WO2008038775A1

WO2008038775A1 - Medicine management guidance support system

Info

Publication number: WO2008038775A1
Application number: PCT/JP2007/068994
Authority: WO
Inventors: Kiyoyuki Nakata; Masaya Sugimura
Original assignee: Yuyama Mfg. Co., Ltd.
Priority date: 2006-09-29
Filing date: 2007-09-28
Publication date: 2008-04-03
Also published as: JP2013137775A; JP5708673B2; JPWO2008038775A1; CN101523431A; KR20090073125A

Abstract

The medicine management guidance support system comprises first prescription data storage means for storing patient prescription data, medicine information storage means for storing information on medicines, search means for searching information stored in the medicine information storage means for the medicine name on the basis of the features of the medicine which the patient carries, a determining means for determining the specific name of the medicine from the medicines hit by the searching means, and second prescription data storage means for storing the medicine as the patient previous prescription data when the determining means determines the specific medicine. The medicine management guidance support system further comprises checking means for checking the prescription data with the prescription data stored in the second prescription data storage means when the prescription data stored in the first prescription data storage means is ordered to a medicine department as a medicine preparing instruction and display means for displaying a message that there is a possibility to cause an event harmful to the patient if the result of checking by the checking means indicates the possibility.

Description

Specification

Drug management guidance support system

Technical field

TECHNICAL FIELD [0001] The present invention relates to a drug management instruction support system that supports drug management guidance performed on a patient who is a medical professional such as a doctor or a pharmacist.

Background art

[0002] In medical institutions such as hospitals and clinics, prescription instructions are given after examination by a doctor. Patients can receive drugs at in-hospital or out-of-hospital pharmacies based on these prescription instructions

[0003] The dosage is determined according to the type of drug, and the expected effect can be obtained by taking these dosages correctly. However, if you take it without adhering to the dosage, you may not only get the expected effect, but it may also cause adverse effects on your body. In addition, when multiple types of drugs are taken at the same time, adverse events may occur due to drug interactions. In addition, drugs may cause adverse events even if they are taken correctly and in the correct dosage. That is, it is a side effect.

[0004] Therefore, when a pharmacist provides prescription drugs to patients in order to avoid such adverse events as described above, a medication instruction document containing drug information such as drug usage and side effects should be provided. In general, oral medicine management guidance is given while handing it over.

[0005] By the way, the long-term prescription of drugs has been lifted in principle with the revision of the medical fee in 2002, when the number of days for providing drugs, ie the number of prescription days, was limited. In 2003, the rate of medical expenses for patients was raised. Along with these amendments, there are an increasing number of hospitalized patients bringing their own medicines.

[0006] Here, the term "drug" means a drug that patients with chronic illness such as diabetes bring to other hospitalizations, and an increasing number of patients continue to take this drug to avoid the burden of new drug charges. is doing.

[0007] Many drugs have the same effect but different drug names (brand names) For this reason, medications prescribed by a medical institution are often not adopted by the medical institution brought by the patient.

For this reason, in the past, a pharmacist has performed a work of identification in order to identify what medicine has been brought in. In order to support this discrimination work, a search system for specifying the name of a target drug based on search items such as the shape, color, and code of the drug is considered. (For example, see Patent Documents 1 and 2)

[0008] Patent Document 1: Japanese Patent Application Laid-Open No. 2001-331583

Patent Document 2: JP 09-16681 A

Disclosure of the invention

Problems to be solved by the invention

[0009] Although such a search system can reliably identify what the medicine to bring based on the above-described search items such as the form, color, and code of the drug, it is merely a system that exists alone. Absent.

[0010] In order to prevent adverse events such as interaction caused by the combined use of prescription drugs with the use of the conventional search system, information on the obtained drug is obtained from the patient. Needs to be reflected in the past medical history. For this reason, it was necessary to perform a double operation of obtaining information on the brought-in drug in one system and then comparing the brought-in drug with the prescription drug in another system. Therefore, there has been a problem that centralized management of information becomes difficult and work becomes complicated. In addition, the more complicated the work, the higher the risk of adverse patient events.

[0011] Therefore, the present invention provides a drug management guidance support system capable of easily and centrally managing brought-in drugs and prescription drugs, and capable of reliably checking interaction, double administration, etc. between both drugs. Is an issue.

Means for solving the problem

[0012] The present invention provides a means for solving the above problems.

Drug management guidance support system,

Prescription input means for inputting patient prescription data;

A first prescription data storage unit for storing prescription data input by the prescription input means; Step and

Drug information storage means for storing various information about the drug;

A drug name search means for searching the drug name based on the characteristics of the drug brought by the patient from the information stored in the drug information storage means;

When there are a plurality of drug names searched by the drug name search means, a drug determination means for determining one drug;

Second prescription data storage means for storing the drug determined by the drug determination means as at least the previous prescription data of the patient;

Collating means for collating the prescription data and the prescription data stored in the second prescription data storage means when the prescription data stored in the first prescription data storage means is ordered to the pharmacy as a dispensing instruction. When,

As a result of the verification by the verification unit, if there is a possibility that an adverse event may occur for the patient, a display unit for displaying that fact;

It is set as the structure provided with.

[0013] Further, the present invention provides a means for solving the above-described problems,

Drug management guidance support system,

Storage means for storing drug data and prescription data;

An input means for inputting dosing data consisting of various data as a clue to identify the bringing medicine;

Extraction means for retrieving drug data stored in the storage means and extracting corresponding drug data based on the brought-in drug data input by the input means;

Data registration means for storing the brought-in medicine in the storage means as past processing data based on the drug data extracted by the extraction means;

Checking means for comparing the new prescription data with the past prescription data stored in the storage means to execute a processing check process;

It is set as the structure provided with.

[0014] In the case where a plurality of terminals are connected to a network, the storage unit may be configured as a single unit as long as it is configured by any one of the storage devices connected to the network. Therefore, it may be stored in each of a plurality of storage devices.

[0015] It is preferable that the data registration unit further includes a selection unit that can select whether or not to store the drug data related to the brought-in drug in the storage unit.

The invention's effect

[0016] According to the present invention, since the medicine brought by the patient can be stored as the previous prescription data of the patient, the brought medicine and the prescription medicine can be easily and centrally managed. Thus, it is possible to reliably check the interaction, double administration and the like.

Brief Description of Drawings

FIG. 1 is a conceptual diagram showing a configuration example of a drug management guidance support system according to the present embodiment.

FIG. 2 is a diagram showing a drug identification report creation screen displayed on the display means of the drug room terminal device shown in FIG. 1.

FIG. 3 is a diagram showing a state where a patient attribute information input field is displayed in a separate window from the drug identification report creation screen of FIG. 2.

FIG. 4 is a diagram showing a state in which necessary items are entered in the drug search column of the drug identification report creation screen in FIG.

[Fig. 5] A diagram showing a state in which a specific drug is selected in the drug search result column of the drug identification report creation screen in Fig. 2 and is displayed as a drug to be differentiated in the drug to be differentiated column.

FIG. 6 is a diagram showing a state where the print processing confirmation screen is displayed in a separate window from the pharmaceutical product discrimination report creation screen of FIG. 2.

[Fig. 7] Fig. 7 is a diagram showing a state when a print processing screen of a discrimination report confirmed on the screen of Fig. 6 is displayed.

FIG. 8 is a diagram showing an error inquiry screen displayed on the display means as a result of the check process in the drug room terminal device shown in FIG. 1.

FIG. 9 is a flowchart showing the details of patient information input processing executed by the drug room terminal device of FIG. 1.

FIG. 10 is a flow chart showing the contents of the carried-out drug discrimination process executed by the drug room terminal device of FIG. 1. FIG. 11 is a flowchart showing the details of a process for confirming a brought-in drug executed by the drug room terminal device of FIG. 1.

FIG. 12] is a flowchart showing the contents of the check process executed by the drug room terminal device of FIG.

Explanation of symbols

1 · • Management device

2 ··· Clinic room terminal device

3. · Pharmaceutical room terminal device

4. '炳 Terminal equipment

5 •• In-hospital LAN

6.

7 · · Central processing unit

8 · 'Drug database

9 ... 'Management program

9 ·· Dispensing equipment

11 ··· Pharmaceutical differentiation report creation screen

12. Patient information column

13 ... Drug search field

14 ·… Drug search result column

15. Image information field

16 ... Drugs to be identified

17 '' Input button

18 · '· Patient attribute information input field

19 ... Detail edit screen

20 ... Print processing confirmation screen

21.… Difference report

BEST MODE FOR CARRYING OUT THE INVENTION

Embodiments according to the present invention will be described below with reference to the accompanying drawings. [0020] FIG. 1 is a conceptual diagram showing a configuration example of a medicine management instruction support system according to this embodiment. This drug management guidance support system includes a management device 1, a clinic room terminal device 2, a drug room terminal device 3, and a ward terminal device 4, which are connected to each other via a hospital LAN 5.

Yes

The management device 1 includes a storage device 6 and a central processing unit 7 (CPU).

[0022] The storage device 6 stores a drug database 8, a management program 9, and the like. The drug database 8 stores various information on all drugs regardless of whether they are used in hospitals or not. Specifically, for each medicine, data relating to the medicine such as medicine name, general name, shape, main component, side effect, interaction and the like are stored in association with each other. The drug database 8 is appropriately accessed from the clinic room terminal device 2, the drug room terminal device 3, and the ward terminal device 4 via the in-hospital LAN 5, and information necessary for inpatients in particular, as will be described later. Information necessary for the discrimination process of drugs brought by is available.

The CPU 7 manages the entire system in a medical institution such as a hospital or clinic by reading and executing the management program 9 stored in the storage device 6.

[0024] The medical office terminal device 2 has a function as a so-called electronic medical record that electronically stores findings, medical records, and the like when a doctor examines a patient. The clinic terminal device 2 includes a CPU, recording means, storage means, communication means, input means such as a keyboard, and display means such as a liquid crystal display. The clinic room terminal device 2 transmits prescription data in the medical record to the drug room terminal device 3 in the drug room (dispensing department). The clinic terminal device 2 may be an ordering terminal that simply transmits prescription data to the drug room.

[0025] The pharmacy room terminal device 3 is a terminal for supporting a pharmacist's dispensing operation, and mainly performs a check process of the prescription data transmitted from the examination room terminal device 2 by the doctor, and performs various dispensings. Sends commands to operate devices 10a, 10b, and 10c. The medicine room terminal device 3 includes a CPU, a recording means, a storage means, a communication means, an input means such as a keyboard, and a display means such as a liquid crystal display, in the same manner as the clinic room terminal 4. In particular, the medicine history of each patient is stored in the recording means. The storage means stores the master data of the medicines used in the hospital. The display means is shown in Fig. 2. The drug identification report creation screen 11 shown is displayed.

[0026] As shown in FIG. 2, the drug identification report creation screen 11 has a patient information column 12, a drug search column 13, a drug search result column 14, an image information column 15, a discrimination target drug column 16, and various buttons. It consists of

[0027] In the patient information column 12, a patient number, a patient name, a ward, a medical department, an attending physician, and a pharmacist are displayed. The input to each of these items is performed by operating the input button 17 to launch the patient attribute information input field 18 in a separate window as shown in FIG.

[0028] The medicine search column 13 includes a drug appearance item selection unit 13a, a drug appearance item input column 13b, a drug type selection unit 13c, a secant presence / absence selection unit 13d, and an adoption category selection unit 13e. In the drug appearance item selection section 13a, for example, by clicking, a category related to the appearance of the target drug (engraved, color, drug name, etc.) is displayed in a pull-down menu. . In the medicine appearance item input field 13b, specific contents regarding the category selected by the medicine appearance item selection unit 13a are entered. In the example of FIG. 4, the marking is selected by the medicine appearance item selection section 13a, and the marking “112” is entered in the medicine appearance item input field 13b. A dosage form such as “tablet” or “capsule” is input to the dosage form selection unit 13c. The presence / absence of a dividing line is input to the dividing line presence / absence selector 13d. The recruitment category selection unit 13e inputs whether or not it is a hospital-accepted drug or whether or not all drugs are to be searched. However, data can be freely added as long as it can provide a clue to identify the drug to bring. For example, it is possible to determine a drug contained from a trade name or the like.

[0029] The ward terminal device 4 is a terminal for supporting a drug management instruction service (medication instruction service) performed for an inpatient. The ward terminal device 4 includes a CPU, recording means, storage means, communication means, input means such as a keyboard, and display means such as a liquid crystal display, in the same manner as the clinic room terminal device 2 and the drug room terminal device 3. Yes. The ward terminal device 4 stores the inpatient strength, the interviewed content, the contents of medication management guidance (medicine guidance) given to the inpatient, etc., and records each patient recorded in the pharmacy room terminal device 3. The medical history can be referred to as appropriate. In addition, the ward terminal device 4 can adopt a small portable terminal such as a PDA in place of a normal desktop personal computer to support in-patient drug management guidance (medicine guidance) as described above. It is. [0030] Next, processing contents in the medicine management guidance support system will be described with reference to the flowcharts shown in Figs. In other words, the patient information input process, the identification process for the brought medicine, the confirmation process for the brought medicine, the prescription check process, and the interaction check process will be described. Under the power that can be executed by any of the above-mentioned terminals, these processes are performed by the ward terminal device 4 for the patient information input process, the brought-in drug discrimination process, and the brought-in drug confirmation process. The check process and the interaction check process will be described as being performed by the drug room terminal device 3.

[0031] (Patient information input process)

In the patient information input process, as shown in the flowchart of FIG. 9, first, the medicine discrimination report creation screen 11 shown in FIG. 2 is displayed on the display means (step Sl). When the input button 17 in the patient information column 12 is operated (step S2), the patient attribute information input column 18 shown in FIG. 3 is displayed in a separate window (step S3). In the patient attribute information input field 18, patient information such as a patient number and date of birth is input using a keyboard, mouse, or the like. However, if the patient has already been admitted, the patient number has already been assigned to the patient! / ヽ, the patient number is entered in the patient number field 18a in the upper left of the patient attribute information input field 18. Enter it (step S4). As a result, various information (patient name, ward, date of birth, etc.) associated with this patient number is automatically read and displayed (step S5).

If the OK button 18b is operated after completing the input of the patient information (step S6), the process returns to the medicine differentiation report creation screen 11 shown in FIG. 2 (step S7). Based on the description of the actual medicine brought by the patient or the medicine bag containing the medicine on this medicine discrimination report creation screen 11, the input medicine such as a keyboard or mouse is used to input the medicine to be brought. Enter the search items necessary for discrimination, and execute the process for distinguishing brought-in medicines.

[0033] (Difference processing of bringing medicine)

As shown in the flowchart of FIG. 10, in the process of distinguishing the brought-in medicine, first, the medicine search column 13 (the search means of the present invention or a part of the extraction means) arranged in the left middle part of FIG. 4 is searched. Enter the items required for the search (step S11).

[0034] Once input of necessary items (not all) is completed and the search button 14f is operated

(Step S12), a database about drugs stored in the storage device 6 of the management device 1 Search (step S13). Then, a medicine list (medicine name, manufacturer, general name, etc.) as a search result is displayed in the medicine search result column 14 (step S14). If each drug displayed in the medicine search result column 14 is selected with a pointing device or the like (step S15), each mode of the selected drug, such as a general image and a single tablet image, is displayed in the image information column 15 ( Step S1 6). Thereby, the pharmacist can perform the discrimination work while confirming the image based on the information of the medicine brought by the patient, and can surely identify the power of the brought medicine.

[0035] (Confirmation of bringing medicine)

In addition, if the drug to be brought is identified and the target drug displayed in the drug search result column 14 is selected with a pointing device or the like, as shown in the flowchart of FIG. Step S 17), carrying-in drug confirmation processing is executed. That is, when the selection button 15a is operated (step S18), the selected medicine is displayed in the medicine for discrimination column 16 shown in FIG. 5 (step S19).

[0036] If the detail edit button 17a is operated in a state where the medicine displayed in the discrimination target medicine column 16 is selected (step S20), the detail edit screen 19 is displayed (step S21). Then, on the detail edit screen 19, as shown in Fig. 5, if the daily dose, usage name, and number of days are entered and the registration button 19a is operated (step S22), information on the specified brought-in drug Is recorded as the patient's previous prescription data (step S23).

If the print button 7b is operated (step S24), the print processing confirmation screen 20 shown in FIG. 6 is displayed (step S25). On the print processing confirmation screen 20, a first check box 20a and a second check box 19b are displayed. The first check box 20a is for confirming whether or not the identification report 21 is to be printed. The second check box 20b is used for confirming whether or not to confirm the data relating to the brought-in medicine specified by the discrimination process (part of the confirmation means of the present invention, data registration means, selection means).

[0038] Select whether or not to print a discrimination report and whether or not to send discrimination history data, and if the execution button 20c is operated (step S26), it is determined whether or not the check boxes 20a and 20b are checked. (Steps S27 and S28). If the first check box 20a is checked (step S27: YES), the identification report 21 shown in Fig. 7 will be displayed by completing the input of the daily dose, usage name, and number of days for the specified drug to be brought. Print (Step S2 9). If the second check box 20b is checked (step S28: YES), data related to the brought-in drug specified by the discrimination process is transmitted (step S30). The transmitted data, that is, the drug data relating to the brought-in drug is recorded in the Do file stored in the recording means of the drug room terminal device 3 as the previous prescription data of the patient (step S31). However, the drug data regarding the brought-in medicine may be stored in the storage device 6 of the management device 1.

[0039] (Check processing)

In the drug room terminal device 3, the duplicate prescription check process and the interaction check process are executed between the current prescription data and the previously recorded prescription data (prescription history) (check of the present invention). means).

[0040] In the duplicate prescription check process, as shown in the flowchart of FIG. 12, when patient information is input (step S41), it is determined whether the patient has past prescription data (step S42). . If there is past prescription data for the patient, the past prescription data is read from the Do file (step S43). If there is no past prescription data, move on to the next step.

[0041] Continue! / If the prescription order (prescription data) sent from the clinic terminal device 2 is input (step S44), the past prescription data read in step S43 and the prescription sent this time are sent. It is determined whether there is no duplicate prescription with the data (step S45).

[0042] Here, it is determined whether or not the medicine prescribed this time is already included in all medicines prescribed in all clinical departments for a patient (including medicines prescribed in the past and brought-in medicines). to decide. In this case, the past prescription data includes drug data related to the brought-in drug recorded in the above process. Therefore, it is possible to manage dosing drugs that were not considered in the past, together with prescription drugs, and to prevent repeated administration.

[0043] The interaction check process includes all prescription drugs (including previously prescribed drugs and brought-in drugs) that are subject to contraindications or precautions that can be adverse events for the patient. It is determined whether or not it is! / (Step S47). Even in this interaction check, as with the duplicate prescription check process, it can be applied to data relating to a brought-in drug, and drug contraindications can be reliably prevented.

[0044] If there is no problem as a result of the check process, a prescription is issued (step S49), and the drug is given to the patient. Provide the agent. On the other hand, if there is a problem in the check result, as shown in FIG. 8, an error is displayed on the error inquiry screen 22 (steps S46 and S48), and the prescription issuance is suspended.

Claims

The scope of the claims

[1] a prescription input means for inputting patient prescription data;

A first prescription data storage means for storing prescription data input by the prescription input means;

Drug information storage means for storing various information about the drug;

A drug name search means for searching for the drug name based on the characteristics of the drug brought by the patient from the information stored in the drug information storage means;

Collating means for collating the prescription data and the prescription data stored in the second prescription data storage means when the prescription data stored in the first prescription data storage means is ordered to the pharmacy as a dispensing instruction When,

A drug management guidance support system characterized by comprising:

[2] storage means for storing drug data and prescription data;

A drug management guidance support system characterized by comprising:

[3] Medication data related to the brought medicine is stored in the storage means by the data registration means The drug management guidance support system according to claim 2, further comprising selection means for selecting whether or not to perform the selection.