WO2005017792A1

WO2005017792A1 - Medication management system

Info

Publication number: WO2005017792A1
Application number: PCT/JP2004/011592
Authority: WO
Inventors: Yoshito Goto; Koichiro Fujimura; Shinya Masuda; Hiroyuki Yuyama; Yuka Sakamoto
Original assignee: Yuyama Mfg. Co., Ltd.
Priority date: 2003-08-13
Filing date: 2004-08-12
Publication date: 2005-02-24
Also published as: KR20060065683A

Abstract

A medication management system comprising a server (1) having a means (2) for storing prescription data, patient data and medication schedule data in association with each other and a control means (3) for outputting a notifying signal based on a medication schedule, a first part (7) to be detected for specifying the patient, a second part (14) to be detected for specifying a prescribed medicine, a means for detecting both parts (7, 14) to be detected, and a portable terminal (5) for making a decision as to whether the medicine is dosed appropriately to the patient or not by delivering a notice based on the notifying signal from the server (1), detecting each part (7, 14) to be detected by the detecting means and transmitting/receiving data to/from the server (1).

Description

Specification

Drug administration system

Technical field

The present invention relates to a drug administration system. Here, “medication” means dispensing a prescribed drug and providing it to a patient. Target patients include those who cannot take their own medication, those who have prescribed medications that require special attention, and those who have difficulty in controlling medication times and time intervals.

Background art

[0002] In general, drug administration is performed as follows. In other words, the pharmacist dispenses according to the prescription prescribed by the doctor, the dispensed medicine is distributed by the nurse in each ward, and at the time of taking the medicine, the nurse goes to each ward and receives one dose for each patient. I am taking medication. In addition, confirmation of drug administration is performed by checking nursing worksheets, drug administration tables, and the like.

[0003] Conventionally, in order to reliably perform such a drug administration business, medical support is provided in which a prescription is read with a barcode or the like, the data is displayed, the prescription is confirmed, and the patient is administered a drug. A system is known (for example, refer to Patent Document 1).

[0004] In addition, a patient identification method is known in which a barcode is displayed on a nail and is read by a barcode reader 21 so that a patient can be identified reliably (for example, see Patent Document 2).

[0005] Furthermore, the patient identification data and the collation data are read by a bar code reader and a bar code reader provided on a wristband provided to the patient and other documents, respectively, and collated with the treatment instruction data. A known treatment confirmation system is known (for example, see Patent Document 3).

[0006] Patent Document 1: JP-A-2002-83065

Patent Document 2: JP 2001-175791 A

Patent Document 3: JP 2002-83048 A

Disclosure of the invention

Problems to be solved by the invention

For example, in the case of a special usage such as “between meals, However, it is impossible to properly prevent forgetting to take a drug.

[0008] In particular, in the invention disclosed in Patent Document 1, it is necessary to display and confirm the prescription, and the possibility of a confirmation error cannot be denied. It is also unclear whether the prescribed patient is correct.

[0009] Further, the invention disclosed in Patent Document 2 can only identify a patient, and does not disclose or suggest a configuration for associating a patient with a prescribed drug.

[0010] Further, in the invention disclosed in Patent Document 3, it is only possible to check the patient and the prescription, and it is confirmed whether the medicine corresponding to the prescription is provided or not, and the prescription is appropriately performed. Centralized management of power is not possible.

[0011] Therefore, an object of the present invention is to provide a drug administration system that can perform drug administration reliably at a predetermined time without error.

Means for solving the problem

[0012] The present invention provides, as means for solving the above-mentioned problems, a storage unit for storing a prescription data, a patient data, and a medication schedule data in association with each other; A server provided with control means for outputting a notification signal, a first detected part for specifying a patient, a second detected part for specifying a prescribed medicine, A detection means for detecting the detected part and a notification output based on a notification signal from the server, and the detection means detects each of the detected parts and transmits / receives data to / from the server, thereby giving the patient A portable terminal for determining whether or not the medicine to be dispensed is appropriate; the portable terminal includes a screen for monitoring a drug administration scheduled to display a list of patients, and a mobile terminal for displaying details of the content of the patient's medication. A display section that displays the drug content details screen By selecting a specific patient on the medication schedule monitor screen displayed on the display unit, the screen is switched to the medication detail screen, and the details of medication of the selected patient are called up from the server and displayed. And a control unit for performing the control.

[0013] According to this configuration, the medicine can be reliably administered according to the medicine administration schedule. Also, at the time of drug administration, it is possible to confirm whether or not the drug to be administered to the patient is appropriate, so that it is possible to reliably prevent erroneous drug administration. Then, it is possible to confirm the content before the drug is given, and to make corrections in some cases. Whether a drug is appropriate or not depends on the particular patient. Is determined based on whether or not the type and number of medicines to be administered to the patient are the same, whether or not the drug administration time is correct, whether or not the drug has already been administered.

[0014] The portable terminal further includes a discontinued drug selecting unit for selecting a drug to be discontinued on the detailed drug content screen displayed on the display unit, and discontinues the drug by the discontinued drug selecting unit. A continuation discontinuation selecting means for selecting a continuation discontinuation after selecting a medicine to be performed, and a discontinuation period setting means for selecting a discontinuation period after selecting the continuation suspension by the continuation discontinuation selection means. It is preferable because the discontinuation period of the drug can be freely changed, and it is possible to sufficiently respond to requests at the site.

[0015] The control unit selects a medicine to be discontinued by the discontinued medicine selecting unit on the medicine content detail screen displayed on the display unit, and displays a suspension confirmation message screen for displaying only the selected medicine. Displaying the information on the display unit is preferable in that it is possible to prevent the prescription from being stopped by mistake for a drug not desired to be stopped.

[0016] If the suspension period setting means can set the suspension period in units of dates and doses, the suspension period can be set more precisely and can be set according to the needs at the site. Preferred in terms of becoming.

[0017] The control unit changes the content of the suspension confirmation message based on the suspension period set by the intermediate period setting means and displays the characters on the suspension confirmation message screen displayed on the display unit. This is preferable because it is possible for a nurse to set the discontinuation period while confirming the specific contents of the prescription suspension.

[0018] The mobile terminal can further display a memo input screen that can be switched from the medication details screen on the display unit, and the server stores the memo content input on the memo input screen. If it is stored in a mobile terminal and can be used on another mobile terminal, it is preferable that the input information of each nurse can be shared.

[0019] The server includes a display unit capable of displaying a closing instruction screen for setting a dispensing date and the number of dispensing days in units of a ward, and the control unit includes a ward and a closing instruction screen displayed on the display unit. When the dispensing date is selected, based on the prescription data stored in the storage means, the total number of prescription patients in the ward is displayed in a corresponding column of the closing instruction screen. And where you can set the number of dispensing days freely This is preferable because the number of patients to be administered can be confirmed, so that the dispensing plan can be made appropriate.

The invention's effect

[0020] According to the present invention, the details of the medication of each patient can be displayed on the portable terminal. Therefore, it is possible to reliably prevent erroneous medication by checking before medication. Become. Brief Description of Drawings

FIG. 1 is a block diagram showing a drug administration system according to the present embodiment.

FIG. 2 is a view showing a closing instruction screen displayed on a monitor of a server.

FIG. 3 is a front view showing an example of a prescription.

FIG. 4 is a front view showing an example of a prescription tag stored in a tray in a cassette.

FIG. 5 is a diagram showing a schedule screen displayed on a monitor of a terminal attached to a medicine cart.

FIG. 6A is a block diagram showing a configuration of the small portable terminal in FIG. 1.

FIG. 6B is a front view of a medicine cart.

FIG. 6C is a partial perspective view of the cassette shown in FIG. 6B.

FIG. 7 is a flowchart showing processing contents in the drug administration system according to the present embodiment.

FIG. 8 is a flowchart showing a medicine preparation process of FIG. 7.

FIG. 9A is a flowchart showing a drug administration process in FIG. 7.

FIG. 9B is a flowchart showing a medicine confirmation process.

FIG. 9C is a flowchart showing a drug discontinuation process.

FIG. 10 is a flowchart showing a medicine forgetting process in FIG. 7.

FIG. 11 is a flowchart showing a “stop” change process in FIG. 7;

FIG. 12 is a diagram showing an outline of a process in the drug administration system according to the present embodiment.

FIG. 13 is a nurse ID input screen initially displayed on the PDA screen.

FIG. 14 is a password input screen displayed by inputting an appropriate nurse ID on the screen of FIG.

[FIG. 15] A menu screen displayed by inputting an appropriate password in the screen of FIG. FIG. 16 is a medication schedule monitor screen displayed by operating a “plan” button on the screen of FIG.

FIG. 17 is a detailed screen displayed by selecting a patient on the screen of FIG.

[Fig.18] On the screen of Fig.17, select the memo input screen displayed by operating the “memo” button.

[FIG. 19] This is a cancellation confirmation message screen displayed by operating the “Cancel” button on the screen of FIG.

FIG. 20 is a continuation stop message screen displayed by operating the “continue stop” button on the screen of FIG. 19.

FIG. 21A is a prescription monitor screen displayed by operating a “prescription” button on the screen of FIG. 17.

FIG. 21B is a drug history monitor screen displayed by operating a “medicine history” button on the screen of FIG. 17.

[FIG. 22] A drug administration monitor screen displayed by reading a barcode after operating a “medication” button on the screen of FIG. 15.

FIG. 23 is a detailed screen of a drug administration monitor displayed when another barcode is read on the screen of FIG. 22 and the collation result is appropriate.

FIG. 24 is a drug administration monitor screen displayed when another barcode is read on the screen of FIG. 22 and the collation result is inappropriate.

FIG. 25 is a patient input screen displayed by operating an “input” button on the screen of FIG.

FIG. 26 is a medicine input screen displayed when a predetermined time has elapsed after the screen of FIG. 25 is displayed.

FIG. 27 is a chemical quantity input screen displayed when a predetermined time has elapsed after the screen of FIG. 26 is displayed.

FIG. 28 is a constant medicine confirmation message screen displayed by operating the “end of agent” button on the screen of FIG. 27.

[Fig.29] Patient input screen displayed by operating the “Execute” button on the screen in Fig.15 It is.

[FIG. 30] A constant execution monitor detail screen displayed when a predetermined time has elapsed after the screen of FIG. 29 is displayed.

[FIG. 31] A charge patient screen displayed by operating a “charge patient” button on the screen of FIG.

FIG. 32 is a temperature plate screen displayed by operating a “temperature plate” button on the screen of FIG.

[Fig.33] On the screen shown in Fig.15, select the memo input screen displayed by operating the “memo” button.

[FIG. 34] A business menu screen displayed by operating the “various tools” button on the screen of FIG.

[FIG. 35] A received mail screen displayed by operating a “received mail” button on the screen of FIG. 34.

[FIG. 36] A received mail detail screen displayed by selecting a received mail on the screen of FIG. 35.

FIG. 37 is various dictionary screens displayed by operating the “various dictionary” button on the screen of FIG. 34.

[Fig.38] This is the job menu screen when there is a notification in the message board that a message has been input from the server on the screen in Fig.34.

[Fig.39] Various software screens displayed by operating the "various software" button on the screen of Fig. 34.

FIG. 40 is a front view showing an example of a drug delivery cart according to another embodiment.

FIG. 41 is a perspective view of a drawer employed in the drug delivery cart of FIG. 40.

FIG. 42 is a perspective view showing an example of a cassette according to another embodiment.

43 (a) is a plan view of FIG. 42, (b) is a front sectional view, and (c) is a side sectional view.

[44] FIG. 44 is a perspective view of a hand and a ring showing an example in which a detected part for obtaining patient information is provided on the ring.

FIG. 45 (a) shows another example in which a detected part for obtaining patient information is provided on a ring. FIG. 3B is a perspective view showing the developed state.

FIG. 46 (a) is a perspective view of a ring showing another example in which a detected part for obtaining patient information is provided on the ring, and FIG. 46 (b) is a perspective view showing its expanded state.

Explanation of symbols

1 ... Server

2 ... Storage device

3 ... Control device

4 ... Terminal attached to drug cart

5… Small portable terminal

6 ... Printing device

7, 14

8 ... medication cart

9 ... Shelves

10 Cassette

11… Cartridge

12Tray

13- --LED

15 Display unit

16 ... Control unit

17 ··· Discontinued drug selection section (discontinued drug selection means)

18 ··································································

19 ··· Cancellation period setting section (suspension period setting means)

20 ... Storage unit

21… Communication unit

22 ... Cancel column

22a… First check box

22b… second check box

23 ··············································· 24

BEST MODE FOR CARRYING OUT THE INVENTION

Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings.

FIG. 1 shows a drug administration system according to the present embodiment. In this system, various programs are executed by the control device 3 based on the data of various master files stored in the storage device 2 of the server 1 installed in the pharmacy department. It transmits and receives signals to and from a small portable terminal 5 such as a PDA. As a communication method with the small portable terminal 5, PHS (PIA: PHS Internet Access Forum Standard) and wireless LAN (LAN: Local Area Network) can be adopted.

[0025] The storage device 2 stores prescription data and medication schedules of all patients. The treatment data is composed of patient information (patient name, code number, etc., managed in the patient master file), types of medicines treated (managed in the drug master file), number of doses, time of dose, number of days of dose, etc. ing. The medication schedule is managed by prescribing data for each patient on any dispensing day. In the example of the east ward on the 1st floor shown on the closing instruction screen in Figure 2, the dispensing date is managed on May 9 and the dispensing days is managed on three days. From the prescription data of all patients, only the prescription data of the patients who need prescription on May 9 among the inpatients on the 1st east ward are extracted, and only the total number of patients (here, 8 people) is displayed. .

The storage device 2 stores various master files. The various master files include, for example, a medicine master file, a patient master file, a usage master file, a nurse master file, a nursing schedule master file, a prescription master file, and a cart master file. The drug master file, patient master file, and usage master file are master data for registering various data on drugs, patients, and usage managed by this system for each code. In the nurse master, a nurse ID (Identification), a password, an IP address (Internet Protocol Address), and a mail address are registered. The nursing schedule master file stores medication schedules for each patient and room for each work system. To be more specific, “Day shift 8:00”, “Night shift 17:00”, and “Night shift 23:00” are set. Switch). The prescription data file contains the prescription data of each patient. The patient data managed for each cart is registered.

The monitor of the server 1 displays a tightening instruction screen shown in FIG. On this screen, only the prescription data of the drug administration patient is counted, select the data to be issued, and press the “Execute” button. The prescription data is transmitted to the side (small portable terminal 5). When the user selects the corresponding data and clicks the “execute” button, the printer 6 issues the prescription shown in FIG. 3 and the prescription tag shown in FIG. The prescription tag is printed with a barcode 14 and supplied to the tray 12 of the cassette 10. Here, the medication-administered patients are patients who have difficulty in self-management and patients who are taking designated medication. Drugs to be controlled are drugs, psychotropic drugs, and potions (nurse management only), and only these drugs are supplied to Tray 12 (in the case of drug's potions, only prescription tags are supplied). The management medicine can be freely added and changed by the medicine master. In addition, self-managed patients refer to patients who are ready to take their own medications, and hospitalized patients can be broadly classified into pharmacy-managed patients and self-managed patients. The drug administration patient sets the drug administration flag in the patient master. Drug administration is managed for all inpatients.

[0028] In the medication cart attached terminal 4, a schedule screen is displayed on the monitor at any time. As shown in Fig. 5, the schedule screen is composed of a list of nursing schedules displayed for each ward. The nursing schedule consists of the following sections: room, patient name, medication category, and nurse. Nursing schedule for the day shift 'night shift' holiday can be entered by the nurse on the screen and can be changed later. When the title "patient name" is clicked, a list of medications for that day is displayed. Clicking on the title "Morning; Taking category" displays a list of patients scheduled to take medication in that taking category. Clicking on the grid "Patient Name" displays a list of medications for this patient for the day. Clicking on the grid “Morning; Taking Category” displays a list of medications taken by this patient in the taking category. Clicking the “Data Set” button updates the data of the drug cart 8. The “data set” button may be clicked when the cassette 10 is conveyed to the medicine unit and set in the medicine cart 8.

The small portable terminal 5 (here, using a PDA: Personal Digital Assistant) includes a display unit 15, a control unit 16, a storage unit 20, and a communication unit 21, as shown in FIG. 6A. The display unit 15 includes a discontinued medicine selection unit 17, a continuation discontinuation selection unit 18, and a discontinuation period setting unit 19. Control unit In response to the input signals from the discontinued medicine selection unit 17, the continuation discontinuation selection unit 18, and the suspension period setting unit 19, the display unit 15 performs a predetermined display on the display unit 15, stores it in the storage unit 20, and stores it in the communication unit 21. To and from server 1 via

Here, as will be described later, the discontinued medicine selecting section 17 is composed of a discontinued column 22 displayed on the detailed screen of the medication schedule monitor shown in FIG. The discontinuation column 22 includes a first check box 22a provided corresponding to the time of taking the drug, and a second check box 22b corresponding to each drug. By checking the first check box 22a, all the drugs prescribed at the time of taking the drug can be selected. If the second check box 22b is checked, only the corresponding drug can be selected. Then, by clicking the “Cancel” button 22c, the screen is switched to a cancel confirmation message screen shown in FIG. 19, and a list of the selected drugs is displayed. Further, the continuation stop selection unit 18 includes a “continuation stop” button 23 displayed on the stop confirmation message screen. Further, the suspension period setting section 19 displays a calendar (not shown) displayed by operating the “continuation suspension” button 23 and a continuation suspension message displayed by selecting the last suspension date on the calendar. The screen (see Fig. 20) consists of a dose category selection field 24.

[0031] In the small portable terminal 5, at the time of startup, it is necessary to input a nurse ID on the screen shown in FIG. The nurse ID may be manually input directly using the numeric keypad of the small portable terminal 5, or the bar code printed on the name plate of the nurse may be read by the small portable terminal 4. In reading the barcode, the “barcode input” button of the small portable terminal 4 is operated, and a barcode reader (not shown) is used. Also, other means such as an IC chip can be used instead of the barcode. By inputting the nurse ID, it is necessary to input a password on the screen shown in Fig. 14. Then, based on these input data, the server 1 can manage who uses and who data. If a password is entered on the screen shown in FIG. 14, the menu screen shown in FIG. 15 is displayed.

[0032] On the menu screen, depending on the difference in the dosing method, it is possible to perform a schedule input and a drug input in each column relating to the dosing method of "internal use", "injection", and "mixed injection". Applicable input can be made in each of the fields of “location”, “business”, and “other”. [0033] The schedule input is performed by operating the "Schedule input" button in each of the fields regarding the dosing method.

[0034] The schedule input is used by a nurse to confirm a patient name, a medicine to be administered, a drug administration date, and the like, and to perform an input operation or the like before actually starting a drug administration process. For example, when the “schedule” button in the internal medicine column is operated, the screen switches to the drug administration schedule monitor screen shown in FIG. On this screen, a list of patients scheduled for medication is displayed, and the treatment status is indicated for each dose period (〇: unprocessed, see: processed, △: partially canceled, ▲: canceled). When a patient is selected, the screen switches to the detail screen shown in FIG. 17, and the method of taking the medicine (type of medicine, method of taking the medicine, dose, etc.) is displayed. By operating the “Memo” button on the detail screen, the memo input screen shown in Fig. 18 is displayed, and you can take notes by handwriting or the like using a pen (not shown). By operating the "Stop" button, the prescription can be stopped. When the prescription is stopped, the screen switches to a stop confirmation message screen shown in FIG. 19, and it is possible to select a stop mode. When the "continue stop" button is operated, the display switches to the calendar. Then, when the last stop date is selected on the calendar, the screen is switched to a «continue stop message screen shown in FIG. By operating the “prescription” button on the detail screen shown in FIG. 17, the screen can be switched to the prescription monitor screen shown in FIG. 21 and the prescription of the patient can be displayed. By operating the “medicine history” button, it is also possible to refer to the patient's medication history.

[0035] Further, the medication input is performed by operating the "medication input" button in each column relating to the dosing method. The drug input is used to check the patient with the drug to be administered when actually performing the drug processing. For example, by operating the “medication” button in the internal medicine column and reading the barcode 7 on the wristband attached to the patient or the label attached to the bedside with the barcode reader 21 connected to the mobile terminal 5, The barcode input screen shown in 22 appears. Subsequently, when the barcode reader 21 reads the barcode 14 of the prescription tag, the barcode 14 is verified.If the barcode 14 is correct, the barcode verification screen shown in FIG. 23 is displayed. The following error screen is displayed.

[0036] The constant allocation column is used when a drug (hereinafter, referred to as a constant allocation drug) that has been processed separately from a normal prescription, such as a conservative medicine or an emergency medicine, is prepared in the medication cart 8 and administered to a patient. Use. In this case, the fixed number of medicines contained in the medicine cart 8 is one time like the prescribed medicine. The prescription tag which is stored in each cassette 10 and has a corresponding bar code 14 printed thereon is attached. In addition, the number of medicines and the names of the medicines arranged in each cassette 10 are managed by the server 1.

When the “input” button in the constant placement field is operated, a patient input screen is displayed as shown in FIG. 25, and the wristband or By reading the bar code 7 on the label attached to the bedside, the selected patient information is displayed. Then, after a lapse of a predetermined time, as shown in FIG. 26, the screen is switched to a medicine input screen, and the medicine information is displayed by reading the barcode 14 of the prescription tag. Further, after a lapse of a predetermined time, the screen is switched to a medicine quantity input screen shown in FIG. 27, and the quantity can be input using the displayed numeric keypad. By operating the “drug end” button, the screen switches to the constant medicine confirmation message screen shown in Fig. 28, and it is possible to confirm the entered contents. If another input is required, the above processing can be performed by operating the “next drug” button. The time until the screen is switched can be set freely. Further, the patient information and the medicine information can be selected from a list transmitted from the server 1 side.

[0038] When the "execute" button in the constant arrangement field is operated and the barcode 7 is read by the barcode reader 21 in the same manner as described above, the patient information is displayed on the patient input screen shown in FIG. Then, after a lapse of a predetermined time, the screen is switched to a constant execution monitor screen shown in FIG. 30, and a list of medicines to be administered is displayed. By operating the “execute” button on this screen, the fact that the fixed number of medicines has been administered to the patient is transmitted to the server 1 and the information is updated.

[0039] The work column is composed of a "patient in charge" button and a "temperature plate" button. When the “patient in charge” button is operated, a list of patients in charge of the nurse specified by inputting the ID and password is displayed on the patient in charge screen shown in FIG. When the “Temperature Plate” button is operated, the screen switches to the patient input screen (see Fig. 25). When the patient's barcode 7 is read from a wristband or the like, the screen switches to the temperature plate screen shown in Fig. 32. On the temperature plate screen, various data such as the patient's body temperature, pulse and blood pressure are displayed. By operating each of the displayed items, the standard value, upper limit value, and lower limit value of the item are displayed, and it is possible to easily compare the displayed value with the displayed value. [0040] The other fields are composed of "memo" buttons and "various tools" buttons.

When the “memo” button is operated, the screen is switched to a memo input screen shown in FIG. 33, and the nurse can take a memo by handwriting. The contents entered on the memo input screen can be saved by operating the “Register” button, and can be deleted by operating the “Cancel” button. When the patient ID is read using the bar code 7 by operating the “patient” button, the input content is transmitted to the server 1 and the input content can be shared between nurses.

When the “various tools” button is operated, the screen switches to the task menu screen shown in FIG. The job menu screen consists of buttons for “Received mail”, “Wallpaper setting”, “Various dictionaries”, “Contact board”, “Various software”, and “Back”.

When the “received mail” button is operated, the screen is switched to the received mail screen shown in FIG. 35, and a list of mails transmitted from the server 1 in the past is displayed. Whenever a mail is sent from the server 1 to the mobile terminal 5, the screen switches to the received mail screen in real time by the interrupt function. Here, if the administration of the medicine to the patient is forgotten and a signal indicating the completion of administration is not input to the server 1 by the set time, the medicine is automatically transmitted to the mobile terminal 5 and is automatically displayed. FIG. 36 is a detailed screen showing the contents of the received mail.

When the “wallpaper setting” button is operated, the screen is switched to a screen where a wallpaper to be pasted on the screen background can be selected.

When the “various dictionary” button is operated, for example, as shown in FIG. 37, the screen switches to a variety of dictionary screens displaying buttons such as “treatment of today”, “medicine dictionary”, and “medical dictionary”. When any button is operated on this screen, the dictionary software corresponding to the operated button is started. The software is installed in the personal computer 5 such as the server 1 and installed in each mobile terminal 5 and registered in the menu button at the same time.

When the “contact board” button is operated, a message input in advance on the personal computer such as the server 1 is displayed. If a message is transmitted from the server 1 to the mobile terminal 5, as shown in FIG. 38, the “contact board” button is highlighted to indicate that fact. This allows the nurse to recognize at a glance that the message has been entered.

[0047] When the "software" button is operated, as shown in FIG. The screen switches to various software screens displaying buttons such as 查 machine standard value ”and“ blood pressure gas data analysis ”. When one of the buttons is operated on this screen, similarly to the dictionary, the software corresponding to the operated button is activated. In addition, the same as the dictionary, the software is installed in the personal computer such as the server 1 in advance and installed in each mobile terminal 5 and registered in the menu button at the same time.

“Return” is used when returning to the previous screen. This "back" button is displayed on any of the switched screens described elsewhere.

[0049] As shown in FIG. 6B, the drug administration cart 8 is provided with storage shelves 9 in a plurality of stages, and each storage shelf 9 is detachable in units of a cartridge 11 having four cassettes 10 as one unit. T! / As shown in FIG. 6C, the cassette 10 is divided into a plurality of trays 12 and contains one day's worth of medicine prescribed for each patient. The medicine stored in each tray 12 can be identified by a barcode 14 provided by printing or the like on an attached processing label (this barcode 14 corresponds to a second detection portion according to the present invention). ) ₀ on the front surface of the cassette 10, LED 13 is an example of a notification unit according to the present invention is provided, and can turned on by a signal from the server 1. Further, the cassette 10 is provided with a lock mechanism (not shown). The lock is released only when the cassette 10 is turned on, and the cassette 10 can be removed from the cartridge 11.

[0050] The patient can be identified by the barcode 7 on the wristband wrapped around the arm or the label attached to the bedside (this barcode 7 corresponds to the first detected portion according to the present invention). o However, it is also possible to display a list of patients (see FIG. 15) on the screen of the small portable terminal 5 to specify the patient.

Next, the processing (see FIG. 12) in the drug administration system will be described.

As shown in FIG. 7, when a doctor's power prescription is issued and prescription data is stored in the server 1 (step S1), the pharmacy starts dispensing based on the prescription data. The prescription data can be printed by clicking the "Execute" button on the closing instruction screen displayed on the monitor of the server 1. For details, the medication schedule of the medication patient list can be printed for each ward, and can be used as a worksheet or daily report of the medication schedule. A check box is printed next to the printed characters because care must be taken when handling controlled chemicals. Also, once the prescription data is printed, once A prescription tag for the drug is printed. Prescription tags are used to control liquid medicines and external medicines in hospital wards by attaching force labels to be placed in medicine bags. If the medication is only liquid medication, only the prescription tag is placed in cartridge 11 (a set of four cassettes 10). The pharmacist conducts a dispensing audit on the medication of the drug administration patients, and the pharmacist sets the medication for cartridges 11 and 3 days and 4 days for each patient, day, and dose category in the cartridge 11. When the dispensing by the pharmacist is completed, the nurse (or messenger) transports the cartridge 11 to the ward. The cartridges 11 for two days are transported only on the prescription day, and the cartridges 11 for the remaining days are stocked in the pharmacy (managed by the pharmacy as placement medicine). The next day, the power will transport the cartridge 11 on a daily basis. Then, the cartridge 11 is set in the medicine cart 8 in the ward. After setting the cartridge 11, click the “Data Set” button on the screen of the terminal 4 attached to the drug cart to update the cart data. As a result, it is possible to synchronize the medicine in the medicine cart 8 with the cart data. For self-managed patients, the data is transferred to the medication cart 8 when accepted at the pharmacy department, and for the medication-administered patients, the data is updated at the time of setting. In addition, a medicine reception monitor of the self-managed patient and the consent thereof are created on the small portable terminal 5, and the reception confirmation work can be performed.

Subsequently, a decision is made according to the prescription data update category (step S2), and if the prescription data is new prescription data, a medication preparation process is performed (step S3).

In the medication preparatory process, as shown in FIG. 8, first, the nursing schedule is monitored (step Sl). Here, the work schedules of all nurses set in the nursing schedule in advance are read. Then, it is determined whether or not the current time has reached the drug dispensing preparation time, that is, the time preceding the drug dispensing time by the drug dispensing time (step S12). Here, the drug delivery time refers to the time required for the work of dividing the patient into single doses and the work of preparing the drug. When the drug preparation time comes, a patient to be given a drug is extracted based on the work schedule of all the nurses read in step S11 (step S13), and patients are assigned to each nurse in charge (step S14). Then, the e-mail address of the nurse's small portable terminal 5 is obtained (step S15), and an e-mail is transmitted to the nurse's small portable terminal 5 (step S16). For this reason, the nurse in charge can recognize that it is time to start drug delivery, and can reliably prevent forgetting to take a drug. In addition, the position of the medication cart 8 is acquired (step Step S17), the LED 13 of the cassette 10 accommodated in the medicine cart 8 containing the corresponding medicine is turned on (step S18). As a result, it is possible to recognize at a glance the strength of the cassette 10 in which the corresponding drug is stored, and the operability is significantly improved.

[0055] Upon receiving the e-mail, the nurse starts the medication process according to the flowchart shown in Fig. 9A (step S4).

The nurse performs a process for confirming the medicine contained in the medicine cart 8 (medicine confirmation process) prior to the medicine administration process. As shown in the flowchart of FIG.9B, the medicine confirmation process displays the menu screen shown in FIG. 15 on the small portable terminal 5 (step S100), operates the “plan” button (step S101), and returns to FIG. The displayed medication schedule monitor screen is displayed (step S102). When the relevant patient name is operated on this screen (step S103), the screen is switched to the detailed screen shown in Fig. 17 (step S104), and the details of the medicine to be taken by the patient can be called up from the server 1 and displayed. it can. The medication schedule monitor screen can also be used when the nurse has confirmed the number of medication processes in advance, or when the prescription is stopped, as described later.

Further, on the medication schedule monitor screen, by operating the “memo” button, it is possible to switch to the memo input screen shown in FIG. 18 and input a memo. This memo is transmitted to the server 1 by operating the "register" button, and the data content is updated. In other words, a memo input by a certain nurse can be shared, and another nurse can browse this memo. Therefore, for example, when it is necessary to pay attention to the patient's condition (for example, a decrease in body temperature) according to instructions from a physician, the memo can be viewed by other nurses to Can be dealt with.

[0058] Further, on the medication schedule monitor screen, for example, when the medication is to be discontinued according to a doctor's instruction, the medication to be discontinued is selected on the detailed medication schedule monitor screen shown in FIG. The stop processing can be started.

In other words, in the medication discontinuation process, as shown in the flowchart of FIG. 9C, the user checks the suspension column of the drug whose medication is to be discontinued and operates the “Cancel” button (step S 110). The display switches to a stop confirmation message screen (step S111). Then, on this screen, the “temporary stop” button or the “continue stop” button 13 is operated (step S112). "Temporary suspension "" Button, the prescription is aborted and the temporary prescription is output from the printer

(Step S113). In addition, when the "continue stop" button 13 is operated, a calendar is displayed (step S114), and the date of the prescription is shown there. Then, from the indicated prescription date, the last day of discontinuation can be selected. When the last day of cancellation is selected (step S115), the screen switches to the continuation cancellation message screen shown in FIG. 20 (step SI16), and the selected date and the dosage category are displayed. If you select the dose category ("day") (step S117), the message displayed at the top will change from "How long do you want to stop continuing?" To "Do you want to stop until noon on April 13, 2003?" The mode is switched (step S118). In the taking category, only the taking category with a prescription is displayed in a different color (light blue in this case) (step S119). Then, a prescription for discontinuing continuation is output from the printer (step S113).

When the “Prescription” button is operated on the medication schedule monitor screen, the screen switches to the prescription monitor screen shown in FIG. 21A, and the contents of the prescription of the selected patient can be displayed. Further, when the “medicine history” button is operated, the screen is switched to the medication history monitor screen shown in FIG. 21B, and the medication history of the selected patient can be displayed.

[0061] In the drug dispensing process, the corresponding tray 12 is taken out of the drug dispensing cart 8, transferred to the drug dispensing cart, transported to the patient's room, and a menu screen is displayed on the small portable terminal 5. Let me show you. Then, for example, if an internal medicine is to be administered, the medicine administration monitor screen is displayed by operating the “medication” button in the “internal medicine” column displayed on the menu screen.

Subsequently, the bar code reader 21 (not shown) connected to the small portable terminal 5 reads the bar code 7 printed on the wristband attached to the patient or the label provided on the bedside (step S21). . In this case, a list of patients may be displayed on the screen of the small portable terminal 5, and the corresponding patient may be selected from the list. Thereby, the patient data (see FIG. 22) is displayed on the screen of the small portable terminal 5 (step S22).

Further, the bar code reader 21 reads the bar code 14 provided on the prescription tag attached to the tray 12 stored in the corresponding cassette 10 (step S23). The prescription label includes the patient's name, ward, ward, ward, dosage regimen, medication time, drug name, and dosage. As described above, the bar code 7 may be read first by the patient's label, but the bar code 14 of the prescription tag may be read first. is there. Further, at the time when any of the barcodes 7 and 14 is read, a list of patients may be displayed on the screen in the same manner as described above.

[0065] In this way, the bar code 7 and the bar code 14 are also read from the label on the patient side and the prescription tag and the force attached to the tray 12, respectively, and when the corresponding bar code data is called, both bar code data 7 and 14 are read. 14 are automatically compared to determine whether they match (step S24). In this case, the judgment in this case includes judgment of coincidence and non-coincidence of the administration time, and whether or not the medicine has already been administered, in addition to coincidence and inconsistency of the patient data.

[0066] If the barcode data matches, the corresponding medication data is displayed. The drug administration data includes the patient's name, ward, ward, ward, dosage regimen, drug administration time, drug name, dosage, and symbols (characters) for controlled drugs. Here, the nurse checks whether or not the contents of the tray 12 and the medicine displayed on the screen of the small portable terminal 5 match each other. If it is determined that they match! / ヽ, the “done” button is clicked (step S26), and the medication data is transmitted to server 1 to update the data content (step S27). Then, give the medicine to the patient. This completes the medication for that patient.

On the other hand, if the barcode data does not match, for example, a warning message shown in FIG. 24 is displayed on the screen of the small portable terminal 5 (step S28).

If the bar code data does not match, the bar code 14 provided on the attached processing tag for the appropriate tray 12 may be read by the bar code reader 21 again.

As described above, since multiple checks can be made when giving a drug to a patient, it is possible to reliably prevent a medical error in which a different drug from another patient is delivered.

When the transmission of the e-mail is completed, a medicine forgetting process is performed (step S5).

In the medication forgetting process, as shown in FIG. 10, first, the work schedules of all nurses set in the nursing schedule are monitored (step S31). Then, it is determined whether or not the set time has elapsed since the completion of the mail transmission (step S32). When the set time has elapsed, the drug administration completion data is acquired (step S33), and the drug administration is completed. It is determined whether or not the force is applied (step S34). If the medication has not been completed, a nursing schedule is obtained (step S35), the nurse in charge is specified based on the nursing schedule (step S36), and the e-mail address is obtained (step S37). . In addition, it is determined whether or not the chief nurse is registered (step S38). If the chief nurse is registered, the chief nurse is identified (step S40), the e-mail address thereof is obtained (step S41), and the nurse in charge is assigned. The e-mail is automatically transmitted to the nurse and the chief nurse (step S42). If not registered, an e-mail is automatically sent only to the nurse in charge (step S39). Further, the position of the medication cart 8 (cassette 10) is specified (step S43), and the LED 13 is turned on (step S44). This check can also prevent forgetting to take medication due to irregular prescription. The nurse returns the cartridge 11 to the pharmacy after the work on that day or the next day.

By the way, if it is determined in step S2 that the prescription data is “cancel” change, which is new prescription data, a stop / change process is performed (step S6). The discontinuation / change process is performed when a doctor issues a discontinuation / change prescription. Cancellation · The changed prescription is, for example, the one that the doctor draws a horizontal line (strikethrough) on the relevant drug, confirms it, and signs it (signed).

In the change process, as shown in FIG. 11, a change prescription is issued and the change is canceled.

'When the change data is registered in the storage device 2 of the server 1 (step S51), the corresponding patient on the schedule screen displayed on the monitor of the terminal 4 with the medication cart is highlighted in red (step S52). Then, until the “data set” button is clicked (step S53), the medication for the patient is locked (so that it cannot be stopped or changed) (step S54). In the pharmacy department, a pharmacist performs a final audit. In other words, a list of patients scheduled to be canceled / changed (patients who have issued a “changed prescription”) is displayed on the monitor of the terminal 4 attached to the drug administration cart. Change, abort '. In addition, since the cancellation may be canceled only once or continued, click on the drug name on the screen above and click Cancel to stop the drug administration. Clicking on the administration time (morning) of the drug name and then clicking stop will stop only the medication at that time. Upon completion of the pharmacist's audit, the nurse receives the medicine and prescription tag at the pharmacy department, transports it to the ward, and sets it in the medication cart 8. Then, when the “Data Set” button is clicked, the data of the medication cart 8 is updated (step S55). When giving a drug to a patient, the small portable terminal 5 confirms that the patient is a changed patient and gives the drug. In this case, "Prescription changed" is displayed on the monitor to the right of the name, and the user is warned that he is a changed patient. Note that, in the above-mentioned “cancel” change process, if it becomes necessary to urgently discontinue medication, an email may be sent to the nurse to notify the nurse.

[0074] If the data is not updated in time by the time of drug administration or is out of time, it is preferable to issue a discontinued prescription to lock the data so that it cannot be changed.

Further, in the above-described embodiment, the medication cart 8 is configured as shown in FIG. 6B. However, as shown in FIG. 40, the medication cart 8 is configured to store the tray 12 in each drawer for each dose period. Is also good. That is, the medicine cart 8 shown in FIG. 40 includes drawers 16 for “cancel”, “before sleep”, “morning”, “day”, “night”, and other drawers 16 and a folding work table 17. It is provided with a configuration. Each drawer 16 accommodates a plurality of trays 12, and in each tray 12, a plurality of cassettes 10 accommodating medicines are placed as shown in FIG. Protrusions (not shown) are formed on the bottom surface of the tray 12 according to the width of the cassette 10, so that the cassettes 10 to be placed can be arranged in a matrix.

In the above embodiment, it is preferable to use a force rewritable card in which a prescription tag on which the barcode 14 is printed is attached to the tray 12, and rewrite the contents according to the prescription data. According to this, the medicine is stored in each tray 12 in accordance with the prescription data, and the operation of loading the corresponding tray 12 is automated by rewriting the description on a rewrite card with the corresponding information. Can be. Therefore, it is possible to reliably match the medicine stored in the tray 12 with the content written in the rewrite card.

As shown in FIGS. 42 and 43, the cassette 10 has a front surface constituted by an opening / closing plate 17 rotatable about a support shaft 17a at a lower edge, and a prescription tag or a rewritable card or the like on the upper surface. It may be configured to have a holding portion 18 to which a card C on which a barcode is printed can be attached. An arc-shaped notch 17b is formed at the center of the upper edge of the opening / closing plate 17, so that the card C can be easily attached to and detached from the holding portion 18. The holding portion 18 is configured by a pair of upper and lower holding pieces 18a and 18b having a substantially U shape so as to guide three sides of the card C (indicated by a two-dot chain line in FIG. 43 (a)). The upper holding piece 18a is designed to guide the edge of the card C at three places. It has become. The lower holding piece 18b protrudes inward from the upper holding piece 18a.

[0078] In addition, a card C such as a prescription tag or a rewrite card may be provided with a detected part other than a barcode, or a non-contact type using an IC card or the like having a built-in IC chip. It is also possible to exchange data.

Further, in the above-described embodiment, the force for reading the patient information by the wristband worn on the patient or the barcode 7 printed on the label provided on the bedside, etc. As shown in FIG. It is also possible to adopt a configuration in which an IC chip 16 is provided. Further, the ring 15 may be configured by a band-like body 17 that is wound to form an annular shape, as shown in FIG. That is, as shown in FIG. 45 (b), connecting portions 17a and 17b formed by cutting different side edges at both ends are formed, and as shown in FIG. 45 (a), the connecting portions 17a and 17b are formed into an annular shape. The connection may be made by welding or bonding. This configuration is preferable because it can be easily manufactured at low cost and can be disposable. Further, as shown in FIG. 46, the ring 15 has a locking receiving hole in which a serrated locking portion 18a is inserted into one end of the band 18 and the locking portion 18a is inserted into the other end and locked. The configuration in which 18b is formed may be adopted. That is, the band 18 is wound around the patient's finger, and the locking portion 18a is inserted through the locking receiving hole 18b. Then, the locking position is changed by pulling the locking portion 18a and tightening it until a good mounting state is obtained. After that, the remaining portion of the locking portion 18a protruding from the locking receiving hole 18b may be cut. According to this, it is possible to flexibly cope with different finger sizes of the patient, and it is possible to prevent the patient from intentionally removing or dropping unconsciously. As such a structure that can prevent the falling-off, a connection structure that cannot be released without using a special tool can be adopted. For example, it is possible to adopt a structure in which the fitting state cannot be released unless a special tool (for example, a driver having a specially shaped tip) is used, which has an uneven fitting structure.

Claims

The scope of the claims

[1] a server comprising: storage means for storing prescription data, patient data, and medication schedule data in association with each other; and control means for outputting a notification signal based on the medication schedule.

A first detected part for identifying a patient,

A second detected part for identifying a prescribed medicine,

Detecting means for detecting the two detected parts,

A notification is output based on a notification signal from the server, and the detection unit detects each of the detected parts and transmits / receives data to / from the server to determine whether or not the medicine to be administered to the patient is appropriate. And a mobile terminal that determines

The mobile terminal includes a display unit capable of displaying a medication schedule monitor screen including a list of patients, a medication detail screen showing details of the medication of the patient, and a medication schedule displayed on the display unit. A control unit for switching to the medication details screen by selecting a specific patient on the monitor screen, and calling up and displaying the details of the medication details of the selected patient from the server. Drug administration system.

[2] The portable terminal further includes a discontinued drug selecting unit for selecting a drug to be discontinued on the detailed drug content screen displayed on the display unit, and discontinues the dispensing by the discontinued drug selecting unit. Continuation discontinuation selecting means for selecting continuation suspension after selecting the medicine to be performed, and suspension period setting means for selecting a suspension period after selecting continuation suspension by the continuation suspension selection means. The drug administration system according to claim 1, wherein

[3] The control unit displays a stop confirmation message screen that displays only the selected drug by selecting a drug to be stopped by the stopped drug selection unit on the drug content detail screen displayed on the display unit. 3. The medication management system according to claim 2, wherein the medication management system is displayed on the display unit.

[4] The drug administration system according to claim 2, wherein the discontinuation period setting means can set a suspension period in units of dates and doses.

[5] The control unit changes the content of the suspension confirmation message on the suspension confirmation message screen displayed on the display unit based on the suspension period set by the intermediate period setting unit. 5. The drug administration system according to claim 3, wherein the drug administration system displays characters.

[6] The portable terminal can further display a memo input screen that can be switched from the medication details screen on the display unit, and the server stores the memo content input on the memo input screen. The drug administration system according to any one of claims 1 to 5, wherein the drug administration system is stored in a storage device and can be used on another mobile terminal.

[7] The server includes display means capable of displaying a closing instruction screen for setting a dispensing date and the number of dispensing days for each ward,

When a ward and a dispensing date are selected on the closing instruction screen displayed on the display unit, the control means displays the ward in a corresponding field of the closing instruction screen based on the prescription data stored in the storage means. The drug administration system according to claim 1, wherein the total number of prescribed patients is displayed.