WO2007100046A1 - 混注監査システム - Google Patents
混注監査システム Download PDFInfo
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- WO2007100046A1 WO2007100046A1 PCT/JP2007/053922 JP2007053922W WO2007100046A1 WO 2007100046 A1 WO2007100046 A1 WO 2007100046A1 JP 2007053922 W JP2007053922 W JP 2007053922W WO 2007100046 A1 WO2007100046 A1 WO 2007100046A1
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- Prior art keywords
- mixed injection
- work
- audit
- mixed
- worker
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Classifications
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
- G16H20/17—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered via infusion or injection
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
- G06Q10/00—Administration; Management
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
Definitions
- the present invention relates to a mixed injection inspection system for monitoring a mixed injection operation for mixing a drug to generate an injection, and in particular, the operation of the mixed injection operation, which has not been conventionally performed, is separated from the mixed injection operator's power. Provide an audit system that can be audited at different locations.
- the mixed injection work as described above is directly related to the patient's condition, and must be carried out in a very detailed procedure.
- drugs such as anticancer drugs that may harm the health of unhealthy individuals if they are absorbed by mistake, as well as the drugs before mixing, or the drugs themselves produced by mixed injection. Therefore, for example, the “Injection Dispensing Guidelines for Inpatients (December 2000)” was published by the Japan Hospital Pharmacists Association, and in order to ensure the effectiveness and safety of the drug, The appropriateness of the prescription content such as dosage, administration technique, administration rate, and administration organization is confirmed, and if there is any doubt, the prescribing physician should be inquired and understood before dispensing.
- a system that is managed in total by a computer outputs an injection order entered by a doctor within a predetermined time or at a predetermined time as an injection prescription.
- Prescription audit 'Measurement (mixing) instruction 2.
- Pre-audit 3.
- Preparation for measurement 4.
- Aseptic adjustment (mixing with infusion) 5.
- Audit after mixing, labeling 6.
- Counting (individual set) 'attaching label 7.
- Dispensing is generally performed in the order of final audit.
- the mixed injection work must be audited at many stages in consideration of its safety.
- the pre-audit in 2 above and the aseptic adjustment in 3 above are important.
- the procedure itself check of mixed drugs, mixing method, degree of vibration, time of vibration, etc.
- checks at various stages are necessary. It is clear that a fatal result can occur especially if the drug used for mixed injection is wrong or the amount of the drug is wrong. Therefore, in the pre-audit, let's mix with drugs and infusions in the prescription memorized according to the patient. Make sure to check with actual drugs and infusions.
- the mixed injection work itself includes a master database that stores the master data of a large number of drugs, and a dispensing pattern that shows the procedure for dispensing multiple types of drugs that are applied to patients at one time and storing them in supply containers.
- a plurality of dispensing patterns with some or all of the presence / absence of solid medicine, presence / absence of liquid medicine, presence / absence of dissolution agent, presence / absence of diluent, and type of supply container as parameters are set in advance.
- the prescription drug dispensing support system (specialized) is designed to audit whether the dose of the drug used as a mixed injection is appropriate by comparing the initial weight and the final weight.
- Document 1) is known in the prior art mosquito ⁇ et al Ru.
- Patent Document 1 Japanese Patent Application Laid-Open No. 2004-208842
- the auditor is not dedicated to a mixed injection worker, and must audit the mixed injection work of multiple workers. For this reason, in the method in which the auditor closely audits the worker as described above, the auditor must go to another worker's place one after another to perform the audit. This is a substantial burden on the auditor. In other words, if the inspector can audit different mixed injections one after another while staying in one auditing room, for example, the burden on the auditor will be eliminated at once.
- the present invention has been made in view of the above circumstances, and the object of the present invention is to evaluate the operation of a mixed injection worker, which is difficult to evaluate numerically as described above, as a mixed injection operation. It is also possible to provide a system that can reduce the burden on the auditor by making it possible to perform the field work at a remote location. Another objective is to provide a system that can improve the efficiency of auditing at once by enabling visual auditing to be performed centrally for multiple mixed-injection tasks. Therefore, it is to provide a system capable of auditing other mixed injection work one after another while staying away from the mixed injection work place as described above.
- Another object of the present invention is to provide such an economical system.
- the present invention is a mixed injection inspection system for auditing a mixed injection operation for mixing injection drugs by an auditor different from the mixed injection operator.
- This is a system that connects remote locations where the mixed injection work is carried out, and the auditors who audit the mixed injection work!
- a mixed injection worker side display means is provided for displaying the content input by the inspector side input device to the mixed injection worker.
- Auditor to display mixed injection work imaged by the device The side co-infusion work monitor and the auditor's side input device for inputting instructions to workers working in the co-infusion work place are provided.
- the auditor performs the mixed injection operation of the mixed injection worker imaged by the mixed injection operation imaging device for photographing the mixed injection operation described above.
- the conventional mixed injection inspection system is an extremely inefficient operation.
- the inspector can image a plurality of mixed injection operations placed at a plurality of mixed injection sites. Since the image of mixed injection sent from the device can be centrally monitored by another person in another auditing room, etc., one auditor can audit the operation of multiple mixed injection workers. It was possible to improve auditing efficiency at once. As described above, the task of auditing mixed injection requires extremely close observation, so auditing two tasks at the same time may cause an audit error. Therefore, as another embodiment of the present invention, even if one auditor audits a plurality of mixed injection operations through the monitor, the actual state of the audit is not to be performed at the same time.
- a system that switches the display and always audits one mixed injection work is provided.
- one auditor monitors one mixed injection operation at the same time. However, once one audit is completed, it does not move to another mixed injection worker. At the request of the next mixed injection worker, another mixed injection operation can be monitored while staying in the auditing room. In that sense, the present invention establishes a one-to-many relationship.
- the actual mixed injection audit requires communication between the mixed injection worker and the auditor. For example, if it is determined that the drug mixing action is slow, the auditor must instruct him to shake when he / she holds it. If the auditor does not send an instruction to the mixed injection worker to the effect that it can be The body is not established. Therefore, in the present invention, as described above, the mixed injection worker side display means for displaying the contents inputted by the supervisor side input device to the mixed injection worker is provided at the place of the mixed injection operation. Enter the auditor's mixed injection work monitor to display the mixed injection work imaged by the mixed injection work imaging device and the instructions for the workers working at the mixed injection work place in the audit room etc. An input device for the auditor is provided to enable communication between the co-worker and the auditor!
- a medicine management server for storing mixed injection information including the drug for mixed injection, its mixing procedure, and precautions for mixing processing, and a place for mixed injection work.
- a mixed injection information monitor connected to the medicine management server for displaying the mixed injection information can be provided.
- a mixed injection inspection system in which the mixed injection worker side mixed injection information monitor also serves as the mixed injection worker side display means.
- the mixed injection worker side mixed injection information monitor also serves as the mixed injection worker side display means.
- it is very easy to execute processes such as erasing the completed procedures one after another, so that the burden on the mixed injection worker can be reduced and the work can be optimized. It is planned.
- mixed injection information including the drug for mixing, the mixing procedure, and precautions for mixing processing, that is, if the mixed injection worker side display means and the mixed injection worker side mixed injection information monitor are combined, the above 2 It can also be used as a monitor (display means) for two different functions, and an economical system can be achieved.
- an inspector side mixed injection work monitor configured to be able to switch and display images from the plurality of mixed injection work imaging devices. In this way, by switching and displaying images from a plurality of the above mixed injection work imaging devices, Inadvertent mistakes due to auditing can be prevented.
- the inspector side mixed injection work monitor can be configured to switch and display the video from the mixed injection operation imaging device in response to a request from the mixed injection worker side. With such a configuration, when a co-injection worker wants to show different screens to the auditor one after another, the screen can be switched efficiently and audited. As it progresses, the efficiency of the audit improves.
- the evaluation factor that must be audited by the side of the mixed injection worker that is, the operation of the mixed injection worker that is difficult to evaluate numerically, is kept in an audit room or the like separated from the mixed injection worker. Auditing can reduce the burden on the auditor at once, and such a visual audit can be performed centrally for a plurality of mixed injection operations. Efficiency can be significantly improved.
- Fig. 1 is a flow chart showing an outline of the flow from the request for injection formulation to which the system of the present invention can be applied to injection administration
- Fig. 2 shows the hardware for supporting the system according to the present invention
- Fig. 3 is a flowchart showing the outline of mixed injection work
- Fig. 4 is a flow chart showing the information processing procedure between the drug management server that supports mixed injection work and the control means of the mixed injection worker side display means.
- Fig. 5 is a diagram showing the initial menu in the mixed injection worker side display means or the auditor side mixed injection work monitor
- Fig. 6 shows the mixed injection inspection on the mixed injection worker side display means or the auditor side mixed injection work monitor
- Fig. 7 shows an example of the initial screen when the monitor menu or the remote audit monitor menu is selected.
- Fig. 7 shows the screen on which patient information is displayed on the mixed injection worker side display means or the auditor side mixed injection operation monitor.
- Fig. 8 shows a screen with the syringe to be audited displayed
- Fig. 9 shows a screen displaying detailed information on mixed injection in the state of Fig. 8
- Fig. 10 shows a remote audit.
- Fig. 11 shows a display screen on the monitor
- FIG. 11 is a front view showing an example of a safety cabinet used for mixed injection work
- Fig. 12 is a diagram of Fig. 11.
- Fig. 13 is a perspective view showing the details of the door of the safety cabinet
- Fig. 14 is a perspective view showing the state of work in the safety cabinet
- Fig. 15 is another safety cabinet.
- Fig. 16 is a perspective view showing the status of work in another safety cabinet
- Fig. 17 is a perspective view of the entire pre-inspector
- Fig. 18 is a perspective view showing the status of work in the cabinet.
- Figure 19 is a rear view of the previous audit equipment
- Fig. 20 is a plan view of the previous audit equipment.
- FIG. 1 the flow chart of Fig. 1 will be used to explain the outline of the processing flow up to the administration of a drug, which is the background technology to which the system of the present invention pre-inspected as described above is applied.
- Light up. Processing begins with processing on the pharmacist side.
- the procedure number is represented by Tl, T2, ...
- T1 When the doctor receives a prescription and adjustment note prepared by the doctor (receives an order (T1)), the pharmacist audits whether there is a mistake in the prescription of the received injection (T2). This is the previous audit described above.
- a prescription for the injection according to the prescription is created ( ⁇ 3). If the prescribed injection is not subject to co-infusion () 4), it is dispensed directly without co-infusion treatment and delivered ( ⁇ 6) through an audit ( ⁇ 5). If the injection listed in the prescription is a drug to be mixed ( ⁇ 7), collect the drugs for mixed injection, and audit the name and number of the drugs with the drug summary table ( ⁇ 8) ( ⁇ 9). In addition, in the mixed injection work described later, since it is necessary to check whether the drug is correct, a label with the patient name and details of the drug is created (T10). These audited chemicals and labels are stored as a set (T1 Do
- the contents of the label including data on the mixed injection content, such as the status of the audit, the content of the created drug, the patient ID, the patient name, and the date of the mixed injection, are all input from the terminal on the pharmacist side. Sent to the medicine management server 1 and stored in the mixed injection information database 3. Next, the actual co-infusion operation is performed immediately before the medication in order to prevent the loss of efficacy due to the progress of the chemical reaction of the drug.
- a combination of the preparations set on the previous day is paid out based on identification information such as the patient name.
- An audit pre-supervision
- ⁇ ) Be done T12
- the number 1Z2 described in “Number of completed copies” indicates that one of the two is currently audited, that is, the status of the previous audit.
- the mixed injection work is then performed by the mixed injection worker ( ⁇ 13). At this time, not only the amount of drug used, but also the mixed injection operation is audited to determine whether the mixed injection work is being performed properly.
- the present invention relates to an audit system for this actual mixed injection operation, and details will be described later.
- a sampling audit is also conducted for the dissolved solution being mixed as needed ( ⁇ 14).
- the remote audit monitor shown in Fig. 10 presses the unit button (displayed in the upper part of Fig. 10) that the auditor wants to audit.
- the control room control unit 19 displays the word “audit” under the syringe audit in the detailed information on the screen of the mixed injection worker side display means 23 (see FIG. 2) shown in FIG.
- This display changes to “ ⁇ ” when the approval button B15 in the remote audit monitor on the auditor side shown in Fig. 10 is pressed.
- the cell of the dissolved image in the detailed information on the mixed injection audit monitor screen in Fig. 10 also changes from “Acquired” to “ ⁇ ”. Drugs for which the final audit has been completed are delivered (T16) and administered (Note 17).
- the pre-audit apparatus used in the pre-audit will be described.
- the chemical solution to be mixed before the mixed injection work is the same as the chemical solution that is to be administered to the patient afterwards, that is, the drug described in the prescription registered for the patient in advance.
- This is a process to confirm (verify) whether the infusion solution and the drug or infusion solution to be mixed in the future are the same. If this is mistaken, it is extremely important since the mixed injection operation is fundamentally established.
- Mixed injection work involves mixing multiple chemicals (for example, powders and chemicals), as well as chemicals and Sometimes saline is mixed with infusions such as glucose.
- FIG. 17 is a perspective view of the entire pre-inspection apparatus 50.
- the pre-inspection apparatus 50 is roughly divided into a drug audit section 51 on the front side of the apparatus for auditing drugs such as ampoules and medicine bottles.
- An infusion bag inspection unit 53 that audits an infusion bag containing physiological saline and the like, and a lower drive unit 55 that houses components that drive the drug inspection unit 51.
- the drug inspection unit 51 is provided with two rotating rollers 59a and 59b for placing and rotating the ampule 57 in a horizontal direction inside an openable / closable cover 83. ing .
- the two rotating rollers 59a and 59b are arranged side by side in the horizontal direction so that the ampule 57 can be rotated with the ampoule 57 placed thereon.
- One rotating roller 59a is connected to a reduction motor 61 that rotates at a low speed.
- a belt 63 is stretched between the other rotating roller 59b and the rotating roller 59a, and the rotating force transmitted by the belt 63 is driven by the rotating roller 59a so as to be in the same direction as the rotating roller 59a. Rotate at the same speed.
- the rotary rollers 59a and 59b have a slight gap 65 (see FIG. 20) between them, and as can be understood from FIG. 20, below the gap 65, the gap 65 is interposed.
- Reflective mirror 67 tilted at a 45 ° angle to optically reflect the barcode or label image affixed to the ampoule 57 rotated by the rotary rollers 59a and 59b (see Fig. 18). ) Is fixed. Further, an image such as a barcode on the surface of the ampoule 57 reflected by the reflection mirror 67 is reflected by the reflection mirror 67 and formed on a line camera 69 provided on the optical axis. Is imaged.
- the ampoule 57 is rotated by the rotating rollers 59a and 59b, and all the images such as barcodes and labels on the surface of the ampoule are read by the line camera 69.
- the scanned image is sent to a management computer outside the figure, and characters are recognized by a well-known technique such as image recognition, so that it is checked against the patient name, therapy, drug name, and other data, and the audit target is correct. Whether it is a drug is determined. [0025] As shown in Fig.
- the bracket 75 fixed to the belt 73 hung on the two pulleys 71a and 71b provided vertically is inserted into the ampule via the horizontal mounting bar 77.
- a piece 79 (see FIG. 18) is provided.
- the belt 73 moves by force and is attached to the belt 73 via the attachment bar 77.
- the ampoule push-out piece 79 pushes the ampoule 57 to be discharged into the box 81 and conveyed to the mixed injection work room where the mixed injection work described later is performed.
- the infusion bag 85 shown in FIG. 18 can be audited by reading the prescription, label or bar code 88 on the surface of the infusion bag monitoring unit 53 as described below. I can do it.
- the infusion back inspection section 53 is provided with a back loading tray 87 made of a transparent plate and swingable about a horizontal support bar 86. As shown in FIG. 19, the end 87a of the back loading tray 87
- the back loading tray 87 maintains the inclined state shown in Fig. 19 with the opposite end 87b slightly raised by this weight 89.
- a detection piece 91 is attached to the lower surface of the end 87b.
- a photo sensor 93 is provided in the frame below the detection piece 91 so that the light beam is blocked by the lowering of the detection piece 91 and the lowering of the detection piece 91 can be detected.
- an infusion bag 85 is placed adjacent to the back loading tray 87 in the direction of arrow Y around a horizontal pin 95 and placed on the back loading tray 87.
- a bar code reader 97 is provided for reading the bar code attached to the card.
- the operator mounts the back with the weight of the infusion bag 85.
- a computer (not shown) connected to the photosensor 93 receives a signal from the photosensor 93 in response to the signal from the infusion bag 85. Detect placement.
- the bar code reader 97 swings around the horizontal pin 95 automatically or manually so that the reading section swings to a position where the bar code of the infusion bag 85 can be read. Is read and its Data is stored in the computer and character recognition is performed.
- the computer can collate this data with patient name, therapy, fluid name, and other data to accurately determine whether the correct fluid is being delivered.
- the infusion bag 85 is placed on the transparent back loading tray 87 with the surface facing down, as shown in FIG. Is read by the label camera 90 via a reflection mirror 88 inclined at 45 degrees below the rack mounting tray 87, and is decoded as character information by the computer connected to the label camera 90 and registered in advance. It is checked (audited) against the information.
- the ampule 57 is described only when the label is read. However, the ampule is attached to the ampule! Of course, there is no problem even if it is read by.
- IC chips can be communicated with IC chips such as RFID chips attached to ampoules and infusion bags. Any method may be used to read and collate various information such as the name of the medicinal solution and the patient name stored in the database, and such a method is also a part of this embodiment.
- the medicine or infusion to be dispensed is the medicine to be mixed or infused from now on. Since it is possible to check (audit) the force automatically or semi-automatically, it is possible to completely prevent mistakes in taking medicines and infusions.
- This mixed injection audit system is basically a mixed injection audit system for supervising mixed injection work to mix injection drugs by an auditor different from the mixed injection operator. This is a new system because it can audit mixed injection even if the auditor is not together.
- a mixed injection work imaging device for example, a CCD camera described later
- the image of the mixed injection operation imaged by this mixed injection work imaging device is sent to the audit room where the mixed injection operation is far away.
- An auditor side mixed injection work monitor for displaying the mixed injection work imaged by the work imaging device is provided, and the mixed injection work is displayed to the auditor.
- the audit room is provided with an input device for the inspector side for inputting instructions to the worker who works in the mixed injection work site, and on the other hand, the inspector side in the mixed injection work site.
- a mixed injection worker side display means is provided to display the contents input by the input device to the mixed injection worker, and the result of the audit input from the input device on the auditor side (determining whether the mixed injection work is performed correctly) As a result, the mixed injection work is corrected or continued. As a result, the auditor can perform an audit including the audit of whether the mixed injection operation is appropriate, even when the mixed injection operation is not performed.
- a drug management server for storing mixed injection information including the drug for mixed injection, mixing procedure thereof, and precautions for mixing processing.
- a mixed injection information monitor that is connected to display the mixed injection information, the mixed injection worker can perform mixed injection while looking at the mixed injection information monitor on the mixed injection operator side. Problems such as sticky paper getting wet with disinfectants and becoming difficult to read are resolved.
- the mixed injection worker side mixed injection information monitor may be used also as the mixed injection worker side display means. This eliminates the need for monitoring and is economical. It is also possible to enable the auditor side mixed injection work monitor described above to display images from a plurality of the mixed injection work imaging devices. Since a single auditor's mixed injection work monitor can audit the mixed injection work of multiple persons, the burden on the auditor is significantly reduced.
- the auditor's mixed injection work monitor can switch and display the images from the plurality of mixed injection work imaging devices one by one, so that a plurality of audits are performed at a time, resulting in an audit error. The danger can be avoided.
- this system consists mainly of a drug management server 1 connected to a mixed injection information database 3 that stores mixed injection information including drugs for mixed injection, mixing procedures, and precautions for mixing processing. Is done.
- the medicine management server 1 has a diagnosis operated by a doctor. Treatment database 5 is connected.
- An audit room control unit 9 is further connected to the medicine management server 1.
- the inspection room side control unit 9 inputs an auditor side mixed injection work monitor 11 for displaying images captured by the mixed injection work imaging device 21 described later and instructions for workers working in the mixed injection work place.
- An inspector side input device 13 is connected.
- the above-mentioned audit room side control section 9, the auditor side mixed injection work monitor 11 and the auditor side input device 13 are provided in a place apart from the mixed injection work place described later, for example, in the audit room 15.
- a clean room 18 separate from the audit room 15, one or more safety cabinets and clean benches 17a, 17b, 17c, ... are provided. Further, the safety cabinet and the clean benches 17a, 17b, 17c (hereinafter referred to as “adjustment room 17”) are each provided with an adjustment room control unit 19 connected to the medicine management server 1.
- the coordinating room control unit 19 includes a mixed injection work imaging device 21 such as a CCD camera for photographing mixed injection work, and a monitor for displaying the contents input by the inspector's input device 13 to the mixed injection worker. This is connected to the mixed injection worker side display means 23.
- the mixed injection worker side display means 23 is connected to the drug management server 1 via the adjustment room control unit 19 and receives audit approval from the auditor input from the supervisor input device 13, audit NG, etc. Can be displayed.
- the mixed injection worker side display means 23 is connected to the drug management server 1 connected to the mixed injection information data base 3 via the adjustment room control unit 19, and displays various types of mixed injection information. Can do. That is, the mixed injection worker side display means 23 is also used as a mixed injection worker side mixed injection information monitor for displaying the mixed injection information. This can reduce the cost of monitoring. Of course, each monitor may be provided separately. In the following embodiment, the case of sharing is described.
- the medicine management server 1 is connected to all the plurality of adjustment room control units 19 described above.
- the inspector side mixed injection work monitor 11 has a plurality of mixed injections connected to each adjustment room control unit 19 via the audit room side control unit 9, the medicine management server 1, and the adjustment room control unit 19. Images captured by the work imaging device 21 can be switched and displayed one by one. The method of switching will be described later.
- Each co-injector-side display means 23 provided in each adjustment room 17 is connected to the inspector-side input device 13 via the adjustment room control unit 19 and the medicine management server 1. It is possible to display the judgment of the auditor input from the above-mentioned auditor-side input device 13.
- the adjustment chamber 17 is a safety cabinet, but it will be explained.
- the adjustment chamber 17 as a safety cabinet includes a work chamber 33 whose front is partitioned by a glass door 31 in the middle in the vertical direction. The glass door 31 cuts the work room 33 and the worker and prevents the worker from coming into direct contact with the medicine.
- An opening 35 is formed at the lower end of the glass door 31, and the operator inserts his hand into the work chamber 33 through the opening 35 to perform mixed injection work.
- An instantaneous light control glass 31a which is an example of the mixed injection worker side display means 23, is attached to the glass door 31.
- Instantaneous dimming glass 3 la is composed of transparent liquid crystal and so on. When a transparent matrix electrode is energized, the polarization state of the energized part changes, and characters and other images can be displayed on the glass.
- a transparent matrix electrode When a transparent matrix electrode is energized, the polarization state of the energized part changes, and characters and other images can be displayed on the glass.
- it is a well-known monitor device such as a transparent liquid crystal display device or a reflective liquid crystal display device, and may be provided with some auxiliary light source.
- Fig. 13 shows the state in which the image K is displayed on the instantaneous light control glass 31a as described above!
- a CCD camera 21a which is an example of the mixed injection work imaging device 21, is provided.
- the operator holds the work object (in this case, the syringe S in a state where the medicine is sucked) over the CCD camera 2 la, and enables photographing with the CCD camera 21a.
- the mixed-injection worker-side display means 23 may be an instant light control glass 3 la, or a liquid crystal display 23b attached to the rear wall 37 of the work chamber 33 as shown in FIG. Alternatively, it may be a display means such as a micro display in which a transparent liquid crystal display device, a reflective liquid crystal display element, or the like is provided on the operator's glasses.
- FIG. 11 denotes a HEPA filter for purifying and exhausting the air in the work chamber 33.
- FIG. 3 is a flowchart of the entire work including procedures before and after mixed injection.
- Figure 4 shows the mixed injection work itself.
- the co-infusion operator inputs the patient ID and co-infusion date data into the terminal connected to the drug management server, obtains the drug to be co-injected and its solution from the pharmacist (S1). Hold and enter clean room 18
- the initial menu screen of the mixed injection audit system shown in FIG. 5 is displayed on the inspector side mixed injection work monitor 11 and the mixed injection worker side display means 23.
- the same display screen may be displayed on the inspector side mixed injection work monitor 11 and the mixed injection worker side display means 23, but different screens may be displayed. In this embodiment, almost the same screen is displayed, but only a part (for example, Fig. 10) is different.
- the mixed injection worker presses the mixed injection inspection monitor button B1 in FIG. 5 the mixed injection inspection monitor screen in FIG. 6 is displayed on the mixed injection worker side display means 23. Since nothing has been set here, all fields are blank. The worker enters information to determine the contents of the mixed injection and presses the enter key to perform mixed injection.
- the content of mixed injection is determined, for example, by entering the patient ID and implementation date.
- the mixed injection information such as the patient ID, patient name, mixed injection date, and administration date is written on the label and connected to the mixed injection management server 1. Since it is stored in the mixed injection information database 3, the worker inputs the data such as the patient ID and the mixed injection date from the input section outside the figure provided on the mixed injection worker side display means 23 as described above. Thus, all the mixed injection information related to the current mixed injection is retrieved, and the patient information is displayed in the patient information column of the mixed injection information monitor screen as shown in FIG. 7 (S2). [0042] When the All button (B11) in the prescription information column on the left side of the screen in FIG.
- the process waits until the audit start button B12 in the mixed injection audit monitor screen shown in Fig. 7 is pressed (S12).
- the audit start button B12 is pressed, a so-called audit request is made.
- the moving image monitor button B13 is pressed (ON in S12)
- driving of a CCD camera 21a which is an example of a mixed injection work imaging device provided in the work chamber 33, is started.
- the syringe imaged by the CCD camera 21a Images such as the drug bottle and drug tube are displayed on the video monitor screen G3 displayed at the left end of Fig. 8.
- the coordinating room control unit 19 searches the mixed injection information database 3 via the medicine management server 1 by the patient ID or the like, and performs mixed injection as shown in FIG. The details are displayed in the detail information column G4 (S14).
- This mixed injection specification includes, for example, the contents of the drug or solution to be mixed, the mixed injection procedure, and other precautions, and the mixed injection worker performs the mixed injection while looking at this specification. In this case, there is no need to look at paper information such as mixed-injection prescriptions and precautionary notes, so problems such as processing of contaminated paper and when the paper becomes dirty will not cause problems. In addition, it is possible to input various noticed items on the spot, which can be expected to eliminate errors in subsequent actions.
- the adjustment room control unit 19 waits for an input of a mixed injection start instruction (S15).
- a mixed injection start instruction For example, when an audit request (pressing the audit start button B12) is issued from the mixed injection worker side as described above, a beep sound is generated in the audit room side mixed injection work monitor 11 connected to the control unit 9 on the audit room side. , If the auditor does not press any unit number (displayed in the upper part of Fig. 10 and set for each adjustment room 17) button, the beep sound may not be released. ! In other words, pressing the upper symbol number button is a mixed injection start instruction. When this mixed injection work start instruction is issued, the mixed injection worker starts the mixed injection work (S16).
- Mixed injection is performed in accordance with the mixed injection processing procedure and precautions displayed on the screen.
- the injection is placed in the syringe and mixed with the solution, so the dissolution state of the drug in the syringe and the operation of shaking the syringe by the operator are subject to audit.
- the auditor presses the syringe dissolution image acquisition button B14 to acquire the syringe dissolution image.
- this button press signal is received (ON in S17)
- the adjustment room control unit 19 sends the image of the syringe S acquired by the CCD camera 21a to the inspection room side control unit 9.
- the inspector side control unit 9 displays this image on the inspector side mixed injection work monitor 11. Specifically, this image is displayed in the video monitor column G6 in FIG.
- the inspector can notify the operator of the mixed injection operation by using a microphone or a beep if necessary. Necessary for audits, for example, shake the syringe more strongly or move the syringe closer to the camera Instructions. Of course, if there is an operation that does not follow the mixed injection procedure or precautions displayed in the detail information column G4, an instruction to repeat the procedure is given.
- the auditor or worker presses the audit start button B12 in Fig. 9 (ON in S19). In order to take advantage of the audit using the camera as described above, the auditor uses the empty space used by the mixed injection worker so that the mixed injection worker can visually know which drug has been mixed or dissolved.
- the audit room control unit 9 selects a solution image corresponding to the solubility of the current solution from the dissolution amount master and lower right and right in FIG. Is displayed in the dissolution amount master information column G7 (S20). The inspector can perform an audit on the amount of the dissolved solution by comparing both the above-mentioned dissolution amount audit acquired image and the dissolution amount master information image.
- the auditor presses the approval button B15 in FIG. 10 or presses the NG button B16 indicating that the audit is not approved.
- the audit room control unit 9 determines whether the approval button B15 is pressed (ON in S21) or the NG button B16 is pressed (ON in S22). If no button is pressed, wait until any button is pressed.
- the approval button B15 is pressed, the syringe image displayed on the auditor's mixed injection work monitor 11 at that time is stored as a still image.
- the mixed injection history inquiry menu shown in Fig. 5 is executed, this stored image can be referenced. Thereby, it is possible to confirm the mixed injection history of an arbitrary medicine.
- the inspection room side control unit 9 and the adjustment room control unit 19 determine whether another procedure for the same patient is necessary (S23). If it is determined that there is a prescription (YES in S23), the process returns to S14, the details of the next prescription are displayed, and the subsequent mixed injection procedure is repeated. If it is determined that there is no next processing (NO in S23), the prescription for this patient has been completed, and the operator proceeds to the final audit shown in Fig. 3 (S15 (see Fig. 3)).
- the inspection room side control unit 9 and the adjustment room control unit 19 indicate that a mixed injection inspection of another patient by a mixed injection worker is required, that is, indicated in S1 by another worker. Whether or not another prescription data is input is stored in the medicine management server 1 and the data power is also judged (S26). If it is determined that no other work has been input, the process returns to S1 (see Fig. 3) and waits for the next input. If it is determined that there is another work, the control section 9 on the audit room side disconnects the connection with the control section 19 of the work room 33 and controls the control section 19 of another work room designated in the other work. Connect to (S27). As a result, the process returns to S11.
- the audit room control unit 9 is programmed so that only one work room side control unit 19 is connected at a time, so that an error caused by the auditor performing two audits simultaneously can be avoided. It can be prevented beforehand.
- the mixed injection work is carried out by the processing of S11 to S26 described above. As described above, when one mixed injection operation is completed, a final audit indicated by S1 5 in FIG. 3 is performed each time. The final audit is a check of the state of the finished solution, and the worker performs an audit according to the manual for shape, color, etc. When the final audit is completed, the completed drug is delivered to the pharmacy (S16).
- FIG. 1 A flow chart showing an outline of a flow from a request for an injection formulation to which the system of the present invention can be applied to injection administration.
- FIG. 2 is a schematic configuration diagram of hardware for supporting the system according to the present invention.
- FIG. 4 is a flowchart showing the information processing procedure between the medicine management server that supports mixed injection work and the control means of the mixed injection worker side display means.
- FIG. 5 is a diagram showing an initial menu in the mixed injection worker side display means or the inspector side mixed injection operation monitor.
- FIG. 6 A diagram showing an example of an initial screen when the mixed injection audit monitor menu or the remote audit monitor menu is selected in the mixed injection worker side display means or the inspector side mixed injection work monitor.
- FIG. 7 is a view showing a screen on which patient information is displayed on the mixed injection worker side display means or the auditor side mixed injection operation monitor.
- FIG. 8 is a diagram showing a screen in a state where a syringe to be audited is displayed.
- FIG. 9 is a diagram showing a screen displaying detailed information on mixed injection in the state of FIG.
- FIG. 10 is a diagram showing a display screen in the remote audit monitor.
- FIG. 11 is a front view showing an example of a safety cabinet used for mixed injection work.
- FIG. 12 is a perspective view of the safety cabinet shown in FIG.
- FIG. 13 is a perspective view showing details of a door part of a safety cabinet.
- FIG. 14 is a perspective view showing the state of work in the safety cabinet.
- FIG. 15 is a perspective view showing a situation of work in another safety cabinet.
- FIG. 16 is a perspective view showing the state of work in still another safety cabinet.
- FIG. 17 is a perspective view of the entire pre-inspection apparatus.
- FIG. 18 Front view of the pre-inspection apparatus.
- FIG. 19 is a rear view of the pre-inspection apparatus.
- FIG. 20 A plan view of the pre-inspection apparatus.
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Abstract
Description
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Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
KR1020147004519A KR101391113B1 (ko) | 2006-03-03 | 2007-03-01 | 혼합 주사 감사 시스템 |
KR1020087021471A KR101382028B1 (ko) | 2006-03-03 | 2007-03-01 | 혼합 주사 감사 시스템 |
US12/281,612 US8073238B2 (en) | 2006-03-03 | 2007-03-01 | Mixed injection inspection system |
US13/289,847 US8433129B2 (en) | 2006-03-03 | 2011-11-04 | Mixed injection inspection system |
US13/289,831 US8442298B2 (en) | 2006-03-03 | 2011-11-04 | Mixed injection inspection system |
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2006-057367 | 2006-03-03 | ||
JP2006057367 | 2006-03-03 | ||
JP2007-048634 | 2007-02-28 | ||
JP2007048634A JP4612646B2 (ja) | 2006-03-03 | 2007-02-28 | 混注監査システム |
Related Child Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US12/281,612 A-371-Of-International US8073238B2 (en) | 2006-03-03 | 2007-03-01 | Mixed injection inspection system |
US13/289,831 Continuation US8442298B2 (en) | 2006-03-03 | 2011-11-04 | Mixed injection inspection system |
US13/289,847 Continuation US8433129B2 (en) | 2006-03-03 | 2011-11-04 | Mixed injection inspection system |
Publications (1)
Publication Number | Publication Date |
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WO2007100046A1 true WO2007100046A1 (ja) | 2007-09-07 |
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ID=38459145
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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PCT/JP2007/053922 WO2007100046A1 (ja) | 2006-03-03 | 2007-03-01 | 混注監査システム |
Country Status (5)
Country | Link |
---|---|
US (3) | US8073238B2 (ja) |
JP (1) | JP4612646B2 (ja) |
KR (2) | KR101391113B1 (ja) |
CN (1) | CN102737282B (ja) |
WO (1) | WO2007100046A1 (ja) |
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JP6288416B2 (ja) * | 2013-11-26 | 2018-03-07 | 澁谷工業株式会社 | 無菌作業システム |
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- 2007-03-01 KR KR1020147004519A patent/KR101391113B1/ko active IP Right Grant
- 2007-03-01 WO PCT/JP2007/053922 patent/WO2007100046A1/ja active Application Filing
- 2007-03-01 KR KR1020087021471A patent/KR101382028B1/ko active IP Right Grant
- 2007-03-01 US US12/281,612 patent/US8073238B2/en not_active Expired - Fee Related
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JP2011087999A (ja) * | 2011-02-08 | 2011-05-06 | Mita Rika Kogyo Kk | 処方薬調剤支援システム及び方法 |
Also Published As
Publication number | Publication date |
---|---|
JP4612646B2 (ja) | 2011-01-12 |
KR20140032016A (ko) | 2014-03-13 |
KR101382028B1 (ko) | 2014-04-04 |
US20120105620A1 (en) | 2012-05-03 |
US8433129B2 (en) | 2013-04-30 |
KR101391113B1 (ko) | 2014-04-30 |
US8442298B2 (en) | 2013-05-14 |
CN102737282A (zh) | 2012-10-17 |
JP2007260390A (ja) | 2007-10-11 |
US20120105621A1 (en) | 2012-05-03 |
CN102737282B (zh) | 2016-02-03 |
US20090161941A1 (en) | 2009-06-25 |
KR20080106531A (ko) | 2008-12-08 |
US8073238B2 (en) | 2011-12-06 |
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