M356501 五、新型說明： 【新型所屬之技術領域】 本創作係關於一種醫療工作車，尤指一種結合無線射 頻辨識標籤之智慧型醫療工作車。 【先前技術】 台灣地區的醫療疏失依據估計，在一年中，因為醫療不 當而產生死亡事件，其受害者高達二萬人之多。又，在各 種醫療疏失中，則以「用藥錯誤」的比率最高。享有「台 灣醫學資訊之父」美譽的李友專博士分析指出，台灣地區 人民看診次數約為36仟萬次/年，平均領藥種類為4種/次， 亦即耗藥量為150什萬種/年，估計其錯誤率約為1〇〜15%， 折算用樂錯誤約為10什萬種/年。又據美國學者匕e a p e 在用藥疏失流程分析報告中指出：「在住院病人的用藥疏 失中’以處方錯誤最常見（占39%)、護理人員給藥錯誤為其 次（占38%)、藥師給藥錯誤（占11%)」。 f美國加州大學洛杉@分校(UCLA)醫學中心，為了減 ^用藥，誤的發生’建置有—個衛星給藥系統。當護理人 員手推藥車在病房中執行給藥工作’其手持讀取器掃描病 人身上條碼，系統立刻顯示病患病歷與用藥處方，藥車中 的藥格只會跳出必要的藥格，確實具有「防呆」功能，做 為續保護士不會拿錯藥。 台灣在醫院的住院藥局中實施單一劑量給藥制度(UnitM356501 V. New Description: [New Technology Field] This creation is about a medical work vehicle, especially a smart medical work vehicle that combines wireless radio frequency identification tags. [Prior Art] Medical negligence in Taiwan is estimated to result in deaths due to improper medical care during the year, with as many as 20,000 victims. In addition, among various medical negligence, the ratio of "medication error" is the highest. Dr. Li Youzhu, who enjoys the reputation of "Father of Taiwan Medical Information", pointed out that the number of visits by people in Taiwan is about 360,000 times per year, and the average number of drugs taken is 4 types/time, that is, the consumption of medicine is 150. In 10,000 kinds/year, the error rate is estimated to be about 1〇15%, and the conversion error is about 10 million kinds/year. According to the American scholar 匕eape's report on the process of drug neglect, it was pointed out that "in the case of inpatient drug use, the most common prescription error (39%), the nursing staff's medication error (38%), the pharmacist gave Medicine error (11%). f The University of California, Los Angeles@Club (UCLA) Medical Center, in order to reduce the use of drugs, the occurrence of mistakes has been built into a satellite drug delivery system. When the nursing staff pushes the pharmacy to perform the drug delivery work in the ward', the handheld reader scans the barcode on the patient's body, and the system immediately displays the patient's medical record and medication prescription. The medicine in the pharmacy only jumps out the necessary medicine, indeed With the "anti-dwelling" function, as a continuous protection will not take the wrong medicine. Taiwan implements a single dosing regimen in the hospital's inpatient pharmacy (Unit
Dose Distribution System; HDDS)。所謂的單一劑量給藥制 度係在住院患者藥物治療中，患者所服用之藥品完全經由 M356501 樂師調配成單一劑量包裝’分 護理人員每曰定時至藥局領取，並依據Ϊ車之藥盒中，由 =藥品名稱、劑量、服藥時= = 〇口配达制度。 口思#服用的〜種藥 【新型内容】 本創作之目的在於提供一種智彗 =智慧型醫療工作車的屬性可以是^ 1工作車’本創 治療車、麻醉車、藥料，只工作車、換藥車、 2不同的醫療處理性質的均多位患者服務但 福咖^難純人域要的作法 戒科技於相_人、事、物的管' 作車上，再運用資 員進行巡房任務時，需利壯 t制作業。當醫療人 言賣取該床位所屬之電子標籤(Tag)*==標籤讀取器先行 【訊’傳送至微處理器，使微處 二J之電子標籤 =行動之參考^其是在用藥療人員 療的=性與服務品質的提昇是有所助益 t對於醫 違^上述目的之智慧型醫療工作車， :二無線射頻辨識標籤讀取器，將讀取之資二：微處理 模r i，—資料庫，儲存病床與病人資料;、-】ϊ至該 =閉經由該微處理器控制;一『;4:;:，該 波置’由該微處理器控制;以及一車架，承載該 M356501 該無線射頻辨識標籤讀取器、該 S亥至少一藥盒與該自動分離針筒盥飪忒無線通訊模龟 Ϊ分離針筒與針頭裝置包含—針筒與t置；其中，該自 裔，具有光發射端與光接收端，該^ 轉盤；〜光 3盤感測光線並發出-光感測；i細】對該針筒輿針 針闻與針頭轉盤上的針頭並發^處二感應器，感應言= 土置以及該微處理器，接收該光残；；：號；-馬達驅‘ 應H發㈣感應訊號，並使料€測訊號 =?進行資料比對中且;;之資料= 對该樂盒解鎖。 盜根據負料比對之結果 電子=讀;;取器自—病床之 送至該微處理器。將該病床之電子標籤中的資料傳 電子標籤中讀取標鐵讀取器自—病人之 送至該微處理器。將該病人之電子標籤中的資料傳 理站之主機巧月泛=微處理器藉由該無線通訊模組與-護 主機词服與接收，使該護理站之 讀微處理器而儲存_資、^^貝料透過該無線通訊模組與 器與該資料康^中=盒進—步具有上鎖功能’該微處理 由該微處理器解二貝；比對且資料比對符合時’該藥盒經 較佳地，進—并*治人、 乂3一口袋型電腦，該口袋型電腦經 M356501 =無線通訊模組與該微處 f f器根據該資料比對之結果=2線雙向通訊，該微 用樂清單與醫囑事項等訊息。μ衣型電腦顯示病人之 【實施方式】 予以=====佳實施例之所附圖式 揭示請:::容不在=之人士而言為—廣泛之 方塊圖。慧型醫療工作車15之 二無，射頻辨識標籤讀取器2，將微處理器1，· ίΐϊ，1電:庫3，儲存病床:病人資:枓傳微 盒b、.. 器1;複數個藥盒5(“t : 由該微處理針劑，該藥盒5之啟閉ΐ 微處理器1控制；以及一車^^針筒與針頭裝置6,由該 f ,線射頻辨識標籤讀取器;1 未=載=處理器!、 其令，該自動分離涛與針頭裝置6。 頭轉盤7;-光感測器8,且有m置6包含一針筒與針 訊號，9,感簡感測紐並發出—光感測 出一感應訊號；-馬達驅動十裝\與=頭轉盤7上的針頭並發 微處理器1接收該光感測 M356501 訊號’並使該馬達驅動裝置10驅動該針筒 f、f已^㈣作。有關該自動分離針筒與針頭裝置6之 搖述已坪細地載明於中華民國公告號1255200之發明一案Dose Distribution System; HDDS). The so-called single-dose administration system is in the medical treatment of inpatients. The medicines taken by the patients are completely packaged into a single-dose package by the M356501 musicians. The caregiver is collected from the pharmacy every time, and according to the medicine box of the vehicle. By = drug name, dose, medication = = 〇 mouth distribution system.口思# Take the ~ kind of medicine [new content] The purpose of this creation is to provide a kind of wisdom = intelligent medical work vehicle properties can be ^ 1 work car 'this treatment car, anesthesia car, medicine, only work car , change of medicine vehicles, 2 different medical treatment properties of a large number of patients, but Fucai ^ difficult to pure human domain to do the law or technology in the phase _ people, things, things of the tube 'for the car, and then use the staff to carry out When you are on a patrol mission, you need to work hard. When the medical person sells the electronic tag (Tag) to which the bed belongs, the tag reader is first sent to the microprocessor, so that the electronic tag of the second place is the reference to the action. The treatment of the person's treatment = the improvement of the quality of the service is helpful for the medical medical vehicle that violates the above objectives, the second radio frequency identification tag reader, which will read the second: micro-processing mode ri , the database, the storage of the bed and the patient data;, -] ϊ to the = closed by the microprocessor control; a "; 4:;:, the wave set 'controlled by the microprocessor; and a frame, Carrying the M356501 the RFID tag reader, the Shai at least one cartridge and the automatic separation syringe, the wireless communication mold turtle separation syringe and the needle device include a syringe and a t-position; wherein Self-aged, with light emitting end and light receiving end, the ^ turntable; ~ light 3 disc senses light and emits - light sensing; i fine] the needle and needle of the needle and the needle on the needle turntable concurrently Two sensors, sensing words = soil and the microprocessor, receiving the light residue;;: number; - horse Flooding 'should send H (iv) sensing signal, and the signal measured material € =? Be an alignment of data and the data = ;; unlock the music box. The result of the stolen comparison according to the negative material is electronically read; the picker is sent from the bed to the microprocessor. The data in the electronic tag of the hospital bed is read into the electronic tag and the target iron reader is sent from the patient to the microprocessor. The host of the data transmission station in the patient's electronic label is ubiquitously = the microprocessor is served and received by the wireless communication module and the host computer, so that the processing station reads the microprocessor and stores it. , ^^Bei material through the wireless communication module and the device Kang ^zhong = box into the step has a locking function 'this micro-processing by the microprocessor to solve the two shell; comparison and data comparison when the ' The kit is preferably a patient, a 治3, a pocket type computer, and the pocket computer is compared with the micro ff device according to the data by the M356501 = wireless communication module = 2 line bidirectional Communication, the micro-list of music and medical matters. The μ-type computer displays the patient's [Embodiment] The ===== The embodiment of the preferred embodiment reveals that::: The person who is not in the = is a broad block diagram. The HC-type medical work vehicle 15 is not available, the RFID tag reader 2, the microprocessor 1, the ΐϊ, 1 electric: the library 3, the storage bed: the patient: the micro-box b, .. device 1; a plurality of pill boxes 5 ("t: controlled by the micro-processing agent, the opening and closing of the pill box 5, the microprocessor 1; and a car ^2 syringe and needle device 6, read by the f, line radio frequency identification tag 1; not = load = processor!, its command, the automatic separation of the Tao and the needle device 6. The head turntable 7; - the light sensor 8, and the m set 6 contains a syringe and needle signal, 9, The sense sensor is sensed and emitted - the light sensor senses a sensor signal; - the motor drives the ten device \ and the needle on the head turntable 7 concurrently with the microprocessor 1 receives the light sense M356501 signal 'and causes the motor drive device 10 Driving the syringes f, f have been made (4). The case concerning the automatic separation of the syringe and the needle device 6 has been clearly described in the invention of the Republic of China Bulletin No. 1255200
發㈣財切㈣有相同 之中請人"），故S 组’該微處理器1藉由該無線通訊模 該護理站：二=服器η進行資料的傳送與接收。 線通訊模組4轉微 >理„將病床貧料與病人#料透過該無 中，藉由該微處理^處^^儲存於該資料庫”。其 中的資組4使得該資料庫3 更新。 °Λ°蔓里站之主機伺服器11的資料作同步 中讀取病床資取11 2自—病床之電子標籤12 無綠射料至贿處理器1 ’且該 取病人資料，並將病f 2又自一病人之電子標籤13中讀 器1將自該無線射=傳送±至該微處理器該微處理 與病人資料和該2所傳送的病床資料 進行資料比對。庫中所儲存的病床資料與病人資料 其中，該藥各5 — 和該資料庫3進;步具有上鎖魏，當賴處理器】 :ΐ;器1和該資料庫資料比對時，若 對疋付合—致的話=床貝触病人倾的資料比 以便護理人員 :樂广5將广由該微處理器 也才又以樂物或注射。然而，微處 M356501 和該貢料庫3之病床貢料與病人貧料的貢料比對若是不符 合的話，那該藥盒5將維持上鎖狀態，而有待護理人員進 一步釐清該病床、該病人或該護理站之主機伺服器11三者 之中，是哪一個環節發生了問題。 其中，本創作智慧型醫療工作車15進一步包含一口袋 型電腦14,該口袋型電腦14經由該無線通訊模組4與該微 處理器1進行無線雙向通訊。該微處理器1根據該資料比 對之結果使該口袋型電腦14顯示病人之用藥清單與醫囑事 項等訊息，例如：病人之姓名、出生年月日、住址、科別、 住院日期、緊急連絡人、連絡電話、負責該病人之主治醫 師與護理人員、該病人所需要的藥物與針劑…等等。藉由 該口袋型電腦14顯示病人之用藥清單與醫囑事項等訊息使 護理人貝確保病人的用樂安全無虞’以獲得南安全性的醫 療行為。 請參閱第二圖，係顯示本創作智慧型醫療工作車15之 流程圖。本創作智慧型醫療工作車15所實施的步驟如下所 示： 步驟101無線射頻辨識標籤讀取器2讀取電子標籤： 該無線射頻辨識標籤讀取器2分別讀取該病床之電子標籤 12中的病床資料與該病人之電子標籤13中的病人資料，並 將病床資料與病人資料傳送至該微處理器1，接著進行步驟 102。 步驟102資料庫3是否存有資料：該微處理器1判斷 該貧料庫3是否存有病床貧料與病人貢料。若該貧料庫3 並沒有儲存病床貢料與病人貧料的话，將進行步驟10 3，然 M356501 而，若該貢料庫3儲存有病床貢料與病人貧料5則進行步 驟 104。 步驟103上傳資料至資料庫3:該微處理器1使該無線 通訊模組4與該護理站之主機伺服器11建立無線雙向通 訊，且使該護理站之主機伺服器11將病床資料與病人資料 上傳至該資料庫3中並加以儲存，且回到步驟101。 步驟104資料比對：該微處理器1將自該無線射頻辨 識標籤讀取器2所傳送的病床資料與病人資料和該資料庫 3中所儲存的病床資料與病人資料進行資料比對。若貢料比 對不符合，將進行步驟105 ;若資料比對是符合的話，將進 行步驟106。 步驟105護理人員找出問題：因為資料比對不符合的 關係，故該藥盒5將維持上鎖狀態，亦使得護理人員無法 對該名病人進行投藥或打針，且護理人員將會進一步釐清 該病床、該病人或該護理站之主機伺服器11三者之中，是 哪一個環節發生了問題。 步驟106 口袋型電腦14顯示以及藥盒5解鎖：該口袋 型電腦14經由該無線通訊模組4與該微處理器1進行無線 雙向通訊。該微處理器1根據該資料比對符合之結果使該 口袋型電腦14顯示病人之用藥清單與醫囑事項等訊息，例 如：病人之姓名、出生年月日、住址、科別、住院日期、 緊急連絡人、連絡電話、負責該病人之主治醫師與護理人 員、該病人所需要的藥物與針劑…等等。藉由該口袋型電 腦14顯示病人之用藥清單與醫囑事項等訊息使護理人員確 保病人的用樂安全無虞，以獲得南安全性的醫療行為。並 M356501The fourth (four) financial cuts (four) have the same person invites "), so the S group 'the microprocessor 1 through the wireless communication mode of the nursing station: two = server η for data transmission and reception. The line communication module 4 turns to the micro- > „ „ ” ” ” ” ” ” ” ” ” ” ” ” ” ” ” ” ” ” ” ” ” ” The resource group 4 therein updates the database 3. °Λ°Manit station's host server 11 data for synchronization in reading the bed to take 11 2 from the bed electronic tag 12 no green shot to bribe processor 1 'and the patient information, and will be sick f 2 In addition to the electronic tag 13 of the patient, the reader 1 will perform a data comparison from the wireless transmitter = to the microprocessor and the microprocessor to the patient data and the two transmitted bed data. The information of the bed and the patient data stored in the library, wherein the drug is 5 - and the database is 3; the step has the lock Wei, when the processor is: ΐ; the device 1 and the database data are compared, if For the sake of paying for the words - the bed is more sensitive to the patient than the nursing staff: Leguang 5 will be widely used by the microprocessor to enter the music or injection. However, if the comparison between the micro-site M356501 and the tribute of the tribute library 3 and the poor material of the patient is not met, then the kit 5 will remain locked, and the patient to be further clarified the bed, Among the three of the patient or the host server 11 of the nursing station, there is a problem in which link. The creative smart medical work vehicle 15 further includes a pocket computer 14 that wirelessly communicates with the microprocessor 1 via the wireless communication module 4. The microprocessor 1 causes the pocket computer 14 to display information such as the patient's medication list and medical orders based on the result of the data comparison, for example, the patient's name, date of birth, address, department, hospitalization date, emergency contact. Person, contact telephone, the attending physician and nursing staff responsible for the patient, the drugs and injections required by the patient, etc. The pocket computer 14 displays information such as the patient's medication list and medical advice so that the caregiver can ensure that the patient's safety is safe and secure to obtain a safe medical behavior in the south. Please refer to the second figure, which shows the flow chart of the creative intelligent medical work vehicle 15. The steps performed by the creative smart medical work vehicle 15 are as follows: Step 101 The RFID tag reader 2 reads the electronic tag: The RFID tag reader 2 reads the electronic tag 12 of the hospital bed, respectively. The patient bed data and the patient data in the patient's electronic tag 13 are transmitted to the microprocessor 1 and then to step 102. Step 102: Whether the data is stored in the database 3: The microprocessor 1 determines whether the poor storage bank 3 has a poor bed material and a patient tribute. If the poor stocking 3 does not store the bed tribute and the patient's poor material, step 10 3 will be performed, but M356501, if the tributary stock 3 stores the sick bed tribute and the patient poor material 5, step 104 is performed. Step 103 uploads the data to the database 3: the microprocessor 1 causes the wireless communication module 4 to establish wireless two-way communication with the host server 11 of the nursing station, and causes the host server 11 of the nursing station to connect the patient bed data with the patient. The data is uploaded to the database 3 and stored, and returns to step 101. Step 104: The microprocessor 1 compares the bed data transmitted from the RFID tag reader 2 with the patient data and the bed data stored in the database 3 with the patient data. If the metric comparison does not match, step 105 will be performed; if the data comparison is met, step 106 will be performed. Step 105: The caregiver finds the problem: because the data is incompatible with the relationship, the kit 5 will remain locked, and the caregiver will not be able to administer or inject the patient, and the caregiver will further clarify the problem. Among the three beds of the hospital bed, the patient or the host server of the nursing station, which part of the link has a problem. Step 106: Display of the pocket computer 14 and unlocking of the medicine box 5: The pocket computer 14 performs wireless two-way communication with the microprocessor 1 via the wireless communication module 4. The microprocessor 1 displays the patient's medication list and medical information, such as the patient's name, date of birth, address, department, hospitalization date, emergency, according to the result of the comparison. The contact person, the contact telephone, the attending physician and the nursing staff responsible for the patient, the drugs and injections required by the patient, and the like. The pocket type computer 14 displays information such as the patient's medication list and medical advice to enable the caregiver to ensure that the patient's safety is safe and secure, and to obtain a safe medical behavior in the south. And M356501
且該微處理器丨下、I 員可從對應該病床a旨令而使該藥盒5解鎖，以便護理人 且正綠地投人的藥I 5中取得_或針劑， >、物或注射，並再進行 步驟107用藥清單盥荜品再核：：二7。 示病人之用藥清置你w /、樂冉核對.该口袋型電腦14顯 據該口袋型電腦14相人員清晰明瞭，且護理人員會根 或針劑再次核示的，清單與該藥盒5中的藥物 藥清單與該藥各5正確/右该口袋型電腦14所顯示的用 驟108 ;反之'，若#的藥物或針劑不符合的話，則進行步 藥盒5中的藥物或=袋型電腦14所顯示的㈣清單與該 步驟⑽連Ϊ::]符合的話’則進行步驟109。 藥清單與轉袋型電腦14所顯示的用 將會與藥劑部遠玖，藥物或針劑不符合的話，護理人員 射的針劑為何。、。’藉以確認病人應該服用的藥物或該注 所顯示的用藥項等:若該口袋型電腦14 則護理人員將執行G物或針劑符合的話， 限定=創=;露如上之較佳實施例，然其並非用以 和範圍内，悉此技藝者，在不脫離本創作之精神 護各種之變更與修飾，因此，本創作之保 1乾圍當視後附之中請專利範圍所界定者為準。 【圖式簡單說明】 =一圖係顯林_智_醫療讀車之方塊圖。 【主要元件符號說明】 第-圖係顯示本翁智慧型醫療讀車之流程圖。 M356501 1 —微處理益 2---無線射頻辨識標籤讀取器 3 —貢料庫 4- 無線通訊模組 5- --藥盒 6- --自動分離針筒與針頭裝置 7- --針筒與針頭轉盤 8- --光感測器 9- 感應裔 10…馬達驅動裝置 11…護理站之主機伺服器 12— 病床之電子標戴 13— 病人之電子標戴 14— --口袋型電腦 15…智慧型醫療工作車And the microprocessor can be used to remove the medicine box 5 from the corresponding bed, so as to take care of the person and take the medicine I 5 or the injection, >, the injection or the injection And then proceed to step 107 to use the drug list to re-nuclear: 2: 7. Show the patient's medication to clear your w /, Le 冉 check. The pocket computer 14 shows that the pocket computer 14 phase personnel are clear, and the nursing staff will re-examine the root or injection, the list and the kit 5 The list of drug drugs and the drug 5 correct / right the pocket computer 14 shows the use of step 108; otherwise, if the # drug or injection does not meet, then the drug in the step 5 or = bag type The (four) list displayed by the computer 14 is linked to the step (10)::] if yes, then step 109 is performed. The list of medicines and the display of the bag-type computer 14 will be far from the pharmacy, and if the medicine or the injection does not match, what is the injection of the caregiver? ,. 'By confirming the medicine that the patient should take or the medication item indicated by the note, etc.: If the pocket computer 14 then the caregiver will perform the G or the injection, the limit = create =; the preferred embodiment as above, It is not intended to be used in the scope of the patents, and the changes and modifications of the spirit of this creation are not removed. Therefore, the scope of the patent is defined in the scope of the patent. . [Simple description of the map] = a picture shows the forest _ _ _ medical car block diagram. [Description of main component symbols] The first figure shows the flow chart of the Weng intelligent medical car. M356501 1 —Micro-Processing Benefits 2---Radio Frequency Identification Tag Reader 3 —Gift Library 4-Wireless Communication Module 5- --Pill Box 6- --Automatic Separation Syringe and Needle Device 7--Needle Cartridge and Needle Dial 8 - - Light Sensor 9 - Sensory 10... Motor Drive 11... Host Server 12 of the Care Station - Electronic Marking of the Bed 13 - Patient's Electronic Marking 14 - Pocket Computer 15...Smart medical work car