WO2019069680A1 - Pharmacy management system, pharmacy management method, and pharmacy management program - Google Patents

Pharmacy management system, pharmacy management method, and pharmacy management program Download PDF

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Publication number
WO2019069680A1
WO2019069680A1 PCT/JP2018/034501 JP2018034501W WO2019069680A1 WO 2019069680 A1 WO2019069680 A1 WO 2019069680A1 JP 2018034501 W JP2018034501 W JP 2018034501W WO 2019069680 A1 WO2019069680 A1 WO 2019069680A1
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Prior art keywords
time
prescription data
terminal
pharmacy management
prescription
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PCT/JP2018/034501
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French (fr)
Japanese (ja)
Inventor
高島　正伸
朋樹 倉科
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富士フイルム株式会社
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Priority to JP2019546613A priority Critical patent/JP7048627B2/en
Publication of WO2019069680A1 publication Critical patent/WO2019069680A1/en

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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

Definitions

  • the present application claims the priority of Japanese Patent Application No. 2017-195000 filed Oct. 5, 2017, the entire contents of which are incorporated herein by reference.
  • the present disclosure relates to a pharmacy management system and a pharmacy management method.
  • a dispensing information management system including a plurality of client terminals and a server device communicably connected to each client terminal (see, for example, JP-A-2015-144016).
  • the client terminal stores the required time of each step of the dispensing operation
  • the server device acquires the required time of each step of the dispensing operation stored in each client terminal.
  • a dispensing data acquisition unit including a prescription data acquisition unit that acquires prescription data to be processed in a pharmacy, and a portable terminal that acquires and transmits dispensing execution information related to a dispensing operation performed according to the prescription data in a pharmacy
  • a dispensing supervision task support system for example, see JP-A-2017-139025.
  • the dispensing supervision work support system further includes a management device that receives dispensing execution information from the dispensing execution information acquisition unit and collects data.
  • the present disclosure has been made in view of the above circumstances, and provides a pharmacy management system, a pharmacy management method, and a pharmacy management program capable of accurately analyzing the working time related to the dispensing operation.
  • One aspect of the present disclosure is a pharmacy management system including an information processing device and a terminal installed in each of a plurality of pharmacies, wherein the terminal includes at least one of a medical institution and a medical department based on prescription information.
  • Information acquisition unit for acquiring prescription data, a storage unit for storing the time when the operation process related to the dispensing operation based on the prescription data was performed, and a transmission unit for transmitting the prescription data and the time to the information processing apparatus;
  • the processing apparatus includes a receiving unit that receives prescription data and time, and an analysis unit that analyzes the working time related to the dispensing operation from the time using at least one of the medical institution and the medical department included in the prescription data.
  • the above-mentioned medical institution refers to a hospital which has issued a prescription, a clinic, a pharmacy which performs dispensing, and the like.
  • the transmitting unit further transmits the presence or absence of an error in the dispensing operation
  • the receiving unit further receives the occurrence of the error transmitted from the terminal
  • the analyzing unit transmits the prescription data.
  • the occurrence of an error may be further analyzed using at least one of a medical institution and a medical department included in.
  • the prescription data includes the drug name, dosage form, number of drugs, drug type, usage, dose, patient's age, patient's gender, presence or absence of unwrapping, and packaging machine
  • the analysis unit further includes at least one of conditions and detailed information (hereinafter referred to as “packaged information”) at the time of The analysis may be performed further using at least one of the presence or absence of packaging and packaging information.
  • the transmission unit further transmits at least one of identification information of the worker who performed the dispensing operation and identification information of the terminal, and the reception unit transmits the identification information of the worker transmitted from the terminal. Further, at least one of the identification information and the identification information of the terminal may be received, and the analysis unit may perform analysis using at least one of the identification information of the worker and the identification information of the terminal.
  • the time when the work process related to the dispensing operation is performed is the time when the prescription data is input to the terminal, the time when the start instruction of the inspection operation is input, and the completion instruction of the inspection operation It may include the input time.
  • the information processing apparatus may be a cloud server.
  • another aspect of the present disclosure is a pharmacy management method by a pharmacy management system including an information processing device and a terminal installed in each of a plurality of pharmacies, wherein the terminal is a medical institution based on prescription information and The prescription data including at least one of the medical department is acquired, the time at which the work process related to the dispensing operation based on the prescription data is performed is stored, the prescription data and the time are transmitted to the information processing apparatus, and the information processing apparatus It is a pharmacy management method which receives data and time, and analyzes at least one of a medical institution and a medical department included in prescription data from the time to a working time related to a dispensing operation.
  • the computer includes prescription data based on the prescription information and includes at least one of a medical institution and a medical department, and a time when a work process related to a dispensing operation based on the prescription data is performed.
  • a program for executing a pharmacy management process including receiving from the terminal and performing analysis on working time related to the dispensing work from the time using at least one of a medical institution and a medical department included in the prescription data.
  • the pharmacy management system 10 includes an information processing device 14 and a terminal 12 installed in each of a plurality of pharmacies.
  • the information processing apparatus 14 include a cloud server and a server computer
  • examples of the terminal 12 include a personal computer and a tablet computer.
  • the information processing apparatus 14 is connected to a network W such as a wide area network (WAN), and the terminal 12 is connected to a network L such as a local area network (LAN) provided in a pharmacy. Also, the network L in each pharmacy is connected to the network W.
  • a receipt computer hereinafter, referred to as “the receipt computer”
  • the receipt computer 16 is installed in the pharmacy, and the receipt computer 16 is connected to the network L.
  • a reader 18 is connected to the terminal 12.
  • the prescription data includes a prescription ID (IDentifier) as an example of identification information of a prescription, a medicine name as an example of medicine identification information, a medicine type representing the kind of medicine such as an original drug and a generic medicine, and medicine It includes data indicating form, number of drugs, presence or absence of packaging, usage, dose, medical institution, medical department, age of patient, and gender of patient. Further, the prescription data may include packaging information obtained via a packaging machine and the network L (not shown).
  • the reading device 18 includes a table on which the medicine is placed, and an image sensor (all not shown) whose imaging range is an area on which the medicine on the table is placed, and the image data showing the image obtained by imaging by the image sensor is terminal Output to 12.
  • the time may be synchronized between the terminal 12 and each device of the information processing device 14 using NTP (Network Time Protocol) or the like.
  • the terminal 12 includes a storage unit 20, an acquisition unit 22, an inspection unit 24, a display control unit 26, and a transmission unit 28.
  • the storage unit 20 stores a prescription data table 30.
  • FIG. 3 shows an example of the prescription data table 30 according to the present embodiment.
  • the prescription ID in the prescription data table 30, the prescription ID, medicine name, drug type, dosage form, number of medicines, number of medicines, presence or absence of packaging, usage, dosage, medical institution, medical department, identification information of workers Data indicating an example worker ID, patient's age, and patient's gender are stored.
  • the prescription data table 30 the occurrence of an error, the date, the acquisition time of prescription data from the receipt computer 16, the first medicine photographing time with the reading device 18 in the inspection work, and the reading device 18 in the inspection work Further, data indicating an audit completion time of is stored.
  • the acquisition unit 22 acquires prescription data transmitted from the receipt computer 16 via the network L. Further, the acquisition unit 22 stores various information included in the acquired prescription data in the corresponding column of the prescription data table 30. In addition, the acquisition unit 22 stores the date when the prescription data is acquired in the date column of the prescription data table 30. Further, the acquisition unit 22 stores the time when the prescription data is acquired in the acquisition time sequence of the prescription data of the prescription data table 30. Further, the acquisition unit 22 stores the worker ID in the worker ID column of the prescription data table 30. The acquisition unit 22 also acquires the image data output from the reading device 18.
  • the inspection unit 24 refers to the medicine master data, and the medicine dispensed by collating the medicine included in the prescription data acquired by the acquisition unit 22 with the information from the image data acquired by the reading device 18 Audit whether they are correct.
  • the medicine master data may be stored in the storage unit 20 or may be acquired from an external device via the network L.
  • drug master data may include an image of a drug.
  • the display control unit 26 performs control of displaying a patient selection screen on a display device 63 described later. In addition, the display control unit 26 performs control to display an audit screen on the display device 63 when the operator selects a patient on the patient selection screen. Further, the display control unit 26 stores the first medicine photographing time by the reader 18 in the inspection work as the time when the start instruction of the inspection work is input, and stores it in the medicine photographing time column of the prescription data table 30. Further, when the audit completion button displayed on the audit screen is designated, the display control unit 26 regards the time when the audit completion button is designated as the time when the instruction to complete the audit work is inputted, and the prescription data table Store in 30 audit completion time columns.
  • the display control unit 26 controls the display unit 63 to display an audit result display screen on which the audit result by the audit unit 24 is displayed.
  • the operator visually compares the dispensed medicine with the prescription data while referring to the audit result display screen, and determines whether an error occurs in the dispensing operation. Then, the worker may input the presence or absence of an error on the inspection result display screen, the presence or absence of an occurrence of an error, what medicine (a drug name, a standard, a trade name, etc.) is wrong, a wrong quantity,
  • the audit unit 24 may automatically input an occurrence time of an error or the like.
  • the display control unit 26 stores the input presence or absence of an error in the corresponding error column of the prescription data table 30.
  • the worker performs drug dispensing operation and audit operation again to eliminate the error.
  • the worker may also determine that an error has occurred even if there is an error in the contents of the prescription issued from the medical institution or an input error to the receipt computer 16.
  • the transmission unit 28 transmits the record of the prescription data table 30 to the information processing apparatus 14 via the network L.
  • the transmission unit 28 transmits the record of the prescription data table 30 stored on the day to the information processing apparatus 14 once a day after the pharmacy is closed.
  • the transmission unit 28 may transmit the record of the prescription data table 30 to the information processing apparatus 14 at a timing such as once an hour or once a week.
  • the transmitting unit 28 may transmit the record of the prescription data table 30 corresponding to the inspection work to the information processing apparatus 14 each time the inspection work is completed.
  • the transmitting unit 28 when transmitting the record of the prescription data table 30 to the information processing apparatus 14, the transmitting unit 28 also transmits the identification information of the terminal 12 to the information processing apparatus 14.
  • the transmission unit 28 transmits, to the information processing apparatus 14, identification information of a pharmacy in which the terminal 12 is installed, as identification information of the terminal 12.
  • the transmission unit 28 transmits a chain name, a store name, and an address to the information processing apparatus 14 as identification information of the pharmacy.
  • the transmission unit 28 when the pharmacy is a non-chain store such as a personal pharmacy, the transmission unit 28 transmits the pharmacy name and the address to the information processing apparatus 14 as identification information of the pharmacy.
  • a unique ID linked with a predetermined number of digits may be used as identification information of the pharmacy.
  • the information processing apparatus 14 includes a receiving unit 40, a storage unit 42, an analysis unit 44, and a display control unit 46.
  • the storage unit 42 stores a prescription data accumulation table 48 described later.
  • the receiving unit 40 receives the identification information of the terminal 12 transmitted from the terminal 12 and the record of the prescription data table 30 via the network W. Further, the receiving unit 40 associates the received identification information of the terminal 12 (in the present embodiment, identification information of the pharmacy in which the terminal 12 is installed) with the record of the prescription data table 30 to associate the prescription data accumulation table 48 with each other.
  • FIG. 5 shows an example of the prescription data accumulation table 48 according to the present embodiment. As shown in FIG. 5, the prescription data accumulation table 48 stores the identification information of the pharmacy and the same information as the records of the prescription data table 30 in association with each other.
  • each of the chain name, store name and address is stored in each of the chain name row, store name row and address row of the prescription data accumulation table 48. Further, when the pharmacy is a non-chain store, the pharmacy name and the address are stored in the store name column and the address column of the prescription data accumulation table 48.
  • the identification information of the terminal 12 may be a serial number written for each model of the terminal 12, a serial number of the reading device 18 connected to the terminal 12, or the like.
  • the information processing apparatus 14 may store, for example, a table in which the IP (Internet Protocol) address of the terminal 12 is associated with the identification information of the pharmacy in the storage unit 42. In this case, the information processing apparatus 14 may identify the identification information of the pharmacy from the IP address of the transmission source of the record of the prescription data table 30 using this table. In this case, the terminal 12 may not transmit the identification information of the pharmacy to the information processing apparatus 14. Further, instead of the IP address of the terminal 12, the serial number of the terminal 12, the serial number of the reading device 18 connected to the terminal 12, or the like may be used.
  • the analysis unit 44 analyzes the working time related to the dispensing operation using the records of the prescription data accumulation table 48 in accordance with the analysis conditions designated by the user of the information processing apparatus 14.
  • the analysis unit 44 determines the acquisition time of prescription data from the receipt computer 16 of the record of the prescription data accumulation table 48 and the first medicine photographing time with the reader 18 in audit work according to the following equation (1) Using, it calculates the dispensing time that represents the working time of the drug dispensing operation.
  • Dispensing time first medicine photographing time-acquisition time of prescription data ... (1)
  • the analysis unit 44 uses the first medicine photographing time by the reader 18 in the inspection work of the record of the prescription data accumulation table 48 and the audit completion time by the reading device 18 in the inspection work according to the following equation (2) Calculate the audit time that represents the working time of the drug audit work.
  • Audit time audit completion time-first medicine shooting time ... (2)
  • the analysis unit 44 analyzes the calculated dispensing time and audit time in accordance with the analysis condition designated by the user of the information processing apparatus 14.
  • the analysis conditions include, for example, a condition that analyzes the dispensing time and the audit time for each store, and a condition that analyzes the dispensing time and the audit time for each medical department.
  • the display control unit 46 performs control to display the analysis result by the analysis unit 44 on the display device 73 described later.
  • the terminal 12 includes a central processing unit (CPU) 60, a memory 61 as a temporary storage area, and a non-volatile storage unit 62.
  • the terminal 12 also includes a display device 63 such as a liquid crystal display, an input device 64 such as a keyboard, and a network I / F (InterFace) 65 connected to the network L.
  • the CPU 60, the memory 61, the storage unit 62, the display device 63, the input device 64, and the network I / F 65 are connected to the bus 66.
  • the reader 18 is connected to the bus 66 via an input / output I / F (not shown).
  • the storage unit 62 is realized by an HDD (Hard Disk Drive), an SSD (Solid State Drive), a flash memory, and the like.
  • a transmission program 68 is stored in the storage unit 62 as a storage medium.
  • the CPU 60 reads the transmission program 68 from the storage unit 62 and then develops the transmission program 68 in the memory 61 and executes the developed transmission program 68.
  • the CPU 60 executes the transmission program 68 to function as the acquisition unit 22, the inspection unit 24, the display control unit 26, and the transmission unit 28 illustrated in FIG. 2.
  • the storage unit 20 shown in FIG. 2 is realized by the storage unit 62 shown in FIG.
  • the storage unit 72 is realized by an HDD, an SSD, a flash memory, and the like.
  • An analysis program 78 is stored in the storage unit 72 as a storage medium.
  • the CPU 70 reads out the analysis program 78 from the storage unit 72 and then develops the analysis program 78 in the memory 71 and executes the developed analysis program 78.
  • the CPU 70 executes the analysis program 78 to function as the reception unit 40, the analysis unit 44, and the display control unit 46 shown in FIG.
  • the storage unit 42 shown in FIG. 4 is realized by the storage unit 72 shown in FIG.
  • step S10 of FIG. 8 the worker operates the receipt computer 16 and inputs information based on the prescription information described in the prescription.
  • the receipt computer 16 generates prescription data based on the information input in step S10, and transmits the generated prescription data to the terminal 12 via the network L.
  • step S14 the acquisition unit 22 of the terminal 12 acquires the prescription data transmitted from the receipt computer 16 in step S12 via the network L.
  • step S16 the acquisition unit 22 stores various information included in the acquired prescription data in the corresponding column of the prescription data table 30.
  • the acquisition unit 22 stores the date when the prescription data is acquired in the date column of the prescription data table 30.
  • the acquisition unit 22 stores the time when the prescription data is acquired in the acquisition time sequence of the prescription data of the prescription data table 30.
  • the acquisition unit 22 stores the worker ID of the worker in the worker ID column of the prescription data table 30.
  • the operator ID may be, for example, allowing the operator to input a login ID and a password via a login screen, and using the input login ID as the operator ID.
  • an IC (Integrated Circuit) card reader may be connected to the terminal 12, and the identification information of the worker recorded in the IC card read by the IC card reader may be the worker ID, or if it is a pharmacist
  • a healthcare public key infrastructure (HPKI) card may be used as a worker ID.
  • step S18 the display control unit 26 performs control to display the patient selection screen on the display device 63.
  • the worker finishes the operation of step S10, the worker dispenses the medicine based on the prescription in step S20. Further, when dispensing of the medicine is finished, the worker selects a target patient on the patient selection screen displayed on the display device 63 of the terminal 12 in step S22.
  • step S24 the display control unit 26 performs control to display an audit screen on the display device 63.
  • step S28 the worker places the medicine dispensed in step S20 on the table of the reading device 18 when the operation of step S22 is completed.
  • step S30 the worker inputs a reading start instruction of medicine to the terminal 12 via the input device 64.
  • the reading device 18 captures an image of the medicine placed on the table, and outputs image data obtained by capturing to the terminal 12.
  • step S31 the terminal 12 stores the first medicine photographing time by the reader 18 in the inspection work in the medicine photographing time sequence of the prescription data table 30.
  • the display control unit 26 may store the time when the patient is selected in step S22 as the start time of the inspection work in the medicine imaging time sequence.
  • step S32 the acquisition unit 22 acquires the image data output from the reading device 18.
  • step S34 the inspection unit 24 is dispensed by referring to the drug master data and collating the drug contained in the prescription data obtained in step S14 with the information from the image data obtained in step S32. Audit if the drug is correct.
  • step S36 the display control unit 26 controls the display unit 63 to display an audit result display screen on which the audit result performed in step S34 is displayed.
  • the operator visually compares the dispensed medicine with the prescription data while referring to the inspection result display screen displayed on the display device 63 in step S36, and determines whether or not an error occurs in the dispensing operation.
  • the audit section may automatically input the presence or absence of an error, what drug (drug name, standard, trade name, etc.) is wrong, the wrong quantity, the time of occurrence of an error, and the like. If an error has not occurred or is resolved, the operator designates an audit completion instruction by specifying an audit completion button displayed on the audit result display screen via the input device 64 in step S38. Enter 12
  • step S40 the display control unit 26 stores the time when the audit completion instruction is input in step S38 in the audit completion time column of the prescription data table 30.
  • the processing from step S10 to step S40 described above is executed for each prescription.
  • step S42 the transmission unit 28 transmits the record of the prescription data table 30 stored on the day to the information processing apparatus 14 once a day after the pharmacy is closed.
  • the transmission unit 28 also transmits the identification information of the terminal 12 to the information processing apparatus 14.
  • step S44 the receiving unit 40 of the information processing device 14 receives, via the network W, the identification information of the terminal 12 transmitted from the terminal 12 in step S42 and the record of the prescription data table 30.
  • step S46 the reception unit 40 associates the identification information of the terminal 12 received in step S44 with the record of the prescription data table 30, and stores the identification data in the prescription data accumulation table 48.
  • the workers in the respective work steps of the process shown in FIG. 8 may be the same worker or different workers. Further, a plurality of terminals 12 may be provided in the pharmacy.
  • step S60 of FIG. 9 the analysis unit 44 calculates the dispensing time using the acquisition time of the prescription data of the record of the prescription data accumulation table 48 and the first medicine photographing time according to the equation (1).
  • step S62 the analysis unit 44 calculates an audit time using the first medicine photographing time and the audit completion time of the record of the prescription data accumulation table 48 according to the equation (2).
  • step S64 the analysis unit 44 analyzes the calculated dispensing time and audit time according to the input analysis conditions.
  • step S66 the display control unit 46 controls the display unit 73 to display an analysis result display screen on which the analysis result in step S64 is displayed.
  • FIG. 10 shows an example of the analysis result display screen in the case where the analysis conditions are such that analysis on dispensing time and audit time is performed for each pharmacy.
  • the number of records of dispensing time and audit time for each predetermined interval is displayed on the left side of the analysis result display screen.
  • a graph representing the distribution of the number of records of the dispensing time and the audit time at predetermined intervals is displayed on the right side of the analysis result display screen.
  • statistical values for each pharmacy's dispensing time and audit time average value in the example of FIG. 10; “not specified” column in FIG. 10), dispensing time at each pharmacy, and The statistics of each audit time are displayed.
  • the user can grasp which work of which pharmacy takes time, and the like.
  • the analysis result display screen is in the state shown in FIG. Switch to In this case, as shown in FIG. 11, the table on the left side of the analysis result display screen and the graph on the right side switch to data in the pharmacy specified by the pull-down menu.
  • FIG. 12 shows an example of an analysis result display screen in the case where the analysis condition is a condition that analysis regarding the dispensing time and the inspection time is performed for each medical department.
  • the analysis condition is a condition that analysis regarding the dispensing time and the inspection time is performed for each medical department.
  • the number of records of the dispensing time and the audit time for each predetermined interval one minute interval in the example of FIG. 12
  • a graph representing the distribution of the number of records of the dispensing time and the audit time at predetermined intervals is displayed.
  • the statistical value of each dispensing time and audit time of all the departments average value in the example of FIG. 12; “not specified” column in FIG. 12
  • dispensing in each department The statistics of time and audit time are displayed.
  • the analysis result display screen is shown in FIG. Switch to the state.
  • the table on the left side of the analysis result display screen and the graph on the right side are switched to data in the medical department designated by the pull-down menu.
  • the time at which the work process related to the dispensing operation was performed is stored, and dispensing is performed from the stored time using at least one of the medical institution and the medical department included in the prescription data. Perform an analysis on work hours for work. Therefore, as a result of securing the authenticity of the data, it is possible to analyze the working time concerning the dispensing operation with high accuracy. Further, according to the present embodiment, by collecting the work time as a time stamp on the information processing apparatus 14 side, precise and comprehensive management can be carried out even if a plurality of dispensing works are intermingled. it can.
  • the occurrence of an error may be analyzed from the presence or absence of an error in the dispensing operation.
  • various types of processing executed by the CPU executing software (programs) in the above embodiment may be executed by various processors other than the CPU.
  • a processor in this case, in order to execute specific processing such as PLD (Programmable Logic Device) or ASIC (Application Specific Integrated Circuit) whose circuit configuration can be changed after manufacturing an FPGA (Field-Programmable Gate Array) or the like.
  • a dedicated electric circuit or the like which is a processor having a circuit configuration specially designed is exemplified.
  • the various processes described above may be performed by one of these various processors, or a combination of two or more processors of the same or different types (for example, a plurality of FPGAs, and a combination of a CPU and an FPGA) Etc.).
  • the hardware-like structure of these various processors is, more specifically, an electric circuit in which circuit elements such as semiconductor elements are combined.
  • the transmission program 68 is stored (installed) in the storage unit 62 in advance.
  • the transmission program 68 may be provided in the form of being recorded on a recording medium such as a compact disk read only memory (CD-ROM), a digital versatile disk read only memory (DVD-ROM), and a universal serial bus (USB) memory. Good.
  • the transmission program 68 may be downloaded from an external device via a network.
  • the said embodiment demonstrated the aspect by which the analysis program 78 was beforehand memorize
  • the analysis program 78 is recorded on a non-transitory recording medium such as a compact disk read only memory (CD-ROM), a digital versatile disk read only memory (DVD-ROM), and a universal serial bus (USB) memory. It may be provided in the form described. Also, the analysis program 78 may be downloaded from an external device via a network.
  • a system configuration other than an example in which the terminal configures a dispensing audit support system may be used, for example, a personal computer, a tablet computer, etc. It may be in a form having a configuration including a microcomputer or the like.

Abstract

Provided is a pharmacy management system comprising: an information processing device; and terminals installed at each of a plurality of pharmacies. Each of the terminals includes: an acquisition unit for acquiring, on the basis of prescription information, prescription data that includes at least either one of a data on a medical institution and a data on a specialty; a storage unit for storing a time of the end of a work related to a dispensing work performed on the basis of the prescription data; and a transmission unit for transmitting the prescription data and the data on the time to the information processing device. The information processing device includes: a reception unit for receiving the prescription data and the data on the time; and an analysis unit for analyzing a work period related to the dispensing work from the time in at least either one of the medical institution and the specialty, the data on which are included in the prescription data.

Description

薬局管理システム、薬局管理方法、及び薬局管理プログラムPharmacy management system, pharmacy management method, and pharmacy management program
　本願は２０１７年１０月５日出願の日本出願第２０１７－１９５０００号の優先権を主張すると共に、その全文を参照により本明細書に援用する。
　本開示は、薬局管理システム及び薬局管理方法に関する。 The present application claims the priority of Japanese Patent Application No. 2017-195000 filed Oct. 5, 2017, the entire contents of which are incorporated herein by reference.
The present disclosure relates to a pharmacy management system and a pharmacy management method.
　従来、複数のクライアント端末と、各クライアント端末に通信可能に接続されたサーバ装置とを備えた調剤情報管理システムが開示されている（例えば、特開２０１５－１４４０１６号公報参照）。この調剤情報管理システムでは、クライアント端末が、調剤作業の各工程の所要時間を記憶し、サーバ装置が、各クライアント端末に記憶された調剤作業の各工程の所要時間を取得する。 Conventionally, there has been disclosed a dispensing information management system including a plurality of client terminals and a server device communicably connected to each client terminal (see, for example, JP-A-2015-144016). In this dispensing information management system, the client terminal stores the required time of each step of the dispensing operation, and the server device acquires the required time of each step of the dispensing operation stored in each client terminal.
　また、薬局で処理すべき処方データを取得する処方データ取得部と、薬局で処方データに応じて行われた調剤作業に係る調剤実行情報を取得して送信する携帯端末を含む調剤実行情報取得部とを備えた調剤監督業務支援システムが開示されている（例えば、特開２０１７－１３９０２５号公報参照）。この調剤監督業務支援システムは、調剤実行情報取得部から調剤実行情報を受信してデータ収集を行う管理装置を更に備える。 In addition, a dispensing data acquisition unit including a prescription data acquisition unit that acquires prescription data to be processed in a pharmacy, and a portable terminal that acquires and transmits dispensing execution information related to a dispensing operation performed according to the prescription data in a pharmacy And a dispensing supervision task support system (for example, see JP-A-2017-139025). The dispensing supervision work support system further includes a management device that receives dispensing execution information from the dispensing execution information acquisition unit and collects data.
　ところで、端末側で調剤作業に関する作業時間を測定し、測定した作業時間を記憶する技術では、作業が行われた時刻の正確性を担保することが困難であり、また記憶されている作業時間等のデータの改ざん等が比較的容易である。すなわち、この技術では、データの真正性を確保することができない場合がある。特に、医療情報を取り扱うシステムでは、データの真正性を確保することが重要である。データの真正性が確保されていないと、調剤作業に関する作業時間を分析したとしても、分析の精度が低下してしまう。 By the way, it is difficult to secure the accuracy of the time when the work was performed, and it is difficult to secure the working time concerning the dispensing work on the terminal side and store the measured work time, and the stored work time etc. Falsification of data is relatively easy. That is, this technique may not be able to ensure the authenticity of the data. In particular, in systems that handle medical information, it is important to ensure data authenticity. If the authenticity of the data is not ensured, the accuracy of the analysis will decrease even if the working time for the dispensing operation is analyzed.
　本開示は、以上の事情を鑑みて成されたものであり、調剤作業に関する作業時間を精度良く分析することができる薬局管理システム、薬局管理方法、及び薬局管理プログラムを提供する。 The present disclosure has been made in view of the above circumstances, and provides a pharmacy management system, a pharmacy management method, and a pharmacy management program capable of accurately analyzing the working time related to the dispensing operation.
　本開示の一態様は、情報処理装置と、複数の薬局の各々に設置された端末とを含む薬局管理システムであって、端末は、処方情報に基づいた医療機関及び診療科の少なくとも一方を含む処方データを取得する取得部と、処方データに基づいた調剤作業に関する作業工程が行われた時刻を記憶する記憶部と、処方データ及び時刻を情報処理装置に送信する送信部と、を備え、情報処理装置は、処方データ及び時刻を受信する受信部と、処方データに含まれる医療機関及び診療科の少なくとも一方を用いて、時刻から調剤作業に関する作業時間に関する分析を行う分析部と、を備えた薬局管理システムである。なお、上記医療機関とは、処方箋を発行した病院、診療所及び調剤を行う薬局等を示す。 One aspect of the present disclosure is a pharmacy management system including an information processing device and a terminal installed in each of a plurality of pharmacies, wherein the terminal includes at least one of a medical institution and a medical department based on prescription information. Information acquisition unit for acquiring prescription data, a storage unit for storing the time when the operation process related to the dispensing operation based on the prescription data was performed, and a transmission unit for transmitting the prescription data and the time to the information processing apparatus; The processing apparatus includes a receiving unit that receives prescription data and time, and an analysis unit that analyzes the working time related to the dispensing operation from the time using at least one of the medical institution and the medical department included in the prescription data. It is a pharmacy management system. The above-mentioned medical institution refers to a hospital which has issued a prescription, a clinic, a pharmacy which performs dispensing, and the like.
　なお、本態様の薬局管理システムは、送信部が、調剤作業におけるエラーの発生有無を更に送信し、受信部が、端末から送信されたエラーの発生有無を更に受信し、分析部が、処方データに含まれる医療機関及び診療科の少なくとも一方を用いてエラーの発生状況を更に分析してもよい。 In the pharmacy management system of this aspect, the transmitting unit further transmits the presence or absence of an error in the dispensing operation, the receiving unit further receives the occurrence of the error transmitted from the terminal, and the analyzing unit transmits the prescription data. The occurrence of an error may be further analyzed using at least one of a medical institution and a medical department included in.
　また、本態様の薬局管理システムは、処方データが、薬剤名、剤形、剤数、薬種、用法、用量、患者の年齢、患者の性別、一包化の有無、及び分包機で一包化する際の条件や詳細情報（以下、「分包情報」という）の少なくとも１つを更に含み、分析部が、薬剤名、剤形、剤数、薬種、用法、用量、年齢、性別、一包化の有無、及び分包情報の少なくとも１つを更に用いて分析を行ってもよい。 In the pharmacy management system of this embodiment, the prescription data includes the drug name, dosage form, number of drugs, drug type, usage, dose, patient's age, patient's gender, presence or absence of unwrapping, and packaging machine The analysis unit further includes at least one of conditions and detailed information (hereinafter referred to as “packaged information”) at the time of The analysis may be performed further using at least one of the presence or absence of packaging and packaging information.
　また、本態様の薬局管理システムは、送信部が、調剤作業を行った作業者の識別情報、及び端末の識別情報の少なくとも一方を更に送信し、受信部が、端末から送信された作業者の識別情報、及び端末の識別情報の少なくとも一方を更に受信し、分析部が、作業者の識別情報、及び端末の識別情報の少なくとも一方を更に用いて分析を行ってもよい。 Further, in the pharmacy management system of this aspect, the transmission unit further transmits at least one of identification information of the worker who performed the dispensing operation and identification information of the terminal, and the reception unit transmits the identification information of the worker transmitted from the terminal. Further, at least one of the identification information and the identification information of the terminal may be received, and the analysis unit may perform analysis using at least one of the identification information of the worker and the identification information of the terminal.
　また、本態様の薬局管理システムは、調剤作業に関する作業工程が行われた時刻が、端末に処方データが入力された時刻、監査作業の開始指示が入力された時刻、及び監査作業の完了指示が入力された時刻を含んでもよい。 Further, in the pharmacy management system of this aspect, the time when the work process related to the dispensing operation is performed is the time when the prescription data is input to the terminal, the time when the start instruction of the inspection operation is input, and the completion instruction of the inspection operation It may include the input time.
　また、本態様の薬局管理システムは、情報処理装置が、クラウドサーバであってもよい。 Further, in the pharmacy management system of this aspect, the information processing apparatus may be a cloud server.
　また、本開示の別の態様は、情報処理装置と、複数の薬局の各々に設置された端末とを含む薬局管理システムによる薬局管理方法であって、端末が、処方情報に基づいた医療機関及び診療科の少なくとも一方を含む処方データを取得し、処方データに基づいた調剤作業に関する作業工程が行われた時刻を記憶し、処方データ及び時刻を情報処理装置に送信し、情報処理装置が、処方データ及び時刻を受信し、処方データに含まれる医療機関及び診療科の少なくとも一方を用いて、時刻から調剤作業に関する作業時間に関する分析を行う薬局管理方法である。 Further, another aspect of the present disclosure is a pharmacy management method by a pharmacy management system including an information processing device and a terminal installed in each of a plurality of pharmacies, wherein the terminal is a medical institution based on prescription information and The prescription data including at least one of the medical department is acquired, the time at which the work process related to the dispensing operation based on the prescription data is performed is stored, the prescription data and the time are transmitted to the information processing apparatus, and the information processing apparatus It is a pharmacy management method which receives data and time, and analyzes at least one of a medical institution and a medical department included in prescription data from the time to a working time related to a dispensing operation.
　また、本開示の別の態様は、コンピュータに、処方情報に基づくと共に医療機関及び診療科の少なくとも一方を含む処方データと、前記処方データに基づいた調剤作業に関する作業工程が行われた時刻と、を端末から受信し、前記処方データに含まれる医療機関及び診療科の少なくとも一方を用いて、前記時刻から前記調剤作業に関する作業時間に関する分析を行うことを含む、薬局管理処理を実行させるプログラム。 Further, another aspect of the present disclosure is that the computer includes prescription data based on the prescription information and includes at least one of a medical institution and a medical department, and a time when a work process related to a dispensing operation based on the prescription data is performed. A program for executing a pharmacy management process including receiving from the terminal and performing analysis on working time related to the dispensing work from the time using at least one of a medical institution and a medical department included in the prescription data.
　本開示によれば、調剤作業に関する作業時間を精度良く分析することができる。 According to the present disclosure, it is possible to accurately analyze the working time related to the dispensing operation.
実施形態に係る薬局管理システムの概略構成の一例を示すブロック図である。It is a block diagram showing an example of outline composition of a pharmacy management system concerning an embodiment. 実施形態に係る端末の機能的な構成の一例を示すブロック図である。It is a block diagram showing an example of functional composition of a terminal concerning an embodiment. 実施形態に係る処方データテーブルの一例を示す図である。It is a figure which shows an example of the prescription data table which concerns on embodiment. 実施形態に係る情報処理装置の機能的な構成の一例を示すブロック図である。It is a block diagram showing an example of functional composition of an information processor concerning an embodiment. 実施形態に係る処方データ蓄積テーブルの一例を示す図である。It is a figure which shows an example of the prescription data storage table which concerns on embodiment. 実施形態に係る端末のハードウェア構成の一例を示すブロック図である。It is a block diagram showing an example of the hardware constitutions of the terminal concerning an embodiment. 実施形態に係る情報処理装置のハードウェア構成の一例を示すブロック図である。It is a block diagram showing an example of the hardware constitutions of the information processor concerning an embodiment. 実施形態に係る送信処理の流れの一例を示すシーケンス図である。It is a sequence diagram showing an example of the flow of transmission processing concerning an embodiment. 実施形態に係る分析処理の流れの一例を示すフローチャートである。It is a flow chart which shows an example of the flow of analysis processing concerning an embodiment. 実施形態に係る分析結果表示画面の一例を示す図である。It is a figure which shows an example of the analysis result display screen which concerns on embodiment. 実施形態に係る分析結果表示画面の一例を示す図である。It is a figure which shows an example of the analysis result display screen which concerns on embodiment. 実施形態に係る分析結果表示画面の一例を示す図である。It is a figure which shows an example of the analysis result display screen which concerns on embodiment. 実施形態に係る分析結果表示画面の一例を示す図である。It is a figure which shows an example of the analysis result display screen which concerns on embodiment.
　以下、図面を参照して、本開示の技術を実施するための形態として、端末が調剤監査支援システムを構成している例を詳細に説明する。 Hereinafter, with reference to the drawings, as a mode for implementing the technology of the present disclosure, an example in which a terminal configures a dispensing audit support system will be described in detail.
　まず、図１を参照して、本実施形態に係る薬局管理システム１０の構成を説明する。図１に示すように、薬局管理システム１０は、情報処理装置１４、及び複数の薬局の各々に設置された端末１２を含む。情報処理装置１４の例としては、クラウドサーバ及びサーバコンピュータ等が挙げられ、端末１２の例としては、パーソナルコンピュータ及びタブレットコンピュータ等が挙げられる。 First, the configuration of the pharmacy management system 10 according to the present embodiment will be described with reference to FIG. As shown in FIG. 1, the pharmacy management system 10 includes an information processing device 14 and a terminal 12 installed in each of a plurality of pharmacies. Examples of the information processing apparatus 14 include a cloud server and a server computer, and examples of the terminal 12 include a personal computer and a tablet computer.
　情報処理装置１４は、ＷＡＮ（Wide Area Network）等のネットワークＷに接続され、端末１２は、薬局内に設けられたＬＡＮ（Local Area Network）等のネットワークＬに接続される。また、各薬局内のネットワークＬは、ネットワークＷに接続される。また、薬局内にはレセプトコンピュータ（以下、「レセコン」という）１６が設置され、レセコン１６は、ネットワークＬに接続される。また、端末１２には、読取装置１８が接続される。 The information processing apparatus 14 is connected to a network W such as a wide area network (WAN), and the terminal 12 is connected to a network L such as a local area network (LAN) provided in a pharmacy. Also, the network L in each pharmacy is connected to the network W. In addition, a receipt computer (hereinafter, referred to as “the receipt computer”) 16 is installed in the pharmacy, and the receipt computer 16 is connected to the network L. Also, a reader 18 is connected to the terminal 12.
　レセコン１６には、調剤薬局事務及び薬剤師等の作業者（以下、単に「作業者」という）によって、処方箋に記載された処方情報に基づいた情報が入力される。レセコン１６は、作業者により入力された情報に基づいて、処方データを生成し、生成した処方データを、ネットワークＬを介して端末１２に送信する。本実施形態に係る処方データには、処方箋の識別情報の一例としての処方箋ＩＤ（IDentifier）、薬剤の識別情報の一例としての薬剤名、先発薬と後発薬等の薬剤の種類を表す薬種、剤形、剤数、一包化の有無、用法、用量、医療機関、診療科、患者の年齢、及び患者の性別を示すデータが含まれる。また、処方データには、分包機とネットワークＬを介して入手した分包情報を含んでいてもよい（図示省略）。 Information based on the prescription information described in the prescription is input to the receipt computer 16 by a dispensing pharmacy clerk and a worker such as a pharmacist (hereinafter simply referred to as a “worker”). The receipt computer 16 generates prescription data based on the information input by the worker, and transmits the generated prescription data to the terminal 12 via the network L. The prescription data according to the present embodiment includes a prescription ID (IDentifier) as an example of identification information of a prescription, a medicine name as an example of medicine identification information, a medicine type representing the kind of medicine such as an original drug and a generic medicine, and medicine It includes data indicating form, number of drugs, presence or absence of packaging, usage, dose, medical institution, medical department, age of patient, and gender of patient. Further, the prescription data may include packaging information obtained via a packaging machine and the network L (not shown).
　読取装置１８は、薬剤を載せる台、及び台の薬剤が載せられる領域を撮影範囲とするイメージセンサ（何れも図示省略）を含み、イメージセンサにより撮影されて得られた画像を示す画像データを端末１２に出力する。なお、端末１２及び情報処理装置１４の各装置が、ＮＴＰ（Network Time Protocol）等を用いて時刻が同期されていてもよい。 The reading device 18 includes a table on which the medicine is placed, and an image sensor (all not shown) whose imaging range is an area on which the medicine on the table is placed, and the image data showing the image obtained by imaging by the image sensor is terminal Output to 12. The time may be synchronized between the terminal 12 and each device of the information processing device 14 using NTP (Network Time Protocol) or the like.
　次に、図２を参照して、本実施形態に係る端末１２の機能的な構成について説明する。図２に示すように、端末１２は、記憶部２０、取得部２２、監査部２４、表示制御部２６、及び送信部２８を含む。 Next, the functional configuration of the terminal 12 according to the present embodiment will be described with reference to FIG. As shown in FIG. 2, the terminal 12 includes a storage unit 20, an acquisition unit 22, an inspection unit 24, a display control unit 26, and a transmission unit 28.
　記憶部２０は、処方データテーブル３０を記憶する。図３に、本実施形態に係る処方データテーブル３０の一例を示す。図３に示すように、処方データテーブル３０には、処方箋ＩＤ、薬剤名、薬種、剤形、剤数、一包化の有無、用法、用量、医療機関、診療科、作業者の識別情報の一例としての作業者ＩＤ、患者の年齢、及び患者の性別を示すデータが記憶される。また、処方データテーブル３０には、エラーの発生有無、年月日、レセコン１６からの処方データの取得時刻、監査作業における読取装置１８での最初の薬剤撮影時刻、及び監査作業における読取装置１８での監査完了時刻を示すデータが更に記憶される。 The storage unit 20 stores a prescription data table 30. FIG. 3 shows an example of the prescription data table 30 according to the present embodiment. As shown in FIG. 3, in the prescription data table 30, the prescription ID, medicine name, drug type, dosage form, number of medicines, number of medicines, presence or absence of packaging, usage, dosage, medical institution, medical department, identification information of workers Data indicating an example worker ID, patient's age, and patient's gender are stored. In the prescription data table 30, the occurrence of an error, the date, the acquisition time of prescription data from the receipt computer 16, the first medicine photographing time with the reading device 18 in the inspection work, and the reading device 18 in the inspection work Further, data indicating an audit completion time of is stored.
　取得部２２は、レセコン１６から送信された処方データを、ネットワークＬを介して取得する。また、取得部２２は、取得した処方データに含まれる各種情報を、処方データテーブル３０の対応する列に記憶する。また、取得部２２は、処方データを取得した日付を、処方データテーブル３０の年月日列に記憶する。また、取得部２２は、処方データを取得した時刻を、処方データテーブル３０の処方データの取得時刻列に記憶する。また、取得部２２は、作業者ＩＤを処方データテーブル３０の作業者ＩＤ列に記憶する。また、取得部２２は、読取装置１８から出力された画像データを取得する。 The acquisition unit 22 acquires prescription data transmitted from the receipt computer 16 via the network L. Further, the acquisition unit 22 stores various information included in the acquired prescription data in the corresponding column of the prescription data table 30. In addition, the acquisition unit 22 stores the date when the prescription data is acquired in the date column of the prescription data table 30. Further, the acquisition unit 22 stores the time when the prescription data is acquired in the acquisition time sequence of the prescription data of the prescription data table 30. Further, the acquisition unit 22 stores the worker ID in the worker ID column of the prescription data table 30. The acquisition unit 22 also acquires the image data output from the reading device 18.
　監査部２４は、薬剤マスターデータを参照し、取得部２２により取得された処方データに含まれる薬剤と、読取装置１８により得られた画像データからの情報とを照合することによって、調剤された薬剤が正しいか否かを監査する。なお、薬剤マスターデータは、記憶部２０に記憶されていてもよいし、ネットワークＬを介して外部装置から取得してもよい。また、薬剤マスターデータは、薬剤の画像を含んでいてもよい。 The inspection unit 24 refers to the medicine master data, and the medicine dispensed by collating the medicine included in the prescription data acquired by the acquisition unit 22 with the information from the image data acquired by the reading device 18 Audit whether they are correct. The medicine master data may be stored in the storage unit 20 or may be acquired from an external device via the network L. Also, drug master data may include an image of a drug.
　表示制御部２６は、患者の選択画面を、後述する表示装置６３に表示する制御を行う。また、表示制御部２６は、作業者によって、患者の選択画面において患者が選択されると、監査画面を表示装置６３に表示する制御を行う。また、表示制御部２６は、監査作業における読取装置１８での最初の薬剤撮影時刻を、監査作業の開始指示が入力された時刻と見なして、処方データテーブル３０の薬剤撮影時刻列に記憶する。また、表示制御部２６は、監査画面に表示された監査完了ボタンが指定されると、監査完了ボタンが指定された時刻を、監査作業の完了指示が入力された時刻と見なして、処方データテーブル３０の監査完了時刻列に記憶する。 The display control unit 26 performs control of displaying a patient selection screen on a display device 63 described later. In addition, the display control unit 26 performs control to display an audit screen on the display device 63 when the operator selects a patient on the patient selection screen. Further, the display control unit 26 stores the first medicine photographing time by the reader 18 in the inspection work as the time when the start instruction of the inspection work is input, and stores it in the medicine photographing time column of the prescription data table 30. Further, when the audit completion button displayed on the audit screen is designated, the display control unit 26 regards the time when the audit completion button is designated as the time when the instruction to complete the audit work is inputted, and the prescription data table Store in 30 audit completion time columns.
　また、表示制御部２６は、監査部２４による監査結果を表示する監査結果表示画面を表示装置６３に表示する制御を行う。作業者は、監査結果表示画面を参照しつつ、調剤された薬剤と処方データとを目視で比較し、調剤作業においてエラーが発生したか否かを判断する。そして、作業者は、監査結果表示画面においてエラーの発生有無を入力してもよいし、エラーの発生有無、何の薬剤（薬剤名、規格、屋号等）に間違えたのか、間違えた数量、及びエラーの発生時刻等を監査部２４が自動入力してもよい。表示制御部２６は、入力されたエラーの発生有無を、処方データテーブル３０の対応するエラー列に記憶する。また、作業者は、エラーの内容に従い、薬剤の調剤作業、及び監査作業をやり直してエラーを解消する。なお、作業者は、医療機関から発行された処方箋の内容に間違いやレセコン１６への入力ミスが存在する場合にも、エラーが発生したと判断してもよい。 In addition, the display control unit 26 controls the display unit 63 to display an audit result display screen on which the audit result by the audit unit 24 is displayed. The operator visually compares the dispensed medicine with the prescription data while referring to the audit result display screen, and determines whether an error occurs in the dispensing operation. Then, the worker may input the presence or absence of an error on the inspection result display screen, the presence or absence of an occurrence of an error, what medicine (a drug name, a standard, a trade name, etc.) is wrong, a wrong quantity, The audit unit 24 may automatically input an occurrence time of an error or the like. The display control unit 26 stores the input presence or absence of an error in the corresponding error column of the prescription data table 30. Also, according to the contents of the error, the worker performs drug dispensing operation and audit operation again to eliminate the error. The worker may also determine that an error has occurred even if there is an error in the contents of the prescription issued from the medical institution or an input error to the receipt computer 16.
　送信部２８は、処方データテーブル３０のレコードを、ネットワークＬを介して情報処理装置１４に送信する。本実施形態では、送信部２８は、１日１回、薬局の閉店後に、その日に記憶された処方データテーブル３０のレコードを情報処理装置１４に送信する。なお、送信部２８は、１時間に１回、又は１週間に１回等のタイミングで処方データテーブル３０のレコードを情報処理装置１４に送信してもよい。また、送信部２８は、監査作業が終わる毎に、その監査作業に対応する処方データテーブル３０のレコードを情報処理装置１４に送信してもよい。 The transmission unit 28 transmits the record of the prescription data table 30 to the information processing apparatus 14 via the network L. In the present embodiment, the transmission unit 28 transmits the record of the prescription data table 30 stored on the day to the information processing apparatus 14 once a day after the pharmacy is closed. The transmission unit 28 may transmit the record of the prescription data table 30 to the information processing apparatus 14 at a timing such as once an hour or once a week. In addition, the transmitting unit 28 may transmit the record of the prescription data table 30 corresponding to the inspection work to the information processing apparatus 14 each time the inspection work is completed.
　また、送信部２８は、処方データテーブル３０のレコードを情報処理装置１４に送信する際に、端末１２の識別情報も情報処理装置１４に送信する。本実施形態では、送信部２８は、端末１２の識別情報として、端末１２が設置されている薬局の識別情報を情報処理装置１４に送信する。具体的には、送信部２８は、薬局がチェーン店である場合は、薬局の識別情報として、チェーン名、店舗名及び住所を情報処理装置１４に送信する。また、送信部２８は、薬局が個人薬局等の非チェーン店である場合は、薬局の識別情報として、薬局名及び住所を情報処理装置１４に送信する。なお、薬局の識別情報として、予め決められた桁数で紐づけたユニークなＩＤを使用してもよい。 Further, when transmitting the record of the prescription data table 30 to the information processing apparatus 14, the transmitting unit 28 also transmits the identification information of the terminal 12 to the information processing apparatus 14. In the present embodiment, the transmission unit 28 transmits, to the information processing apparatus 14, identification information of a pharmacy in which the terminal 12 is installed, as identification information of the terminal 12. Specifically, when the pharmacy is a chain store, the transmission unit 28 transmits a chain name, a store name, and an address to the information processing apparatus 14 as identification information of the pharmacy. Further, when the pharmacy is a non-chain store such as a personal pharmacy, the transmission unit 28 transmits the pharmacy name and the address to the information processing apparatus 14 as identification information of the pharmacy. A unique ID linked with a predetermined number of digits may be used as identification information of the pharmacy.
　次に、図４を参照して、本実施形態に係る情報処理装置１４の機能的な構成について説明する。図４に示すように、情報処理装置１４は、受信部４０、記憶部４２、分析部４４、及び表示制御部４６を含む。記憶部４２は、後述する処方データ蓄積テーブル４８を記憶する。 Next, the functional configuration of the information processing apparatus 14 according to the present embodiment will be described with reference to FIG. As shown in FIG. 4, the information processing apparatus 14 includes a receiving unit 40, a storage unit 42, an analysis unit 44, and a display control unit 46. The storage unit 42 stores a prescription data accumulation table 48 described later.
　受信部４０は、端末１２から送信された端末１２の識別情報、及び処方データテーブル３０のレコードを、ネットワークＷを介して受信する。また、受信部４０は、受信した端末１２の識別情報（本実施形態では、端末１２が設置されている薬局の識別情報）と処方データテーブル３０のレコードとを対応付けて処方データ蓄積テーブル４８に記憶する。図５に、本実施形態に係る処方データ蓄積テーブル４８の一例を示す。図５に示すように、処方データ蓄積テーブル４８には、薬局の識別情報、及び処方データテーブル３０のレコードと同じ情報が対応付けられて記憶される。なお、本実施形態では、薬局がチェーン店の場合は、チェーン名、店舗名及び住所の各々が処方データ蓄積テーブル４８のチェーン名列、店舗名列及び住所列の各々に記憶される。また、薬局が非チェーン店の場合は、薬局名及び住所が処方データ蓄積テーブル４８の店舗名列及び住所列に記憶される。なお、端末１２の識別情報は、端末１２の機種ごとに記されたシリアル番号、及び端末１２と接続された読取装置１８のシリアル番号等でもよい。 The receiving unit 40 receives the identification information of the terminal 12 transmitted from the terminal 12 and the record of the prescription data table 30 via the network W. Further, the receiving unit 40 associates the received identification information of the terminal 12 (in the present embodiment, identification information of the pharmacy in which the terminal 12 is installed) with the record of the prescription data table 30 to associate the prescription data accumulation table 48 with each other. Remember. FIG. 5 shows an example of the prescription data accumulation table 48 according to the present embodiment. As shown in FIG. 5, the prescription data accumulation table 48 stores the identification information of the pharmacy and the same information as the records of the prescription data table 30 in association with each other. In the present embodiment, when the pharmacy is a chain store, each of the chain name, store name and address is stored in each of the chain name row, store name row and address row of the prescription data accumulation table 48. Further, when the pharmacy is a non-chain store, the pharmacy name and the address are stored in the store name column and the address column of the prescription data accumulation table 48. The identification information of the terminal 12 may be a serial number written for each model of the terminal 12, a serial number of the reading device 18 connected to the terminal 12, or the like.
　なお、情報処理装置１４は、例えば、端末１２のＩＰ（Internet Protocol）アドレスと薬局の識別情報とが対応付けられたテーブルを記憶部４２に記憶してもよい。この場合、情報処理装置１４は、このテーブルを用いて、処方データテーブル３０のレコードの送信元のＩＰアドレスから、薬局の識別情報を特定する形態が例示される。この場合、端末１２は、薬局の識別情報を情報処理装置１４に送信しなくてもよい。また、端末１２のＩＰアドレスの代わりに、端末１２のシリアル番号、及び端末１２と接続された読取装置１８のシリアル番号等を用いてもよい。 The information processing apparatus 14 may store, for example, a table in which the IP (Internet Protocol) address of the terminal 12 is associated with the identification information of the pharmacy in the storage unit 42. In this case, the information processing apparatus 14 may identify the identification information of the pharmacy from the IP address of the transmission source of the record of the prescription data table 30 using this table. In this case, the terminal 12 may not transmit the identification information of the pharmacy to the information processing apparatus 14. Further, instead of the IP address of the terminal 12, the serial number of the terminal 12, the serial number of the reading device 18 connected to the terminal 12, or the like may be used.
　分析部４４は、情報処理装置１４のユーザによって指定された分析条件に従い、処方データ蓄積テーブル４８のレコードを用いて、調剤作業に関する作業時間を分析する。本実施形態では、分析部４４は、以下の（１）式に従って、処方データ蓄積テーブル４８のレコードのレセコン１６からの処方データの取得時刻、監査作業における読取装置１８での最初の薬剤撮影時刻を用いて、薬剤の調剤作業の作業時間を表す調剤時間を算出する。
　調剤時間＝最初の薬剤撮影時刻－処方データの取得時刻・・・（１） The analysis unit 44 analyzes the working time related to the dispensing operation using the records of the prescription data accumulation table 48 in accordance with the analysis conditions designated by the user of the information processing apparatus 14. In the present embodiment, the analysis unit 44 determines the acquisition time of prescription data from the receipt computer 16 of the record of the prescription data accumulation table 48 and the first medicine photographing time with the reader 18 in audit work according to the following equation (1) Using, it calculates the dispensing time that represents the working time of the drug dispensing operation.
Dispensing time = first medicine photographing time-acquisition time of prescription data ... (1)
　また、分析部４４は、以下の（２）式に従って、処方データ蓄積テーブル４８のレコードの監査作業における読取装置１８での最初の薬剤撮影時刻及び監査作業における読取装置１８での監査完了時刻を用いて、薬剤の監査作業の作業時間を表す監査時間を算出する。
　監査時間＝監査完了時刻－最初の薬剤撮影時刻・・・（２） Further, the analysis unit 44 uses the first medicine photographing time by the reader 18 in the inspection work of the record of the prescription data accumulation table 48 and the audit completion time by the reading device 18 in the inspection work according to the following equation (2) Calculate the audit time that represents the working time of the drug audit work.
Audit time = audit completion time-first medicine shooting time ... (2)
　また、分析部４４は、情報処理装置１４のユーザによって指定された分析条件に従い、算出した調剤時間及び監査時間を分析する。分析条件としては、例えば、店舗毎に調剤時間と監査時間とを分析するといった条件、及び診療科毎に調剤時間と監査時間とを分析するといった条件等が挙げられる。 Further, the analysis unit 44 analyzes the calculated dispensing time and audit time in accordance with the analysis condition designated by the user of the information processing apparatus 14. The analysis conditions include, for example, a condition that analyzes the dispensing time and the audit time for each store, and a condition that analyzes the dispensing time and the audit time for each medical department.
　表示制御部４６は、分析部４４による分析結果を後述する表示装置７３に表示する制御を行う。 The display control unit 46 performs control to display the analysis result by the analysis unit 44 on the display device 73 described later.
　次に、図６を参照して、本実施形態に係る端末１２のハードウェア構成を説明する。図６に示すように、端末１２は、ＣＰＵ（Central Processing Unit）６０、一時記憶領域としてのメモリ６１、及び不揮発性の記憶部６２を含む。また、端末１２は、液晶ディスプレイ等の表示装置６３、キーボード等の入力装置６４、及びネットワークＬに接続されるネットワークＩ／Ｆ（InterFace）６５を含む。ＣＰＵ６０、メモリ６１、記憶部６２、表示装置６３、入力装置６４、及びネットワークＩ／Ｆ６５は、バス６６に接続される。また、バス６６には、読取装置１８が不図示の入出力Ｉ／Ｆを介して接続される。 Next, the hardware configuration of the terminal 12 according to the present embodiment will be described with reference to FIG. As shown in FIG. 6, the terminal 12 includes a central processing unit (CPU) 60, a memory 61 as a temporary storage area, and a non-volatile storage unit 62. The terminal 12 also includes a display device 63 such as a liquid crystal display, an input device 64 such as a keyboard, and a network I / F (InterFace) 65 connected to the network L. The CPU 60, the memory 61, the storage unit 62, the display device 63, the input device 64, and the network I / F 65 are connected to the bus 66. Further, the reader 18 is connected to the bus 66 via an input / output I / F (not shown).
　記憶部６２は、ＨＤＤ（Hard Disk Drive）、ＳＳＤ（Solid State Drive）、及びフラッシュメモリ等によって実現される。記憶媒体としての記憶部６２には、送信プログラム６８が記憶される。ＣＰＵ６０は、記憶部６２から送信プログラム６８を読み出してからメモリ６１に展開し、展開した送信プログラム６８を実行する。ＣＰＵ６０が送信プログラム６８を実行することで、図２に示す取得部２２、監査部２４、表示制御部２６、及び送信部２８として機能する。また、図２に示す記憶部２０は、図６に示す記憶部６２によって実現される。 The storage unit 62 is realized by an HDD (Hard Disk Drive), an SSD (Solid State Drive), a flash memory, and the like. A transmission program 68 is stored in the storage unit 62 as a storage medium. The CPU 60 reads the transmission program 68 from the storage unit 62 and then develops the transmission program 68 in the memory 61 and executes the developed transmission program 68. The CPU 60 executes the transmission program 68 to function as the acquisition unit 22, the inspection unit 24, the display control unit 26, and the transmission unit 28 illustrated in FIG. 2. Further, the storage unit 20 shown in FIG. 2 is realized by the storage unit 62 shown in FIG.
　次に、図７を参照して、本実施形態に係る情報処理装置１４のハードウェア構成を説明する。図７に示すように、情報処理装置１４は、ＣＰＵ７０、一時記憶領域としてのメモリ７１、及び不揮発性の記憶部７２を含む。また、情報処理装置１４は、液晶ディスプレイ等の表示装置７３、キーボード等の入力装置７４、及びネットワークＷに接続されるネットワークＩ／Ｆ７５を含む。ＣＰＵ７０、メモリ７１、記憶部７２、表示装置７３、入力装置７４、及びネットワークＩ／Ｆ７５は、バス７６に接続される。 Next, the hardware configuration of the information processing apparatus 14 according to the present embodiment will be described with reference to FIG. As shown in FIG. 7, the information processing apparatus 14 includes a CPU 70, a memory 71 as a temporary storage area, and a non-volatile storage unit 72. The information processing apparatus 14 also includes a display device 73 such as a liquid crystal display, an input device 74 such as a keyboard, and a network I / F 75 connected to the network W. The CPU 70, the memory 71, the storage unit 72, the display device 73, the input device 74, and the network I / F 75 are connected to the bus 76.
　記憶部７２は、ＨＤＤ、ＳＳＤ、及びフラッシュメモリ等によって実現される。記憶媒体としての記憶部７２には、分析プログラム７８が記憶される。ＣＰＵ７０は、記憶部７２から分析プログラム７８を読み出してからメモリ７１に展開し、展開した分析プログラム７８を実行する。ＣＰＵ７０が分析プログラム７８を実行することで、図４に示す受信部４０、分析部４４、及び表示制御部４６として機能する。また、図４に示す記憶部４２は、図７に示す記憶部７２によって実現される。 The storage unit 72 is realized by an HDD, an SSD, a flash memory, and the like. An analysis program 78 is stored in the storage unit 72 as a storage medium. The CPU 70 reads out the analysis program 78 from the storage unit 72 and then develops the analysis program 78 in the memory 71 and executes the developed analysis program 78. The CPU 70 executes the analysis program 78 to function as the reception unit 40, the analysis unit 44, and the display control unit 46 shown in FIG. Also, the storage unit 42 shown in FIG. 4 is realized by the storage unit 72 shown in FIG.
　次に、図８及び図９を参照して、本実施形態に係る薬局管理システム１０の作用を説明する。 Next, the operation of the pharmacy management system 10 according to the present embodiment will be described with reference to FIGS. 8 and 9.
　図８のステップＳ１０で、作業者は、レセコン１６を操作し、処方箋に記載された処方情報に基づいた情報を入力する。ステップＳ１２で、レセコン１６は、ステップＳ１０で入力された情報に基づいて、処方データを生成し、生成した処方データを、ネットワークＬを介して端末１２に送信する。 In step S10 of FIG. 8, the worker operates the receipt computer 16 and inputs information based on the prescription information described in the prescription. In step S12, the receipt computer 16 generates prescription data based on the information input in step S10, and transmits the generated prescription data to the terminal 12 via the network L.
　ステップＳ１４で、端末１２の取得部２２は、ステップＳ１２でレセコン１６から送信された処方データを、ネットワークＬを介して取得する。ステップＳ１６で、取得部２２は、取得した処方データに含まれる各種情報を、処方データテーブル３０の対応する列に記憶する。また、取得部２２は、処方データを取得した日付を、処方データテーブル３０の年月日列に記憶する。また、取得部２２は、処方データを取得した時刻を、処方データテーブル３０の処方データの取得時刻列に記憶する。また、取得部２２は、作業者の作業者ＩＤを処方データテーブル３０の作業者ＩＤ列に記憶する。なお、作業者ＩＤは、例えば、ログイン画面を介して作業者にログインＩＤ及びパスワードを入力させ、入力されたログインＩＤを作業者ＩＤとすればよい。また、例えば、端末１２にＩＣ（Integrated Circuit）カードリーダーを接続し、ＩＣカードリーダーによって読み取られた、ＩＣカードに記録された作業者の識別情報を作業者ＩＤとしてもよいし、薬剤師であればＨＰＫＩ（Healthcare Public Key Infrastructure）カードを作業者ＩＤとしてもよい。 In step S14, the acquisition unit 22 of the terminal 12 acquires the prescription data transmitted from the receipt computer 16 in step S12 via the network L. In step S16, the acquisition unit 22 stores various information included in the acquired prescription data in the corresponding column of the prescription data table 30. In addition, the acquisition unit 22 stores the date when the prescription data is acquired in the date column of the prescription data table 30. Further, the acquisition unit 22 stores the time when the prescription data is acquired in the acquisition time sequence of the prescription data of the prescription data table 30. In addition, the acquisition unit 22 stores the worker ID of the worker in the worker ID column of the prescription data table 30. The operator ID may be, for example, allowing the operator to input a login ID and a password via a login screen, and using the input login ID as the operator ID. Also, for example, an IC (Integrated Circuit) card reader may be connected to the terminal 12, and the identification information of the worker recorded in the IC card read by the IC card reader may be the worker ID, or if it is a pharmacist A healthcare public key infrastructure (HPKI) card may be used as a worker ID.
　ステップＳ１８で、表示制御部２６は、患者の選択画面を表示装置６３に表示する制御を行う。一方、作業者は、ステップＳ１０の作業が終わると、ステップＳ２０で、処方箋に基づいて薬剤の調剤を行う。また、作業者は、薬剤の調剤が終わると、ステップＳ２２で、端末１２の表示装置６３に表示された患者の選択画面において、対象の患者を選択する。 In step S18, the display control unit 26 performs control to display the patient selection screen on the display device 63. On the other hand, when the worker finishes the operation of step S10, the worker dispenses the medicine based on the prescription in step S20. Further, when dispensing of the medicine is finished, the worker selects a target patient on the patient selection screen displayed on the display device 63 of the terminal 12 in step S22.
　ステップＳ２４で、表示制御部２６は、監査画面を表示装置６３に表示する制御を行う。 In step S24, the display control unit 26 performs control to display an audit screen on the display device 63.
　一方、ステップＳ２８で、作業者は、ステップＳ２２の作業が終わると、ステップＳ２０で調剤した薬剤を読取装置１８の台の上に載せる。そして、作業者は、ステップＳ３０で、入力装置６４を介して、薬剤の読取開始指示を端末１２に入力する。端末１２に読取開始指示が入力されると、読取装置１８は、台の上に載せられた薬剤を撮影し、撮影して得られた画像データを端末１２に出力する。ステップＳ３１で、端末１２は、監査作業における読取装置１８での最初の薬剤撮影時刻を、処方データテーブル３０の薬剤撮影時刻列に記憶する。なお、表示制御部２６が、ステップＳ２２で患者が選択された時刻を、監査作業の開始時刻と見なして、薬剤撮影時刻列に記憶してもよい。ステップＳ３２で、取得部２２は、読取装置１８から出力された画像データを取得する。 On the other hand, in step S28, the worker places the medicine dispensed in step S20 on the table of the reading device 18 when the operation of step S22 is completed. Then, in step S30, the worker inputs a reading start instruction of medicine to the terminal 12 via the input device 64. When a reading start instruction is input to the terminal 12, the reading device 18 captures an image of the medicine placed on the table, and outputs image data obtained by capturing to the terminal 12. In step S31, the terminal 12 stores the first medicine photographing time by the reader 18 in the inspection work in the medicine photographing time sequence of the prescription data table 30. The display control unit 26 may store the time when the patient is selected in step S22 as the start time of the inspection work in the medicine imaging time sequence. In step S32, the acquisition unit 22 acquires the image data output from the reading device 18.
　ステップＳ３４で、監査部２４は、薬剤マスターデータを参照し、ステップＳ１４で取得された処方データに含まれる薬剤と、ステップＳ３２で取得された画像データからの情報とを照合することによって、調剤された薬剤が正しいか否かを監査する。ステップＳ３６で、表示制御部２６は、ステップＳ３４で行われた監査結果を表示する監査結果表示画面を表示装置６３に表示する制御を行う。 In step S34, the inspection unit 24 is dispensed by referring to the drug master data and collating the drug contained in the prescription data obtained in step S14 with the information from the image data obtained in step S32. Audit if the drug is correct. In step S36, the display control unit 26 controls the display unit 63 to display an audit result display screen on which the audit result performed in step S34 is displayed.
　作業者は、ステップＳ３６で表示装置６３に表示された監査結果表示画面を参照しつつ、調剤された薬剤と処方データとを目視で比較し、調剤作業においてエラーが発生したか否かを判断してもよいし、エラーの発生有無、何の薬剤（薬剤名、規格、屋号等）に間違えたのか、間違えた数量、及びエラーの発生時刻等を監査部が自動入力してもよい。エラーが発生していないか、又は解消した場合、ステップＳ３８で、作業者は、監査結果表示画面に表示された監査完了ボタンを、入力装置６４を介して指定することによって、監査完了指示を端末１２に入力する。 The operator visually compares the dispensed medicine with the prescription data while referring to the inspection result display screen displayed on the display device 63 in step S36, and determines whether or not an error occurs in the dispensing operation. The audit section may automatically input the presence or absence of an error, what drug (drug name, standard, trade name, etc.) is wrong, the wrong quantity, the time of occurrence of an error, and the like. If an error has not occurred or is resolved, the operator designates an audit completion instruction by specifying an audit completion button displayed on the audit result display screen via the input device 64 in step S38. Enter 12
　ステップＳ４０で、表示制御部２６は、ステップＳ３８で監査完了指示が入力された時刻を、処方データテーブル３０の監査完了時刻列に記憶する。以上のステップＳ１０からステップＳ４０までの処理が処方箋毎に実行される。ステップＳ４２で、送信部２８は、１日１回、薬局の閉店後に、その日に記憶された処方データテーブル３０のレコードを情報処理装置１４に送信する。また、送信部２８は、端末１２の識別情報も情報処理装置１４に送信する。 In step S40, the display control unit 26 stores the time when the audit completion instruction is input in step S38 in the audit completion time column of the prescription data table 30. The processing from step S10 to step S40 described above is executed for each prescription. In step S42, the transmission unit 28 transmits the record of the prescription data table 30 stored on the day to the information processing apparatus 14 once a day after the pharmacy is closed. The transmission unit 28 also transmits the identification information of the terminal 12 to the information processing apparatus 14.
　ステップＳ４４で、情報処理装置１４の受信部４０は、ステップＳ４２で端末１２から送信された端末１２の識別情報、及び処方データテーブル３０のレコードを、ネットワークＷを介して受信する。ステップＳ４６で、受信部４０は、ステップＳ４４で受信した端末１２の識別情報と処方データテーブル３０のレコードとを対応付けて処方データ蓄積テーブル４８に記憶する。 In step S44, the receiving unit 40 of the information processing device 14 receives, via the network W, the identification information of the terminal 12 transmitted from the terminal 12 in step S42 and the record of the prescription data table 30. In step S46, the reception unit 40 associates the identification information of the terminal 12 received in step S44 with the record of the prescription data table 30, and stores the identification data in the prescription data accumulation table 48.
　なお、図８に示す処理の各作業工程における作業者は、同じ作業者であってもよいし、異なる作業者であってもよい。また、端末１２は薬局内で複数台でもよい。 The workers in the respective work steps of the process shown in FIG. 8 may be the same worker or different workers. Further, a plurality of terminals 12 may be provided in the pharmacy.
　ユーザにより入力装置７４を介して分析条件及び分析の開始指示が情報処理装置１４に入力されると、図９に示す分析処理が情報処理装置１４のＣＰＵ７０によって実行される。 When the user inputs an analysis condition and an analysis start instruction to the information processing apparatus 14 via the input device 74, the analysis process shown in FIG. 9 is executed by the CPU 70 of the information processing apparatus 14.
　図９のステップＳ６０で、分析部４４は、上記（１）式に従って、処方データ蓄積テーブル４８のレコードの処方データの取得時刻及び最初の薬剤撮影時刻を用いて、調剤時間を算出する。ステップＳ６２で、分析部４４は、上記（２）式に従って、処方データ蓄積テーブル４８のレコードの最初の薬剤撮影時刻及び監査完了時刻を用いて、監査時間を算出する。 In step S60 of FIG. 9, the analysis unit 44 calculates the dispensing time using the acquisition time of the prescription data of the record of the prescription data accumulation table 48 and the first medicine photographing time according to the equation (1). In step S62, the analysis unit 44 calculates an audit time using the first medicine photographing time and the audit completion time of the record of the prescription data accumulation table 48 according to the equation (2).
　ステップＳ６４で、分析部４４は、入力された分析条件に従い、算出した調剤時間及び監査時間を分析する。ステップＳ６６で、表示制御部４６は、ステップＳ６４における分析結果を表示する分析結果表示画面を表示装置７３に表示する制御を行う。図１０に、分析条件が、薬局毎に調剤時間及び監査時間に関する分析を行うとの条件だった場合の分析結果表示画面の一例を示す。 In step S64, the analysis unit 44 analyzes the calculated dispensing time and audit time according to the input analysis conditions. In step S66, the display control unit 46 controls the display unit 73 to display an analysis result display screen on which the analysis result in step S64 is displayed. FIG. 10 shows an example of the analysis result display screen in the case where the analysis conditions are such that analysis on dispensing time and audit time is performed for each pharmacy.
　この場合、図１０に示すように、分析結果表示画面の左側には、所定間隔（図１０の例では１分間隔）毎の調剤時間及び監査時間のレコード件数が表示される。また、分析結果表示画面の右側には、所定間隔毎の調剤時間及び監査時間のレコード件数の分布を表すグラフが表示される。また、分析結果表示画面の上部には、全薬局の調剤時間及び監査時間の各々の統計値（図１０の例では平均値。図１０における「指定なし」列）と、各薬局における調剤時間及び監査時間の各々の統計値とが表示される。ユーザは、図１０に示す分析結果表示画面を参照することで、何れの薬局の何れの作業に時間がかかっているか等を把握することができる。 In this case, as shown in FIG. 10, on the left side of the analysis result display screen, the number of records of dispensing time and audit time for each predetermined interval (one minute interval in the example of FIG. 10) is displayed. Further, on the right side of the analysis result display screen, a graph representing the distribution of the number of records of the dispensing time and the audit time at predetermined intervals is displayed. In the upper part of the analysis result display screen, statistical values for each pharmacy's dispensing time and audit time (average value in the example of FIG. 10; “not specified” column in FIG. 10), dispensing time at each pharmacy, and The statistics of each audit time are displayed. By referring to the analysis result display screen shown in FIG. 10, the user can grasp which work of which pharmacy takes time, and the like.
　また、作業者が、図１０に示す分析結果表示画面の「薬局名」の右の「指定なし」が表示されているプルダウンメニューで薬局名を指定すると、分析結果表示画面は図１１に示す状態に切り替わる。この場合、図１１に示すように、分析結果表示画面の左側の表と、右側のグラフとが、プルダウンメニューで指定された薬局におけるデータに切り替わる。 In addition, when the worker designates a pharmacy name with a pull-down menu displaying “No designation” on the right of “Pharmacy name” on the analysis result display screen shown in FIG. 10, the analysis result display screen is in the state shown in FIG. Switch to In this case, as shown in FIG. 11, the table on the left side of the analysis result display screen and the graph on the right side switch to data in the pharmacy specified by the pull-down menu.
　また、図１２に、分析条件が、診療科毎に調剤時間及び監査時間に関する分析を行うとの条件だった場合の分析結果表示画面の一例を示す。この場合、分析結果表示画面の左側には、所定間隔（図１２の例では１分間隔）毎の調剤時間及び監査時間のレコード件数が表示される。また、分析結果表示画面の右側には、所定間隔毎の調剤時間及び監査時間のレコード件数の分布を表すグラフが表示される。また、分析結果表示画面の上部には、全診療科の調剤時間及び監査時間の各々の統計値（図１２の例では平均値。図１２における「指定なし」列）と、各診療科における調剤時間及び監査時間の各々の統計値とが表示される。ユーザは、図１２に示す分析結果表示画面を参照することで、何れの診療科の何れの作業に時間がかかっているか等を把握することができる。 Further, FIG. 12 shows an example of an analysis result display screen in the case where the analysis condition is a condition that analysis regarding the dispensing time and the inspection time is performed for each medical department. In this case, on the left side of the analysis result display screen, the number of records of the dispensing time and the audit time for each predetermined interval (one minute interval in the example of FIG. 12) is displayed. Further, on the right side of the analysis result display screen, a graph representing the distribution of the number of records of the dispensing time and the audit time at predetermined intervals is displayed. In the upper part of the analysis result display screen, the statistical value of each dispensing time and audit time of all the departments (average value in the example of FIG. 12; “not specified” column in FIG. 12) and dispensing in each department The statistics of time and audit time are displayed. By referring to the analysis result display screen shown in FIG. 12, the user can grasp which operation of which medical care department takes time, and the like.
　また、作業者が、図１２に示す分析結果表示画面の「診療科」の右の「指定なし」が表示されているプルダウンメニューで診療科名を指定すると、分析結果表示画面は図１３に示す状態に切り替わる。この場合、図１３に示すように、分析結果表示画面の左側の表と、右側のグラフとが、プルダウンメニューで指定された診療科におけるデータに切り替わる。 In addition, when the worker designates a medical department name in the pull-down menu on the right of "medical department" on the analysis result display screen shown in FIG. 12, the analysis result display screen is shown in FIG. Switch to the state. In this case, as shown in FIG. 13, the table on the left side of the analysis result display screen and the graph on the right side are switched to data in the medical department designated by the pull-down menu.
　以上説明したように、本実施形態によれば、調剤作業に関する作業工程が行われた時刻を記憶し、処方データに含まれる医療機関及び診療科の少なくとも一方を用いて、記憶された時刻から調剤作業に関する作業時間に関する分析を行う。従って、データの真正性が確保される結果、調剤作業に関する作業時間を精度良く分析することができる。また、本実施形態によれば、情報処理装置１４側で作業時刻をタイムスタンプとして収集することによって、複数の調剤作業が交錯するような事態になっても、精密かつ網羅的に管理ができることができる。 As described above, according to this embodiment, the time at which the work process related to the dispensing operation was performed is stored, and dispensing is performed from the stored time using at least one of the medical institution and the medical department included in the prescription data. Perform an analysis on work hours for work. Therefore, as a result of securing the authenticity of the data, it is possible to analyze the working time concerning the dispensing operation with high accuracy. Further, according to the present embodiment, by collecting the work time as a time stamp on the information processing apparatus 14 side, precise and comprehensive management can be carried out even if a plurality of dispensing works are intermingled. it can.
　なお、上記実施形態では、薬局毎、又は診療科毎に調剤作業に関する作業時間に関する分析を行う場合について説明したが、これに限定されない。例えば、処方データ蓄積テーブル４８に記憶された各列の項目毎に調剤作業に関する作業時間に関する分析を行ってもよいし、複数の項目の組合せ毎の調剤作業に関する作業時間に関する分析を行ってもよいし、患者毎の調剤作業に関する作業時間に関する分析を行ってもよい。この場合、例えば、剤形毎の調剤時間及び監査時間を分析結果表示画面に表示する形態が例示される。また、例えば、作業者ＩＤや患者毎の調剤時間及び監査時間を分析結果表示画面に表示する形態が例示される。 In addition, although the said embodiment demonstrated the case where the analysis regarding the working time regarding dispensing operation was performed for every pharmacy or every medical department, it is not limited to this. For example, analysis of the working time of the dispensing operation may be performed for each item of each column stored in the prescription data accumulation table 48, or analysis of the working time of the dispensing operation of each combination of a plurality of items may be performed. Also, analysis may be performed on the working time for the dispensing operation for each patient. In this case, for example, a form in which the dispensing time for each dosage form and the inspection time are displayed on the analysis result display screen is exemplified. In addition, for example, a form in which the worker ID, the dispensing time for each patient, and the inspection time are displayed on the analysis result display screen is exemplified.
　また、上記実施形態において、調剤作業におけるエラーの発生有無からエラーの発生状況を分析してもよい。この場合、例えば、薬局毎にエラーの発生頻度、及びエラーの発生率の少なくとも一方等を分析結果表示画面に表示する形態が例示される。 In the above embodiment, the occurrence of an error may be analyzed from the presence or absence of an error in the dispensing operation. In this case, for example, there is exemplified a form in which at least one of the occurrence frequency of an error and the incidence rate of an error is displayed on the analysis result display screen for each pharmacy.
　また、上記実施形態でＣＰＵがソフトウェア（プログラム）を実行することにより実行した各種処理を、ＣＰＵ以外の各種のプロセッサが実行してもよい。この場合のプロセッサとしては、ＦＰＧＡ（Field-Programmable Gate Array）等の製造後に回路構成を変更可能なＰＬＤ（Programmable Logic Device）、及びＡＳＩＣ（Application Specific Integrated Circuit）等の特定の処理を実行させるために専用に設計された回路構成を有するプロセッサである専用電気回路等が例示される。また、上記各種処理を、これらの各種のプロセッサのうちの１つで実行してもよいし、同種又は異種の２つ以上のプロセッサの組み合わせ（例えば、複数のＦＰＧＡ、及びＣＰＵとＦＰＧＡとの組み合わせ等）で実行してもよい。また、これらの各種のプロセッサのハードウェア的な構造は、より具体的には、半導体素子等の回路素子を組み合わせた電気回路である。 In addition, various types of processing executed by the CPU executing software (programs) in the above embodiment may be executed by various processors other than the CPU. As a processor in this case, in order to execute specific processing such as PLD (Programmable Logic Device) or ASIC (Application Specific Integrated Circuit) whose circuit configuration can be changed after manufacturing an FPGA (Field-Programmable Gate Array) or the like. A dedicated electric circuit or the like which is a processor having a circuit configuration specially designed is exemplified. In addition, the various processes described above may be performed by one of these various processors, or a combination of two or more processors of the same or different types (for example, a plurality of FPGAs, and a combination of a CPU and an FPGA) Etc.). Furthermore, the hardware-like structure of these various processors is, more specifically, an electric circuit in which circuit elements such as semiconductor elements are combined.
　また、上記実施形態では、送信プログラム６８が記憶部６２に予め記憶（インストール）されている態様を説明したが、これに限定されない。送信プログラム６８は、ＣＤ－ＲＯＭ（Compact Disk Read Only Memory）、ＤＶＤ－ＲＯＭ（Digital Versatile Disk Read Only Memory）、及びＵＳＢ（Universal Serial Bus）メモリ等の記録媒体に記録された形態で提供されてもよい。また、送信プログラム６８は、ネットワークを介して外部装置からダウンロードされる形態としてもよい。 In the above embodiment, the transmission program 68 is stored (installed) in the storage unit 62 in advance. However, the present invention is not limited to this. The transmission program 68 may be provided in the form of being recorded on a recording medium such as a compact disk read only memory (CD-ROM), a digital versatile disk read only memory (DVD-ROM), and a universal serial bus (USB) memory. Good. In addition, the transmission program 68 may be downloaded from an external device via a network.
　また、上記実施形態では、分析プログラム７８が記憶部７２に予め記憶（インストール）されている態様を説明したが、これに限定されない。分析プログラム７８は、ＣＤ－ＲＯＭ（Compact Disk Read Only Memory）、ＤＶＤ－ＲＯＭ（Digital Versatile Disk Read Only Memory）、及びＵＳＢ（Universal Serial Bus）メモリ等の持続性（non-transitory）の記録媒体に記録された形態で提供されてもよい。また、分析プログラム７８は、ネットワークを介して外部装置からダウンロードされる形態としてもよい。 Moreover, although the said embodiment demonstrated the aspect by which the analysis program 78 was beforehand memorize | stored (installed) in the memory | storage part 72, it is not limited to this. The analysis program 78 is recorded on a non-transitory recording medium such as a compact disk read only memory (CD-ROM), a digital versatile disk read only memory (DVD-ROM), and a universal serial bus (USB) memory. It may be provided in the form described. Also, the analysis program 78 may be downloaded from an external device via a network.
　また、本開示の技術を実施するための形態として、端末が調剤監査支援システムを構成している例以外のシステム構成でもよく、例えば分包機や薬剤自動払い出し機等、パーソナルコンピュータ、タブレットコンピュータ、及びマイコン等を含んでいる構成をもつ形態でもよい。 Further, as a mode for implementing the technology of the present disclosure, a system configuration other than an example in which the terminal configures a dispensing audit support system may be used, for example, a personal computer, a tablet computer, etc. It may be in a form having a configuration including a microcomputer or the like.

Claims (8)

  1. 　情報処理装置と、複数の薬局の各々に設置された端末とを含む薬局管理システムであって、
    　前記端末は、処方情報に基づくと共に医療機関及び診療科の少なくとも一方を含む処方データを取得する取得部と、前記処方データに基づいた調剤作業に関する作業工程が行われた時刻を記憶する記憶部と、前記処方データ及び前記時刻を前記情報処理装置に送信する送信部と、を備え、
    　前記情報処理装置は、前記処方データ及び前記時刻を受信する受信部と、前記処方データに含まれる医療機関及び診療科の少なくとも一方を用いて、前記時刻から前記調剤作業に関する作業時間に関する分析を行う分析部と、を備えた
    　薬局管理システム。     A pharmacy management system including an information processing apparatus and a terminal installed in each of a plurality of pharmacies,
    The terminal is an acquisition unit that acquires prescription data based on prescription information and includes at least one of a medical institution and a medical department, and a storage unit that stores a time when a working process related to a dispensing operation based on the prescription data is performed A transmitter configured to transmit the prescription data and the time to the information processing apparatus;
    The information processing apparatus analyzes the working time related to the dispensing work from the time using at least one of the prescription data and the receiving unit that receives the time, and a medical institution and a medical department included in the prescription data. Pharmacy management system with analysis unit.
  2. 　前記送信部は、前記調剤作業におけるエラーの発生有無を更に送信し、
    　前記受信部は、前記端末から送信された前記エラーの発生有無を更に受信し、
    　前記分析部は、前記処方データに含まれる医療機関及び診療科の少なくとも一方を用いて前記エラーの発生状況を更に分析する
    　請求項１に記載の薬局管理システム。     The transmission unit further transmits the presence or absence of an error in the dispensing operation;
    The receiving unit further receives the occurrence of the error transmitted from the terminal,
    The pharmacy management system according to claim 1, wherein the analysis unit further analyzes the occurrence of the error using at least one of a medical institution and a medical department included in the prescription data.
  3. 　前記処方データは、薬剤名、剤形、剤数、薬種、用法、用量、患者の年齢、患者の性別、及び一包化の有無の少なくとも１つを更に含み、
    　前記分析部は、前記薬剤名、前記剤形、前記剤数、前記薬種、前記用法、前記用量、前記年齢、前記性別、及び前記一包化の有無の少なくとも１つを更に用いて前記分析を行う
    　請求項１又は請求項２に記載の薬局管理システム。     The prescription data further includes at least one of drug name, dosage form, number of drugs, drug type, method of administration, dose, patient's age, patient's gender, and presence or absence of packaging.
    The analysis unit further performs the analysis using at least one of the drug name, the dosage form, the drug number, the drug type, the drug type, the dosage, the dose, the age, the gender, and the presence or absence of the single package. The pharmacy management system according to claim 1 or claim 2.
  4. 　前記送信部は、前記調剤作業を行った作業者の識別情報、及び前記端末の識別情報の少なくとも一方を更に送信し、
    　前記受信部は、前記端末から送信された前記作業者の識別情報、及び前記端末の識別情報の少なくとも一方を更に受信し、
    　前記分析部は、前記作業者の識別情報、及び前記端末の識別情報の少なくとも一方を更に用いて前記分析を行う
    　請求項１から請求項３の何れか１項に記載の薬局管理システム。     The transmission unit further transmits at least one of identification information of a worker who has performed the dispensing operation and identification information of the terminal,
    The receiving unit further receives at least one of the identification information of the worker transmitted from the terminal and the identification information of the terminal;
    The pharmacy management system according to any one of claims 1 to 3, wherein the analysis unit performs the analysis by further using at least one of identification information of the worker and identification information of the terminal.
  5. 　前記時刻は、前記端末に前記処方データが入力された時刻、監査作業の開始指示が入力された時刻、及び前記監査作業の完了指示が入力された時刻を含む
    　請求項１から請求項４の何れか１項に記載の薬局管理システム。     The time includes the time when the prescription data is input to the terminal, the time when an instruction to start an audit work is input, and the time when an instruction to complete an audit work is input. The pharmacy management system described in Item 1.
  6. 　前記情報処理装置は、クラウドサーバである
    　請求項１から請求項５の何れか１項に記載の薬局管理システム。     The pharmacy management system according to any one of claims 1 to 5, wherein the information processing apparatus is a cloud server.
  7. 　情報処理装置と、複数の薬局の各々に設置された端末とを含む薬局管理システムによる薬局管理方法であって、
    　前記端末が、
    　処方情報に基づくと共に医療機関及び診療科の少なくとも一方を含む処方データを取得し、　前記処方データに基づいた調剤作業に関する作業工程が行われた時刻を記憶し、
    　前記処方データ及び前記時刻を前記情報処理装置に送信し、
    　前記情報処理装置が、
    　前記処方データ及び前記時刻を受信し、
    　前記処方データに含まれる医療機関及び診療科の少なくとも一方を用いて、前記時刻から前記調剤作業に関する作業時間に関する分析を行う
    　薬局管理方法。     A pharmacy management method by a pharmacy management system including an information processing apparatus and a terminal installed in each of a plurality of pharmacies,
    The terminal is
    Based on the prescription information and acquiring prescription data including at least one of a medical institution and a medical department, storing the time at which the work process related to the dispensing operation was performed based on the prescription data.
    Transmitting the prescription data and the time to the information processing apparatus;
    The information processing apparatus
    Receiving the prescription data and the time,
    The pharmacy management method which performs analysis regarding the working time regarding the said dispensing operation from the said time using at least one of the medical institution and the medical department included in the said prescription data.
  8. 　コンピュータに、
    　処方情報に基づくと共に医療機関及び診療科の少なくとも一方を含む処方データと、前記処方データに基づいた調剤作業に関する作業工程が行われた時刻と、を端末から受信し、
    　前記処方データに含まれる医療機関及び診療科の少なくとも一方を用いて、前記時刻から前記調剤作業に関する作業時間に関する分析を行う
    　ことを含む、薬局管理処理を実行させるプログラム。     On the computer
    Receiving from the terminal prescription data based on the prescription information and including at least one of a medical institution and a medical department, and a time at which a working process related to a dispensing operation based on the prescription data was performed;
    A program for executing a pharmacy management process, including performing analysis on work time related to the dispensing work from the time using at least one of a medical institution and a medical department included in the prescription data.
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