TWM653074U - Clinical trial drug intelligent management and verification system - Google Patents

Clinical trial drug intelligent management and verification system Download PDF

Info

Publication number
TWM653074U
TWM653074U TW112211487U TW112211487U TWM653074U TW M653074 U TWM653074 U TW M653074U TW 112211487 U TW112211487 U TW 112211487U TW 112211487 U TW112211487 U TW 112211487U TW M653074 U TWM653074 U TW M653074U
Authority
TW
Taiwan
Prior art keywords
drug
trial
clinical trial
drugs
management
Prior art date
Application number
TW112211487U
Other languages
Chinese (zh)
Inventor
陳彥儒
蔡慈貞
陳惠玉
周先媛
鄭益豪
Original Assignee
長庚醫療財團法人林口長庚紀念醫院
Filing date
Publication date
Application filed by 長庚醫療財團法人林口長庚紀念醫院 filed Critical 長庚醫療財團法人林口長庚紀念醫院
Publication of TWM653074U publication Critical patent/TWM653074U/en

Links

Abstract

本新型提供一種臨床試驗藥品智慧管理檢覈系統,包含資料庫、電子藥櫃以及電腦系統;本新型系統具有管理子系統及檢覈子系統,其中該管理子系統包含電子藥櫃管理模組及試驗藥品資訊管理模組;檢覈子系統包含一授權藥師模組,因此可達到授權藥師管理檢覈機制、建置完整的試驗藥品基本檔、電子藥櫃、調劑記錄單及退藥回收記錄單電子化、效期管理全程資訊化,更即時且精準掌握試驗藥品狀態,提升藥品管理效率。This new model provides an intelligent management and verification system for clinical trial drugs, including a database, an electronic medicine cabinet and a computer system; this new system has a management subsystem and a verification subsystem, wherein the management subsystem includes an electronic medicine cabinet management module and Experimental drug information management module; the inspection subsystem includes an authorized pharmacist module, so it can achieve an authorized pharmacist to manage the inspection mechanism, establish a complete basic file of experimental drugs, electronic medicine cabinets, dispensing records and returned drug recovery records The entire electronic and expiry date management process is informatized, allowing for more real-time and accurate understanding of the status of trial drugs, improving drug management efficiency.

Description

臨床試驗藥品智慧管理檢覈系統Clinical trial drug intelligent management and verification system

本新型是有關於一種藥品智慧管理檢覈系統,尤其是一種臨床試驗藥品智慧管理檢覈系統,用於臨床試驗藥品入庫、調劑與發藥、退藥流程、試驗案調閱、試驗記錄電子化及效期管理全程資訊化。This new model relates to a smart drug management and verification system, in particular a smart clinical trial drug management and verification system, which is used for clinical trial drug storage, dispensing and dispensing, drug withdrawal processes, trial case review, and electronic test records. And the entire validity management process is informatized.

市面藥局販售的是已上市藥品,然而,臨床試驗藥品因仍在實驗階段(安全劑量、治療劑量與藥品使用期限未定),有極高安全性疑慮,須符合試驗案納入條件、簽署同意書同意用藥治療,且能與醫護密切聯繫與配合者,方能成為此試驗案之受試者,為保密受試者身分,試驗案執行過程之試驗記錄以受試者代碼(Subject no.)取代姓名。試驗案為求試驗結果客觀而有盲性需求,使參與試驗之一方或多方不知試驗治療分配之方式,會將試驗藥品設計為盲性包裝,其發放最小單位(每瓶或每盒)其有專屬藥品號碼(Kit No.),於受試者每次領藥前,藥事人員登入廠商設定之臨床試驗網頁互動系統(Interactive Web Response System, IWRS)取得分派於此受試者的專屬藥品號碼後,方能遵醫囑與廠商指定之專屬藥品號碼調劑給藥。因此,試驗藥師取藥原則便非「先進先出」或「效期近者先取」而是要能指定專屬藥品號碼給藥,並完整記錄之。Drugs sold in pharmacies on the market are already on the market. However, since clinical trial drugs are still in the experimental stage (safe dosage, therapeutic dosage and drug shelf life have not been determined), there are extremely high safety concerns. Only those who meet the conditions for inclusion in the trial, sign the consent form to agree to the drug treatment, and can maintain close contact and cooperate with medical staff can become subjects of this trial. In order to keep the identity of the subjects confidential, the trial records during the trial execution process use the subject code (Subject no.) instead of the name. In order to obtain objective trial results, the trial case has a blind requirement. In order to prevent one or more parties involved in the trial from knowing how the trial treatment is allocated, the trial drug will be designed with blind packaging. The smallest unit of distribution (each bottle or each box) has a unique drug number (Kit No.). Before each subject receives the drug, the pharmacy staff will log in to the Interactive Web Response System (IWRS) set by the manufacturer to obtain the unique drug number assigned to the subject. Only then can the drug be dispensed according to the doctor's instructions and the unique drug number specified by the manufacturer. Therefore, the principle of drug collection by the trial pharmacist is not "first in, first out" or "first in for the nearest expiration date", but to be able to specify the unique drug number for dispensing and record it completely.

為保護受試者之權利、安全及福祉為藥品臨床試驗之最重要考量,藥品優良臨床試驗作業準則(GCP)亦訂定相關嚴格規範:(1)關於各案人員權限(醫師、受試者、藥師、研究助理),(2)關於試驗藥品記錄,(3)關於臨床試驗使用電子資料處理系統,確保電子資料處理系統符合試驗委託者對資料完整性、精確度、可信度及一致性之要求,防止未經授權者使用系統或數據。資料於處理過程中經過轉換者,原始觀察資料應能與轉換後資料進行比較,確保系統對資料更正之設計保存原有記錄,且不將原輸入資料刪除。系統應分別保存稽核路徑、資料路徑與修正路徑。任何修正,應記錄其修正日期及修正原因,且不得覆蓋原先之記錄。應保存至試驗藥品於我國獲准上市後至少二年,現藥局內部要求存放至結案後十五年,保留適當之資料備份,確保盲性設計。In order to protect the rights, safety and well-being of subjects as the most important consideration in drug clinical trials, the Good Clinical Practice Guidelines (GCP) also stipulates relevant strict regulations: (1) Regarding the authority of personnel in each case (physicians, subjects , pharmacist, research assistant), (2) regarding trial drug records, (3) regarding the use of electronic data processing systems for clinical trials, ensuring that the electronic data processing system meets the trial client’s requirements for data integrity, accuracy, credibility and consistency requirements to prevent unauthorized use of systems or data. If the data is converted during the processing, the original observation data should be compared with the converted data to ensure that the system's design of data correction preserves the original records and does not delete the original input data. The system should save the audit path, data path and correction path separately. Any amendment shall record the date of amendment and the reason for the amendment, and shall not overwrite the original record. It should be kept for at least two years after the experimental drug is approved for marketing in my country. The current internal requirement of the pharmacy is to keep it for fifteen years after the case is closed. Appropriate data backup should be retained to ensure blind design.

為符合試驗案相關法規規範,原執行方式是於執行前,詳列繁雜的資訊於各案紙本SOP,製作各藥品的紙本調劑與發藥記錄表,印出後歸類放置於藥劑活頁夾(pharmacy binder)。發藥前查詢試驗案櫃位,至總鑰匙櫃取鑰匙開樞,拿出藥劑活頁夾查閱試驗案SOP,並落實「四讀五對」,於核對處方箋、取藥時、藥師依藥瓶資訊填寫調劑記錄表後、交付藥品給研究助理時,確認試驗案基本資料對(核對試驗案之IRB原案號、主持人、協同主持人、研究助理)、受試者基本資料對(核對受試者名冊)、藥品對(依試驗案核對藥品,以專屬藥品號碼為給藥依據,核對臨床試驗網頁互動系統確認信(IWRS Confirmation letter),或以批號編號(Batch No.)為給藥依據核對批號)、品項及數量對(與研究助理共同核對),再者,試驗藥品流向記錄以往是以紙本填寫方式呈現,易發生謄寫筆誤、庫存量加總錯誤、漏核對某一重要資訊所致的異常事件。In order to comply with the relevant laws and regulations of the trial case, the original implementation method was to list the complicated information in the paper SOP of each case in detail before implementation, prepare a paper dispensing and dispensing record sheet for each drug, print it out and then classify it into a pharmaceutical loose leaf. Pharmacy binder. Before dispensing medicine, check the trial case counter, go to the master key cabinet to get the key, take out the medicine binder to read the trial case SOP, and implement "four readings and five pairs". When checking the prescription and picking up the medicine, the pharmacist will follow the medicine bottle After filling in the dispensing record form and delivering the drugs to the research assistant, confirm the basic information of the trial case (check the original IRB case number of the trial case, host, co-host, and research assistant) and the basic information of the subjects (check the subjects patient roster), drug pair (check the drug according to the trial case, use the exclusive drug number as the basis for dosing, check the clinical trial web interactive system confirmation letter (IWRS Confirmation letter), or use the batch number (Batch No.) as the basis for dosing) Batch number), item and quantity (check with the research assistant). Furthermore, the flow records of experimental drugs were previously presented on paper, which is prone to clerical errors, inventory totaling errors, and omission of certain important information. abnormal events.

試驗藥品未有長期安定性試驗結果,其有效期限較已上市藥品短(多數進藥時僅餘半年至二年即到期),試驗藥局效期管理的機制為每2個月定期盤點藥品效期,標示區隔近半年到期的藥品,物理性隔離過期藥品,並發信通知試驗委託廠商留意與處理近效期(或過期)藥品。試驗藥品屬「近效期」藥品比例高,以往須寄上百封電子郵件通知廠商,耗時且不即時。各試驗案於庫存區與退藥區均設有獨立專櫃儲存,長期以來皆以人工方式查詢找出相對應櫃位,並以傳統鑰匙執行開櫃,除了執行業務須頻繁搜尋建檔櫃位外,管理與維護大量鑰匙亦是另一項負擔。There are no long-term stability test results for the experimental drugs, and their validity period is shorter than that of the drugs on the market (most drugs only expire in half a year to two years when they are purchased). The mechanism for the validity period management of the experimental drugs is to regularly inventory the drugs every two months. The expiry date is marked to mark the drugs that have expired in the past six months, physically isolate the expired drugs, and send a letter to notify the trial client to pay attention to and deal with the drugs that are close to the expiration date (or expired). There is a high proportion of experimental drugs with "near expiration dates". In the past, hundreds of emails had to be sent to notify manufacturers, which was time-consuming and not timely. Each trial case has separate counters for storage in the inventory area and drug return area. For a long time, manual searches have been used to find the corresponding counters, and traditional keys are used to open the cabinets. In addition to frequently searching for filing counters when performing business , managing and maintaining a large number of keys is also another burden.

為了解決上述問題,本領域的技術人員亟需研發出新穎的臨床試驗藥品智慧管理檢覈系統以造福有此需求的廣大族群。In order to solve the above problems, technicians in the field urgently need to develop a novel intelligent management and verification system for clinical trial drugs to benefit the vast number of people in need.

有鑑於此,本新型之目的為提供一種臨床試驗藥品智慧管理檢覈系統,包含:一資料庫,儲存複數個臨床試驗案之基本資料,該臨床試驗案之基本資料至少包含一臨床試驗案編號(Protocol No.)及一人體試驗倫理委員會(IRB)案號;一電子藥櫃,具有複數隔層櫃體,每一隔層櫃體專用於該複數個臨床試驗案的其中之一,並儲存專用臨床試驗案的一成冊文件及一對應試驗藥品,且該每一隔層櫃體設置一門板,於該門板設有一電子鎖及一具指示燈之按鈕開關;以及一電腦系統,控制該每一門板之電子鎖及該按鈕開關之指示燈,當該電腦系統接收該複數個臨床試驗案的其中之一的臨床試驗案編號或IRB案號時,則該電腦系統依據該資料庫的基本資料控制該專用臨床試驗案的隔層櫃體之門板上的電子鎖解鎖及指示燈亮,直到該按鈕開關被按壓時,則該電腦系統被觸發控制電子鎖上鎖及指示燈熄滅。In view of this, the purpose of this new model is to provide an intelligent management and verification system for clinical trial drugs, which includes: a database that stores basic information on a plurality of clinical trial cases. The basic information on the clinical trial cases at least includes a clinical trial case number. (Protocol No.) and a human experiment ethics committee (IRB) case number; an electronic medicine cabinet with a plurality of compartment cabinets, each compartment cabinet is dedicated to one of the plurality of clinical trial cases, and stores A volume of documents for a dedicated clinical trial case and a corresponding experimental drug, and each compartment cabinet is provided with a door panel, which is equipped with an electronic lock and a button switch with an indicator light; and a computer system to control the The electronic lock of each door panel and the indicator light of the button switch. When the computer system receives the clinical trial case number or IRB case number of one of the plurality of clinical trial cases, the computer system will based on the basic information of the database. The data controls the electronic lock on the door panel of the compartment cabinet of the special clinical trial case to be unlocked and the indicator light to turn on. When the button switch is pressed, the computer system is triggered to control the electronic lock to lock and the indicator light to turn off.

在本新型一實施例中,該基本資料進一步包含:主持人姓名、試驗執行醫院及院區名稱、一試驗藥品清單及一可操作藥師與研究助理清單。In an embodiment of the present invention, the basic data further includes: the name of the host, the name of the hospital and campus where the trial is conducted, a list of trial drugs, and a list of available pharmacists and research assistants.

在本新型一實施例中,該試驗藥品清單至少包含料位號、材料編號、藥名、批號、效期、藥品數量、專屬藥品號碼(Kit No.)及出貨編號(Shipment No.)。In an embodiment of the present invention, the test drug list at least includes a material position number, a material number, a drug name, a batch number, an expiration date, a drug quantity, a unique drug number (Kit No.) and a shipping number (Shipment No.).

在本新型一實施例中,該電腦系統包括一管理子系統及一檢覈子系統。In an embodiment of the present invention, the computer system includes a management subsystem and a checking subsystem.

在本新型一實施例中,該管理子系統包含一電子藥櫃管理模組及一試驗藥品資訊管理模組,其中該電子藥櫃管理模組連接該資料庫,以查詢該基本資料之臨床試驗案編號或人體試驗倫理委員會案號,進而控制專用隔層櫃體之門板上的電子鎖解鎖及指示燈亮。In an embodiment of the present invention, the management subsystem includes an electronic medicine cabinet management module and a trial drug information management module, wherein the electronic medicine cabinet management module is connected to the database to query the basic information of clinical trials. The case number or Human Experiment Ethics Committee case number is used to control the electronic lock on the door panel of the special compartment cabinet to unlock and the indicator light to turn on.

在本新型一實施例中,該試驗藥品資訊管理模組係對於該對應試驗藥品進行效期管理、調劑紀錄及退藥回收紀錄。In an embodiment of the present invention, the test drug information management module performs expiration management, dispensing records, and returned drug recovery records for the corresponding test drugs.

在本新型一實施例中,該檢覈子系統包含一授權藥師模組,該授權藥師模組接受一有權限的藥師刷卡被授權進入有權限的臨床試驗案以進行該臨床試驗案及該對應試驗藥品的管理。In an embodiment of the present invention, the verification subsystem includes an authorized pharmacist module. The authorized pharmacist module accepts an authorized pharmacist who is authorized to enter the authorized clinical trial case by swiping his card to conduct the clinical trial case and the corresponding Management of investigational medicinal products.

在本新型一實施例中,該檢覈子系統對於該有權限的臨床試驗案,依照該試驗藥品清單比對該對應試驗藥品的批次入庫與逐一出庫。In an embodiment of the present invention, the inspection subsystem compares the batch entry and one-by-one exit of the corresponding trial drugs according to the trial drug list for the authorized clinical trial case.

在本新型一實施例中,該電腦系統進一步包含一電子標籤模組用以讀取一藥袋或該對應試驗藥品上的電子標籤。In one embodiment of the present invention, the computer system further comprises an electronic label module for reading an electronic label on a medicine bag or the corresponding test drug.

在本新型一實施例中,該電子藥櫃進一步包含一電子顯示模組用以顯示取藥量。In an embodiment of the present invention, the electronic medicine cabinet further includes an electronic display module for displaying the amount of medicine taken.

綜上所述,本新型臨床試驗藥品智慧管理檢覈系統的功效在於:含入庫、調劑與發藥、退藥流程、試驗案調閱、試驗記錄電子化及效期管理全程資訊化。此系統供被授權藥師建立各臨床試驗案基本資料(含試驗案號、主持人、試驗藥品清單、可操作藥師與研究助理清單等),使能於後續管理流程檢覈人員權限。入庫時將擬進藥之專屬藥品號碼(Kit No.)、批號、效期等資訊批次匯入後台,系統同時印製電子標籤,例如:具二維條碼的貼紙包括但不限於QR Code貼紙,供被授權藥師於每個藥品貼標,使調劑與發藥、退藥流程能逐一掃描電子標籤,供系統核對受試者、取藥品項、批號,並把關藥品效期至下次返診領藥前仍未過期。臨床試驗案成冊文件(含個案SOP、受試者名冊、試驗計畫書等)與試驗藥品置於電子藥櫃的同一隔層櫃體,可透過前台「試驗案調閱」功能檢索或歸檔文件。To sum up, the functions of this new smart clinical trial drug management and verification system include: storage, dispensing and dispensing, drug withdrawal process, trial case review, electronic trial records and full informatization of validity period management. This system allows authorized pharmacists to create basic information for each clinical trial case (including trial case number, moderator, list of trial drugs, list of operational pharmacists and research assistants, etc.), and enables the verification of personnel permissions in subsequent management processes. When warehousing, the unique drug number (Kit No.), batch number, expiration date and other information of the drugs to be imported will be imported into the backend in batches. The system will also print electronic labels, for example: stickers with two-dimensional barcodes including but not limited to QR Code stickers. , for authorized pharmacists to label each drug, so that the electronic labels can be scanned one by one in the process of dispensing, dispensing, and returning drugs, so that the system can check the subjects, obtain drug items, and batch numbers, and check the validity period of the drug until the next return visit. It has not expired before receiving the medicine. The clinical trial case documents (including case SOP, subject roster, trial plan, etc.) are placed in the same compartment of the electronic medicine cabinet as the trial drugs, and can be retrieved or archived through the "Trial Case Retrieval" function at the front desk document.

此外,本新型系統於藥品即期及過期會發信通知,提醒藥師標示區隔,並轉知廠商安排進藥與回收過期藥品。試驗案執行結束後,系統將鎖定無法再執行入庫、調劑與退藥動作,但仍可瀏覽與修訂記錄報表。而試驗記錄電子化符合良好藥品臨床試驗規範(good clinical practice, GCP)規範,詳列藥品流向記錄,原始觀察資料應能與轉換後資料進行比較,若試驗案事件記錄有誤可修訂,原始及修訂記錄均會保留,並保存稽核路徑,記錄其修訂日期、時間、修訂原因及修訂者,並可完整匯出於試驗記錄表格,供試驗委託廠商與衛生主管機關監測查核。此外,本新型臨床試驗藥品智慧管理檢覈系統具授權藥師管理檢覈機制、建置完整的試驗藥品基本檔、電子藥櫃、調劑記錄單及退藥回收記錄單電子化、效期管理全程資訊化,更即時且精準掌握試驗藥品狀態,提升藥品管理效率。In addition, this new system will send notification letters when drugs are on time and expired, reminding pharmacists to mark the compartments, and notifying the manufacturer to arrange for the purchase of drugs and the recall of expired drugs. After the execution of the trial case is completed, the system will be locked and cannot perform warehousing, dispensing, and withdrawal actions, but the record reports can still be browsed and revised. The electronic test records comply with Good Clinical Practice (GCP) specifications and detail drug flow records. The original observation data should be compared with the converted data. If the test case event records are incorrect, they can be revised. The original and All revision records will be retained, and the audit path will be saved to record the date, time, reason for revision and the person who revised it, and can be completely exported to the test record form for monitoring and verification by the test entrusting manufacturer and the health authority. In addition, this new smart clinical trial drug management and review system has an authorized pharmacist management and review mechanism, the establishment of a complete basic file of trial drugs, electronic medicine cabinets, electronic dispensing records and drug withdrawal records, and full information on validity period management. ization, more real-time and accurate grasp of the status of experimental drugs, and improved drug management efficiency.

以下將進一步說明本新型的實施方式,下述所列舉的實施例係用以闡明本新型,並非用以限定本新型之範圍,任何熟習此技藝者,在不脫離本新型之精神和範圍內,當可做些許更動與潤飾,因此本新型之保護範圍當視後附之申請專利範圍所界定者為準。The embodiments of the present invention will be further described below. The examples listed below are used to illustrate the present invention and are not intended to limit the scope of the present invention. Anyone familiar with this art can, without departing from the spirit and scope of the present invention, Slight modifications and modifications may be made, so the scope of protection of the present invention shall be determined by the appended patent application scope.

以下將參照相關圖式,說明依據本新型臨床試驗藥品智慧管理檢覈系統的較佳實施例,其中相同的元件將以相同的參照符號加以說明。The following will describe preferred embodiments of the new intelligent management and verification system for clinical trial drugs according to the present invention with reference to the relevant drawings, in which the same components will be described with the same reference symbols.

本新型臨床試驗藥品智慧管理檢覈系統,含入庫、調劑與發藥、退藥流程、試驗案調閱、試驗記錄電子化及效期管理全程資訊化。此系統供藥師建立各試驗案基本資料(含試驗案號、主持人、試驗藥品清單、可操作藥師與研究助理清單等),使能於後續管理流程檢覈人員權限。入庫時將擬進藥之專屬藥品號碼(Kit No.)、批號、效期等資訊批次匯入後台,系統同時印製QR Code貼紙,供藥師於每個藥品貼標,使調劑與發藥、退藥流程能逐一掃描QR Code,供系統核對受試者、取藥品項、批號,並把關藥品效期至下次返診領藥前仍未過期。試驗案成冊文件(含個案SOP、受試者名冊、試驗計畫書等)與試驗藥品置於電子藥櫃的同一隔層櫃體,可透過電腦系統的前台「試驗案調閱」功能檢索或歸檔文件。此外,本新型系統於藥品即期及過期會發信通知,提醒藥師標示區隔,並轉知廠商安排進藥與回收過期藥品。試驗案執行結束後,系統將鎖定無法再執行入庫、調劑與退藥動作,但仍可瀏覽與修訂記錄報表。而試驗記錄電子化符合良好藥品臨床試驗規範(good clinical practice, GCP)規範,詳列藥品流向記錄,原始觀察資料應能與轉換後資料進行比較,若試驗案事件記錄有誤可修訂,原始及修訂記錄均會保留,並保存稽核路徑,記錄其修訂日期、時間、修訂原因及修訂者,並可完整匯出於試驗記錄表格,供試驗委託廠商與衛生主管機關監測查核。This new clinical trial drug intelligent management and inspection system includes warehousing, dispensing and dispensing, drug return process, trial case review, electronic trial record and expiration date management. This system allows pharmacists to establish basic information for each trial case (including trial case number, host, trial drug list, list of pharmacists and research assistants who can operate, etc.), so that personnel permissions can be inspected in the subsequent management process. When entering the warehouse, the exclusive drug number (Kit No.), batch number, expiration date and other information of the proposed drug will be imported into the backend in batches. The system will also print QR Code stickers for pharmacists to label each drug, so that the dispensing, dispensing and return processes can scan the QR Code one by one, so that the system can verify the subjects, drug items, batch numbers, and check that the drug expiration date has not expired before the next return visit to collect the drug. The test case files (including case SOP, subject list, test plan, etc.) are placed in the same compartment of the electronic medicine cabinet as the test drugs. The files can be retrieved or archived through the front desk "test case retrieval" function of the computer system. In addition, this new system will send a letter to notify the pharmacist when the drug is expiring or expired, reminding the pharmacist to mark the separation, and inform the manufacturer to arrange the purchase of drugs and recall expired drugs. After the test case is completed, the system will be locked and no longer able to execute the warehousing, adjustment and return of drugs, but the record report can still be browsed and revised. The electronicization of trial records complies with the standards of good clinical practice (GCP), and records the flow of drugs in detail. The original observation data should be able to be compared with the converted data. If the trial event records are incorrect and can be revised, both the original and revised records will be retained, and the audit path will be saved to record the revision date, time, reason for revision and reviser. It can also be fully exported to the trial record form for monitoring and inspection by the trial commissioning manufacturer and health authorities.

此外,本新型臨床試驗藥品智慧管理檢覈系統具授權藥師管理檢覈機制、建置完整的試驗藥品基本檔、電子藥櫃、調劑記錄單及退藥回收記錄單電子化、效期管理全程資訊化,更即時且精準掌握試驗藥品狀態,提升藥品管理效率。以下將以實施例來說明本新型臨床試驗藥品智慧管理檢覈系統的特徵。In addition, this new smart clinical trial drug management and verification system has an authorized pharmacist management and verification mechanism, the establishment of a complete basic file of trial drugs, electronic medicine cabinets, electronic dispensing records and drug withdrawal records, and full information on validity period management. ization, more real-time and accurate grasp of the status of experimental drugs, and improved drug management efficiency. The following examples will be used to illustrate the characteristics of the new intelligent management and verification system for clinical trial drugs.

請參閱圖1,為本新型一實施例之臨床試驗藥品智慧管理檢覈系統(以下簡稱系統1)的系統架構圖。系統1包括一資料庫10、一電子藥櫃20以及一電腦系統30,其中,該資料庫10用於儲存複數個臨床試驗案之基本資料,該臨床試驗案之基本資料至少包含一臨床試驗案編號(Protocol No.)及一人體試驗倫理委員會(IRB)案號。在本新型的一較佳實施例,該基本資料進一步可包含:主持人姓名、試驗執行醫院及院區名稱、一試驗藥品清單及一可操作藥師與研究助理清單,其中該試驗藥品清單至少包含料位號、材料編號、藥名、批號、效期、藥品數量及出貨編號(Shipment No.)。Please refer to FIG. 1, which is a system architecture diagram of a smart management and inspection system for clinical trial drugs (hereinafter referred to as system 1) of an embodiment of the present invention. System 1 includes a database 10, an electronic medicine cabinet 20, and a computer system 30, wherein the database 10 is used to store basic data of a plurality of clinical trial cases, and the basic data of the clinical trial case at least includes a clinical trial case number (Protocol No.) and a human trial ethics committee (IRB) case number. In a preferred embodiment of the present invention, the basic data may further include: the name of the host, the name of the hospital and campus where the trial is conducted, a list of trial drugs, and a list of pharmacists and research assistants who can operate the trial, wherein the list of trial drugs at least includes the material position number, material number, drug name, batch number, expiration date, drug quantity and shipping number (Shipment No.).

續參考圖1,該電子藥櫃20具有複數隔層櫃體21,每一隔層櫃體21專用於該複數個臨床試驗案的其中之一。該專用臨床試驗案的隔層櫃體21儲存專用臨床試驗案的一成冊文件及一對應試驗藥品,且該每一隔層櫃體設置一門板22,於該門板設有一電子鎖(圖中未示)及一具指示燈之按鈕開關23。在本新型一實施例,該電腦系統30進一步包含一電子標籤模組24用以讀取一藥袋及試驗藥品上的電子標籤,且該電子藥櫃20進一步包含一電子顯示模組25用以顯示取藥量,其中該電子顯示模組25可為一電子顯示面板,例如一觸控式電子顯示面板。Continuing with reference to FIG. 1 , the electronic medicine cabinet 20 has a plurality of compartment cabinets 21, each compartment cabinet 21 being dedicated to one of the plurality of clinical trial cases. The compartment cabinet 21 dedicated to the clinical trial case stores a book of documents of the dedicated clinical trial case and a corresponding trial drug, and each compartment cabinet is provided with a door panel 22, on which an electronic lock (not shown) and a button switch 23 with an indicator light are provided. In one embodiment of the present invention, the computer system 30 further includes an electronic label module 24 for reading the electronic labels on a medicine bag and the test medicine, and the electronic medicine cabinet 20 further includes an electronic display module 25 for displaying the amount of medicine taken, wherein the electronic display module 25 can be an electronic display panel, such as a touch-type electronic display panel.

又參考圖1,電腦系統30控制該每一門板22之電子鎖及該按鈕開關23之指示燈,當該電腦系統30接收該複數個臨床試驗案的其中之一的臨床試驗案編號或IRB案號時,則該電腦系統30依據該資料庫10的基本資料控制該專用臨床試驗案的隔層櫃體之門板22上的電子鎖解鎖及指示燈23亮,直到該按鈕開關被按壓時,則該電腦系統30被觸發控制電子鎖上鎖及指示燈23熄滅。Referring again to FIG. 1 , the computer system 30 controls the electronic lock of each door panel 22 and the indicator light of the button switch 23. When the computer system 30 receives the clinical trial case number or IRB case number of one of the plurality of clinical trial cases, the computer system 30 controls the electronic lock on the door panel 22 of the compartment cabinet of the dedicated clinical trial case to unlock and the indicator light 23 to light up according to the basic data of the database 10, until the button switch is pressed, the computer system 30 is triggered to control the electronic lock to lock and the indicator light 23 to go out.

請參閱圖2,其為臨床試驗藥品智慧管理檢覈系統的電腦系統之方塊圖,該電腦系統30包括一管理子系統310及一檢覈子系統410,其中該管理子系統310包含一電子藥櫃管理模組311及一試驗藥品資訊管理模組312,其中該電子藥櫃管理模組311連接該資料庫10,以查詢該基本資料之臨床試驗案編號或人體試驗倫理委員會案號,進而控制專用隔層櫃體之門板22上的電子鎖解鎖及指示燈23亮。該試驗藥品資訊管理模組312係對於該對應試驗藥品進行效期管理、調劑紀錄及退藥回收紀錄。Please refer to FIG. 2, which is a block diagram of a computer system of a clinical trial drug intelligent management and inspection system. The computer system 30 includes a management subsystem 310 and an inspection subsystem 410, wherein the management subsystem 310 includes an electronic medicine cabinet management module 311 and a trial drug information management module 312, wherein the electronic medicine cabinet management module 311 is connected to the database 10 to query the clinical trial case number or the human trial ethics committee case number of the basic data, and then control the electronic lock on the door panel 22 of the dedicated compartment cabinet to unlock and the indicator light 23 to light up. The trial drug information management module 312 performs expiration management, adjustment records, and drug return and recovery records for the corresponding trial drugs.

該檢覈子系統410包含一授權藥師模組411,該授權藥師模組411接受一有權限的藥師刷卡被授權進入有權限的臨床試驗案以進行該臨床試驗案及該對應試驗藥品的管理。在本新型之一實施例,該檢覈子系統410對於該有權限的臨床試驗案,依照該試驗藥品清單比對該對應試驗藥品的批次入庫與逐一出庫。The inspection subsystem 410 includes an authorized pharmacist module 411, which accepts a card swipe from an authorized pharmacist to be authorized to enter the authorized clinical trial case to manage the clinical trial case and the corresponding trial drugs. In one embodiment of the present invention, the inspection subsystem 410 compares the batch entry and one-by-one exit of the corresponding trial drugs according to the trial drug list for the authorized clinical trial case.

本新型的系統操作流程圖請參閱圖3~圖9。在本新型一較佳實施例中,試驗藥局入庫流程包括於電腦系統30進行一後台操作以及一前台操作,其中後台操作包括匯入進藥資料至資料庫10以及印製電子標籤,例如QR Code貼紙;前台操作包括電腦系統30控制以置入藥品於電子藥櫃20內,以方便進行後續的調劑流程,請參見圖3及圖4。Please refer to Figure 3 to Figure 9 for the operation flow chart of this new system. In a preferred embodiment of the present invention, the trial pharmacy warehousing process includes performing a background operation and a front-end operation in the computer system 30, wherein the background operation includes importing medication data into the database 10 and printing electronic labels, such as QR Code sticker; the front-end operation includes computer system 30 control to place medicines in the electronic medicine cabinet 20 to facilitate the subsequent dispensing process, please see Figures 3 and 4.

在本實施例中,進藥資料至少包含擬進藥的料位號、材料編號、藥名、批號、效期、藥品數量、專屬藥品號碼(Kit No.)及出貨編號(Shipment No.)。In this embodiment, the drug import data at least includes the material position number, material number, drug name, batch number, expiration date, drug quantity, unique drug number (Kit No.) and shipping number (Shipment No.) of the drug to be imported.

請參見圖5~圖8,在本實施例中試驗藥局試驗案調劑、盤點藥品、退藥、移除藥品及盤點藥品流程包括由電腦系統30的檢覈子系統410的授權藥師模組411接受一有權限的藥師刷卡被授權進入有權限的臨床試驗案以進行該臨床試驗案及該對應試驗藥品的管理,並以電子標籤模組24較佳為一條碼掃描器讀取一藥袋及試驗藥品上的電子標籤如:二維條碼,以電腦系統30的管理子系統310及檢覈子系統410控制電子藥櫃20進行藥品的調劑、盤點藥品、退藥、移除藥品及盤點藥品流程,其中,管理子系統310的試驗藥品資訊管理模組312,會每日定時檢查所有系統內未調劑之藥品效期資訊,若藥品即期及過期會發出電子郵件通知,提醒藥師標示區隔,並轉知廠商安排進藥與回收過期藥品。Please refer to FIG. 5 to FIG. 8. In this embodiment, the process of dispensing, counting drugs, returning drugs, removing drugs and counting drugs in the test pharmacy includes the following steps: the authorized pharmacist module 411 of the inspection subsystem 410 of the computer system 30 accepts a card swipe of an authorized pharmacist to be authorized to enter the authorized clinical trial case to manage the clinical trial case and the corresponding test drugs, and the electronic label module 24 is preferably a barcode scanner to read the electronic label on a medicine bag and the test drug, such as: a two-dimensional The management subsystem 310 and the inspection subsystem 410 of the computer system 30 control the electronic medicine cabinet 20 to perform drug dispensing, drug inventory, drug return, drug removal and drug inventory processes. Among them, the test drug information management module 312 of the management subsystem 310 will regularly check the expiration information of all undispensed drugs in the system every day. If the drug is about to expire or expired, an email notification will be sent to remind the pharmacist to mark the separation and inform the manufacturer to arrange for drug purchase and recall of expired drugs.

在本實施例中,在執行該試驗藥局盤點藥物流程時,若實際存量與系統存量不同,本新型電腦系統30的試驗藥品資訊管理模組312會發出電子郵件提醒藥師登入後台補述數量不一致原因。In this embodiment, when executing the drug inventory process of the experimental pharmacy, if the actual inventory is different from the system inventory, the experimental drug information management module 312 of the new computer system 30 will send an email to remind the pharmacist to log in to the backend to supplement the inconsistent quantity. reason.

在本實施例中,當該試驗藥局入庫流程、該試驗藥局調劑流程、該試驗藥局退藥流程及該試驗藥局移除藥物流程執行結束時,被授權藥師於電腦系統30進行電子簽章並輸入密碼確認。In this embodiment, when the trial pharmacy's warehousing process, the trial pharmacy's dispensing process, the trial pharmacy's drug return process, and the trial pharmacy's drug removal process are completed, the authorized pharmacist electronically signs on the computer system 30 and enters a password for confirmation.

請參見圖9,在本實施例中,另有試驗藥局試驗案調閱流程包括由電腦系統30的檢覈子系統410的授權藥師模組411接受一有權限的藥師刷卡被授權進入有權限的臨床試驗案於電子藥櫃20專用的隔層櫃體21,以進行該臨床試驗案成冊文件的調閱。Please refer to FIG. 9 . In this embodiment, there is another trial pharmacy trial case review process, which includes the authorized pharmacist module 411 of the inspection subsystem 410 of the computer system 30 accepting an authorized pharmacist to swipe a card to be authorized to enter the authorized clinical trial case in the dedicated compartment cabinet 21 of the electronic medicine cabinet 20 to review the clinical trial case booklet.

在本實施例中,當臨床試驗案執行結束後,該臨床試驗藥品智慧管理檢覈系統中的電子藥櫃20之電子鎖便會鎖定無法再執行該試驗藥局入庫流程、該試驗藥局調劑流程及該試驗藥局退藥流程。In this embodiment, when the clinical trial case is completed, the electronic lock of the electronic medicine cabinet 20 in the clinical trial drug intelligent management and inspection system will be locked and the trial pharmacy warehousing process, the trial pharmacy dispensing process and the trial pharmacy drug return process can no longer be executed.

本新型臨床試驗藥品智慧管理檢覈系統相較於現存智慧藥櫃,可達到的效用與優勢如下:Compared with the existing smart medicine cabinets, this new clinical trial drug intelligent management and inspection system can achieve the following benefits and advantages:

1.試驗案藥品須一案一櫃,每試驗案可執行及覆核者權限各異。本新型可於試驗案執行前,於資料庫10建立試驗案基本資料,含試驗案編號(Protoco1 No.)、人體試驗委員會(IRB)案號、主持人、試驗執行醫院及院區名稱,新增後即呈現於試驗案清單(執行中)中。設定各案試驗藥品清單(材料編號),並將被授權執行的藥師及研究助理分別加入可操作藥師清單與可操作研究助理清單,每筆調劑與發藥流程除了藥師電子簽章外,研究助理亦須覆核後簽章,系統1於此步驟協助辨識領藥者身分,同時留存領取日期、時間及領藥者簽章記錄。1. The drugs in the trial case must be in one case and one cabinet, and the authority to execute and review each trial case is different. This new method can establish the basic information of the trial case in the database 10 before the trial case is executed, including the trial case number (Protoco1 No.), the human trial committee (IRB) case number, the host, the name of the trial execution hospital and the hospital area, new After adding, it will appear in the test case list (under execution). Set up the trial drug list (material number) for each case, and add the pharmacists and research assistants authorized to perform the operations to the operational pharmacist list and operational research assistant list respectively. In addition to the electronic signature of the pharmacist for each dispensing and drug dispensing process, the research assistant The signature and signature must also be verified. System 1 assists in identifying the identity of the recipient of the medication in this step, while retaining records of the date, time and signature of the recipient.

2.試驗案成冊文件(包括試驗計畫書、主持人手冊、IRB函文、試驗案SOP、受試者名冊、受試者處方、進藥與退藥文件等該案相關資料)與試驗藥品置於電子藥櫃20的同一隔層櫃體21,由於試驗執行過程會頻繁更新試驗案版本及相關文件,而受試者處方與進退藥文件亦須妥善留存,以利試驗委託廠商監測及衛生主管機關查核,因此專責藥師須多次開櫃檢索或歸檔文件。本系統可於電腦系統30進行前台操作,點選「試驗案調閱」功能,輸入試驗案號開櫃,取出或置入文件,每筆調閱事實會於事件統計報表留存記錄。2. The trial case documents (including the trial plan, host manual, IRB correspondence, trial case SOP, subject list, subject prescription, drug purchase and withdrawal documents and other case-related data) and the trial drugs are placed in the same compartment cabinet 21 of the electronic medicine cabinet 20. Since the trial version and related documents will be frequently updated during the trial execution process, and the subject prescription and drug purchase and withdrawal documents must also be properly retained to facilitate the monitoring of the trial commissioning manufacturer and the review of the health authority, the responsible pharmacist must open the cabinet many times to retrieve or archive the documents. This system can be operated at the front desk of the computer system 30. Click the "trial case retrieval" function, enter the trial case number to open the cabinet, and take out or put in the document. Each retrieval fact will be recorded in the event statistical report.

3.同一藥名、規格但為不同試驗案提供之藥品無法通用。原於各案執行前,會編予每一種試驗藥品一專屬之材料編號與料位號,發放藥品時人工核對開方品項是否是紙本SOP所列的試驗案藥品,再翻找藥劑活頁夾中相對應藥品之紙本調劑記錄表,填寫所需資訊。本系統提供檢覈機制,於試驗案執行前先於資料庫10建檔試驗藥品清單(含料位號、材料編號與藥名),每次調劑、發藥及批次匯入入庫資訊時,協助比對是否為該試驗案之藥品,再依照系統步驟點選,即可完成所有必填項次,降低人工比對的時間和錯誤率,不再填錯藥品之調劑/退藥記錄表,更不會遺漏任一必填項目。3. Drugs with the same drug name and specifications but provided for different trial cases cannot be used in general. Before the implementation of each case, each experimental drug would be assigned a unique material number and material location number. When distributing the drugs, it was manually checked whether the prescribed items were the experimental drug listed in the paper SOP, and then the drug leaflet was searched. Fold the paper dispensing record form of the corresponding medicine and fill in the required information. This system provides a verification mechanism. Before the execution of the trial case, a list of trial drugs (including material number, material number and drug name) is archived in the database 10. Each time the dispensing, dispensing, and batch import information are imported, Helps to compare whether the drug is a drug for the trial case, and then click according to the system steps to complete all required items, reducing the time and error rate of manual comparison, and no longer filling in the wrong drug dispensing/withdrawal record form. You won’t miss any required fields.

4.須能比對病歷號是否為該試驗案之受試者,並記錄受試者編號。本新型於調劑與發藥流程以電子標籤模組24較佳為一條碼掃描器讀取一藥袋上的電子標籤(如QR Code)以自動帶入病歷號與受試者編號欄位,若於該試驗案首次領藥,須輸入受試者編號,爾後領藥會自動比對並帶出受試者編號。4. It is necessary to be able to compare the medical record number to the subject of the trial case and record the subject number. In the process of dispensing and dispensing medicine, the electronic label module 24 is preferably a barcode scanner to read the electronic label (such as QR Code) on a medicine bag to automatically enter the medical record number and subject number field. If it is the first time to pick up medicine in the trial case, the subject number must be entered, and the subsequent medicine will be automatically compared and the subject number will be taken out.

5.取藥規則非效期近者先取。已上市藥品最小管理單位是批號(Lot no.),但試驗藥品是專屬藥品號碼(Kit No.) (或稱瓶號、盒號,大部分試驗藥品每瓶瓶身具專用號碼),藥師須依據試驗廠商分派之專屬藥品號碼調劑藥品,本新型系統能指定並記錄發放的專屬藥品號碼。有別於一般智慧藥櫃於系統內將同一批號效期歸類於同一藥倉,須同品項效期近者用盡,才可取另一批號之藥品。本新型將每一專屬藥品號碼於系統內歸類為獨立藥倉,使能破除效期近者先取的規則,橫跨不同效期自由擇取專屬藥品號碼,操作時有下拉選單點選或用搜尋字串功能,方便藥師於藥號清單中快速擇定欲發放的專屬藥品號碼。若選擇的藥品其效期短於下次返診日,會顯示提醒視窗請藥師再次確認。5. The rule for taking medicine is that those with the nearest expiration date should be taken first. The minimum management unit for marketed drugs is Lot No., but experimental drugs have exclusive drug numbers (Kit No.) (or bottle numbers, box numbers, most experimental drugs have a unique number on each bottle), and pharmacists must Dispensing drugs according to the exclusive drug number assigned by the trial manufacturer, this new system can designate and record the exclusive drug number issued. Unlike ordinary smart medicine cabinets, the same batch number is classified into the same pharmacy with the same expiration date in the system. Only the medicines with the same item with the closest expiry date can be used up before you can get another batch number. This new model classifies each exclusive drug number into an independent drug warehouse in the system, making it possible to break the rule of taking the one with the closest validity period first, and freely select exclusive drug numbers across different validity periods. There is a drop-down menu to click or use during operation. The search string function allows pharmacists to quickly select the exclusive drug number to be issued from the drug number list. If the validity period of the selected medicine is shorter than the next return date, a reminder window will be displayed to ask the pharmacist to confirm again.

6.因試驗藥品具專屬藥品號碼,每次入庫時除了如已上市藥品須鍵入材料編號、批號、效期、藥品數量,還須鍵入貨物編號(Shipment No.) (同一箱貨物的藥品,貨物編號均相同)及數十至數百個專屬藥品號碼(大多為亂數)。現存智慧藥櫃前台入庫系統,須一一鍵入上述資訊,一次只能鍵入一種藥品,操作性不佳且耗時。本新型系統可應用exce1批次匯入,依序將擬進藥之貨物編號、材料編號、專屬藥品號碼、批號、效期及藥品數量鍵入exce1檔,於電腦系統30進行後台操作「試驗案入庫規劃」選擇試驗案並匯入資料庫10。匯入資訊與貼標由單一人員操作有誤植的可 能,本系統於匯入後停留於「審核狀態:未審核」之頁面,待第二位藥師雙重確認並簽認後,進入「審核狀態:已審核」,方可進行前台操作將藥品置入電子藥櫃20內。6. Because test drugs have unique drug numbers, each time they are put into storage, in addition to entering the material number, batch number, expiration date, and drug quantity for drugs already on the market, it is also necessary to enter the cargo number (Shipment No.) (the cargo numbers of drugs in the same box are the same) and dozens to hundreds of unique drug numbers (mostly random numbers). The existing smart medicine cabinet front desk storage system requires the above information to be entered one by one, and only one drug can be entered at a time, which is not easy to operate and time-consuming. This new system can apply excel batch import, and the cargo number, material number, unique drug number, batch number, expiration date, and drug quantity of the drugs to be imported are entered into the excel file in sequence, and the background operation "Test Case Storage Planning" is performed in the computer system 30 to select the test case and import it into the database 10. There is a possibility of error when importing information and labeling by a single person. After importing, this system will stay on the page of "Review Status: Unreviewed". After the second pharmacist double confirms and signs, it will enter the page of "Review Status: Reviewed" before the front desk operation can be carried out to place the medicines in the electronic medicine cabinet 20.

7.系統於調劑流程的取藥時須能核對實際取出之藥品品項是否與處方一致。現存智慧藥櫃無法核對實體藥是否與系統中的藥名相同,若藥師補錯藥品時,亦可能連帶發生取藥錯誤。本新型於入庫前印製該批藥品之電子標籤(QR Code貼紙),掃描QR Code讀出藥品料位號、批號與效期。逐一於試驗藥品例如外盒上貼標,並由另一位藥師進行雙重核對後入庫。調劑與發藥時,該試驗藥品資訊管理模組312比對藥袋與藥品外盒之QR code讀出的料位號,及系統選定欲發放之專屬藥品號碼的批號、效期。7. The system must be able to verify whether the actual drug items taken out are consistent with the prescription when taking medicines in the dispensing process. The existing smart medicine cabinet cannot verify whether the physical medicine is the same as the drug name in the system. If the pharmacist replenishes the wrong medicine, it may also cause errors in taking medicine. The new model prints an electronic label (QR Code sticker) for the batch of drugs before entering the warehouse, and scans the QR Code to read the drug material number, batch number and expiration date. Label the test drugs one by one, such as the outer box, and another pharmacist conducts a double check before entering the warehouse. When dispensing and dispensing, the test drug information management module 312 compares the material number read from the QR code of the medicine bag and the outer box of the medicine, and the batch number and expiration date of the exclusive drug number selected by the system to be issued.

8.試驗藥局每2個月定期盤點藥品效期,須發大量信件通知試驗委託廠商留意與處理近效期(或過期),且無法即時區隔近效期藥品,或物理性隔離過期藥品。本新型的試驗藥品資訊管理模組312設定於藥品有效期限生效日前180天、前90天與生效日後l天,系統自動發信(信件內容以試驗案為單位寄送,含試驗案號、藥品名稱、即期/過期藥品存量),提醒藥師標示區隔,並即時轉知廠商,確認可用庫存是否足夠受試者返診領用,及安排至藥局退運過期藥品。8. The trial pharmacy regularly takes stock of the expiration dates of drugs every two months, and must send a large number of letters to inform the trial contracting manufacturers to pay attention to and deal with the near-expiry date (or expiration), and it is impossible to immediately separate the near-validity drugs, or physically isolate expired drugs. The new experimental drug information management module 312 is set 180 days before the effective date of the drug, 90 days before and 1 day after the effective date. The system automatically sends a letter (the content of the letter is sent in units of trial cases, including the trial case number, drug Name, current/expired drug inventory), remind pharmacists to mark the compartments, and immediately notify the manufacturer to confirm whether the available inventory is sufficient for subjects to return to the clinic for collection, and arrange for the return of expired drugs to the pharmacy.

9.為維護試驗盲性要求,開方數量與實際取藥量可能不同。於調劑與發藥流程,原智慧藥櫃之電子標籤模組,例如條碼機讀取藥袋QR code後,會帶入醫囑開立的領藥數量,其值無法更動,本新型為因應臨床試驗案盲性需求,將設定改為自動填入但可異動,以記錄實際取藥量。9. To maintain the blindness requirement of the trial, the prescribed quantity may be different from the actual amount of medicine taken. In the process of dispensing and dispensing medicine, the electronic label module of the original smart medicine cabinet, such as the barcode machine, will read the QR code of the medicine bag and bring in the number of medicines taken prescribed by the doctor, and its value cannot be changed. In response to the blindness requirements of clinical trial cases, this new model will change the setting to automatically fill in but can be changed to record the actual amount of medicine taken.

10.臨床試驗案結案後,須能調閱記錄與補述,但不可再有任何藥品流向異動。本新型設計於試驗案執行結束且該試驗所有藥品均退離藥局後,於試驗案清單右方點選結案,並輸入執行藥師密碼確認,系統自動將試驗案由「試驗案清單(執行中)」移至「試驗案清單(已結案)」。已結案者系統管控無法再執行入庫、調劑與退藥動作,但仍可瀏覽與修訂記錄報表。10. After the clinical trial case is closed, records and supplements must be available for review, but there must be no changes in the flow of drugs. In this new design, after the execution of the trial case is completed and all the drugs in the trial have been returned to the pharmacy, click Close on the right side of the trial case list and enter the executing pharmacist's password to confirm. The system will automatically change the trial case from "Trial Case List (In Progress) "Move to "Trial Case List (Closed)". System control for closed cases can no longer perform storage, transfer, and withdrawal actions, but you can still browse and modify record reports.

綜上所述,本新型臨床試驗藥品智慧管理檢覈系統確實具有以下功效:含入庫、調劑與發藥、退藥流程、試驗案調閱、試驗記錄電子化及效期管理全程資訊化。此系統供藥師建立各試驗案基本資料(含試驗案號、主持人、試驗藥品清單、可操作藥師與研究助理清單等),使能於後續管理流程檢覈人員權限。入庫時將擬進藥之專屬藥品號碼(Kit No.)、批號、效期等資訊批次匯入後台,系統同時印製QR Code貼紙,供藥師於每個藥品貼標,使調劑與發藥、退藥流程能逐一掃描QR Code,供系統核對受試者、取藥品項、批號,並把關藥品效期至下次返診領藥前仍未過期。試驗案成冊文件(含個案SOP、受試者名冊、試驗計畫書等)與試驗藥品置於同一藥櫃,可透過前台「試驗案調閱」功能檢索或歸檔文件。此外,系統於藥品即期及過期會發信通知,提醒藥師標示區隔,並轉知廠商安排進藥與回收過期藥品。試驗案執行結束後,系統將鎖定無法再執行入庫、調劑與退藥動作,但仍可瀏覽與修訂記錄報表。而試驗記錄電子化符合良好藥品臨床試驗規範(good clinical practice, GCP)規範,詳列藥品流向記錄,原始觀察資料應能與轉換後資料進行比較,若試驗案事件記錄有誤可修訂,原始及修訂記錄均會保留,並保存稽核路徑,記錄其修訂日期、時間、修訂原因及修訂者,並可完整匯出於試驗記錄表格,供試驗委託廠商與衛生主管機關監測查核。此外,本新型臨床試驗藥品智慧管理檢覈系統具授權藥師管理檢覈機制、建置完整的試驗藥品基本檔、電子藥櫃、調劑記錄單及退藥回收記錄單電子化、效期管理全程資訊化,更即時且精準掌握試驗藥品狀態,提升藥品管理效率。In summary, this new clinical trial drug intelligent management and inspection system does have the following functions: including warehousing, dispensing and dispensing, drug return process, trial case review, electronic trial record and expiration date management. This system allows pharmacists to establish basic data for each trial case (including trial case number, host, trial drug list, list of pharmacists and research assistants who can operate, etc.), so that personnel permissions can be inspected in the subsequent management process. When entering the warehouse, the exclusive drug number (Kit No.), batch number, expiration date and other information of the drugs to be purchased will be imported into the backend in batches. The system will also print QR Code stickers for pharmacists to label each drug, so that the QR Code can be scanned one by one during the preparation, dispensing and return processes, so that the system can verify the subjects, drug items, batch numbers, and check that the drug expiration date has not expired before the next return visit. The test case booklet (including case SOP, subject list, test plan, etc.) is placed in the same medicine cabinet as the test drugs, and the documents can be retrieved or archived through the "Test Case Retrieval" function at the front desk. In addition, the system will send a letter notification when the drug is expiring or expired, reminding the pharmacist to mark the separation, and inform the manufacturer to arrange the purchase of drugs and recall expired drugs. After the trial is completed, the system will be locked and can no longer perform warehousing, adjustment and withdrawal actions, but record reports can still be browsed and revised. The electronicization of trial records complies with the Good Clinical Practice (GCP) specifications, and records the flow of drugs in detail. The original observation data should be able to be compared with the converted data. If the trial event record is incorrect and can be revised, the original and revised records will be retained, and the audit path will be saved to record the revision date, time, reason for revision and reviser, and can be fully exported to the trial record form for monitoring and inspection by the trial commissioning manufacturer and health authorities. In addition, this new clinical trial drug intelligent management and inspection system has an authorized pharmacist management and inspection mechanism, complete trial drug basic files, electronic medicine cabinets, electronic preparation record sheets and returned drug recovery record sheets, and full informationization of expiration date management, which can more immediately and accurately grasp the status of trial drugs and improve drug management efficiency.

以上所述僅為舉例性,而非為限制性者。任何未脫離本新型之精神與範疇,而對其進行之等效修改或變更,均應包含於後附之申請專利範圍中。The above description is for illustrative purposes only and is not intended to be limiting. Any equivalent modifications or changes made to the invention without departing from the spirit and scope of the invention shall be included in the scope of the patent application attached hereto.

1:臨床試驗藥品智慧管理檢覈系統 10:資料庫 20:電子藥櫃 21:隔層櫃體 22:門板 23:具指示燈之按鈕開關 24:電子標籤模組 25:電子顯示模組 30:電腦系統 310:管理子系統 311:電子藥櫃管理模組 312:試驗藥品資訊管理模組 410:檢覈子系統 411:授權藥師模組1: Intelligent management and inspection system for clinical trial drugs 10: Database 20: Electronic medicine cabinet 21: Compartment cabinet 22: Door panel 23: Button switch with indicator light 24: Electronic label module 25: Electronic display module 30: Computer system 310: Management subsystem 311: Electronic medicine cabinet management module 312: Trial drug information management module 410: Inspection subsystem 411: Authorized pharmacist module

圖1為本新型一實施例之臨床試驗藥品智慧管理檢覈系統的系統架構圖。 圖2為本新型一實施例之臨床試驗藥品智慧管理檢覈系統的電腦系統之方塊圖。 圖3為試驗藥局入庫流程的一實施例的流程圖,說明入庫流程之後台進藥資料匯入與印製電子標籤(如QR Code貼紙)。 圖4為試驗藥局入庫流程的另一實施例的流程圖,說明入庫流程之前台置入藥物。 圖5為試驗藥局調劑流程的一實施例的流程圖。 圖6為試驗藥局退藥流程的一實施例的流程圖。 圖7為試驗藥局移除藥物流程的一實施例的流程圖。 圖8為試驗藥局盤點藥物流程的一實施例的流程圖。 圖9為試驗藥局試驗案調閱流程的一實施例的流程圖。 Figure 1 is a system architecture diagram of the clinical trial drug intelligent management and inspection system of the first embodiment of the present invention. Figure 2 is a block diagram of the computer system of the clinical trial drug intelligent management and inspection system of the first embodiment of the present invention. Figure 3 is a flow chart of an embodiment of the trial pharmacy warehousing process, illustrating the background drug data import and printing of electronic labels (such as QR Code stickers) of the warehousing process. Figure 4 is a flow chart of another embodiment of the trial pharmacy warehousing process, illustrating the front-end placement of drugs in the warehousing process. Figure 5 is a flow chart of an embodiment of the trial pharmacy dispensing process. Figure 6 is a flow chart of an embodiment of the trial pharmacy drug return process. Figure 7 is a flow chart of an embodiment of the trial pharmacy drug removal process. Figure 8 is a flow chart of an embodiment of the trial pharmacy drug inventory process. Figure 9 is a flow chart of an example of the trial case review process of a trial pharmacy.

1:臨床試驗藥品智慧管理檢覈系統 1: Intelligent management and inspection system for clinical trial drugs

10:資料庫 10:Database

20:電子藥櫃 20: Electronic medicine cabinet

21:隔層櫃體 21: Compartment cabinet

22:門板 22: Door panel

23:具指示燈之按鈕開關 23: Push button switch with indicator light

24:電子標籤模組 24: Electronic label module

25:電子顯示模組 25: Electronic display module

30:電腦系統 30: Computer system

Claims (10)

一種臨床試驗藥品智慧管理檢覈系統,包含: 一資料庫,儲存複數個臨床試驗案之基本資料,該臨床試驗案之基本資料至少包含一臨床試驗案編號(Protocol No.)及一人體試驗倫理委員會(IRB)案號; 一電子藥櫃,具有複數隔層櫃體,每一隔層櫃體專用於該複數個臨床試驗案的其中之一,並儲存專用臨床試驗案的一成冊文件及一對應試驗藥品,且該每一隔層櫃體設置一門板,於該門板設有一電子鎖及一具指示燈之按鈕開關;以及 一電腦系統,控制該每一門板之電子鎖及該按鈕開關之指示燈,當該電腦系統接收該複數個臨床試驗案的其中之一的臨床試驗案編號或IRB案號時,則該電腦系統依據該資料庫的基本資料控制該專用臨床試驗案的隔層櫃體之門板上的電子鎖解鎖及指示燈亮,直到該按鈕開關被按壓時,則該電腦系統被觸發控制電子鎖上鎖及指示燈熄滅。 A smart management and verification system for clinical trial drugs, including: A database that stores the basic information of multiple clinical trial cases. The basic information of the clinical trial case at least includes a clinical trial case number (Protocol No.) and a human trial ethics committee (IRB) case number; An electronic medicine cabinet has a plurality of compartment cabinets, each compartment cabinet is dedicated to one of the plurality of clinical trial cases, and stores a volume of files of the dedicated clinical trial case and a corresponding experimental drug, and the Each compartment cabinet is provided with a door panel, and the door panel is provided with an electronic lock and a button switch with an indicator light; and A computer system that controls the electronic lock of each door panel and the indicator light of the button switch. When the computer system receives the clinical trial case number or IRB case number of one of the plurality of clinical trial cases, the computer system Based on the basic information of the database, the electronic lock on the door panel of the compartment cabinet of the special clinical trial case is controlled to unlock and the indicator light turns on. When the button switch is pressed, the computer system is triggered to control the electronic lock to lock and indicate. The lights go out. 如請求項1所述的臨床試驗藥品智慧管理檢覈系統,其中該基本資料進一步包含:主持人姓名、試驗執行醫院及院區名稱、一試驗藥品清單及一可操作藥師與研究助理清單。The clinical trial drug intelligent management and inspection system as described in claim 1, wherein the basic data further includes: the name of the host, the name of the trial execution hospital and campus, a list of trial drugs and a list of operable pharmacists and research assistants. 如請求項2所述的臨床試驗藥品智慧管理檢覈系統,其中該試驗藥品清單至少包含料位號、材料編號、藥名、批號、效期、藥品數量、專屬藥品號碼(Kit No.)及出貨編號(Shipment No.)。The intelligent management and verification system for clinical trial drugs as described in request item 2, wherein the list of trial drugs at least includes material number, material number, drug name, batch number, expiration date, drug quantity, exclusive drug number (Kit No.) and Shipment No.. 如請求項1所述的臨床試驗藥品智慧管理檢覈系統,其中該電腦系統包括一管理子系統及一檢覈子系統。The intelligent management and verification system for clinical trial drugs as described in claim 1, wherein the computer system includes a management subsystem and a verification subsystem. 如請求項4所述的臨床試驗藥品智慧管理檢覈系統,其中該管理子系統包含一電子藥櫃管理模組及一試驗藥品資訊管理模組,其中該電子藥櫃管理模組連接該資料庫,以查詢該基本資料之臨床試驗案編號或人體試驗倫理委員會案號,進而控制專用隔層櫃體之門板上的電子鎖解鎖及指示燈亮。A smart management and inspection system for clinical trial drugs as described in claim 4, wherein the management subsystem includes an electronic medicine cabinet management module and a trial drug information management module, wherein the electronic medicine cabinet management module is connected to the database to query the clinical trial case number or the human trial ethics committee case number of the basic data, and then controls the unlocking of the electronic lock on the door panel of the dedicated compartment cabinet and the lighting of the indicator light. 如請求項5所述的臨床試驗藥品智慧管理檢覈系統,其中該試驗藥品資訊管理模組係對於該對應試驗藥品進行效期管理、調劑紀錄及退藥回收紀錄。The clinical trial drug intelligent management and inspection system as described in claim 5, wherein the trial drug information management module performs expiration management, adjustment records and returned drug recovery records for the corresponding trial drugs. 如請求項4所述的臨床試驗藥品智慧管理檢覈系統,其中該檢覈子系統包含一授權藥師模組,該授權藥師模組接受一有權限的藥師刷卡被授權進入有權限的臨床試驗案以進行該臨床試驗案及該對應試驗藥品的管理。The intelligent management and verification system for clinical trial drugs as described in claim 4, wherein the verification subsystem includes an authorized pharmacist module, and the authorized pharmacist module accepts an authorized pharmacist to swipe a card to be authorized to enter the authorized clinical trial case. To carry out the management of the clinical trial case and the corresponding experimental drugs. 如請求項7所述的臨床試驗藥品智慧管理檢覈系統,其中該檢覈子系統對於該有權限的臨床試驗案,依照該試驗藥品清單比對該對應試驗藥品的批次入庫與逐一出庫。The clinical trial drug intelligent management and inspection system as described in claim 7, wherein the inspection subsystem compares the batch entry and one-by-one exit of the corresponding trial drug according to the trial drug list for the authorized clinical trial case. 如請求項7所述的臨床試驗藥品智慧管理檢覈系統,其中該電腦系統進一步包含一電子標籤模組用以讀取一藥袋及試驗藥品上的電子標籤。The intelligent management and verification system for clinical trial drugs as described in claim 7, wherein the computer system further includes an electronic label module for reading electronic labels on a medicine bag and trial drugs. 如請求項7所述的臨床試驗藥品智慧管理檢覈系統,其中該電子藥櫃進一步包含一電子顯示模組用以顯示取藥量。As for the clinical trial drug intelligent management and verification system described in claim 7, the electronic medicine cabinet further includes an electronic display module for displaying the amount of medicine taken.
TW112211487U 2023-10-24 Clinical trial drug intelligent management and verification system TWM653074U (en)

Publications (1)

Publication Number Publication Date
TWM653074U true TWM653074U (en) 2024-03-21

Family

ID=

Similar Documents

Publication Publication Date Title
US11557393B2 (en) Medication tracking
US7175081B2 (en) Pharmaceutical tracking
JP7417134B2 (en) Drug distribution support system
US20060079994A1 (en) Unit-dose medication dispensing cart and method of operating the same
US8484049B2 (en) Tissue tracking
CA2502290C (en) Automated drug substitution, verification, and reporting system
US20210020317A1 (en) Sensitive drug distribution systems and methods
US20080065418A1 (en) Systems and Methods to Manage Drug Accountability Processes in Clinical Trials
Haw et al. A computerized system for reporting medication events in psychiatry: the first two years of operation
JP2012247831A (en) Data processing system
JP5634720B2 (en) Drug management system
TWM653074U (en) Clinical trial drug intelligent management and verification system
Serafim et al. Assessment of informatization for the dispensing of medications at a university hospital
Ingersoll Inventory management for the pharmacy technician
Buyurgan et al. Supply chain-related adverse events and patient safety in healthcare
WO1998050840A2 (en) System for the distribution of narcotics
US20240112787A1 (en) Systems and methods for managing beneficial products
TW200811678A (en) Drug prescription inspection system and method thereof
Rich Pharmacy Control of IV Solutions and Medical Gases/Audit of MAR vs Pharmacy Profile/Labeling of Medications in Syringes and Other Containers/Requirements for Unit-Dose Packaging of Medications/Issues Related to a Lack of 24-Hour Pharmacy Services/Surveying against the Sentinel Event Alert
CN115831332A (en) Intelligent storage and taking method for ephedrine hydrochloride
TWM645551U (en) Admission single dose dispensing and transportation management system
CN113380387A (en) Intelligent GCP pharmacy management system and medicine distribution method
Rich Point-of-care automated dispensing devices; herbal products; proper medication orders; expiration dating
Root et al. Implementation of pharmacy services at freestanding emergency departments and urgency centers
Bohaychuk et al. Standard Operating Procedures for clinical research personnel‐part 23