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WO2008038775A1 - système d'aide au guidage de gestion médicale - Google Patents

système d'aide au guidage de gestion médicale Download PDF

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Publication number
WO2008038775A1
WO2008038775A1 PCT/JP2007/068994 JP2007068994W WO2008038775A1 WO 2008038775 A1 WO2008038775 A1 WO 2008038775A1 JP 2007068994 W JP2007068994 W JP 2007068994W WO 2008038775 A1 WO2008038775 A1 WO 2008038775A1
Authority
WO
WIPO (PCT)
Prior art keywords
drug
medicine
data
prescription data
storage means
Prior art date
Application number
PCT/JP2007/068994
Other languages
English (en)
Japanese (ja)
Inventor
Kiyoyuki Nakata
Masaya Sugimura
Original Assignee
Yuyama Mfg. Co., Ltd.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Yuyama Mfg. Co., Ltd. filed Critical Yuyama Mfg. Co., Ltd.
Priority to JP2008536451A priority Critical patent/JPWO2008038775A1/ja
Publication of WO2008038775A1 publication Critical patent/WO2008038775A1/fr

Links

Classifications

    • 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
    • G16H70/00—ICT specially adapted for the handling or processing of medical references
    • G16H70/40—ICT specially adapted for the handling or processing of medical references relating to drugs, e.g. their side effects or intended usage
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q50/00—Information and communication technology [ICT] specially adapted for implementation of business processes of specific business sectors, e.g. utilities or tourism
    • G06Q50/10—Services
    • G06Q50/22—Social work or social welfare, e.g. community support activities or counselling services
    • 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
    • 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
    • G16H70/00—ICT specially adapted for the handling or processing of medical references

Definitions

  • the present invention relates to a drug management instruction support system that supports drug management guidance performed on a patient who is a medical professional such as a doctor or a pharmacist.
  • the dosage is determined according to the type of drug, and the expected effect can be obtained by taking these dosages correctly. However, if you take it without adhering to the dosage, you may not only get the expected effect, but it may also cause adverse effects on your body. In addition, when multiple types of drugs are taken at the same time, adverse events may occur due to drug interactions. In addition, drugs may cause adverse events even if they are taken correctly and in the correct dosage. That is, it is a side effect.
  • drug means a drug that patients with chronic illness such as diabetes bring to other hospitalizations, and an increasing number of patients continue to take this drug to avoid the burden of new drug charges. is doing.
  • Patent Document 1 Japanese Patent Application Laid-Open No. 2001-331583
  • Patent Document 2 JP 09-16681 A
  • the present invention provides a drug management guidance support system capable of easily and centrally managing brought-in drugs and prescription drugs, and capable of reliably checking interaction, double administration, etc. between both drugs. Is an issue.
  • the present invention provides a means for solving the above problems.
  • Prescription input means for inputting patient prescription data
  • a first prescription data storage unit for storing prescription data input by the prescription input means
  • Drug information storage means for storing various information about the drug
  • a drug name search means for searching the drug name based on the characteristics of the drug brought by the patient from the information stored in the drug information storage means;
  • a drug determination means for determining one drug
  • Second prescription data storage means for storing the drug determined by the drug determination means as at least the previous prescription data of the patient
  • Collating means for collating the prescription data and the prescription data stored in the second prescription data storage means when the prescription data stored in the first prescription data storage means is ordered to the pharmacy as a dispensing instruction.
  • the present invention provides a means for solving the above-described problems
  • Extraction means for retrieving drug data stored in the storage means and extracting corresponding drug data based on the brought-in drug data input by the input means;
  • Data registration means for storing the brought-in medicine in the storage means as past processing data based on the drug data extracted by the extraction means;
  • the storage unit may be configured as a single unit as long as it is configured by any one of the storage devices connected to the network. Therefore, it may be stored in each of a plurality of storage devices.
  • the data registration unit further includes a selection unit that can select whether or not to store the drug data related to the brought-in drug in the storage unit.
  • the medicine brought by the patient can be stored as the previous prescription data of the patient, the brought medicine and the prescription medicine can be easily and centrally managed. Thus, it is possible to reliably check the interaction, double administration and the like.
  • FIG. 1 is a conceptual diagram showing a configuration example of a drug management guidance support system according to the present embodiment.
  • FIG. 2 is a diagram showing a drug identification report creation screen displayed on the display means of the drug room terminal device shown in FIG. 1.
  • FIG. 3 is a diagram showing a state where a patient attribute information input field is displayed in a separate window from the drug identification report creation screen of FIG. 2.
  • FIG. 4 is a diagram showing a state in which necessary items are entered in the drug search column of the drug identification report creation screen in FIG.
  • FIG. 5 A diagram showing a state in which a specific drug is selected in the drug search result column of the drug identification report creation screen in Fig. 2 and is displayed as a drug to be differentiated in the drug to be differentiated column.
  • FIG. 6 is a diagram showing a state where the print processing confirmation screen is displayed in a separate window from the pharmaceutical product discrimination report creation screen of FIG. 2.
  • Fig. 7 is a diagram showing a state when a print processing screen of a discrimination report confirmed on the screen of Fig. 6 is displayed.
  • FIG. 8 is a diagram showing an error inquiry screen displayed on the display means as a result of the check process in the drug room terminal device shown in FIG. 1.
  • FIG. 9 is a flowchart showing the details of patient information input processing executed by the drug room terminal device of FIG. 1.
  • FIG. 10 is a flow chart showing the contents of the carried-out drug discrimination process executed by the drug room terminal device of FIG. 1.
  • FIG. 11 is a flowchart showing the details of a process for confirming a brought-in drug executed by the drug room terminal device of FIG. 1.
  • FIG. 12 is a flowchart showing the contents of the check process executed by the drug room terminal device of FIG.
  • FIG. 1 is a conceptual diagram showing a configuration example of a medicine management instruction support system according to this embodiment.
  • This drug management guidance support system includes a management device 1, a clinic room terminal device 2, a drug room terminal device 3, and a ward terminal device 4, which are connected to each other via a hospital LAN 5.
  • the management device 1 includes a storage device 6 and a central processing unit 7 (CPU).
  • CPU central processing unit
  • the storage device 6 stores a drug database 8, a management program 9, and the like.
  • the drug database 8 stores various information on all drugs regardless of whether they are used in hospitals or not. Specifically, for each medicine, data relating to the medicine such as medicine name, general name, shape, main component, side effect, interaction and the like are stored in association with each other.
  • the drug database 8 is appropriately accessed from the clinic room terminal device 2, the drug room terminal device 3, and the ward terminal device 4 via the in-hospital LAN 5, and information necessary for inpatients in particular, as will be described later. Information necessary for the discrimination process of drugs brought by is available.
  • the CPU 7 manages the entire system in a medical institution such as a hospital or clinic by reading and executing the management program 9 stored in the storage device 6.
  • the medical office terminal device 2 has a function as a so-called electronic medical record that electronically stores findings, medical records, and the like when a doctor examines a patient.
  • the clinic terminal device 2 includes a CPU, recording means, storage means, communication means, input means such as a keyboard, and display means such as a liquid crystal display.
  • the clinic room terminal device 2 transmits prescription data in the medical record to the drug room terminal device 3 in the drug room (dispensing department).
  • the clinic terminal device 2 may be an ordering terminal that simply transmits prescription data to the drug room.
  • the pharmacy room terminal device 3 is a terminal for supporting a pharmacist's dispensing operation, and mainly performs a check process of the prescription data transmitted from the examination room terminal device 2 by the doctor, and performs various dispensings. Sends commands to operate devices 10a, 10b, and 10c.
  • the medicine room terminal device 3 includes a CPU, a recording means, a storage means, a communication means, an input means such as a keyboard, and a display means such as a liquid crystal display, in the same manner as the clinic room terminal 4. In particular, the medicine history of each patient is stored in the recording means.
  • the storage means stores the master data of the medicines used in the hospital.
  • the display means is shown in Fig. 2.
  • the drug identification report creation screen 11 shown is displayed.
  • the drug identification report creation screen 11 has a patient information column 12, a drug search column 13, a drug search result column 14, an image information column 15, a discrimination target drug column 16, and various buttons. It consists of
  • a patient number, a patient name, a ward, a medical department, an attending physician, and a pharmacist are displayed.
  • the input to each of these items is performed by operating the input button 17 to launch the patient attribute information input field 18 in a separate window as shown in FIG.
  • the medicine search column 13 includes a drug appearance item selection unit 13a, a drug appearance item input column 13b, a drug type selection unit 13c, a secant presence / absence selection unit 13d, and an adoption category selection unit 13e.
  • a category related to the appearance of the target drug engraved, color, drug name, etc.
  • specific contents regarding the category selected by the medicine appearance item selection unit 13a are entered.
  • the marking is selected by the medicine appearance item selection section 13a, and the marking “112” is entered in the medicine appearance item input field 13b.
  • a dosage form such as “tablet” or “capsule” is input to the dosage form selection unit 13c.
  • the presence / absence of a dividing line is input to the dividing line presence / absence selector 13d.
  • the recruitment category selection unit 13e inputs whether or not it is a hospital-accepted drug or whether or not all drugs are to be searched. However, data can be freely added as long as it can provide a clue to identify the drug to bring. For example, it is possible to determine a drug contained from a trade name or the like.
  • the ward terminal device 4 is a terminal for supporting a drug management instruction service (medication instruction service) performed for an inpatient.
  • the ward terminal device 4 includes a CPU, recording means, storage means, communication means, input means such as a keyboard, and display means such as a liquid crystal display, in the same manner as the clinic room terminal device 2 and the drug room terminal device 3. Yes.
  • the ward terminal device 4 stores the inpatient strength, the interviewed content, the contents of medication management guidance (medicine guidance) given to the inpatient, etc., and records each patient recorded in the pharmacy room terminal device 3.
  • the medical history can be referred to as appropriate.
  • the ward terminal device 4 can adopt a small portable terminal such as a PDA in place of a normal desktop personal computer to support in-patient drug management guidance (medicine guidance) as described above. It is. [0030] Next, processing contents in the medicine management guidance support system will be described with reference to the flowcharts shown in Figs. In other words, the patient information input process, the identification process for the brought medicine, the confirmation process for the brought medicine, the prescription check process, and the interaction check process will be described. Under the power that can be executed by any of the above-mentioned terminals, these processes are performed by the ward terminal device 4 for the patient information input process, the brought-in drug discrimination process, and the brought-in drug confirmation process. The check process and the interaction check process will be described as being performed by the drug room terminal device 3.
  • the medicine discrimination report creation screen 11 shown in FIG. 2 is displayed on the display means (step Sl).
  • the input button 17 in the patient information column 12 is operated (step S2)
  • the patient attribute information input column 18 shown in FIG. 3 is displayed in a separate window (step S3).
  • patient information such as a patient number and date of birth is input using a keyboard, mouse, or the like.
  • the patient number is entered in the patient number field 18a in the upper left of the patient attribute information input field 18. Enter it (step S4).
  • various information patient name, ward, date of birth, etc.
  • step S6 If the OK button 18b is operated after completing the input of the patient information (step S6), the process returns to the medicine differentiation report creation screen 11 shown in FIG. 2 (step S7).
  • the input medicine such as a keyboard or mouse is used to input the medicine to be brought. Enter the search items necessary for discrimination, and execute the process for distinguishing brought-in medicines.
  • the medicine search column 13 (the search means of the present invention or a part of the extraction means) arranged in the left middle part of FIG. 4 is searched. Enter the items required for the search (step S11).
  • Step S12 a database about drugs stored in the storage device 6 of the management device 1 Search (step S13). Then, a medicine list (medicine name, manufacturer, general name, etc.) as a search result is displayed in the medicine search result column 14 (step S14). If each drug displayed in the medicine search result column 14 is selected with a pointing device or the like (step S15), each mode of the selected drug, such as a general image and a single tablet image, is displayed in the image information column 15 ( Step S1 6). Thereby, the pharmacist can perform the discrimination work while confirming the image based on the information of the medicine brought by the patient, and can surely identify the power of the brought medicine.
  • a medicine list medicine name, manufacturer, general name, etc.
  • carrying-in drug confirmation processing is executed. That is, when the selection button 15a is operated (step S18), the selected medicine is displayed in the medicine for discrimination column 16 shown in FIG. 5 (step S19).
  • step S20 If the detail edit button 17a is operated in a state where the medicine displayed in the discrimination target medicine column 16 is selected (step S20), the detail edit screen 19 is displayed (step S21). Then, on the detail edit screen 19, as shown in Fig. 5, if the daily dose, usage name, and number of days are entered and the registration button 19a is operated (step S22), information on the specified brought-in drug Is recorded as the patient's previous prescription data (step S23).
  • the print processing confirmation screen 20 shown in FIG. 6 is displayed (step S25).
  • a first check box 20a and a second check box 19b are displayed on the print processing confirmation screen 20.
  • the first check box 20a is for confirming whether or not the identification report 21 is to be printed.
  • the second check box 20b is used for confirming whether or not to confirm the data relating to the brought-in medicine specified by the discrimination process (part of the confirmation means of the present invention, data registration means, selection means).
  • Step S26 Select whether or not to print a discrimination report and whether or not to send discrimination history data, and if the execution button 20c is operated (step S26), it is determined whether or not the check boxes 20a and 20b are checked. (Steps S27 and S28). If the first check box 20a is checked (step S27: YES), the identification report 21 shown in Fig. 7 will be displayed by completing the input of the daily dose, usage name, and number of days for the specified drug to be brought. Print (Step S2 9). If the second check box 20b is checked (step S28: YES), data related to the brought-in drug specified by the discrimination process is transmitted (step S30).
  • the transmitted data that is, the drug data relating to the brought-in drug is recorded in the Do file stored in the recording means of the drug room terminal device 3 as the previous prescription data of the patient (step S31).
  • the drug data regarding the brought-in medicine may be stored in the storage device 6 of the management device 1.
  • the duplicate prescription check process and the interaction check process are executed between the current prescription data and the previously recorded prescription data (prescription history) (check of the present invention). means).
  • step S41 when patient information is input (step S41), it is determined whether the patient has past prescription data (step S42). . If there is past prescription data for the patient, the past prescription data is read from the Do file (step S43). If there is no past prescription data, move on to the next step.
  • step S44 If the prescription order (prescription data) sent from the clinic terminal device 2 is input (step S44), the past prescription data read in step S43 and the prescription sent this time are sent. It is determined whether there is no duplicate prescription with the data (step S45).
  • the medicine prescribed this time is already included in all medicines prescribed in all clinical departments for a patient (including medicines prescribed in the past and brought-in medicines). to decide.
  • the past prescription data includes drug data related to the brought-in drug recorded in the above process. Therefore, it is possible to manage dosing drugs that were not considered in the past, together with prescription drugs, and to prevent repeated administration.
  • the interaction check process includes all prescription drugs (including previously prescribed drugs and brought-in drugs) that are subject to contraindications or precautions that can be adverse events for the patient. It is determined whether or not it is! / (Step S47). Even in this interaction check, as with the duplicate prescription check process, it can be applied to data relating to a brought-in drug, and drug contraindications can be reliably prevented.
  • step S49 If there is no problem as a result of the check process, a prescription is issued (step S49), and the drug is given to the patient. Provide the agent. On the other hand, if there is a problem in the check result, as shown in FIG. 8, an error is displayed on the error inquiry screen 22 (steps S46 and S48), and the prescription issuance is suspended.

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Primary Health Care (AREA)
  • General Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
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  • Medical Informatics (AREA)
  • Bioinformatics & Cheminformatics (AREA)
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  • Business, Economics & Management (AREA)
  • Toxicology (AREA)
  • Pharmacology & Pharmacy (AREA)
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  • Medical Treatment And Welfare Office Work (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)

Abstract

Le système d'aide au guidage de gestion médicale de la présente invention comprend des premiers moyens de stockage de données de prescription destinés à stocker des données de prescription de patients, des moyens de stockage d'informations médicales destinés à stocker des informations sur des médicaments, des moyens de recherche destinés à rechercher des informations stockées dans les moyens de stockage d'informations médicales concernant le nom du médicament sur la base des caractéristiques du médicament du patient, un moyen de détermination destiné à déterminer le nom spécifique du médicament à partir des occurrences de médicaments par le moyen de recherche, et des seconds moyens de stockage de données de réception destinés à stocker le médicament sous forme des données de prescription précédentes du patient lorsque les moyens de détermination déterminent le médicament spécifique. Ledit système comprend en outre des moyens de vérification destinés à vérifier les données de prescription avec les données de prescription stockées dans les seconds moyens de stockage de données de prescription lorsque les données de prescription stockées dans les premiers moyens de stockage de données de prescription sont commandées à un service médical sous forme d'une instruction de préparation de médicament et des moyens d'affichage pour afficher un message selon lequel il existe une possibilité de mettre en danger le patient si le résultat de la vérification par les moyens de vérification indique cette éventualité.
PCT/JP2007/068994 2006-09-29 2007-09-28 système d'aide au guidage de gestion médicale WO2008038775A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2008536451A JPWO2008038775A1 (ja) 2006-09-29 2007-09-28 薬剤管理指導支援システム

Applications Claiming Priority (2)

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JP2006-269904 2006-09-29
JP2006269904 2006-09-29

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WO2008038775A1 true WO2008038775A1 (fr) 2008-04-03

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KR (1) KR20090073125A (fr)
CN (1) CN101523431A (fr)
WO (1) WO2008038775A1 (fr)

Cited By (3)

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Publication number Priority date Publication date Assignee Title
JP2010165159A (ja) * 2009-01-15 2010-07-29 Data Index Kk 薬品情報提供方法、薬品情報サーバシステム、およびコンピュータプログラム
WO2011037881A2 (fr) * 2009-09-28 2011-03-31 Augusta E.N.T., P.C. Système et procédé d'enregistrement médical électronique d'allergie
JP5329706B1 (ja) * 2012-09-21 2013-10-30 東日本メディコム株式会社 病名推定装置及びプログラム

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WO2012043902A1 (fr) * 2010-09-30 2012-04-05 엘지전자 주식회사 Terminal et procédé de gestion d'informations sur des médicaments
CN103729708A (zh) * 2012-10-16 2014-04-16 廖利平 一种基于编码的中药方剂管理系统
JP6277656B2 (ja) * 2013-10-07 2018-02-14 株式会社湯山製作所 調剤支援システム、調剤支援プログラム、薬品情報登録方法
JP2015095124A (ja) * 2013-11-12 2015-05-18 株式会社旭昇 残薬の適正使用システム
US10969218B2 (en) 2014-03-31 2021-04-06 Yuyama Mfg. Co., Ltd. Medicine photographing device
CN104983529B (zh) * 2015-04-30 2017-05-10 闻须明 配、发药方法及系统
CN105224794A (zh) * 2015-09-19 2016-01-06 石庆平 一种智能化处方审核系统及方法
EP3446673A4 (fr) * 2016-04-19 2019-10-02 Yuyama Mfg. Co., Ltd. Programme de traitement d'images et dispositif de traitement d'images

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2010165159A (ja) * 2009-01-15 2010-07-29 Data Index Kk 薬品情報提供方法、薬品情報サーバシステム、およびコンピュータプログラム
WO2011037881A2 (fr) * 2009-09-28 2011-03-31 Augusta E.N.T., P.C. Système et procédé d'enregistrement médical électronique d'allergie
WO2011037881A3 (fr) * 2009-09-28 2011-06-30 Augusta E.N.T., P.C. Système et procédé d'enregistrement médical électronique d'allergie
JP5329706B1 (ja) * 2012-09-21 2013-10-30 東日本メディコム株式会社 病名推定装置及びプログラム
JP2014063396A (ja) * 2012-09-21 2014-04-10 Higashi Nihon Medicom Kk 病名推定装置及びプログラム

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CN101523431A (zh) 2009-09-02
JP5708673B2 (ja) 2015-04-30
JP2013137775A (ja) 2013-07-11
KR20090073125A (ko) 2009-07-02
JPWO2008038775A1 (ja) 2010-01-28

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