TWM616937U - Drug identification system prior to administration of drug - Google Patents

Abstract

A pre-administration drug identification system is used to capture the image files of the drugs used before the drug is administered, and to identify and compare the image feature files of the drugs that should be used correctly at the time point in the drug image files, and the comparison is completed and After the compliance is correct, a dosing record can be generated and sent back to the care dosing record of the medical information system. If there is any inconsistency in the correct application of the type, dosage form or quantity of the drug in the identification and comparison, a sound or image can be generated Or text warning message.

Description

Pre-dose drug identification system

This creation is about a pre-administration drug identification system, especially a drug that can improve the accuracy of drugs before the nurses in medical institutions or nursing institutions give drugs to patients or before patients use drugs at home, so as to avoid wrong or wrong drug types. Drug delivery system with wrong dosage of medicine.

There is no such pre-administration drug identification system in the current technology. At present, most of the medicines taken by inpatients are prepared by pharmacists and placed in medicine boxes marked with the names of different wards, wards and patients. The medicine boxes are then placed in the pharmacy and sent to different inpatient wards every day. In the medicine cart. The pharmacy then sends the medicine carts needed by each ward from the pharmacy to the nursing stations of each inpatient ward. The nursing staff then distributes the medicines in the medicine boxes belonging to different patients on the medicine cart to each specific patient according to the doctor’s prescription. The medicine is taken out from the medicine cart at the time of medicine use, and the medicine is given to the patient.

Some hospitals have also begun to store commonly used medicines in each ward in the information medicine cabinet in the nursing station of each ward. This information medicine cabinet can store commonly used medicines for several days or weeks, so nursing staff also Through this channel, various medicines to be given to patients according to 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 also assist the supplement of medicines and the nurses can take out the medicines from the information medicine cabinet. And give the patient the process and authorization control. However, the medicines that the nursing staff will give to the inpatients, no matter the source is the medicine cart delivered daily by the pharmacy, or the information medicine cabinets stored in the nursing station, the medicines are taken out by the nursing staff and given to the patient. In this process of giving medicines to patients by nurses, whether the type, item, quantity, and dosage form of the medicines to be given to patients are correct is determined by the nurses relying on their personal attention and personal experience ability. Make judgments. As the types of medicines taken by inpatients may be as many as ten, and there may be thousands of medicines used in the entire hospital, plus the doses used by each patient are different, and there may be four times a day or once a day, etc. The frequency and time of use are different, so the probability of mistakes in this drug delivery process of nursing staff is not low. In medical clinical practice, nursing medication error is also the most common medical error of nursing staff.

Therefore, the unit single-dose medicine cart distributed by the pharmacy to the nursing station or the information medicine cabinet set up at the nursing station has become an important tool for modern hospital nurses to obtain medicines for inpatients. These units single-dose medicine carts or small information medicine cabinets are designed to store a variety of medicines. Each medicine cart or small information medicine library has multiple medicine boxes designed to store medicines, and can be assisted by computers. After confirming the identity of the nurse and the patient with the method and wireless induction, the nurse takes the medicine from the medicine cart or the medicine box in the information medicine cabinet, and then puts it on the nursing work cart used by the nursing staff when working in the ward. In the pill box of every inpatient she is caring for.

However, due to the limited number of nursing staff, each nursing staff must take care of 5 to 10 patients, and even during the late night shift, each nursing staff may take care of more than 15 patients. Therefore, every nursing staff at work will have to take out the medicines mentioned above, put them in the medicine box of the nursing work cart, and push the nursing work cart to the ward at different time points (such as day shift, night shift, and large night shift). After confirming the patient’s identity, the correct patient should be given the correct drug items, the correct quantity, and the correct route of administration (for example, Oral or injection, is it a one-time injection or slow drip) complex tasks.

Due to the wide variety of drugs, different doses of the same drug may be given, and multiple patients need to be administered at the same time, plus the nursing staff still have to perform other nursing tasks (such as turning over, changing dressings, giving Health education...), so working hours are under a lot of pressure, so it is often necessary to take out various types and quantities of medicines in a short period of time, and then put them in the medicine box of each patient in the nursing work car to get the correct one. Time to give patients the correct product and the correct dose of medicine.

Therefore, in this busy process, it is possible to cause various medication errors, such as medication errors when administering medications to patients, or medication dosage errors. In addition, even when patients take various medicines prescribed by hospital physicians at home, due to factors such as poor physical condition of the patients themselves, or older age and a wide variety of medicines, the patients often take the wrong dosage or take the medicines. The time is wrong or even the item is wrong. Therefore, whether it is before the nursing staff in the medical institution administers the medicine to the patient, or before the patient at home takes the medicine by himself, if there is a mechanism that can identify the correctness of the medicine items and dosages used at a certain point in time , Will greatly improve various possible medication errors.

In addition, since every time the nursing staff administers the medicine to the patient, they must record it in the nursing administration record. Therefore, after the nursing staff completes the administration work, they must spend another period of time on the computer to input or check the above-mentioned medicines. Record. Although in the current clinical practice of hospitals, computer systems are used to assist in completing this nursing medication record, as inpatients have a lot of drugs, click on various drugs with the mouse on the computer screen or even enter the name of the drug to complete Nursing medication records is a very cumbersome procedure. The more patients you are responsible for, the easier it is to make typing or checking errors. Therefore, this problem needs to be solved urgently.

Therefore, if it is possible to take photos of all the medicines that are about to be administered to the patient before the caregiver administers the medicine, and display the medicine photos on the medicine display screen. Because the screen is large, various words and marks on the medicine can be displayed. To be more clear, at this time, there is a function to remind 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 file that should be used at that time 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 When the data files do not match, various warning methods can be used to remind the nursing staff to review the medicine to avoid medication errors. If the identification comparison result is consistent with the photo file of the medicine that should be used, and after the identification comparison is completed, after the nurse confirms that the medicine has actually been given to the patient, a record of drug administration is generated and stored in an actual medication record File or write into the nursing medication record of the hospital’s medical information system. This will not only enable the nurses to use this pre-dose drug identification system to avoid medication errors before administering the drugs to the patient, but also because they can directly write the records after confirming that the comparison is correct, reducing the nursing staff’s completed payment. After the medicine is taken, the computer paperwork of the nursing medication record must be completed again. This will greatly reduce the indirect nursing work of the nursing staff. Therefore, this creation should be the best solution.

The inventive pre-administration drug identification system includes at least one photographing device for photographing the medicines to be administered to one or more patients and generating at least one set of medicine image files; at least one display screen is used for the photographing device The taken medicine image file is displayed on the display screen, and the display screen is used to display the taken photos on the display screen immediately after the shooting device starts shooting, so that the nursing staff can use the display screen in real time Identify the correctness of drugs; at least one image file data storage device for storing multiple image feature files with drug characteristics (including one or more angles of drug packaging, appearance text, color, size, shape, trademark or Pictures with other characteristics); at least one physician’s prescription data storage device is used to store multiple physician’s prescription data files, and the physician’s prescription data file contains the drug data used by one or more patients, and the drug data At least include 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 for storing multiple nursing care A drug record file, and the care drug delivery record file contains one or more drug administration records data; and at least one master control device, which is related to the shooting device, the display screen, the image file data storage device, The physician’s prescription data storage device and the electronic medical record data storage device are connected, and the master control device can receive the drug image files captured by the shooting device and the picture feature files of the drugs that the patient should use correctly at the time of shooting. And compare the photographed image file of the medicine with the picture feature file of the correct medicine that should be used to identify whether the medicine is the correct item.

More specifically, the drug information in the physician’s prescription data file contains at least the patient’s name, medical record number, account number, drug information, administration time, and method of administration. The drug information has the name and Relevant information, and can be linked to the image file data storage device, corresponding to one or more angles of the drug stored in the drug, including drug brand, drug trademark, drug name, drug specification content, drug barcode, drug appearance, including color , Shape, size or other characteristics of drug image files. Since this case is to directly compare 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 actual effect that can be used to identify the correctness of medicines during clinical nursing administration.

More specifically, the master control device compares the photographed image file of the drug with the image feature file of the correct drug that should be used, and confirms the item, dose, and time (identify the current time of administration and the time when the drug should be taken) After the time) are met, and after the nurse actually completes the action of giving the medicine to the patient, the master control device can be operated to confirm the completion of the drug delivery, so as to generate a sum of recognition and comparison for the patient at that point in time An error-free drug record, and the quantity, type, and item data of correctly used drugs are stored in the nursing administration record file.

More specifically, the master control device can be linked and bound with any one of the electronic medical record data storage devices or any multiple nursing medication record files, if the shooting device has not started shooting or/and the master When the control device does not perform identification and comparison, and the nursing staff directly administers the medicine to the patient, and directly enters the medication record data at the time through the main control device, the main control device can confirm the non-implementation according to the inspection requirements Drug shooting or/and drug picture identification and comparison process, and then temporarily stop the completion of the dosing record data, and until the shooting equipment is operated, and the drug identification process is executed and passed, and then the drug has been given to the patient, the master can be passed The equipment completes the medication record data.

More specifically, after the master control device recognizes and compares and confirms that it is correct or incorrect, if it is correct, the master control device can prompt through a sound device with sound or the display screen with images or directly with text. Carry out the nursing administration that has been identified as the correct use of medicines; if it is not correct, the master control device can prompt a warning message that the selected medicine is wrong through a sound device with sound or the display screen with an image or directly with text. It is used to remind nurses that they should re-examine the given medicines for errors in quantity or items.

More specifically, the master control device can pre-download or pre-store the physician’s prescription data file corresponding to a certain patient and the position in the picture file data storage device and the physician’s prescription data storage device before the identification and comparison. The medicine image file of the medicine that the patient should take at a certain time.

More specifically, the master 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 medication identification application program, wherein the computer can The read recording medium further stores computer-readable instructions. When the computer-readable instructions are executed by the processors, the medication identification application can be operated to display the drug image file and the picture. The feature file is identified and compared, and after the identification and comparison is completed, and the drug delivery action is confirmed, the drug delivery recognition application can generate a drug delivery time and drug delivery items that contain at least the drug delivery to the patient. The data of is stored in the care administration record file.

More specifically, the medication identification application program includes: a capture and input image module for the nurse to place the medicine in the shooting area of the shooting device before giving the medicine to the patient, and start the shooting The equipment shoots medicine image files (photographs or stop-frame pictures of images); an image display module is connected to the capture and input image module to display the medicine image files taken by the shooting equipment on the On the display screen; an extraction module that can extract the physician’s prescription data file corresponding to a patient and the patient’s physician’s prescription data file in a certain application The drug image file of the drug should be taken at the time of administration, and the drug image file can be displayed on the display screen synchronously; a drug identification and comparison module is connected to the capture and input image module and the extraction module , Used to identify and compare the drug image photos taken by the shooting equipment with the image photos of the doctor’s prescription drugs that should be correctly given at that point in time; and a medication record storage module that compares with the drug identification model The group connection is used to generate a drug record of the drug administration time and drug administration items given to the patient at the time point based on the identification and comparison result, and store it in the nursing administration record file.

The other technical content, features and effects of this creation will be clearly presented in the following detailed description of the preferred embodiment with reference to the drawings.

Please refer to Figures 1 to 3, which are the overall structure diagram of the pre-administration drug identification system, the structure diagram of the master control device and the structure diagram of the drug administration recognition application program. As can be seen from the figure, the pre-administration drug identification system The system includes main control equipment 1, shooting equipment 2, display screen 3, picture file data storage equipment 4, physician prescription data storage equipment 5, electronic medical record data storage equipment 6;

The photographing device 2 is used for photographing medicines to be given to one or more patients and generating at least one set of medicine image files; and the display screen 3 is used for displaying the medicine image files taken by the photographing equipment 2 on the display On the screen 3, the display screen 3 is used to display the captured photos on the display screen 3 immediately after the shooting device 2 starts shooting, so that the nursing staff can use the display screen to recognize the correctness of the medicine in real time;

The image file data storage device 4 is used to store a plurality of image feature files with drug characteristics (including one or more angles of drug packaging, appearance text, color, size, shape, trademark or other features of pictures);

The physician’s prescription data storage device 5 is used to store multiple physician’s prescription data files, and the physician’s prescription data file contains drug data used by one or more patients, and the drug data contains at least the patient’s name , Drug information, administration time, and method of administration. The drug information system has the name and related information of the drug used, and can be linked to the image file data storage device, corresponding to one or more of the drug drugs Image files of drug brands, drug trademarks, drug types, drug names, drug barcodes, and drug appearances including color, shape, size or other characteristics from different angles;

The electronic medical record data storage device 6 is used to store a plurality of nursing drug administration record files, and the nursing drug administration record file contains the drug administration record data of one or more drugs.

The main control device 1 is connected with the shooting device 2, the display screen 3, the image file data storage device 4, the physician prescription data storage device 5, and the electronic medical record data storage device 6, and the main control device 1 Can receive the drug image file captured by the shooting device 2 and the photo feature file of the drug that the patient should use correctly at the shooting time point, and combine the captured drug image file with the photo feature file of the correct drug that should be used Identification and comparison to identify whether the medicine is the correct item.

In addition, the main control device 1 can identify and compare the photographed image file of the drug with the image feature file of the correct drug that should be used, and confirm the type, dose, and time (identify the current time of administration and the time when the drug should be taken). After compliance, and after the actual completion of the action of giving the drug to the patient, the master control device can be operated to confirm the completion of the drug delivery, so as to generate a drug record that has been identified and compared to the patient at that point in time. And store the quantity and type of medicines correctly used in the nursing administration record file.

In addition, the master control device 1 can be linked and bound with any one of the electronic medical record data storage devices 6 or any multiple nursing medication record files. If the shooting device 2 does not start shooting or/and the master control When the device 1 does not perform identification and comparison, and the nursing staff directly administers the medicine to the patient, and directly enters the medication record data at the time point through the master control device 1, the master control device 1 can be based on the inspection requirements, Confirm that the drug shooting or/and drug picture identification and comparison process has not been performed, and then temporarily stop the completion of the dosing record data, and it will not be possible until the shooting equipment is operated, the drug identification process is executed and passed, and the drug has been given to the patient. Complete the dosing record data through the master control device.

In addition, the master control device 1 can pre-download the physician prescription data file corresponding to a patient and the physician prescription data file corresponding to the patient in the image file data storage device 4 and the physician prescription data storage device 5 before identification and comparison. An image file of a drug that should be taken at a certain time when the drug should be administered.

As shown in Figure 2, the master control device 1 at least includes at least one processor 11 and at least one computer-readable recording medium 12, and the computer-readable recording medium 12 stores at least one medication The identification application 121, wherein the computer-readable recording medium further stores computer-readable instructions. When the computer-readable instructions are executed by the processors 11, the medication identification application 121 can perform The operation is to identify and compare the drug image file with the image feature file, and after the identification and comparison is completed, and when it is confirmed that the medication has been completed, the medication identification application 121 can generate an entry containing at least The information on the time of drug administration and the items of drug administered to the patient is stored in the nursing administration record file.

As shown in Figure 3, the medication identification application 121 includes: (1) A capture and input image module 1211, which is used by the nursing staff to place the medicine in the shooting area of the shooting device before giving the medicine to the patient, and activate the shooting device to shoot the drug image file (photo or image) Stop-motion picture); (2) An image display module 1212, which is connected to the capture and input image module 1211, and is used to display the drug image file captured by the shooting device on the display screen; (3) An extraction module 1213, capable of extracting a physician’s prescription data file corresponding to a certain patient in the image file data storage device 4 and the physician’s prescription data storage device 5. The medicine image file of the medicine should be taken at the time, and the medicine image file can be synchronously displayed on the display screen 3; (4) A drug identification and comparison module 1214, which is connected to the capture and input image module 121 and the extraction module 1213, and is used to compare the photo of the drug image captured by the shooting device 2 with the time point The images and photos of the medicines prescribed by doctors should be correctly identified and compared; (5) A medication record storage module 1215, which is connected to the drug identification and comparison module 1214, and is used to generate a summary of the drug administration time and drug administration items given to the patient at the time based on 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. After the identification and comparison, if it is correct, the master device 1 can be electrically connected to the master device 1 through a The sounding device 7 can continue to administer medicines that have been correctly identified by sound or the display screen 3 with an image; The image prompts that the selected medicine has an error warning message, which is used to remind the nursing staff that the medicine given should be re-examined whether there is an error in the quantity or item of the medicine given.

The advantages of the pre-administration drug identification system provided by this creation, when compared with other conventional technologies, are as follows: (1) This creation can take a photo of the medicine to be given or used before the patient or the nursing staff give the medicine to the patient, and to file the photo with the medicine that should be given or used at that time in the doctor's prescription The picture data file is identified and compared. And because the medicines to be administered at this time point only have single-digit items and the quantity is very small, this time course of medicine identification and comparison can be completed extremely quickly. (2) After completing the drug identification and comparison procedure, this creation can generate a drug administration record and transmit or write the drug administration record if the drug is correct and the nursing staff confirms that the drug procedure has been actually performed to the patient. Enter the nursing records in the electronic medical record; or after completing the drug identification and comparison process, if the drugs used by the nursing staff or the patient themselves do not match the type or quantity of the drugs prescribed by the doctor at this point in time, it can be generated Warning messages in the form of audio or video text.

This creation has been disclosed above through the above-mentioned embodiments, but it is not intended to limit this creation. Anyone familiar with this technical field with ordinary knowledge should understand the aforementioned technical features and embodiments of this creation without departing from this creation. Within the spirit and scope, some changes and modifications can be made. Therefore, the scope of patent protection of this creation shall be subject to what is defined in the claims attached to this specification.

1: Master control device 11: processor 12: Computer readable recording media 121: Drug Recognition App 1211: Capture and input image module 1212: Image display module 1213: Extract module 1214: Drug identification and comparison module 1215: Dosing record storage module 1216: Prompt Module 2: shooting equipment 3: display screen 4: Picture file data storage equipment 5: Physician's prescription data storage equipment 6: Electronic medical record data storage equipment 7: Sounding device

[Figure 1] is a schematic diagram of the overall architecture of the pre-administration drug identification system of this creation. [Figure 2] is a schematic diagram of the structure of the main control device of the pre-administration drug identification system of this creation. [Figure 3] is a schematic diagram of the drug delivery identification application program of the pre-administration drug identification system.

1: Master control device

2: shooting equipment

3: display screen

4: Picture file data storage equipment

5: Physician's prescription data storage equipment

6: Electronic medical record data storage equipment

7: Sounding device

Claims (6)

A pre-administration drug identification system, which includes: At least one photographing device for photographing medicines to be given to one or more patients and generating at least one group of medicine image files; A display screen for displaying the medicine image file taken by the shooting device on the display screen; At least one picture file data storage device for storing multiple picture feature files with drug characteristics; At least one physician's prescription data storage device for storing multiple physician's prescription data files, and the physician's prescription data file contains the drug data used by one or more patients; At least one electronic medical record data storage device for storing multiple nursing drug administration record files, and the nursing drug administration record file contains one or more drug administration record data; and At least one master control device is connected to the shooting device, the display screen, the image file data storage device, the physician prescription data storage device, and the electronic medical record data storage device, and the master control device can receive the shooting device The captured drug image file and the photo feature file of the drug used correctly by the patient at the shooting time point, and the captured drug image file and the photo feature file are identified and compared. The pre-administration drug identification system according to claim 1, wherein the master control device can generate a sum of identification and comparison for the patient at that point in time after the identification, comparison and confirmation, and after the actual administration is completed The correct drug record data is stored in the nursing administration record file. The pre-administration drug identification system according to claim 2, wherein the master control device is capable of linking and binding with any one or any of the electronic medical record data storage devices or multiple nursing drug administration record files. If the device does not start shooting or/and the master control device does not perform identification and comparison, the master control device cannot store the quantity and type of medicines in the nursing administration record file. The pre-administration drug identification system according to claim 1, wherein after the master control device is identified and compared and confirmed to be correct or incorrect, the master control device can prompt through a sounding device or the display screen that it should be given The medicine, or the medicine that prompts the selected medicine has an error message. The pre-administration drug identification system according to claim 1, wherein the master control device can be pre-downloaded or pre-stored in the image file data storage device and the physician's prescription data storage device before the identification and comparison corresponding to a certain person The patient’s physician’s prescription data file and the drug image file of the patient who should take drugs at a certain time. The pre-administration drug identification system according to claim 1, wherein the master 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 A drug identification application program, wherein the computer readable recording medium further stores computer readable instructions. When the computer readable instructions are executed by the processors, the drug delivery identification application program can be operated, To identify and compare the drug image file with the picture feature file, and after the identification and comparison is completed, and when it is confirmed that the drug delivery action has been completed, the drug delivery recognition application can generate a payment containing at least the drug given to the patient The drug administration time and the information of the drug administration items are stored in the nursing administration record file.

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