碼對應該單一劑量處方箋的藥品資訊。在本實施例中,護理人員是利用紙本列印產生該條碼。Continuing to refer to FIG. 4 in conjunction with FIGS. 1 to 3 , in the barcode generating step S203 , the nursing staff generates a barcode (eg QR code) through the operating system, wherein the barcode corresponds to the drug information of the single-dose prescription . In this embodiment, the nursing staff uses paper printing to generate the barcode.

續參照圖4並配合圖1至圖3所示,在該取藥者辨識步驟S204中,護理人員操作一配藥裝置的一控制機台2,並透過該控制機台2的一本體21的一取藥人員辨識模組24進行辨識,其中經由該取藥人員辨識模組24的攝影鏡頭241來辨識,接著由該控制機台2的一處理單元22核對該護理人員是否為取藥者,若否則重新辨識,若是則進行下一步驟。藉此辨識取藥人員正確性,因而形成取藥人員安全管控機制。在本實施例中,透過預先建立一取藥者清單,來核對該護理人員是否為取藥者。Continuing to refer to FIG. 4 and in conjunction with FIGS. 1 to 3 , in the step S204 of identifying the person taking the medicine, the nursing staff operates a control machine 2 of a dispensing device, and through a control machine 2 of a main body 21 of the control machine 2 The medicine-taking person identification module 24 performs identification, wherein the identification is performed by the camera lens 241 of the medicine-taking personnel identification module 24, and then a processing unit 22 of the control machine 2 checks whether the nursing staff is a medicine-taking person. Otherwise, re-identify, if so, go to the next step. In this way, the correctness of the drug-taking personnel is identified, thus forming a safety management and control mechanism for the drug-taking personnel. In this embodiment, it is checked whether the nursing staff is a medicine taker by pre-establishing a medicine taker list.

續參照圖4並配合圖1至圖3所示,在該條碼掃描步驟S205中,護理人員透過該控制機台2的本體21的一藥品資訊辨識模組25進行辨識,其中經由該藥品資訊辨識模組25的條碼掃描器251來取藥辨識,接著由該控制機台2的處理單元22核對該單一劑量處方箋的藥品資訊。在本實施例中,條碼(例如QR CODE)為一次性使用,目的可防止重複或多次取藥達到給藥數量正確性,護理人員可持不同條碼(一條碼對應一處方藥品)一次掃讀,多筆條碼資訊可在系統上等待單一筆處方藥品送出後再進行下一筆藥品送出。4 and in conjunction with FIG. 1 to FIG. 3 , in the barcode scanning step S205 , the nursing staff performs identification through a drug information identification module 25 of the main body 21 of the control machine 2 , wherein the identification of the drug information is performed by the nursing staff. The barcode scanner 251 of the module 25 picks up the medicine for identification, and then the processing unit 22 of the control machine 2 checks the medicine information of the single-dose prescription. In this embodiment, the barcode (such as QR CODE) is for one-time use, in order to prevent repeated or multiple taking of medicines to achieve the correct dosage, and the nursing staff can hold different barcodes (one barcode corresponds to one prescription drug) to scan and read at one time , multiple bar code information can wait for a single prescription drug to be sent out on the system before sending the next drug.

要說明的是,該條碼掃描器251條碼掃描的資訊與該藥品資訊辨識模組25辨識進行比對,可使取藥品項為正確品項,可進行藥品資料如藥品之學名、商品名、商品中文名稱、常用名等關鍵字之調劑辨識藥品為正確品項。It should be noted that, the information scanned by the barcode scanner 251 is compared with the identification of the drug information identification module 25, so that the drug item can be selected as the correct item, and the drug data such as the scientific name, trade name, commodity name of the drug can be checked. The Chinese name, common name and other keywords are used to identify the medicine as the correct item.

續參照圖4並配合圖1至圖3所示,在該第一輸送步驟S206中,該控制機台2的處理單元22驅動對應的一儲藥層32的一第一輸送帶322動作,使得放置在二檔塊326之間的藥品向一承接平台33移動,本發明可因應實際使用需求來設定單一品項存放多個輸送帶,且每一輸送帶可設定單一間格之不同藥品數量並可自動運算藥量來給藥,可降低品項佔用輸送帶數量並增加放置不同品項數量。4 and in conjunction with FIGS. 1 to 3 , in the first conveying step S206 , the processing unit 22 of the control machine 2 drives a first conveying belt 322 of a corresponding drug storage layer 32 to move, so that The medicines placed between the second blocks 326 move to a receiving platform 33. The present invention can set a single item to store multiple conveyor belts according to actual use requirements, and each conveyor belt can set a single compartment for different quantities of medicines. It can automatically calculate the amount of medicine for administration, which can reduce the number of items occupied by the conveyor belt and increase the number of different items placed.

續參照圖4並配合圖1至圖3所示,在該第二輸送步驟S207中,該控制機台2的處理單元22驅動該承接平台33的一升降座331抬升至對應該儲藥層32的高度來承接該藥品,使得該藥品被輸送至該第二輸送帶332上,接著驅動該升降座331下降至與該出藥通道26同高的水平,透過該第二輸送帶332將該藥品輸送至該出藥通道26中。在本實施例中,利用一紅外線掃描器27掃描該藥品,以獲得該藥品數量的資訊。Continuing to refer to FIG. 4 and in conjunction with FIGS. 1 to 3 , in the second conveying step S207 , the processing unit 22 of the control machine 2 drives a lift seat 331 of the receiving platform 33 to lift up to the corresponding drug storage layer 32 The height of the medicine is to accept the medicine, so that the medicine is transported to the second conveyor belt 332, and then the lifting seat 331 is driven to descend to the same level as the medicine outlet channel 26, and the medicine is passed through the second conveyor belt 332. into the drug delivery channel 26 . In this embodiment, an infrared scanner 27 is used to scan the medicine to obtain information on the quantity of the medicine.

續參照圖4並配合圖1至圖3所示,在該取藥品項影像辨識步驟S208,當該藥品輸送至該出藥通道26中,會利用該出藥通道26的一攝影鏡頭261對該藥品進行外觀辨識,由於藥品輸送至該出藥通道26會進行藥品影像外觀辨識,能夠有效確保藥品品項正確性。Continuing to refer to FIG. 4 and in conjunction with FIGS. 1 to 3 , in the image recognition step S208 of the drug taking item, when the drug is delivered to the drug dispensing channel 26 , a photographic lens 261 of the drug dispensing channel 26 will be used to identify the drug. Appearance identification of medicines is carried out. Since the medicines are transported to the medicine discharge channel 26, the appearance identification of medicine images will be carried out, which can effectively ensure the correctness of medicine items.

如上所述,透過配置該住院處方的配藥裝置在病房樓層,取藥者只要在病房樓層取藥即可,免去往返藥局領取置於藥車之藥盒,不僅能夠有效節省時間,也可以避免人工核對所產生的疏漏,進而能夠大幅提升作業效率,對於藥盒領取的控管也能夠即時掌握。As mentioned above, by disposing the dispensing device for the inpatient prescription on the ward floor, the person who takes the medicine only needs to take the medicine on the ward floor, eliminating the need to go to the pharmacy to collect the medicine box placed in the medicine cart, which not only saves time effectively, but also saves time. Avoid the omissions caused by manual verification, which can greatly improve the operation efficiency, and the control and management of the medicine box collection can also be grasped in real time.

雖然本發明已以較佳實施例揭露,然其並非用以限制本發明,任何熟習此項技藝之人士,在不脫離本發明之精神和範圍內,當可作各種更動與修飾,因此本發明之保護範圍當視後附之申請專利範圍所界定者為準。Although the present invention has been disclosed with preferred embodiments, it is not intended to limit the present invention. Any person skilled in the art can make various changes and modifications without departing from the spirit and scope of the present invention. Therefore, the present invention The scope of protection shall be determined by the scope of the appended patent application.

2: 控制機台 21: 本體 22: 處理單元 23: 人機介面單元 24: 取藥人員辨識模組 241: 攝影鏡頭 25: 藥品資訊辨識模組 251: 條碼掃描器 26: 出藥通道 261: 攝影鏡頭 27: 紅外線掃描器 28: 溫度控制器 3: 儲藥櫃 31: 櫃體 32: 儲藥層 321: 層板 322: 第一輸送帶 323: 缺槽 324: 隔板 325: 固定孔 326: 檔塊 33:  承接平台 331: 升降座 332: 第二輸送帶 A: 後側儲放區 B: 前側移動區 S201: 處方開立步驟 S202: 藥師確認步驟 S203: 條碼產出步驟 S204: 取藥者辨識步驟 S205: 條碼掃描步驟 S206: 第一輸送步驟 S207: 第二輸送步驟 S208: 取藥品項影像辨識步驟 2: Control the machine 21: Ontology 22: Processing Unit 23: HMI Unit 24: Recognition module for taking medicine personnel 241: Camera Lenses 25: Drug Information Recognition Module 251: Barcode Scanner 26: Drug delivery channel 261: Camera Lenses 27: Infrared Scanner 28: Temperature Controller 3: Medicine Cabinet 31: Cabinet 32: Reservoir 321: Laminates 322: First conveyor belt 323: Missing slot 324: Bulkhead 325: Fixing hole 326: Stop 33: Undertaking the platform 331: Lifting Seat 332: Second conveyor belt A: Rear storage area B: Front moving area S201: Steps for Prescribing S202: Pharmacist confirmation step S203: Barcode Production Steps S204: Steps to identify the person taking the medicine S205: Barcode Scanning Steps S206: The first conveying step S207: The second conveying step S208: Steps for image recognition of drug items

圖1是根據本發明的一較佳實施例的住院處方的配藥裝置的一正視圖。 圖2是根據本發明的較佳實施例的住院處方的配藥裝置的控制機台的一示意圖。 圖3是根據本發明的較佳實施例的住院處方的配藥裝置的儲藥層的一局部視圖。 圖4是根據本發明的一較佳實施例的住院處方的配藥方法的一流程圖圖。 FIG. 1 is a front view of a dispensing device for inpatient prescriptions according to a preferred embodiment of the present invention. FIG. 2 is a schematic diagram of a control machine of a dispensing device for hospital prescriptions according to a preferred embodiment of the present invention. Figure 3 is a partial view of the drug reservoir of the inpatient prescription dispensing device according to the preferred embodiment of the present invention. 4 is a flowchart of a method for dispensing a hospital prescription according to a preferred embodiment of the present invention.

2: 控制機台 21: 本體 23: 人機介面單元 241: 攝影鏡頭 251: 條碼掃描器 26: 出藥通道 261: 攝影鏡頭 27: 紅外線掃描器 28: 溫度控制器 3: 儲藥櫃 31: 櫃體 32: 儲藥層 33:  承接平台 331: 升降座 332: 第二輸送帶 2: Control the machine 21: Ontology 23: HMI Unit 241: Camera Lenses 251: Barcode Scanner 26: Drug delivery channel 261: Camera Lenses 27: Infrared Scanner 28: Temperature Controller 3: Medicine Cabinet 31: Cabinet 32: Reservoir 33: Undertaking the platform 331: Lifting Seat 332: Second conveyor belt

Claims (9)

一種住院處方的配藥裝置,包括:一控制機台,包含:一本體;一處理單元,設置在該本體內;一人機介面單元,設置在該本體上且與該處理單元電性連接;一取藥人員辨識模組,設置在該本體上且與該處理單元電性連接;一藥品資訊辨識模組,設置在該本體上且與該處理單元電性連接;及一出藥通道,形成在該本體上;以及至少一儲藥櫃,設置在該控制機台的本體的一側,該儲藥櫃包含:一櫃體;多個儲藥層,間隔設置在該櫃體中,其中每一儲藥層具有一層板及多個第一輸送帶,該等第一輸送帶間隔設置在該層板上,用以供藥品放置並進行輸送,而且每一儲藥層另具有多個隔板,每一第一輸送帶的二側分別設置二隔板;及一承接平台,設置在該等儲藥層的前側,該承接平台具有一升降座及一第二輸送帶,該第二輸送帶設置在該升降座上,而且該第二輸送帶配置用以承接該藥品並朝該出藥通道的方向輸送,其中該第二輸送帶的一行進方向與該等第一輸送帶的行進方向相交。 A medicine dispensing device for inpatient prescriptions, comprising: a control machine, comprising: a main body; a processing unit, arranged in the main body; a human-machine interface unit, arranged on the main body and electrically connected with the processing unit; a medicine personnel identification module, disposed on the main body and electrically connected with the processing unit; a medicine information identification module disposed on the main body and electrically connected with the processing unit; and a medicine dispensing channel formed in the processing unit and at least one medicine storage cabinet, which is arranged on one side of the main body of the control machine, the medicine storage cabinet includes: a cabinet body; a plurality of medicine storage layers are arranged in the cabinet body at intervals, and each storage cabinet The drug layer has a layer of plates and a plurality of first conveyor belts, the first conveyor belts are arranged on the layer plate at intervals for placing and transporting the drugs, and each drug storage layer has a plurality of partitions, each Two partitions are respectively arranged on two sides of a first conveyor belt; and a receiving platform is arranged on the front side of the drug storage layers, the receiving platform has a lifting seat and a second conveyor belt, and the second conveyor belt is arranged on the on the lift seat, and the second conveyor belt is configured to receive the medicine and transport it toward the direction of the medicine discharge channel, wherein a traveling direction of the second conveyor belt intersects with the traveling direction of the first conveyor belts. 如申請專利範圍第1項所述之住院處方的配藥裝置,其中每一儲藥層另具有多個缺槽,該等缺槽間隔形成在該層板上,該等第一輸送帶設置對應的缺槽中。 According to the medicine dispensing device for inpatient prescriptions as described in item 1 of the scope of the application, each drug storage layer further has a plurality of notches, the notches are formed on the layer at intervals, and the first conveyor belts are provided with corresponding grooves. in the slot. 如申請專利範圍第1項所述之住院處方的配藥裝置,其中每一儲藥層另具有多個固定孔,該等固定孔配置用以供該等隔板插設固定,使得每一第一輸送帶的二側的二隔板能夠活動調整彼此的距離。 According to the medicine dispensing device for inpatient prescriptions as described in item 1 of the scope of the application, each drug storage layer further has a plurality of fixing holes, and the fixing holes are configured for inserting and fixing the partitions, so that each first The two partitions on the two sides of the conveyor belt can movably adjust the distance from each other. 如申請專利範圍第1項所述之住院處方的配藥裝置,其中每一儲藥層另具有多個檔塊,該等檔塊間隔形成在該等第一輸送帶上。 According to the medicine dispensing device for inpatient prescription as described in claim 1, each medicine storage layer further has a plurality of stoppers, and the stoppers are formed on the first conveyor belts at intervals. 如申請專利範圍第1項所述之住院處方的配藥裝置,其中該控制機台另包含一溫度控制器,該溫度控制器設置在該櫃體上且與該處理單元電性連接,用以控制該櫃體的溫度。 The dispensing device for inpatient prescriptions as described in item 1 of the scope of the application, wherein the control machine further comprises a temperature controller, the temperature controller is disposed on the cabinet and is electrically connected with the processing unit for controlling temperature of the cabinet. 一種住院處方的配藥方法,包括:一處方開立步驟,醫師透過一作業系統開立單一劑量處方箋,並儲存於該作業系統中;一藥師確認步驟,藥師透過該作業系統確認該單一劑量處方箋是否合適,若否則與醫師確認,若是則進行下一步驟;一條碼產出步驟,護理人員透過該作業系統產生一條碼,其中該條碼對應該單一劑量處方箋的藥品資訊;一取藥者辨識步驟,護理人員操作一配藥裝置的一控制機台,並透過該控制機台的一本體的一取藥人員辨識模組進行辨識,由該控制機台的一處理單元核對該護理人員是否為取藥者,若否則重新辨識,若是則進行下一步驟;一條碼掃描步驟,護理人員透過該控制機台的本體的一藥品資訊辨識模組進行辨識,由該控制機台的處理單元核對該單一劑量處方箋的藥品資訊;一第一輸送步驟,該控制機台的處理單元驅動對應的一儲藥層的一第一輸送帶動作,使得放置在二檔塊之間的藥品向一承接平台移動;及 一第二輸送步驟,該控制機台的處理單元驅動該承接平台的一升降座抬升至對應該儲藥層的高度來承接該藥品,使得該藥品被輸送至該第二輸送帶上,接著驅動該升降座下降至與該控制機台的一出藥通道同高的水平,透過該第二輸送帶將該藥品輸送至該出藥通道中。 A method for dispensing a hospital prescription, comprising: a prescription issuing step, wherein a doctor issues a single-dose prescription through an operating system and stores it in the operating system; and a pharmacist confirming step, wherein the pharmacist confirms the single-dose prescription through the operating system In the step of barcode generation, the nursing staff generates a barcode through the operating system, wherein the barcode corresponds to the drug information of the single-dose prescription; a person who takes the medicine In the identification step, the nursing staff operates a control machine of a dispensing device, and performs identification through a medicine-taking personnel identification module of a main body of the control machine, and a processing unit of the control machine checks whether the nursing staff is The person who took the medicine, if otherwise, re-identify, if so, go to the next step; in the barcode scanning step, the nursing staff identifies through a medicine information identification module on the main body of the control machine, and the processing unit of the control machine checks the The drug information of the single-dose prescription; a first conveying step, the processing unit of the control machine drives a first conveyor belt of a corresponding drug storage layer to move, so that the drugs placed between the second blocks are sent to a receiving platform move; and In a second conveying step, the processing unit of the control machine drives a lifting seat of the receiving platform to rise to a height corresponding to the drug storage layer to receive the drug, so that the drug is transported to the second conveyor belt, and then drives The lifting seat is lowered to the same level as a medicine outlet channel of the control machine, and the medicine is transported into the medicine outlet channel through the second conveyor belt. 如申請專利範圍第6項所述之住院處方的配藥方法,其中在該條碼產出步驟中,護理人員是利用紙本列印產生該條碼。 The method for dispensing hospital prescriptions as described in item 6 of the scope of the application, wherein in the barcode generating step, the nursing staff uses paper printing to generate the barcode. 如申請專利範圍第6項所述之住院處方的配藥方法,其中在該第二輸送步驟中,利用一紅外線掃描器掃描該藥品,以獲得一藥品數量的資訊。 The method for dispensing hospital prescriptions as described in item 6 of the claimed scope, wherein in the second delivery step, an infrared scanner is used to scan the medicine to obtain information on the quantity of the medicine. 如申請專利範圍第6項所述之住院處方的配藥方法,其中在該第二輸送步驟之後,該配藥方法另包含一取藥品項影像辨識步驟,當該藥品輸送至該出藥通道中,會利用該出藥通道的一攝影鏡頭對該藥品進行外觀辨識。 The method for dispensing hospital prescriptions as described in item 6 of the scope of the patent application, wherein after the second delivery step, the dispensing method further includes an image recognition step of taking a medicine item. The appearance of the medicine is identified by using a photographic lens of the medicine dispensing channel.
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