JP2914650B2 - Dispensing support system and pharmaceutical sales system - Google Patents

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

The present invention relates to a dispensing support system in hospitals, pharmacies, and the like.

[0002]

2. Description of the Related Art A prescription is input, a medical history of a patient is accumulated based on the input prescription, a prescription audit is performed, and the like.
2. Description of the Related Art A system (a pharmacy business support system using a computer) that performs window processing, daily processing, receipt issuing processing, monthly processing, and the like is known.

[0003]

In the conventional dispensing support system, prescription inspection or the like is possible only when the patient reports information such as his / her own disease name. However, the declaration is voluntary and the patient does not necessarily declare 100%. Also, the declared information is not always correct. For this reason, the conventional dispensing support system has a problem that the reliability of the prescription inspection by the computer is low.

[0004] Further, the creation of a prescription and the input of a prescription are performed by human beings, respectively, and a certain error occurs at a certain probability. However, the conventional dispensing support system could not check for this mistake.

[0005] Further, the conventional dispensing support system is a stand-alone type arranged for each pharmacy, and it is difficult to share data among a plurality of pharmacies and to perform prescription auditing and the like efficiently and reliably. there were. It is also conceivable to provide a general-purpose machine at the center and arrange terminals in each pharmacy, but the number of terminals, that is, the number of pharmacies is limited by the capability of the general-purpose machine,
There are problems such as slow response.

[0006] Furthermore, the conventional dispensing support system audits only the drugs described in the prescription, and checks the suitability of general drugs, quasi-drugs, foods for specified health use, etc. purchased by patients. Can not do
It was difficult to give appropriate advice to patients.

The present invention has been made in view of the above circumstances, and has as its object to provide a dispensing support system capable of accurately and promptly performing dispensing, selling pharmaceuticals, managing patients, and the like.

[0008]

In order to achieve the above object, a dispensing support system according to a first aspect of the present invention comprises a master server having patient information and patient-related information of all patients, a pharmacy, are arranged, it is connected via a communication to the master server, and pharmacy data holding means for carrying the patient information and patient supplementary information of the own pharmacy fraction, by the operator
Operated, input means for inputting data on the prescription, and determine whether or not the incidental information on the patient information input by the input means is stored in the pharmacy data holding means, when not stored, accesses the master server, when the supplementary information corresponding to the master server is stored, reads the該付zone information from the master server, and reading means for storing in the pharmacy data holding means, before
Based on the supplementary information read by the reading means.
Check the appropriateness of the input operation for the entered prescription data.
Check, the contents of the entered prescription data and the
Checks for compliance with the source and certain audits, including one of
Means for performing, dispensing instruction means for instructing dispensing to a plurality of dispensing sections based on audited prescriptions, means for updating the storage data of the pharmacy data holding means based on the information input by the input means, And a pharmacy server comprising:

[0009] In this dispensing support system, the input prescription data is converted into an appropriate prescription data based on incidental information on drug history, past illness, allergy, pregnancy and lactation.
Checking of sex, contents and prescription of input prescription data
Check for compatibility with the publisher of the note
Perform an audit. In the input operation check, for example,
The target drug is one of the drugs with a high rate of input errors
Check if the drug falls under the category
Whether the product falls under any of the chemicals with different contents by name
Checks are made. Also, prescription data
Checking for compatibility between the content of the prescription and the prescription issuer
For example, the drug being prescribed may be the hospital that issued the prescription,
Match the medicines used by each department and doctor
Check whether the content of the drug to be prescribed is
Drugs used by publishers (hospitals, medical departments, doctors, etc.)
Check whether the content matches the content, etc.
It is. Therefore, prescription errors, input errors, and the like can be suppressed. In addition, each pharmacy server only needs to store data for its own pharmacy, and access the master server to read information as needed. Therefore, the capacity of the database of each pharmacy server can be suppressed. Also, since dispensing is instructed to a plurality of dispensing sections in parallel, dispensing time can be reduced.

In order to achieve the above object, a second aspect of the present invention is provided.
The dispensing support system according to the aspect of the present invention stores a medicine file that stores the relation between medicines and their indications and contraindications, input means for inputting prescribed medicines, and accumulates the medicines input by the input means for each patient. Accumulating means, estimating means for estimating a patient's disease according to the medicine input by the input means, the medicinal history accumulated in the accumulating means and the medicine file, and the disease estimated by the estimating means is contraindicated. Warning means for determining whether or not the medicine to be input has been input by the input means, and issuing a warning when the input has been input;
It is composed of

In this dispensing support system, a patient's disease is estimated based on the input medicine, and it is determined whether or not a medicine contraindicating the estimated disease is prescribed. Warn you. Therefore, even if the patient does not report the disease, the patient's disease can be estimated, and a prescription error can be prevented.

In order to achieve the above object, a third aspect of the present invention is provided.
The dispensing support system according to the aspect of
A history storage unit for storing information for each patient, hospital, medical department, doctor, etc., an input unit for inputting information described in a prescription, and a search for the history storage unit based on the information input by the input unit And a means for issuing a warning when a medicine to be used for the first time is input, and an updating means for updating a use history stored in the history storage means based on information input by the input means. Is done.

[0013] With such a configuration, a warning is issued when a medicine is newly prescribed. Therefore, it is possible to prevent a dispensing error due to an input error and a doctor's prescription error.

In order to achieve the above object, a fourth aspect of the present invention is provided.
The dispensing support system according to the aspect of the present invention is based on information input by a storage unit that stores in advance a drug that is likely to cause an input error at the time of input, input unit that inputs information described in a prescription, and information input by the input unit. The storage means is searched, and when a medicine listed in the storage means is input, a means for issuing a warning, a correction means for correcting the information input by the input means, and a correction means for correcting the information input by the correction means. Updating means for registering the stored information in the storage means;
It is composed of

According to such a configuration, an input error that has actually occurred can be learned to prevent the next input error. Therefore, input errors and associated dispensing errors can be prevented.

In order to achieve the above object, a fifth aspect of the present invention is provided.
The dispensing support system according to the aspect of
A storage unit for storing at least one information of a hospital, a medical department, and a physician adopting the medicine, an input unit for inputting information described in a prescription, and the storage unit based on the information input by the input unit. An auditing means for searching for means and issuing a warning when a non-adopted medicine is input is characterized in that it is constituted.

In some cases, medicines used by hospitals, medical departments, doctors, and the like vary. According to such a configuration,
It is possible to check that a medicine that has not been adopted by the hospital or doctor who issued the prescription has been entered,
Input mistakes can be prevented.

In order to achieve the above object, the sixth aspect of the present invention is provided.
The dispensing support system according to the aspect of
Storage means for storing information indicating whether or not drugs having the same name and different contents exist; input means for inputting information described in a prescription; and storage means based on the information input by the input means. And means for issuing a warning when the same drug having a different content is present.

According to such a configuration, when there are drugs having the same name but different contents, it is possible to prevent the wrong input of the drugs having different contents, and it is possible to prevent a mistake in prescription and input, and a mistake in dispensing caused by them. Can be prevented.

In order to achieve the above object, the seventh aspect of the present invention is provided.
The dispensing support system according to the aspect of the present invention is based on input means for inputting information described in a prescription, storage means for storing audit information for performing a prescription audit, and audit information stored in the storage means. Regarding the input information,
Auditing means for executing a prescription audit, means for issuing an alarm for an input determined to be inappropriate by the auditing means, means for canceling the alarm, and alarm information accumulation for accumulating the alarm canceled by the canceling means Means and the auditing means, when it is determined that the input is inappropriate, search the alarm information accumulating means and prohibit the issuance of the alarm when the same alarm has been issued and canceled in the past. And a prohibition means for performing the operation.

When a prescription audit is performed and a warning is issued, it is a rule to check with the doctor in charge. However, if the doctor has given the prescribing knowledge, there is no need to do so, and every time an inquiry is made, the work on the doctor side and the pharmacy side stagnates. ADVANTAGE OF THE INVENTION According to this invention, the situation where the same warning is repeatedly issued can be prevented, and dispensing work can be made more efficient.

[0022]

[0023]

[0024]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS The configuration of a dispensing support system according to an embodiment of the present invention will be described below. This dispensing support system is basically composed of a distributed processing system, and as shown in FIG.
D includes a plurality of pharmacy servers 12A to 12D. The master server 11 stores data on all patients at pharmacies A to D in order to manage all the patients in an integrated manner.
Each pharmacy server 12 stores only the patient data for the own pharmacy. When a new patient arrives, each pharmacy server 12 accesses the master server 11, and if information on the patient is stored in the master server 11, takes in all relevant information and performs necessary processing. .

Next, the configuration of a pharmacy system arranged in each pharmacy will be described with reference to FIG. This dispensing system
As shown in the figure, a barcode printing unit 22, a prescription conveying unit 23, and an input section 24 arranged at the reception 21 are provided.
, A transport lane 26 for transporting a bucket 35 into which a prescription and a medicine are put, a medicine bag printing section 27 and a liquid medication dispensing section 2 arranged along the transport lane 26.
8, a powder dispensing section 29, a heat dispensing section 30, a tablet dispensing section 31, a final audit section 32, a medication / accounting section 33, a waiting section 34, and a patient terminal 36. .

The bar code printing unit 22 is arranged near the reception 21 and attaches a unique number (prescription number) to the prescription brought by the patient, and prints the number and the barcode of the number on the prescription. The prescription transport section 23 transports a prescription or the like on which a barcode is printed to the input section 24.
The input section 24 includes an input terminal 24A connected to each pharmacy server 12, as shown in FIG. In the audit section 25, a professional pharmacist audits the contents of the prescription input in the input section 24. The audit section 25 includes an audit terminal 25A.

The transport lane 26 transports a bucket 35 for transporting the medicine adjusted in each dispensing section. The medicine bag printing section 27 reads the barcode attached to the bucket 35 on the transport lane 26, prints the medicine bag according to the instruction of the pharmacy server 12 and injects the medicine bag into the bucket 35 according to the instruction of the pharmacy server 12 and the barcode reader 27A. And a printing / input device 27B.

The liquid medicine dispensing section 28 includes the transport lane 2
6. Read the barcode attached to the bucket 35 on 6,
A barcode reader 28A for notifying the pharmacy server 12,
A terminal including a dispensing table 28B, an extruding device 28C that pushes the bucket 35 to the dispensing table 28B based on instructions from the pharmacy server 12, a printing unit for printing dispensing instructions, a display unit for displaying a prescription number and the like 28D.

Similarly, the powder dispensing section 29, the heat dispensing section 30, and the tablet dispensing section 31 read the bar code attached to the bucket 35 to read the pharmacy server 1.
2, a bar code reader 29A-31A, a dispensing table 29B-31B, and an extruder 29C-31C.
And terminals 29D to 31D.

In the final inspection section 32, the dispensing contents are confirmed by visual inspection of the pharmacist. The final audit section 32 is a terminal 3 for final audit having a barcode reader for reading the prescription number of the prescribed audit.
2A is arranged. The medication / accounting section 33
It has an accounting terminal 33A and performs accounting processing. In the waiting section 34, a plurality of buckets 35 are waiting. The patient terminal 36 includes a display unit and displays the progress of dispensing.

FIG. 3 shows a network configuration of the dispensing support system arranged in each pharmacy. As shown, the pharmacy server 12 includes an input terminal 24A arranged in the input section 24, an accounting terminal 33A arranged in the medication / accounting section 33, and an audit terminal 25A arranged in the audit section 25. And a line control terminal 40 for controlling the dispensing line is connected via a bus 41.

The line control terminal 40 includes bar code readers 27A to 31A, a printing / input device 27B, dispensing terminals 27D to 31D, extruding devices 28C to 31C,
The terminal 32A for final inspection, the accounting terminal 33A, the progress display device 35, and the later-described wireless calling device 37, which are arranged in the final inspection unit, are connected via the bus 42.

The pharmacy server 12 stores a prescription file (FIG. 4), a personal information file (FIG. 5), a medicine file (FIG. 6), an erroneous input file, and a related file. Prescription audit and control of each part. As shown in FIG. 4, the prescription file stores each input prescription for each prescription. As shown in FIG. 5, the personal information file stores, for each patient, patient information such as name, gender, age, and the like, and medication-related information such as medical history, past illness, allergy, and presence or absence of pregnancy and lactation.

As shown in FIG. 6, the medicine file contains, as shown in FIG. 6, the hospital where each medicine is used, indications, contraindications, restrictions on pregnant and nursing women, restrictions on the living environment, side effects, drug interactions,
Remember usage and dose restrictions for each drug. The erroneous input file stores drug names that are likely to cause input errors. The related file stores a correspondence relationship between the prescription number, the number of the calling card, and the number of the bucket 35 in which the prescription is put.

Next, a procedure from when a patient brings a prescription to when a patient receives a medicine will be described with reference to FIGS. 9 and 10. FIG. The patient brings a prescription to the reception 21 of any of the pharmacies A to D. At the reception 21, the pharmacist in charge investigates and records the name of the patient's disease, past illness, allergies, presence or absence of pregnancy, living environment, etc. through interviews and the like. In addition, a call card to which a unique call code is assigned is lent to a patient, and the number of the call card is recorded.

Next, a unique identification number (prescription number) and its barcode are printed by the barcode printing unit 22 on the prescription. The prescription on which the barcode is printed, the record of the interview, and the like are conveyed to the input section 24 via the prescription conveyance unit 23. In the input section 24, the input terminal 24
The barcode reader (A) reads the barcode (prescription number) printed on the prescription, and further reads the patient information such as the patient number, name, gender, date of birth, and the number of the calling card, etc., written on the prescription. Input (S1). The input information is transmitted to the pharmacy server 12. Pharmacy server 1
2 registers the correspondence between the prescription number and the number of the calling card in the related file. Further, the database for the pharmacy is searched using the patient information as a key, and the corresponding data is read from the personal information file (S2, S3).

On the other hand, if the corresponding personal information is not stored in the database for the pharmacy, the pharmacy server 12 accesses the master server 11 (S4), and the corresponding patient information is stored in the master server 11. Reads the corresponding personal information file (S5, S6). If the personal information of the patient is not stored in the master server 11, the patient is regarded as a new patient and a corresponding personal information file is newly created (S7). Subsequently, the data of the hospital, medical department, doctor, etc., which issued the prescription are input (S8).

Next, prescription contents such as a drug name and a content, a prescription amount, and a use method described in the prescription are input (S
9). When a drug name (including content) is input, it is determined whether or not the drug is registered in the drug file (S
10). If not registered, a screen prompting for correction together with a warning is displayed on the input terminal 24A (S11), and the process returns to step S9. For example, if "prostal" is to be entered and "protal" is entered by mistake, a warning screen is displayed because the corresponding drug is not registered in the drug file.

When it is determined that the inputted medicine is registered in the medicine file, it is determined whether or not the medicine is registered in the erroneous input file (S12). If registered, it is determined whether the same medicine has been prescribed in the previous prescription by referring to the personal information file (S1).
3). If the medicine has not been prescribed, a warning is displayed to the effect that the entered medicine name should be confirmed (S14). When the operator corrects the input content according to the warning, the operator operates the terminal 24.
Operate the A correction key. After this operation, the correct medicine is input. Further, the original medicine (medicine entered incorrectly) is registered in the erroneous input file. If it is determined in step S12 that the inputted medicine is not registered in the erroneous input file, or if it is determined in step S13 that the inputted medicine was also prescribed last time, the process proceeds to step S15.

For example, the drug “prostal” is a drug for benign prostatic hyperplasia, and “pontal” is an antipyretic analgesic and a different drug, but may cause confusion at the time of input. Therefore, these medicines are registered in the erroneous input file.
Then, when these drugs are input, a warning is issued.

Subsequently, the prescription amount is input (S15), and further the usage is input (S16).

By repeating the above operation, prescribed medicines (including contents), prescribed amounts, and usages are sequentially input until it is determined in step S17 that the input of all the medicines has been completed.

Subsequently, based on the contents of the prescription, the record of the interview at the reception 21, etc., the type of insurance, the presence / absence of drug allergy of the patient,
The patient's supplementary information such as the presence or absence of pregnancy and lactation and the living environment is input (S18). At this time, the contents of the personal information file are displayed on the screen, the items already input are skipped, and the items not input or changed are input.

When the input of the patient supplementary information is completed, the input person operates a predetermined inspection key. In response to this key operation,
Move on to audit processing.

First, it is determined whether or not the inputted medicine is a medicine used in the inputted medical department (medical department which issued the prescription) from the column of the applicable medical department of the medicine file (S
19) If inappropriate, a warning is output (S20).
For example, the aforementioned drug “prostal” is a drug for benign prostatic hyperplasia and is prescribed by urology. “Pontal” is an antipyretic analgesic and is prescribed from various medical departments. For this reason, for example, in medical prescriptions, "pontal" is replaced with "pros
tal ”and input it, in step S11,
It is determined that the input medical department “internal medicine” does not match the medical department “urology” to which the prescription is prescribed (S19), and a warning is output (S20).

Subsequently, it is determined whether or not the medicine has been adopted in the hospital that issued the prescription, based on the contents of the adopted hospital list file of the medicine file (S21). If it is determined that the information is not adopted, a warning is output (S2
2).

For example, according to the medicine file shown in FIG.
Hospitals use 20mg gaster, but do not use 40mg gaster. Therefore, if Gaster 40 mg is input in the prescription of Hospital A, a warning is output. Similarly, Hospital C does not employ gasters. Therefore, if Gaster is prescribed at Hospital C, a warning is output.

Next, the prescription medicine of this prescription is the past (3
It is determined whether or not the patient has been prescribed (within 0 days) by comparing the contents of the prescription file with the contents of the personal information file (S23). If there is a newly prescribed medicine, a warning is issued (S24).

Next, the patient's disease is estimated from the entered prescription, the patient's medication history and past medical condition column, and the indication column of the drug file (S25), and a drug inappropriate for this disease is prescribed this time. Is determined (S26), and if an inappropriate drug is prescribed, a warning is output (S26).
27). In this case, not only the current input data but also the drug history data of the patient for the past 30 days is comprehensively audited.

For example, it is assumed that Gaster 20 mg tablets are prescribed in the present prescription. From the indications registered in the drug file shown in FIG. 7, it can be assumed that this patient has a peptic ulcer. On the other hand, suppose that Voltaren tablets are also prescribed with the same prescription. As shown in the drug file of FIG. 8, contraindications for Voltaren tablets are digestive disorders, and there is a contradiction between the prescription of Gaster tablets and the prescription of Voltaren tablets. Therefore, in this case, a warning is output. A warning is also output when, for example, astomolidine D for which bronchial asthma is indicated and Inderal 10 mg tablet for which contraindications are bronchial asthma are prescribed simultaneously. Also, a warning is output in the same manner when a hypotension drug metligine and a drug having a side effect of lowering blood pressure are prescribed.

Although the patient reports that his or her disease is a digestive disease, if the prescription contains Voltaren tablets, the description in the personal history file in the personal information file is inconsistent with the prescription. , A warning is issued. Further, assuming that Gaster 20 mg was prescribed in the past 30 days and Voltaren tablets are prescribed this time, it can be inferred from the drug history accumulated in the personal information file that this patient has a peptic ulcer. In this case, a warning is also output, for example, when the Voltaren tablet is prescribed with the current prescription.

Next, for each drug prescribed this time, it is determined whether or not a drug causing the interaction is prescribed by referring to the drug interaction column of the drug file (S2).
8) If a drug causing an interaction is prescribed, a warning is issued (S29).

Further, it is determined whether or not a drug allergy is registered in the personal information file, and it is determined whether or not a drug causing a drug allergy is prescribed (S3).
0). If a drug causing a drug allergy is prescribed, a warning is output (S31).

Further, it is determined whether or not the patient is a pregnant / lactating woman based on the personal information file.
It is determined whether or not administration to a nursing woman has been approved (S
32). If not, or if certain conditions are imposed, a warning is output (S33). Further, it is determined whether or not living attitude information is set for the patient, and it is determined whether or not an inappropriate drug is administered for this living attitude (S34). Outputs a warning (S35). For example, a warning is output when a drug that causes sleepiness is administered to a patient who drives a car.

Subsequently, for each of the inputted medicines, the prescribed medicine amount (dosage) and usage are checked. That is, the prescribed amount of medicine and the usage are compared with the normal dose set in the medicine file (S36). If the amount of medicine is smaller or larger than the range of the normal dose, the inputted usage is changed to the normal usage. If different from the above, a warning is output (S3
7). For example, in the medicine file of FIG.
"1 mg to 4 tablets before going to bed once a day" is designated as the usage of "mg". On the other hand, if the input prescription specifies "1 tablet after eating 3 times a day" or "5 tablets before going to bed once a day", a warning is issued.

With the above processing, the audit processing by the computer is completed, and the previous prescription, the current prescription, and a list of warnings are printed (S38). The list of warnings also specifies the cause of the warning.

A list of prescriptions, printed previous prescriptions, current prescriptions, and warnings is passed to the audit section 25.
In the audit section 28, the auditing pharmacist compares the prescription with the printed list of prescription data and alerts,
Perform prescription audits and input checks. If necessary, contact the doctor who created the prescription to confirm the prescription.

As a result of the audit, if an input error is found, to correct the input content, operate the "correction" key to display the correction screen, and specify an arbitrary item on the correction screen. And re-enter. When the drug name is corrected, the drug name before correction is registered in the erroneous input file. On the other hand, if there is a change in the prescription content as a result of the audit, and to correct the input content, operate the "change" key to display the change screen, specify any item on the change screen, and re-enter I do. In this case, even if the medicine name is corrected, the medicine name before correction is not registered in the erroneous input file.

When the inspection is completed, the inspector reads the barcode printed on the prescription with the barcode reader of the inspection terminal 25A. The read barcode is notified to the pharmacy server 12, and the pharmacy server 12 updates the medicine history column, the history of history column, and the like in the personal information file based on the input prescription.

Subsequently, the pharmacy server 12 notifies the line control terminal 40 of the contents of the current prescription together with the prescription number.
The line control terminal 40 stores the notified prescription content in the internal memory together with the prescription number, and sets "1" to the progress flag indicating the progress of dispensing.

Next, the line control terminal 40 classifies the notified contents of prescription into a liquid medicine, a powder, a heating agent, and a tablet, and together with the prescription number, the corresponding dispensing section 28 to 31.
To the terminals 28D to 31D. Each of the terminal devices 28D to 31D in each dispensing section prints a dispensing instruction according to the specified contents.

According to the dispensing instructions, the pharmacists in each dispensing section start dispensing in parallel.

The prescription for which the input processing and the inspection have been completed is put into the bucket 35 waiting in the waiting section 34. The inspector inputs the correspondence between the prescription number and the number of the bucket 35 from the inspection terminal 25A. Subsequently, the inspector places the bucket 35 on the bucket transport lane 26. The bucket 35 is transported along the bucket transport lane 26. Information input from the inspection terminal 25A is notified to the pharmacy server 12. The pharmacy server 12 registers the prescription number and the number of the bucket 35 in the related file, and notifies the line control terminal 40 of this information. The line control terminal 40 stores the number of the bucket 35 notified together with the corresponding prescription content in the internal memory.

When the bucket 35 approaches the medicine bag printing section 27, the bucket number printed on the side surface of the bucket 35 is read by the barcode reader 27A and notified to the line control terminal 40. The line control terminal 40
The internal memory is accessed, the prescription number corresponding to the notified number of the bucket 35 is determined, the contents of the prescription are read, and the printing information is notified to the printing / input device 27B. The printing / feeding device 27B prints the medicine bag according to the printing information,
It is thrown into the moving bucket 35 in synchronization.

The bucket 35 in which the medicine bag is put is conveyed to the liquid medication section 28. The bar code reader 28A of the liquid medication section 28 reads the bar code recorded on the side surface of the bucket 35 and notifies the line control terminal 40 of the read number. The line control terminal 40 determines the corresponding prescription number from the notified bucket number,
The corresponding progress flag is set to "2". Further, it is determined whether or not the corresponding prescription contains a liquid medication. If a liquid agent is included, the line control terminal 40
Drives the extrusion device 28C in synchronization with the movement of the bucket 35, and pushes the bucket 35 from the transport lane 26 to the liquid medication dispensing table 28B. The line control terminal 40 displays the bucket number and the prescription number on the display of the terminal 28D in the liquid medication section.

The pharmacist in the liquid medication section prepares the dispensed medicine according to the display, confirms the prescription medicine from the prescription in the bucket 35, puts the prescribed medicine and the dispensing instruction into the bucket 35, and transports the medicine. Return to lane 26.

When it is not necessary to prescribe the liquid medication, the line control terminal 40 does not drive the extruder 28C, and the bucket 35 passes through the liquid medication section 28.

When the bucket 35 approaches the powder section 29 via the transport lane 26, the barcode reader 29A reads the bucket number assigned to the bucket 35 and notifies the line control terminal 40 of the read bucket number.
The line control terminal 40 determines the prescription number from the bucket number, and sets “3” in the corresponding progress flag. Further, it is determined whether or not the prescription contains a powder. If powder is included, the line control terminal 40
Drives the powder section extruder 29C in synchronization with the movement of the bucket 35, and drives the bucket 35 to the transport lane 2
6 to the powder dispensing table 29B. Furthermore, the bucket number and the prescription number are displayed on the display unit of the terminal 29D in the powder section.

The pharmacist in the powder section has the bucket 35
The prescription medicine is confirmed from the prescription inside, and the prescribed medicine and the dispensing instruction are put into the bucket 35 and returned to the transport lane 26.
If there is no need to prescribe powder, the line control terminal 4
0 does not activate the extruder 29C and the bucket 35 passes through the powder section 29.

When the bucket 35 approaches the heating agent section 30, the barcode reader 30A reads the bucket number and notifies the line control terminal 40 of the bucket number. The line control terminal 40 determines the prescription number from the bucket number, and sets “4” to the corresponding progress flag. Further, it is determined whether or not the content of the prescription includes a heating agent. When a heating agent is contained, the extruder 30C for the heating agent section is driven to push the bucket 35 to the heating agent dispensing table 30B. Further, the bucket number and the prescription number are displayed on the display section of the terminal 30D of the heating agent section 30. The pharmacist in the heating agent section sends the prescribed medicine and dispensing instructions to bucket 3
5 and returned to the transport lane 26. Line control terminal 4
0 does not drive the extruder 30C if there is no need to prescribe a heating agent, and the bucket 35 passes through the heating agent section 30.

When the bucket 35 approaches the tablet section 31, the bucket number is read by the barcode reader 31A and notified to the line control terminal 40. The line control terminal 40 determines the prescription number from the bucket number,
The corresponding progress flag is set to "5". Further, the line control terminal 40 determines whether or not the corresponding prescription includes a tablet. When the tablet is included, the line control terminal 40 drives the tablet section extruder 31 and pushes it out to the tablet dispensing table 31B. Further, the display unit of the terminal 31D of the tablet section 31 displays the bucket number and the prescription number. The pharmacist in the tablet section puts the prescribed medicine and the dispensing instruction into the bucket 35 and returns it to the transport lane 26. The line control terminal 40
When it is not necessary to prescribe tablets, the extruder 31C is not driven, and the bucket 35 passes through the tablet section 31.

The bucket 35 into which the dispensed medicine is put
Is transported by the transport lane 26 to the final inspection section 32. In the final audit section 32, the professional pharmacist again audits the medicine in the bucket 35 according to the prescription. If the final audit finds an input error or dispensing error, the final auditor contacts the relevant section and takes necessary actions such as re-entry and re-dispensing. When the next bucket 35 is transported during the inspection, the bucket 35 is guided to the standby lane 26A.

When the final inspection is completed, the inspector reads the barcode (prescription number) printed on the prescription by the barcode reader of the terminal 32A for final inspection. The read prescription number is notified to the line control terminal 40. The line control terminal 40 sets “6” to the progress flag of the corresponding prescription file. The line control terminal 40 determines the calling card number recorded in the prescription file, and issues an instruction to call this calling card to the wireless calling device 37.
Notify. According to this notification, the radio paging device 37
A radio signal including a code assigned to the calling card is transmitted to call the calling card. The call card that receives the call emits an electronic sound and notifies the patient of the end of the dispensing.

The drugs and prescriptions for which the final inspection has been completed are transported to the medication / accounting section 33 by the transport lane 26.

When the called patient goes to the medication / accounting section 33, the accountant applies the barcode printed on the prescription in the bucket 35 that has been transported to the accounting terminal 3.
Read by 3A barcode reader. This prescription number is notified to the pharmacy server 12. The pharmacy server 12
Based on the medicine name, prescription amount, insurance type, etc. recorded in the corresponding prescription file, the patient's burden and insurance claim are calculated and displayed.

When the patient completes the accounting and returns the calling card, the person in charge reads the barcode of the prescription and operates the processing end button. The read prescription number is notified to the pharmacy server 12. The pharmacy server 12 deletes the associated file. Further, the pharmacy server 12
Notifies the line control terminal 40 of the prescription number.
The line control terminal 40 deletes the data corresponding to the prescription number.

When the call card is inserted into the slot of the patient terminal 36 before each patient receives the medicine, the patient terminal 36 determines the number of the call card and notifies the line control terminal 40 of this number. I do. The line control terminal 40 obtains the corresponding prescription number from the card number, reads the progress status flag corresponding to the corresponding prescription number, and notifies the patient terminal 36A. The patient terminal 36A displays the dispensing progress from the value of the progress flag. This allows the patient to determine how far his or her dispensing has progressed.

As described above, according to the dispensing support system according to this embodiment, it is possible to prevent a mistake in inputting a prescription, and to audit the prescription based on the patient's medication history, disease, etc. Audits can be performed from a comprehensive perspective. For this reason, medication errors can be prevented. Therefore, a highly reliable preparation can be performed. Also, after the prescription is entered, dispensing instructions are issued in parallel to each dispensing section, so that the dispensing time can be reduced and the patient's waiting Time can be reduced.

Further, since the system is constructed as a decentralized system and each pharmacy server 12 is configured to store only the patient data of the local pharmacy, the storage capacity of the server 12 of each pharmacy is appropriately suppressed, and the processing is further reduced. Speed can be increased.
In addition, for a new patient, the master server 11 is accessed, and if there is patient data in the master server 11, the data is used. Can conduct audits.

In the above-described embodiment, the medicines described in the prescription by the doctor, that is,
Although the description has been given by taking only prescription drugs as an example, prescription inspection may be performed on so-called quasi-drugs such as over-the-counter drugs, foods for specified health use, and quasi-drugs.

FIG. 11 shows an example of the system configuration in this case. In FIG. 11, a quasi-product accounting terminal 51 is arranged in a quasi-product sales section, and is connected to the pharmacy server 12 via a bus 41. The pharmacy server 12 stores a quasi-product file and a quasi-product sales information file along with a prescription file and the like. The quasi-product file stores information on the interaction between quasi-products, information on the interaction between quasi-products and ethical drugs, and information on quasi-products and contraindications.
The quasi-product sales information file stores patient information and quasi-product sales information in a matched manner.

Here, when the patient brings the quasi-goods to be purchased to the quasi-currency accounting terminal 51, the person in charge reads the merchandise code printed on the quasi-goods with a bar code reader, and based on the patient's declaration. Enter patient information. The quasi-product accounting terminal 51 notifies the pharmacy server 12 of the input information.

The pharmacy server 12 searches the database for the pharmacy using the patient information as a key, and reads out the corresponding data from the personal information file.

On the other hand, if the corresponding personal information is not stored in the database for the pharmacy, the pharmacy server 12 accesses the master server 11. If the corresponding patient information is stored in the master server 11, Read the corresponding personal information file. If the personal information of the patient is not stored in the master server 11, the patient is regarded as a new patient and a corresponding personal information file is newly created.

Next, the pharmacy server 12 determines from the contents of the personal information file and the quasi-drug file whether the quasi-drug to be sold is appropriate for the patient. First, the pharmacy server 12 obtains the information on the interaction between the quasi-drugs in the quasi-drug file and the quasi-drugs that the patient intends to sell and the quasi-drug sales information registered in the quasi-drug sales information file. It is determined whether or not the quasi-goods to be sold are appropriate.

Next, the pharmacy server 12 obtains the information on the interaction between the quasi-drug and the ethical drug in the quasi-drug file.
It is determined whether the quasi-drug that the patient wants to purchase and the medicine that the patient is taking do not have an inappropriate relationship. In addition, the pharmacy server 12 uses the information on the quasi-drugs and contraindications in the quasi-drugs file to determine whether the quasi-drugs the patient is trying to purchase and the patient's diseases (including pre-existing illnesses, allergies, pregnancy and nursing, etc.) Is determined.

If the pharmacy server 12 is determined to be inappropriate, the pharmacy server 12 notifies the fact to the external goods accounting terminal 51, and the external goods accounting terminal 51 outputs the reason for determining that it is inappropriate. On the other hand, if it is determined to be appropriate, the accounting information is notified to the external goods accounting terminal 51, and the external goods accounting terminal outputs the sales amount and the like.

For example, if it is determined that the patient's disease is diabetes based on prescription drugs, past medical conditions, etc., a warning is output when a high calorie food is sold. Also, for example, warfarin is an anticoagulant, and a large amount of vitamin K should not be taken while taking it. Therefore, a warning is generated, for example, when a patient including warfarin in the drug history purchases a chlorella preparation (containing vitamin K). Information on the quasi-drug finally purchased by each patient is registered in the quasi-drug sales information file.

On the other hand, in the prescription audit at the time of inputting the prescription, it is determined whether or not the prescription drug is appropriate from the external product information registered in the external product sales information file, and a warning is issued if necessary. Emits.

In the above description, the conditions of adoption / non-adoption are set for each medicine for each hospital, but not limited to each hospital.
Recruitment / non-recruitment conditions may be set for each medical department and each doctor.

Further, when there are drugs having the same name but different contents, a warning to that effect may be output. In this case, for example, a medicine file is formed for each medicine name and content, a flag is set when there is a medicine with the same name having a different content, and when the medicine is input, it is determined whether or not the flag exists, Warn if flag is set.

For example, when there are indelals with contents of 10 mg and 20 mg, and only 10 mg is used in the pharmacy, information indicating that there is a content other than 10 mg is stored in the drug file, and the A warning may be output when the user inputs a password. Alternatively, information indicating a hospital that does not issue a warning may be set together with a flag that indicates whether or not a drug of the same content exists, so that a hospital that does not issue a warning may be designated.

In the above description, a warning is output when a new medicine is dispensed for a certain patient. For example, a file of medicines to be used is formed for each doctor, and medicines for prescriptions are created. Every time an input is made, a medicine file may be referred to and a doctor may issue a warning about the medicine to be used for the first time. The same process is performed for each medical department,
It is also possible to carry out each hospital.

In the above description, when a medicine registered in the erroneous input file is input, a warning is output only when the medicine is not prescribed in the previous prescription. Alternatively, a warning may be output whenever a medicine registered in the erroneous input file is input. Further, whether or not to execute step S13 may be set by a flag or the like.

In the above embodiment, various warnings are generated. However, depending on patients, hospitals, medical departments, and doctors, prescription medicines to be warned may be constantly given. For example, for a particular patient, a particular physician may prescribe more than the usual amount of medication. In some cases, drugs that have undesirable side effects for the patient's disease may be prescribed. In such a case, issuing a warning each time confuses the dispensing process. Therefore, when the cause of the warning occurs, the patient information file may be referred to, and if the same prescription has been performed the previous time, the warning may not be generated.

Further, an exceptional prescription is filed in the pharmacy server 12 for each physician, and when a cause of warning is generated, the exception file of the physician who issued the prescription is referred to and the prescription contents are registered in the file. If so, a warning may not be issued. In this case, the doctor in charge is notified when the warning is issued, and when the doctor in charge confirms the prescription, the contents of the prescription are registered in the exception file.

In the above description, the medicine prepared by the pharmacist in each section is charged into the bucket, but the charging process may be automatically performed. For example, a dosing device with a keyboard is located in each dispensing section,
When you enter the medicine into the slot and enter the prescription number,
The dispensing device may automatically dispose the corresponding medicine into each bucket. With such a configuration, the input operation itself can be automatically performed. The burden on the dispenser is further reduced. In addition, the present invention is not limited to the configuration described above, and various modifications and applications are possible. For example, the dispensing lane is an example, and up to the prescription inspection may be performed using a computer, and the actual dispensing may be performed manually.

[0098]

As described above, according to the dispensing support system of this embodiment, prescription errors, input errors, and the like can be reduced, and highly reliable dispensing can be performed. Further, the dispensing time can be reduced, and the waiting time of the patient can be reduced. In addition, while reducing the storage capacity of the pharmacy server,
Prescription audits of all patients can be performed appropriately.

[Brief description of the drawings]

FIG. 1 is a diagram showing an overall configuration of a dispensing support system according to an embodiment of the present invention.

FIG. 2 is a diagram showing a configuration of a dispensing support system arranged in each pharmacy.

FIG. 3 is a diagram showing a network configuration in each pharmacy.

FIG. 4 is a diagram showing an example of a prescription file.

FIG. 5 is a diagram showing an example of a personal information file.

FIG. 6 is a diagram showing an example of a medicine file.

FIG. 7 is a diagram showing a specific example of a medicine file.

FIG. 8 is a diagram showing a specific example of a medicine file.

FIG. 9 is a flowchart showing a procedure of a prescription inspection.

FIG. 10 is a flowchart showing a procedure of a prescription inspection.

FIG. 11 is a block diagram showing a system configuration in the case where a third-party item accounting terminal is arranged.

[Explanation of symbols]

 Reference Signs List 11 master server 12 pharmacy server 21 reception 22 barcode printing unit 23 prescription transportation unit 24 input section 25 audit section 26 transportation lane 27 medicine bag printing section 28 liquid medicine dispensing section 29 powder dispensing dispensing section 30 heating dispensing section 31 tablet dispensing section 32 final Audit section 33 Medication / accounting section 34 Waiting section 35 Bucket 36 Patient terminal 37 Wireless paging device 40 Line control terminal 41 Bus 42 Bus

──────────────────────────────────────────────────続 き Continued on front page (58) Field surveyed (Int.Cl. ⁶ , DB name) A61J 3/00 310

Claims (7)

(57) [Claims] 1. A master server having patient information and patient supplementary information of all patients, located at each pharmacy, connected to the master server via communication, and transmitting patient information and patient supplementary information of the own pharmacy. The stored pharmacy data holding means, the input means operated by the operator to input prescription data, and whether the supplementary information on the patient information input by the input means is stored in the pharmacy data holding means. Determine, when not stored, access the master server, when the additional information corresponding to the master server is stored,
Reads該付zone information from the master server, and reading means for storing in the pharmacy data holding means, by said reading means
Based on the read supplementary information, the entered prescription data
Check the adequacy of the input operation for
Compatibility between the contents of the prescription data and the prescription issuer
Checking, a means for performing a predetermined audit including one of: a means for updating storage data of the pharmacy data holding means based on information input by the input means; and a plurality of dispensing based on audited prescriptions. A dispensing support system comprising: a pharmacy server having dispensing instruction means for instructing dispensing in a section. 2. A medicine file for storing a relationship between medicines and their indications and contraindications, input means for inputting prescribed medicines, accumulation means for accumulating medicines inputted by the input means for each patient, An estimating means for estimating a patient's disease according to the medicine input by the input means, the medicine history accumulated in the accumulating means, and the medicine file; and a medicine in which the disease estimated by the estimating means is contraindicated. A dispensing support system, comprising: a warning unit that determines whether or not an input is made by the input unit, and issues a warning when the input is made. 3. A history accumulating means for accumulating a history of prescription drugs; an input means for inputting information described in a prescription; and a search for the history accumulating means based on the information input by the input means. A means for issuing a warning when a medicine to be used for the first time is input; and an updating means for updating a usage history stored in the history storage means based on information input by the input means. A dispensing support system, characterized in that: 4. A storage means for preliminarily storing a medicine which is likely to cause an input error at the time of input, an input means for inputting information described in a prescription, and the storage means based on the information input by the input means. Searching, when a medicine listed in the storage means is input, a means for issuing a warning, a correction means for correcting the information input by the input means, and the information corrected by the correction means A dispensing support system, comprising: updating means for registering in a storage means. 5. A storage unit for storing at least one information of a hospital, a medical department, and a doctor adopting the medicine, an input unit for inputting information described in a prescription, and an input by the input unit. An inspection means for searching the storage means based on the received information and issuing a warning when a non-adopted medicine is inputted. 6. A storage means for storing information indicating whether or not there is a drug having the same name and a different content, for each drug, an input means for inputting information described in a prescription, and an input means for inputting the information. Based on the information, the storage means is searched, and when the same drug having a different content exists,
A dispensing support system comprising: a means for issuing a warning; 7. Input means for inputting information described in a prescription, storage means for storing audit information for performing a prescription audit, and said input means based on the audit information stored in said storage means. With respect to the information, auditing means for executing a prescription audit, means for issuing an alarm for an input determined to be inappropriate by the auditing means, means for canceling the alarm, and accumulating the alarm canceled by the canceling means When the alarm information storage unit and the auditing unit determine that the input is inappropriate,
A dispensing support system, comprising: searching for the alarm information storage means, and prohibiting the issuance of the alarm when the same alarm has been issued and canceled in the past.