JP6123526B2 - Dispensing management system, dispensing management method, dispensing management program - Google Patents

Description

  The present invention relates to a dispensing management system for managing a pharmaceutical dispensing operation in a medical institution such as a hospital.

  In general, in a medical institution such as a hospital, prescription data is issued when a doctor records a medical record and prescription content into an electronic medical record system, and a medicine is dispensed based on the prescription data. And after the dispensing, the medicines are taken from the dispensing room where the medicines are dispensed, the examination table where the medicines are examined, the medication window where the medicines are delivered to the patient, the hospital entrance where the medicines are delivered to the inpatient ward, or the medicines. It is carried to the hospital ward etc. of the patient who takes the medicine. In addition, the medication management system which manages the medication to the patient in an inpatient ward is conventionally known (for example, refer patent document 1).

JP 2004-103001A

  By the way, after prescription data is issued, the prescription data may be corrected. At this time, it is conceivable that the medicine already dispensed based on the pre-correction prescription data has moved from the dispensing room to the inspection table, the medication window, the hospitalization entrance, or the like. In this case, there is a possibility that useless inspection is performed on the medicine corresponding to the prescription data before correction, or the medicine corresponding to the prescription data before correction is passed to the patient or the hospital ward. For example, after the regular prescription data is issued, the prescription data may be modified and temporary prescription data may be issued for reasons such as changing the patient's condition. In this case, it is necessary to cancel the dispensing based on the regular prescription data and execute the dispensing based on the prescription data issued temporarily.

  An object of the present invention is to provide a dispensing management system, a dispensing management method, and a dispensing management program that can effectively notify whether or not prescription data is corrected.

  The dispensing management system according to the present invention includes a determination unit and a notification unit. The determination means includes pre-correction prescription data that is pre-correction data of the prescription data or after correction of the prescription data when prescription data or a prescription identification code that can identify the prescription data is read from a prescription or a medicine bag. The presence / absence of at least one of the corrected prescription data which is the prescription data is determined. The notification means notifies the determination result by the determination means when it is determined by the determination means that at least one of the pre-correction prescription data or the post-correction prescription data exists.

  According to the present invention, it is possible to effectively notify the user of whether or not the prescription data is corrected at the reading timing of the prescription data or the prescription identification code.

  Here, when the determination means determines that the pre-correction prescription data exists, the notification means that the pre-correction prescription data exists or that the prescription data is post-correction prescription data. It can be considered that the determination result is notified. In addition, when the determination unit determines that the corrected prescription data exists, the notification unit indicates that the corrected prescription data exists, or that the prescription data is precorrection prescription data. It is conceivable to notify the determination result.

  More specifically, the dispensing management system includes one or a plurality of reading terminals having code reading means for reading the prescription data or the prescription identification code from the bar code or two-dimensional code printed on the prescription or the medicine bag. It is possible. And when the prescription data or the prescription identification code is read by the code reading means of the reading terminal, the determination means is at least the pre-correction prescription data or the post-correction prescription data corresponding to the prescription data. The presence or absence of one is determined. Thereby, it is possible to notify the presence or absence of correction of the prescription data based on the prescription data or the prescription identification code read by the code reading means at one or a plurality of places where the reading terminal is installed.

  Further, it is conceivable that the reading terminal includes terminal display means for displaying information. In this case, when the determination unit determines that at least one of the pre-correction prescription data or the post-correction prescription data exists, the notification unit causes the reading terminal that has read the prescription data or the prescription identification code to be read. It is conceivable to display the determination result of the determination means on the corresponding terminal display means. Accordingly, the determination result can be effectively notified to a user who reads the prescription data or the prescription identification code using the reading terminal.

  For example, the reading terminal dispenses a medicine, a dispensing room where medicines are dispensed, an examination table where medicines are examined, a medication window where medicines are delivered to patients, a hospital entrance where medicines are delivered to an inpatient ward, and medicines Placed in any one or more locations of the patient's hospital ward. Thereby, grasping the presence or absence of occurrence of the pre-correction prescription data or the post-correction prescription data for the prescription data in the dispensing room, the examination table, the medication window, the hospitalization entrance, the hospitalization ward, etc. Can do.

  The dispensing management system includes a plurality of the reading terminals arranged in one or a plurality of the dispensing chambers, and the corrected prescription corresponding to the prescription data read by the reading terminals arranged in the dispensing chambers. Disposition recording means capable of recording according to a user operation of the reading terminal whether or not to discontinue dispensing based on the prescription data when it is determined by the determining means that data is present, and disposed in the dispensing chamber. Presence or absence of discontinuation of dispensing based on the pre-correction prescription data by the stop recording means when the determination means determines that the pre-correction prescription data corresponding to the prescription data read by the reading terminal is present It is conceivable to include stop display means capable of displaying the recording result on the terminal display means corresponding to the reading terminal. Therefore, the user who has read the corrected prescription data at the reading terminal can grasp whether or not dispensing has been stopped based on the prescription data before correction corresponding to the corrected prescription data. For example, the user determines whether to perform dispensing based on the corrected prescription data as it is, or whether to use a medicine dispensed based on the prescription data before correction corresponding to the corrected prescription data Is possible.

  One or more of the reading terminals are portable terminals. Thereby, the presence or absence of generation | occurrence | production of the said pre-correction prescription data or the said prescription correction data about the said prescription data in the arbitrary movement destinations of the said portable terminal can be grasped | ascertained.

  Further, the dispensing management system may include a correction monitoring unit and a correction input display unit. The correction monitoring means monitors the input of the corrected prescription data to the dispensing management system. The correction input display means is arranged in a dispensing room where pharmaceutical preparation is performed to the effect that the corrected prescription data has been input when it is determined that the corrected prescription data has been input by the correction monitoring means. It is displayed on the dispensing room display means. As a result, at least a pharmacist in the dispensing room can grasp the occurrence of the corrected prescription data at an early stage.

  Here, the correction input display means displays different contents on the dispensing room display means before and after the medicine dispensed based on the pre-correction prescription data corresponding to the post-correction prescription data is passed to the patient or hospital ward. It is possible to make it. More specifically, the correction input display means that the dispensing is completed before the medicine dispensed based on the pre-correction prescription data corresponding to the post-correction prescription data is delivered to the patient or hospital ward. It is possible to display that the medication has been completed after the medicine has been delivered to the patient or hospital ward. Thereby, the pharmacist or the like can appropriately deal with the urgency based on the progress of the prescription data pre-correction corresponding to the post-correction prescription data.

  In addition, the dispensing management system records progress information in a dispensing operation from dispensing a medicine based on the prescription data to dispensing to a patient according to the reading of the prescription data or the prescription identification code. It is conceivable to have Here, the progress information includes, for example, the execution date and time for each work process in the medication operation when the prescription data or the prescription identification code is read. Thereby, at the time of reading the prescription data or the prescription identification code, both of the purposes of recording the progress information and notifying the generation of the corrected prescription data or the precorrection prescription data can be achieved at the same time.

  Further, it is conceivable that the notification means notifies the progress information in the medication operation based on the pre-correction prescription data or the post-correction prescription data together with the determination result. Thereby, the user can grasp the progress in the medication operation related to the pre-correction prescription data or the post-correction prescription data. For example, when the notifying unit determines that the corrected prescription data is present by the determining unit, information indicating whether or not the dispensing based on the corrected prescription data included in the progress information is completed. It is conceivable to notify. Thereby, the user can determine whether or not a medicine dispensed based on the prescription data before correction is necessary when the corrected prescription data corresponding to the prescription data exists.

  Furthermore, it is possible that the said dispensing management system is provided with other department determination means and other department determination display means. When the prescription data or the prescription identification code is read, the other department determination unit determines whether or not there is prescription data of another medical department corresponding to the prescription data. The other department determination display means displays a determination result by the other department determination means. As a result, for example, at the medication window, forgetting to hand over the medicine corresponding to the prescription data of another medical department is prevented.

  Further, when the determination unit determines that prescription data of another medical department of the patient exists by the other department determination unit, at least the pre-correction prescription data or the post-correction prescription data for each of the prescription data It can be considered to determine the presence or absence of one. As a result, it is possible to collectively grasp at least one of the pre-correction prescription data and the post-correction prescription data for all the prescription data for the patient.

  By the way, it is conceivable that the dispensing management system includes a medicine container, a collation unit, and a mismatch notification unit. In the medicine storage device, a storage identification code capable of identifying the storage portion is provided in each storage portion in which a medicine dispensed based on the prescription data is stored. The collating means includes information on a ward or a ward corresponding to the accommodation identification code read from the accommodation unit and information on a ward or ward corresponding to the prescription data or the prescription identification code read from the prescription or the medicine bag. Collate. The disagreement notifying unit notifies that when the collation result by the collating unit is inconsistent. Thereby, accommodation of the medicine in the wrong accommodation part is prevented, and it can be grasped even when the patient is transferred or changed.

  In addition, when the determination unit is designated either one or both of a taking time and a preset taking group, the corresponding to the one or both of the designated taking time and the taking group It is conceivable to determine whether or not at least one of the pre-correction prescription data or the post-correction prescription data exists for each prescription data. Thereby, it is possible to collectively grasp the presence / absence of at least one of the pre-correction prescription data or the post-correction prescription data for a plurality of the prescription data corresponding to each medication group such as a ward or ward or each medication time. it can.

  Further, it is conceivable that the dispensing management system includes a dose history recording unit that records, as history information, the completion of taking the drug when a drug code that can identify the drug to be administered is read. Thereby, the information regarding whether each said pharmaceutical was actually taken | dosed is manageable.

  In addition, the dispensing management system includes an emphasizing unit that emphasizes the display mode or the printing mode of information of each drug included in the prescription data as the frequency at which the drug becomes a correction target in the corrected prescription data increases. It is possible. As a result, the user can be alerted about the item corresponding to the drug name that is likely to be corrected.

  The dispensing management method according to the present invention is a method of executing a determination step and a notification step by a computer. The determination step includes pre-correction prescription data that is pre-correction data of the prescription data or after correction of the prescription data when prescription data or a prescription identification code that can identify the prescription data is read from a prescription or a medicine bag. The presence / absence of at least one of the corrected prescription data which is the prescription data is determined. The notification step notifies the determination result of the determination step when it is determined by the determination step that at least one of the pre-correction prescription data or the post-correction prescription data exists.

  The dispensing management program according to the present invention is a program for causing a computer to execute a determination step and a notification step. The determination step includes pre-correction prescription data that is pre-correction data of the prescription data or after correction of the prescription data when prescription data or a prescription identification code that can identify the prescription data is read from a prescription or a medicine bag. The presence / absence of at least one of the corrected prescription data which is the prescription data is determined. The notification step notifies the determination result of the determination step when it is determined by the determination step that at least one of the pre-correction prescription data or the post-correction prescription data exists.

  According to the present invention, there are provided a dispensing management system, a dispensing management method, and a dispensing management program that can effectively notify the presence or absence of correction of prescription data.

The block diagram which shows schematic structure of the dispensing management system which concerns on embodiment of this invention. The figure which shows an example of the dispensing management information and prescription used with the dispensing management system which concerns on embodiment of this invention. The figure which shows an example of the dispensing management information and prescription used with the dispensing management system which concerns on embodiment of this invention. The flowchart which shows an example of the work flow of the medication operation | work in the medical institution with which the dispensing management system which concerns on embodiment of this invention was installed. The figure which shows the transition of the dispensing management information at the time of execution of the work flow of the medication operation | work in the medical institution with which the dispensing management system which concerns on embodiment of this invention was installed. The flowchart which shows an example of the procedure of the 1st dispensing management process performed with the dispensing management system which concerns on embodiment of this invention. The figure which shows the example of a display in the 1st dispensing management process performed with the dispensing management system which concerns on embodiment of this invention. The flowchart which shows an example of the procedure of the prescription reception process performed with the dispensing management system which concerns on embodiment of this invention. The figure which shows the example of a display in the prescription reception process performed with the dispensing management system which concerns on embodiment of this invention. The flowchart which shows an example of the procedure of the 2nd dispensing management process performed with the dispensing management system which concerns on embodiment of this invention. The flowchart which shows an example of the procedure of the 3rd dispensing management process performed with the dispensing management system which concerns on embodiment of this invention. The figure which shows the example of a display in the 3rd dispensing management process performed with the dispensing management system which concerns on embodiment of this invention. The flowchart which shows an example of the procedure of the 4th dispensing management process performed with the dispensing management system which concerns on embodiment of this invention. The figure which shows an example of the determination result displayed by the batch determination function of the dispensing management system which concerns on embodiment of this invention. The figure which shows an example of the display mode displayed by the emphasis function of the dispensing management system which concerns on embodiment of this invention.

  Embodiments of the present invention will be described below with reference to the accompanying drawings for understanding of the present invention. In addition, the following embodiment is an example which actualized this invention, Comprising: The thing of the character which limits the technical scope of this invention is not.

[Dispensing management system 1]
As shown in FIG. 1, a dispensing management system 1 according to an embodiment of the present invention includes a server 2, a client terminal 3, a mobile terminal 4, a pass box 5, and the like. In the dispensing management system 1, the client terminal 3 and the portable terminal 4 are examples of reading terminals. The server 2, the client terminal 3, and the portable terminal 4 are connected to be communicable wirelessly or wired via a communication network N 1. The communication network N1 is a LAN, a WAN, the Internet, an intranet, or the like. The server 2 is connected to a host system 6 such as an electronic medical record system or a prescription input terminal for inputting prescription data to the server 2 via the communication network N1.

  Furthermore, one or a plurality of dispensing devices 7 and a medicine bag printer 8 are connected to the server 2 via the communication network N1. The printer 8 prints a prescription corresponding to the prescription data in accordance with the print data received from the server 2, or prints the prescription data on a medicine bag that stores a medicine after dispensing based on the prescription data. The dispensing device 7 is used to dispense a medicine based on dispensing data input from the server 2. For example, the dispensing device 7 includes a tablet dispenser, a powder dispenser, a liquid dispenser, a sheet dispensing device, a picking auxiliary device, an anticancer agent preparation support system, a mixed injection device, a drug weighing device, a dispensing inspection device, and Such as a discrimination device.

  The tablet packaging machine has a plurality of medicine cassettes containing a plurality of types of tablets, and performs a packaging operation of dispensing tablets from the medicine cassette according to dispensing data and packaging them with a packaging paper for each dose. . The powder wrapping machine executes a wrapping operation for wrapping the loaded powder with wrapping paper for each dose according to the dispensing data. The liquid medicine dispenser has a plurality of medicine bottles containing a plurality of kinds of liquid medicines, and dispenses a necessary amount of liquid medicine from the medicine bottles according to dispensing data. The sheet dispensing apparatus dispenses according to dispensing data from a plurality of sheet cassettes in which PTP sheets pre-packed with tablets or heat seals are accommodated. The picking assist device is used when a pharmacist manually dispenses, reads a drug name from identification information (such as a barcode) attached to a drug shelf or a drug bottle, and the read drug name and prescription data The drug name included in is checked against.

  In addition, the anticancer drug preparation support system is a system that supports the adjustment work of an anticancer drug performed by a pharmacist in a cabinet in which biohazard measures are taken, for example, according to an operation of starting dispensing Carry out navigation such as preparation procedures and quantity. The mixed injection device automatically executes a mixed injection operation of injecting a drug such as an anticancer drug into an infusion solution according to the dispensing data using a robot arm. The drug weighing device is used when pre-weighing powder to be charged into the powder sachet packaging machine. The dispensing inspection device is a tablet inspection device, a powder inspection device, or a liquid inspection device, etc., and dispensed medicines and prescription data based on an image obtained by imaging the medicine after dispensing or the weight of the medicine after dispensing. The drug is included in the drug. The discrimination device determines the type of medicine held by the patient based on the color tone, size, dosage form, symbol, code, mark, hardness, weight, or specific gravity of the medicine. An information processing apparatus such as a personal computer that executes processing according to a discrimination program that supports determination and input of the type of medicine by the pharmacist is also an example of the discrimination apparatus.

[Server 2]
As shown in FIG. 1, the server 2 is a personal computer including a control unit 21, a data storage unit 22, a communication interface 23, a display device 24, an operation device 25, a drive device 26, and the like. Each component provided in the server 2 is connected by a bus 20. The server 2 may be provided outside a medical institution or the like where the dispensing management system 1 is used.

  The communication interface 23 communicates with the client terminal 3, the portable terminal 4, the host system 6, the dispensing device 7 and the like via the communication network N1 in a wireless or wired manner according to a predetermined communication protocol. It has a network card etc. which performs data communication.

  The display device 24 is a display unit such as a liquid crystal display or an organic EL display that displays various types of information in accordance with control instructions from the control unit 21. The operation device 25 is an operation means operated by a user in order to input various information to the server 2. Specifically, the operation device 25 includes a keyboard and a mouse (pointing device) that accept input operations of various information according to the display screen of the display device 24.

  The control unit 21 includes a CPU 211, a ROM 212, a RAM 213, and the like. The CPU 211 is a processor that controls the server 2 by executing processing according to various control programs. The ROM 212 is a non-volatile memory in which programs such as BIOS executed by the CPU 211 are stored in advance. The RAM 213 is a volatile memory or a non-volatile memory used for development of various control programs by the CPU 211 and temporary storage of data.

  The data storage unit 22 is a non-volatile storage unit such as a hard disk or an SSD that stores various application programs and various data executed by the control unit 21. Specifically, the data storage unit 22 stores a dispensing management program for causing the control unit 21 to execute a first dispensing management process (see FIG. 6) and a prescription receiving process (see FIG. 8) which will be described later. ing. The data storage unit 22 also stores various databases such as a pharmaceutical master, a patient master, a pharmacist master, a prescription category master, a clinical department master, and a ward master. For example, the medicine master includes medicine code, medicine name, JAN code (or RSS), medicine bottle code, classification (dosage form: powder, tablet, liquid medicine, topical medicine, etc.), specific gravity, kind of medicine (ordinary medicine, Information on poisoning, narcotics, powerful drugs, antipsychotics, therapeutics, etc.), formulation changes, excipients, and precautions. The patient master includes information such as patient ID, name, sex, age, medical history, family information, medical department, ward, and ward of each patient.

  The drive device 26 can read the dispensing management program from a computer-readable recording medium 27 on which the dispensing management program is recorded. The recording medium 27 is a CD, DVD, BD, USB memory or the like. In the server 2, the dispensing management program read by the drive device 26 from the recording medium 27 is installed in the data storage unit 22 by the control unit 21.

  The data storage unit 22 includes a prescription data storage unit 221 and a prescription management storage unit 222. The prescription data storage unit 221 stores the prescription data acquired from the host system 6 in a database format. The prescription data includes, for example, “Prescription Date”, “Patient ID”, “Exchange Ticket No.”, “Order No.”, “Prescription Category”, “BCD”, “Patient Name”, “Patient Life Year”. "Months and days", "Drug information (drug code, drug name, dose, etc.)", "Dosage form information (internal use, topical use, etc.)", "Usage information (eg after meals three times a day)" , Hospitalization, etc.), “clinical department”, “ward”, and “hospital room”.

  The prescription management storage unit 222 stores prescription management information D1 related to the progress of the medication work based on each of the prescription data in a database format. 2 and 3 are diagrams showing an example of the prescription management information D1. Specifically, FIG. 2 shows an example of the prescription management information D1 (FIG. 2A) when the “processing classification” of the prescription data is new, and an example of a prescription corresponding to the prescription data (FIG. 2). It is a figure which shows (B)). FIG. 3 shows an example of the prescription management information D1 (FIG. 3A) when the “processing category” of the prescription data is correction, and an example of a prescription corresponding to the prescription data (FIG. 3B). )).

  As shown in FIGS. 2A and 3A, the prescription management information D1 includes “patient ID”, “exchange voucher No.”, “order No.”, “processing category” in the prescription data. "," BCD ", and" latest ward "are stored. “BCD” is set individually for each prescription data, and as shown in FIGS. 2 (B) and 3 (B), is information on the barcode D2 printed on the prescription and the medicine bag. It is an example of the prescription identification code which can identify the prescription data. That is, even if the “order No.” is the same, if the “processing category” is different, the information of “BCD” is also different.

  The prescription management information D1 includes “reception date / time”, “dispensing completion date / time”, “inspection completion date / time”, and “window arrival date / time”, which are the execution date / time of each work process in the medication work performed based on the prescription data. "," BOX authentication date and time ", and" medication completion date and time "are recorded as progress information in the medication operation. The “reception date and time” is the date and time when the prescription data is received by the server 2.

  In addition, as shown in FIG. 2A, when the prescription data is newly issued, information indicating “new” is input to “prescription category”. On the other hand, as shown in FIG. 3A, when the prescription data is obtained by correcting past prescription data, information indicating “correction” is input to “prescription category”. Thereby, the said control part 21 judges whether the said prescription data is new prescription data or the prescription data after correction with respect to past prescription data by referring the content of "prescription classification", for example Is possible.

  Note that the information of “prescription classification” in the prescription data is already included in the prescription data received from the host system 6. On the other hand, when the server 2 receives the prescription data, it may be input by the control unit 21. For example, when the prescription data having the same “order No.” or “exchange ticket No.” has been received in the past, the control unit 21 stores the newly received prescription data. It may be determined that the prescription data is corrected with respect to past prescription data.

[Client terminal 3]
On the other hand, as shown in FIG. 1, the client terminal 3 is a personal computer including a control unit 31, a data storage unit 32, a communication interface 33, a display device 34, an operation device 35, a barcode reader 36, and the like. Each component provided in the client terminal 3 is connected by a bus 30.

  In the medical institution, the client terminal 3 is installed in each place of a dispensing room where medicines are dispensed, an examination table where medicines are examined, and a medication window where medicines are delivered to patients. Hereinafter, when the client terminals 3 respectively installed in the dispensing room, the inspection table, and the medication window are distinguished, they are referred to as a client terminal 3A, a client terminal 3B, and a client terminal 3C. Note that the number and installation locations of the client terminals 3 are not limited to these. In the server 2, the installation locations of the client terminals 3 are preset, and the control unit 21 can recognize the installation locations of the client terminals 3.

  The control unit 31 includes a CPU 311, a ROM 312, a RAM 313, and the like. The CPU 311 is a processor that controls the client terminal 3 by executing processing according to various control programs. The ROM 312 is a nonvolatile memory in which programs such as BIOS executed by the CPU 311 are stored in advance. The RAM 313 is a volatile memory or a non-volatile memory used for development of various control programs and temporary storage of data by the CPU 311. The data storage unit 32 is a nonvolatile storage unit such as a hard disk or an SSD that stores various application programs and various data executed by the control unit 31.

  The communication interface 33 includes a network card that performs data communication with the server 2 or the like via the communication network N1 in a wireless or wired manner according to a predetermined communication protocol.

  The display device 34 includes a display unit such as a liquid crystal display or an organic EL display that displays various types of information according to a control instruction from the control unit 31, a speaker that outputs sound according to the control instruction from the control unit 31, and the like. It is an example of a terminal display means. The display device 34 of the client terminal 3A arranged in the dispensing chamber is an example of a dispensing chamber display unit. In the present embodiment, the display device 34 of the client terminal 3A is an example of the terminal display unit and the dispensing chamber display unit. However, the terminal display unit and the dispensing chamber display unit are separately provided. It is also possible that

  The operation device 35 is an operation means operated by a user in order to input various information to the client terminal 3. Specifically, the operation device 35 includes a keyboard and a mouse (pointing device) that accept input operations of various information according to the display screen of the display device 34. The operation device 35 may include a touch panel that accepts a touch operation on the display screen of the display device 34 or a voice input device that accepts input of various types of information by voice recognition. In the client terminal 3, operations such as “operation”, “selection”, and “input” by a user such as a pharmacist are performed using the operation device 35.

  The barcode reader 36 is an example of a code reading unit that reads a one-dimensional code such as a barcode or a two-dimensional code such as a QR code (registered trademark). Information read by the bar code reader 36 is input to the control unit 31 and transmitted to the server 2 by the control unit 31.

  Specifically, in the client terminal 3, the barcode reader 36 reads the prescription identification code that can identify the prescription data corresponding to the prescription or the medicine bag from the barcode D2 printed on the prescription and the medicine bag. Is used. In this case, the control unit 31 acquires the prescription data stored in the prescription data storage unit 221 of the data storage unit 22 from the server 2 based on the prescription identification code read by the bar code reader 36. Is possible. Of course, the prescription identification code or the prescription data may be printed on the prescription or the medicine bag as a two-dimensional code, or the prescription data may be read from the prescription or the medicine bag by the barcode reader 36. It can be considered as an embodiment.

[Portable terminal 4]
As shown in FIG. 1, the mobile terminal 4 includes a control unit 41, a data storage unit 42, a communication interface 43, a display device 44, an operation device 45, a camera 46, and the like. Each component provided in the portable terminal 4 is connected by a bus 40. The mobile terminal 4 is, for example, a mobile phone, a smartphone, a PDA, a media player, or a tablet terminal.

  The portable terminal 4 can be carried by a user, but is arranged in the medical institution for the purpose of use in an inpatient transportation port where a medicine is passed to an inpatient ward and in an inpatient ward of a patient taking the medicine. Hereinafter, when distinguishing the said portable terminal 4 respectively used by the said hospitalization entrance and the said hospitalization ward, it calls the portable terminal 4A and the portable terminal 4B. In addition, the number and use place of the said portable terminal 4 are not limited to these. In the server 2, the use places of the mobile terminals 4 are set in advance, and the control unit 21 can recognize the use places of the mobile terminals 4.

  Note that the client terminal 3 and the mobile terminal 4 which are examples of the reading terminal according to the present invention are configured so that the medicine is sometimes used in a work flow (for example, see FIG. 4) of a medication operation until the medicine is dispensed and reaches the patient. It is only necessary to be provided so that it can be used in each section moving in order along the sequence. That is, not only the dispensing room, the examination table, the medication window, the hospitalization entrance, and the hospitalization ward exemplified in the present embodiment, but other medicines where the medicine moves in the business flow of the medication operation If a section exists, the client terminal 3 or the mobile terminal 4 may be arranged in the section. The client terminal 3 or the portable terminal 4 is not limited to all sections where the medicine moves in the work flow of the medication operation, and the client terminal 3 or only in a predetermined important section. The portable terminal 4 may be arranged.

  The control unit 41 includes a CPU 411, a ROM 412, a RAM 413, and the like. The CPU 411 is a processor that controls the portable terminal 4 by executing processing according to various control programs. The ROM 412 is a non-volatile memory in which programs such as BIOS executed by the CPU 411 are stored in advance. The RAM 413 is a volatile memory or a non-volatile memory used for development of various control programs and temporary storage of data by the CPU 411. The data storage unit 42 is a nonvolatile storage unit such as an SD memory that stores various application programs and various data executed by the control unit 41.

  The communication interface 43 includes a network card that performs data communication with the server 2 or the like via the communication network N1 in a wireless or wired manner according to a predetermined communication protocol.

  The display device 44 includes a display unit such as a liquid crystal display or an organic EL display that displays various types of information according to a control instruction from the control unit 41, a speaker that outputs sound according to the control instruction from the control unit 41, and the like. It is an example of a terminal display means.

  The operation device 45 is an operation means operated by a user in order to input various information to the portable terminal 4. Specifically, the operation device 45 is a touch panel that accepts a touch operation on the display screen of the display device 44 or a voice input device that accepts input of various types of information through voice recognition. In the portable terminal 4, operations such as “operation”, “selection”, and “input” by a user such as a pharmacist are performed using the operation device 45.

  The camera 46 is an image pickup means for taking an image or a video. In the portable terminal 4, the control unit 41 reads a one-dimensional code such as a barcode or a two-dimensional code such as a QR code (registered trademark) included in an image or video captured by the camera 46. It has a function. Here, the control unit 41 and the camera 46 are examples of code reading means. Specifically, in the portable terminal 4, the code reading function is used to read a prescription identification code that can identify prescription data corresponding to the prescription or the medicine bag from the barcode D2 printed on the prescription and the medicine bag. Used. In the portable terminal 4 </ b> A, the code reading function is also used when reading a bar code 52 of each storage unit 51, which will be described later, provided in the pass box 5. The control unit 41 transmits the information read using the camera 46 to the server 2.

[Pass box 5]
The pass box 5 is disposed in an inpatient transportation port for delivering a medicine after dispensing and inspection based on the prescription data to an inpatient ward, and includes a plurality of accommodating units 51 respectively corresponding to a plurality of wards. It is an example of an apparatus. The user stores the drug in the storage unit 51 corresponding to the hospital ward in which the patient taking the drug is hospitalized. Thereby, the medicine is taken out from the accommodating part 51 by the person in charge of medicine distribution in the hospital ward and is administered to the patient. In addition, it is also conceivable as another embodiment that each of the accommodation units 51 is associated with a plurality of hospital rooms.

  Further, a bar code 52 indicating an accommodation identification code that can identify the accommodation portion 51 is attached to each of the accommodation portions 51. In addition, an electronic paper may be installed in each of the accommodating portions 51, and the barcode 52 may be displayed on the electronic paper. In the dispensing management system 1, the correspondence between each of the accommodation units 51 and the ward is set in advance, and correspondence information indicating the correspondence is stored in the data storage unit 22 of the server 2. Therefore, the control unit 21 can specify a ward corresponding to the accommodation unit 51 based on the correspondence information and the accommodation identification code read from the barcode 52.

  Next, with reference to FIG. 4, the outline of the work flow of the whole medication operation in the medical institution where the dispensing management system 1 is used will be described. FIG. 5 is a diagram showing a transition of the prescription management information D1 in the medication operation.

<Step S1>
First, in step S <b> 1, the server 2 receives the prescription data from the host system 6, and the prescription data is stored in the prescription data storage unit 221. At this time, in the server 2, the control unit 21 records the current date and time as the reception date and time of the dispensing management information D1 corresponding to the prescription data. Specifically, in the dispensing management information D1 shown in FIG. 5 (A), “1/1 10:00” is recorded as the reception date and time of the prescription data.

  In the server 2, when the prescription data is received, the control unit 21 generates dispensing data corresponding to each of the dispensing devices 7 based on the prescription data, and the dispensing data is stored in each of the dispensing devices 7. The automatic dispensing by each of the dispensing devices 7 is started. The control unit 21 transmits print data based on the prescription data to the printer 8 to print the prescription data on the prescription and the medicine bag. In particular, the control unit 21 causes the barcode D2 indicating the prescription identification code that can identify the prescription data together with the prescription data to be printed on the prescription and the medicine bag, respectively. The prescription identification code is not limited to a one-dimensional code such as the barcode D2, but may be printed on the prescription and the medicine bag with a two-dimensional code. It is also conceivable that a recording medium such as an IC tag or an IC chip in which the prescription identification code is stored is provided on the prescription and the medicine bag.

<Step S2>
Next, in step S2, the pharmacist in charge of dispensing performs dispensing based on the prescription data received by the server 2. Specifically, the medicine dispensed by each of the dispensing devices 7 and the prescription and the medicine bag printed by the printer 8 are prepared.

  On the other hand, in the server 2, the control unit 21 records the current date and time in the dispensing completion date and time of the dispensing management information D1 corresponding to the prescription data in response to receiving the dispensing completion notification from each of the dispensing devices 7. . Specifically, in the dispensing management information D1 shown in FIG. 5B, “1/1 10:10” is recorded as the dispensing completion date and time of the pharmaceutical corresponding to the prescription data. Note that a pharmaceutical that cannot be automatically dispensed by the dispensing device 7 is manually dispensed by a pharmacist, and in accordance with the operation of the client terminal 3A by the pharmacist, dispensing of the pharmaceutical corresponding to the prescription data A completion notification is sent to the server 2.

  Thereafter, when the dispensing operation based on the prescription data is completed, the dispensed medicine is accommodated in the medicine bag and conveyed to the inspection table together with the prescription by a pharmacist or an automatic conveyance device. When the dispensing operation is completed, the prescription identification code is read from the barcode D2 by the barcode reader 36 of the client terminal 3A, and the dispensing completion notification is sent from the client terminal 3A together with the prescription identification code. It is also conceivable to be transmitted to the server 2.

<Step S3>
In step S3, the pharmacist in charge of inspection conducts inspection of the medicine dispensed in step S2. Then, when the inspection of the medicine is completed, the pharmacist obtains the prescription identification code from the barcode D2 written on the prescription or the medicine bag by the barcode reader 36 of the client terminal 3B provided on the inspection table. read. Thereby, in the client terminal 3B, the control unit 31 transmits the prescription identification code read by the barcode reader 36 to the server 2 together with the inspection completion notification. At this time, in the server 2, the control unit 21 records the current date and time in the inspection completion date and time of the dispensing management information D1 corresponding to the prescription data in response to the reception of the inspection completion notification from the client terminal 3B. To do. Specifically, in the dispensing management information D1 shown in FIG. 5C, “1/1 10:15” is recorded as the inspection completion date and time of the pharmaceutical corresponding to the prescription data.

  In addition, when the dispensing device 7 includes an inspection device that automatically inspects medicines, the pharmacist reads the barcode D2 of the prescription or the medicine bag by using a barcode reader provided in the inspection device, and Start the inspection of pharmaceuticals. In this case, it is considered that an inspection completion notification is transmitted from the inspection device to the server 2 together with the prescription identification code read from the barcode D2 when the inspection is completed in the inspection device.

  In step S3, the pharmacist also reads the bar code D2 of the prescription or the medicine bag with the bar code reader 36 when starting a medical drug inspection operation, and the control unit 21 determines the current date and time of the inspection start date and time. It is also possible to record in the prescription management information D1. As a result, the first dispensing management process (see FIG. 6) described later is executed even before the inspection work is started, and it becomes possible to recognize whether or not the prescription data has been corrected. Work can be eliminated.

<Step S4>
Thereafter, when the patient corresponding to the prescription data is an outpatient (Yes side of S4), the medicine that has been dispensed and inspected based on the prescription data is transported to the medication window, and the business flow Proceeds to step S5. On the other hand, if the patient corresponding to the prescription data is not an outpatient but an inpatient (No in S4), the pass box 5 is installed with a medicine that has been dispensed and examined based on the prescription data. The business flow moves to step S7.

<Step S5>
In step S5, when the medicine is transported to the medication window, the medication staff at the medication window uses the barcode reader 36 of the client terminal 3C from the prescription or the barcode D2 of the medicine bag. The prescription identification code is read. At this time, in the client terminal 3C, information such as “exchange ticket No.” of the prescription data corresponding to the prescription identification code is displayed on a prescription display board provided at the prescription window. Then, the patient having the voucher corresponding to the “voucher No.” receives the medicine at the medication window when the “voucher No.” of his / her voucher is displayed on the medication display board.

  In the client terminal 3 </ b> C, when the prescription identification code is read from the prescription or the medicine bag by the barcode reader 36 by a person in charge of medication, a notification of arrival at the window is transmitted to the server 2 by the control unit 31. . Thereby, in the server 2, the control unit 21 records the current date and time at the window arrival date and time of the dispensing management information D1 corresponding to the prescription data in response to the reception of the window arrival notification from the client terminal 3C. To do. Specifically, in the dispensing management information D1 shown in FIG. 5 (D), “1/1 10:20” is recorded as the window arrival date and time of the medicine corresponding to the prescription data.

<Step S6>
Thereafter, in step S6, at the medication window, the medication person delivers the medicine to the patient. Specifically, the person in charge of the window uses the barcode reader 36 of the client terminal 3C to obtain the barcode D2 of the prescription or the medicine bag and the “patient ID” described on the voucher of the patient. Read the bar code shown. In the client terminal 3C, the control unit 31 transmits the prescription identification code read from the prescription or the medicine bag and the “patient ID” read from the voucher to the server 2. Thereby, in the server 2, the control unit 21 collates the “patient ID” specified from the prescription management information D1 based on the prescription identification code with the “patient ID” read from the voucher. . Here, when the collation results do not match, the control unit 21 displays a warning such as “patient ID does not match” on the display device 34 of the client terminal 3C.

  And when the said collation result is in agreement, the said control part 21 displays that on the said display apparatus 34 of the said client terminal 3C. Thereby, the said person in charge of medication delivers the said pharmaceutical to a patient. Further, when the collation result is coincident, the control unit 21 records the current date and time at the medication completion date and time of the dispensing management information D1 corresponding to the prescription data. Specifically, in the dispensing management information D1 shown in FIG. 5 (E), “1/1 10:30” is recorded as the medication completion date and time of the pharmaceutical corresponding to the prescription data. In addition, it is also conceivable as another embodiment that the collation process is executed in the client terminal 3C and the result of the collation process is transmitted to the server 2. Moreover, if it is information which can authenticate the patient corresponding to the said prescription data, you may authenticate a patient based on patient ID read from a medical examination ticket etc., for example.

<Step S7>
On the other hand, if the patient corresponding to the prescription data is an inpatient, in step S7, the person in charge of storage stores the medicine in the pass box 5 at the entrance to the hospital where the pass box 5 is installed. Housed in part 51. At this time, the person in charge of storage reads the prescription identification code printed on the medicine bag using the portable terminal 4A. Thereby, in the portable terminal 4 </ b> A, the control unit 41 transmits a BOX authentication notification to the server 2. In the server 2, the control unit 21 records the current date and time in the BOX authentication date and time of the dispensing management information D1 corresponding to the prescription data in response to the reception of the BOX authentication notification from the portable terminal 4A. . Specifically, in the dispensing management information D1 shown in FIG. 5 (F), “1/1 10:20” is recorded as the BOX authentication date of the pharmaceutical corresponding to the prescription data.

  Further, when the prescription identification code printed on the medicine bag is read by the portable terminal 4A, the control unit 21 verifies whether or not the container 51 of the medicine bag storage destination is appropriate. It is conceivable that a BOX collation process (see FIG. 11) described later is executed. In this case, the control unit 21 records the current date and time in the BOX authentication date and time of the prescription management information D1 when it is determined in the BOX matching process that the storage unit 51 as the storage location of the medicine bag is appropriate. . In the present embodiment, the case where the medicine is stored in the pass box 5 will be described as an example, but a transport cart (an example of a medicine storage device) for transporting the medicine in the hospital ward is described. The same applies to the case where the medicine is stored in the above.

<Step S8>
Thereafter, in step S8, the medicine stored in the storage unit 51 of the pass box 5 is taken out by a person in charge of distribution in the hospital ward and is administered to a patient who is hospitalized in the hospital ward. At this time, the person in charge of drug distribution reads the prescription identification code from the prescription, the medicine bag, or the medicine transport cart by the portable terminal 4B when the medicine is administered to the hospitalized patient. Thereby, in the portable terminal 4B, a medication completion notice is transmitted to the server 2 by the control unit 41.

  In the server 2, the control unit 21 records the current date and time at the medication completion date and time of the dispensing management information D1 corresponding to the prescription data in response to the reception of the medication completion notification from the portable terminal 4B. . Specifically, in the dispensing management information D1 shown in FIG. 5 (G), “1/1 10:30” is recorded as the medication completion date and time of the pharmaceutical corresponding to the prescription data. In addition, changing the content of the said prescription management information D1 according to whether the patient corresponding to the said prescription data is an outpatient or an inpatient is also considered as other embodiment.

  In addition, when the medicine code that can identify the medicine to be administered is read by the portable terminal 4B when the medicine is administered to the hospitalized patient, the control unit 21 indicates that the medicine has been completely taken. Can be recorded in the data storage unit 22. The said control part 21 when performing the process which concerns here is an example of a dosing history recording means. This makes it possible to manage information regarding whether or not the medicine has actually been taken by an inpatient.

  As described above, in the dispensing management system 1, progress information in the dispensing operation from dispensing a medicine based on the prescription data to dispensing to the patient is performed by the control unit 21 according to the reading of the prescription identification code. It is recorded in the dispensing management information D1. The said control part 21 when performing the process which concerns here is an example of a progress recording means.

[First dispensing management process]
And in the said dispensing management system 1, the presence or absence of the change of the said prescription data is effective for a user with the recording of the progress information in the said dosing work by the below-mentioned 1st dispensing management process being performed by the said control part 21. Will be informed.

  Hereinafter, an example of the procedure of the 1st dispensing management process which the said control part 21 performs is demonstrated, referring the flowchart of FIG. In addition, the process procedure (step) number which the said control part 21 performs is called step S11, S12, ....

  In the present embodiment, the dispensing management system 1 executes the first dispensing management process by performing various data communications between the server 2, the client terminal 3, and the mobile terminal 4. A case of a server client system will be described as an example. On the other hand, it is also conceivable as another embodiment that the client terminal 3 or the mobile terminal 4 executes the first dispensing management process while acquiring necessary information from the server 2. In this case, the client terminal 3 or the portable terminal 4 can be regarded as a dispensing management system according to the present invention.

<Step S11>
First, in step S11, the control unit 21 determines whether or not the prescription identification code has been read by the client terminal 3 or the mobile terminal 4 from the prescription or the barcode D2 of the medicine bag. Specifically, the control unit 21 determines that the prescription identification code has been read from the prescription or the medicine bag when the prescription identification code is received from the client terminal 3 or the portable terminal 4. And if the said control part 21 judges that the said prescription identification code was read (Yes side of S11), it will transfer a process to step S12, and until the said prescription identification code is read (No side of S11). The determination in step S11 is repeated.

<Step S12>
In step S12, the control unit 21 extracts the prescription management information D1 corresponding to the prescription identification code read in the step S11 from the prescription management information D1 stored in the data storage unit 24.

<Step S13>
In step S13, the control unit 21 determines whether there is corrected prescription data that is prescription data after correction of prescription data corresponding to the prescription identification code read in step S11. The said control part 21 when performing the said determination process here is an example of a determination means. Specifically, the control unit 21 searches whether there is another prescription management information D1 having the same “order No.” as the prescription management information D1 extracted in step S12. When the type of the prescription data is outpatient, the control unit 21 determines whether or not there is another prescription management information D1 having the same “exchange ticket No.” instead of “order No.”. May be.

  If there is another prescription management information D1 having the same “order No.”, it is determined whether or not the “prescription category” of the prescription management information D1 is “correction”. Here, when the “prescription classification” is “correction”, the control unit 21 determines that the corrected prescription data exists for the prescription data. Further, the control unit 21 may determine whether or not the corrected prescription data exists for the prescription data by comparing “reception date and time” recorded in the prescription management information D1.

  When the control unit 21 determines that the corrected prescription data corresponding to the prescription data exists (Yes side of S13), the control unit 21 shifts the process to step S14, and the corrected prescription data corresponding to the prescription data. If it is determined that there is no data (No in S13), the process proceeds to step S15.

<Step S14>
In step S14, the control unit 21 notifies the user that the corrected prescription data exists for the prescription data. The said control part 21 when alert | reporting the determination result of the said step S13 by the said alerting | reporting process here is an example of an alerting | reporting means. Specifically, the control unit 21 sends the prescription data to the display device 34 corresponding to the client terminal 3 that has read the prescription identification code in the step S11 or the display device 44 corresponding to the mobile terminal 4. The fact that the corrected prescription data exists is displayed. Here, the prescription data is pre-correction prescription data in relation to the post-correction prescription data. Therefore, the control unit 21 reads the prescription data before correction in the display device 34 of the client terminal 3 or the display device 44 of the portable terminal 4 that has read the prescription identification code in the step S11. It is also possible to display a message to that effect.

  FIG. 7A is a diagram showing an example of display contents in step S14. In the example shown in FIG. 7 (A), since the corrected prescription data is generated for the prescription data together with the “patient name” and “exchange ticket No.” of the prescription data, the prescription should be replaced. Is displayed. When the patient corresponding to the prescription data is an inpatient, “Order No.” or the like is displayed instead of “Exchange Ticket No.”. In step S14, the progress of the medication operation based on the corrected prescription data is displayed on the display device 34 or the display device 44 with reference to the prescription management information D1 corresponding to the corrected prescription data. Is also possible. For example, when the prescription data is read by the client terminal 3A arranged in the dispensing room in the step S11, the control unit 21 is included in the prescription management information D1 as the progress information in the step S14. It is conceivable that information indicating whether or not dispensing based on the corrected prescription data has been completed is displayed on the display device 34 of the client terminal 3A for notification. Furthermore, it is also conceivable that the control unit 21 records the completion of dispensing for each medicine included in the corrected prescription data as a dispensing object, and displays the completion of dispensing for each medicine.

  As described above, in the first dispensing management process, when the corrected prescription data is generated for the prescription data in steps S13 to S14, for example, the following effects are obtained.

  First, before the dispensing operation based on the prescription data is started in the dispensing room, the corrected prescription data exists for the prescription data when the prescription identification code is read by the client terminal 3A. It is possible. In this case, the presence of the corrected prescription data is displayed on the client terminal 3A by the notification process in step S14. Therefore, the user can recognize the possibility that the dispensing operation based on the prescription data before correction is wasted.

  In addition, the prescription data after correction exists for the prescription data at the time when the prescription identification code is read by the client terminal 3B before the inspection operation of the medicine corresponding to the prescription data is started on the inspection table. It is possible that In this case, since the presence of the corrected prescription data is displayed on the client terminal 3B by the notification process in step S14, it is possible to prevent unnecessary inspection work for the medicine corresponding to the prescription data before correction. The

  In addition, when the prescription identification code is read by the client terminal 3C when the medicine corresponding to the prescription data arrives at the prescription window or immediately before the medicine is delivered to the patient at the prescription window, the prescription data It is conceivable that the corrected prescription data exists for. In this case, since the presence of the corrected prescription data is displayed on the client terminal 3C by the notification process in step S14, the medicine corresponding to the prescription data before correction is prevented from being delivered to the patient as it is. In the client terminal 3C, the control unit 31 can also control the prescription data in which the corrected prescription data exists so as not to display “exchange ticket No.” or the like on the prescription display board. is there.

  In addition, when the medicine corresponding to the prescription data is stored in the storage unit 51 at the hospital entrance, when the prescription identification code is read by the mobile terminal 4A, the prescription after correction is applied to the prescription data. Data may exist. In this case, since the presence of the corrected prescription data is displayed on the portable terminal 4A by the notification process in step S14, the medicine corresponding to the prescription data before correction may be stored in the storage unit 51 as it is. Is prevented.

  Further, when the medicine corresponding to the prescription data is administered to the patient in the hospital ward, the corrected prescription data exists for the prescription data when the prescription identification code is read by the portable terminal 4B. It is possible that In this case, since the presence of the corrected prescription data is displayed on the portable terminal 4B by the notification process in step S14, the medicine corresponding to the prescription data before correction is prevented from being administered to the patient as it is. .

  The display device on which the determination result is displayed by the notification process is not limited to the display device 34 or the display device 44 of the client terminal 3 or the mobile terminal 4, and the display device displays the determination result. Other monitors or the like associated with the client terminal 3 or the mobile terminal 4 in advance may be used. For example, information such as the name of a patient whose medicine needs to be replaced can be obtained as a determination result by a guidance monitor viewed by a patient waiting for a drug or payment at the medication window or a voice display device that performs voice guidance display in the medical institution. It is possible to be notified.

  Further, the prescription data or the prescription identification code has a code reading unit that can read from the prescription or the barcode or two-dimensional code printed on the medicine bag, and does not have a display means for displaying information. It is also conceivable that a plurality of reading terminals are provided in the dispensing management system 1. The reading terminal is arranged in one or a plurality of sections such as the dispensing room, the examination table, the medication window, the hospitalization entrance, or the hospitalization ward, and the server 2, the client terminal 3, or the portable terminal. Data communication by wireless communication or wired communication is possible with 4 etc. Even in such a configuration, in the server 2, when the prescription data or the prescription identification code is read by the reading terminal, at least one of the pre-correction prescription data or the post-correction prescription data corresponding to the prescription data Can be determined. However, in this case, since the reading terminal does not have the display means, the determination result cannot be displayed. Therefore, the control unit 21 of the server 2 uses the determination result as the display device 24 of the server 2, the display device 34 of the client terminal 3 (for example, the client terminal 3A of the dispensing room), the portable device. The determination result is displayed on the display device 44 of the terminal 4 (for example, the portable terminal 4 held by a preset administrator) or on an arbitrary monitor preset in association with the reading terminal. It is conceivable to notify That is, if the said control part 21 can alert | report the said determination result in the said dispensing management system 1, the display location of the determination result will not be restricted to the said reading terminal.

<Step S15>
Next, in step S15, the control unit 21 determines whether or not pre-correction prescription data, which is prescription data before correction of prescription data corresponding to the prescription identification code read in step S11, exists. . The said control part 21 when performing the said determination process here is an example of a determination means. Specifically, the control unit 21 determines whether or not the “prescription category” of the prescription management information D1 extracted in step S12 is “correction”. When the “prescription category” is “correction”, the control unit 21 determines that the pre-correction prescription data exists for the prescription data. In addition, the control unit 21 includes the pre-correction prescription data for the prescription data based on “order No.”, “exchange ticket No.”, “reception date / time”, and the like recorded in the prescription management information D1. It may be determined whether or not to do so.

  Here, if the said control part 21 determines with the said pre-correction prescription data existing about the said prescription data (Yes side of S15), it will transfer a process to step S16, and the said pre-correction prescription data does not exist about the said prescription data (No in S15), the process proceeds to step S17.

<Step S16>
In step S16, the control unit 21 notifies the user that the pre-correction prescription data exists for the prescription data. The said control part 21 when alert | reporting the determination result of the said step S15 by the said alerting | reporting process here is an example of an alerting | reporting means. Specifically, the control unit 21 sends the pre-correction prescription for the prescription data to the display device 34 of the client terminal 3 or the display device 44 of the portable terminal 4 that has read the prescription identification code in step S11. Display that data exists. Here, the prescription data is post-correction prescription data in relation to the pre-correction prescription data. Therefore, the control unit 21 reads the prescription data as corrected prescription data on the display device 34 of the client terminal 3 or the display device 44 of the portable terminal 4 that has read the prescription identification code in the step S11. It is also possible to display a message to that effect.

  In step S16, the control unit 21 refers to the prescription management information D1 corresponding to the pre-correction prescription data, and displays the current position of the medicine corresponding to the pre-correction prescription data on the display device 34 or the display. It is conceivable to display on the device 44. For example, when the prescription identification code corresponding to the prescription data is read by the client terminal 3B of the inspection table, the medicine dispensed based on the pre-correction prescription data has arrived at the medication counter. When indicated by the prescription management information D1, in the step S16, it is displayed on the display device 34 of the client terminal 3B that a medicine based on the pre-correction prescription data is present at the medication window. Thereby, the pharmacist who is the user of the client terminal 3B can determine the urgency based on the progress in the prescription data prescribing operation and appropriately deal with it. Furthermore, it is conceivable that the control unit 21 records the completion of dispensing for each medicine included in the pre-correction prescription data as a dispensing object, and displays the completion of dispensing for each medicine.

  Here, FIGS. 7B and 7C are diagrams showing an example of display contents in step S16. FIG. 7B is a display example before a medicine corresponding to the pre-correction prescription data is delivered to a patient or an inpatient ward, and FIG. 7C shows a medicine corresponding to the pre-correction prescription data. It is an example of a display after being passed to a patient or an inpatient ward. That is, the control unit 21 notifies different contents before and after the medicine is delivered to a patient or an inpatient ward. In the example shown in FIG. 7B, the prescription data before correction exists for the prescription data together with the “patient name” and “exchange ticket No.” of the prescription data, and the pharmaceutical preparation based on the prescription data before correction Is displayed, the prescription should be replaced. In addition, in the example shown in FIG. 7C, the prescription data before correction exists for the prescription data together with the “patient name” and “exchange ticket No.” of the prescription data, and the medicine based on the prescription data before correction Since the medication of is completed, it is displayed that the prescription should be replaced.

  As described above, in the first dispensing management process, when the pre-correction prescription data exists for the prescription data in steps S15 to S16, for example, the following effects can be obtained.

  First, before the dispensing operation based on the prescription data is started in the dispensing room, the pre-correction prescription data exists for the prescription data when the prescription identification code is read by the client terminal 3A. It is possible. In this case, the presence of the pre-correction prescription data is displayed on the client terminal 3A by the notification process in step S16. Therefore, the user recognizes the possibility of using the medicine dispensed by the dispensing operation based on the pre-correction prescription data, that is, the possibility of the dispensing operation based on the corrected prescription data being wasted. it can.

  In addition, when the pre-correction prescription data exists for the prescription data, before the inspection work of the medicine corresponding to the prescription data is started on the inspection table, the prescription identification code is set on the client terminal 3B. When read, the presence of the pre-correction prescription data is displayed on the client terminal 3B by the notification process in step S16. Thereby, the user can grasp early that the medicine corresponding to the prescription data before correction should be replaced as soon as possible. For example, the user can contact the medication window or the hospital entrance and prevent the medication from being passed to the patient or hospital ward.

  Further, when the prescription data before correction exists for the prescription data, when the medicine corresponding to the prescription data arrives at the prescription window, the prescription identification code is read by the client terminal 3C. The presence of the pre-correction prescription data is displayed on the client terminal 3C by the notification process in step S16. Thereby, the user can grasp | ascertain early that the pharmaceutical corresponding to the said prescription data before correction may have been administered to the patient.

  Similarly, when the pre-correction prescription data exists for the prescription data, the prescription data is stored by the portable terminal 4A before the medicine corresponding to the prescription data is stored in the storage unit 51 at the hospitalization entrance. When the identification code is read, the presence of the pre-correction prescription data is displayed on the portable terminal 4A by the notification process in step S16. Thereby, the user can grasp | ascertain early that there exists a possibility that the pharmaceutical corresponding to the said prescription data before correction may be accommodated in the said accommodating part 51 as it is, and may have been administered to the patient.

  Further, when the pre-correction prescription data exists for the prescription data, the prescription identification code is read before the medicine corresponding to the prescription data is administered to the patient by the portable terminal 4B in the hospital ward. Since the presence of the pre-correction prescription data is displayed on the portable terminal 4B by the notification process in step S16, the user may have administered the medicine corresponding to the pre-correction pre-correction data as it is. The effect can be grasped at an early stage, and for example, duplicate administration is prevented.

  In the first dispensing management process, the case where the presence / absence of both the post-correction prescription data and the pre-correction prescription data is determined as an example in Step S13 and Step S15 has been described. Another embodiment may be considered in which only the presence / absence of the corrected prescription data is determined and the steps S15 to S16 are omitted. Similarly, it may be considered as another embodiment that only the presence / absence of the pre-correction prescription data in the step S15 is determined and the steps S13 to S14 are omitted.

[Prescription reception processing]
Moreover, in the said dispensing management system 1, the said prescription by each of the said client terminal 3 and the said portable terminal 4 is performed by the below-mentioned prescription reception process being performed by the said control part 21 in parallel with the said 1st dispensing management process. Regardless of whether or not the identification code has been read, when the corrected prescription data is generated, this is notified to the pharmacist in the dispensing room.

  Hereinafter, an example of the procedure of the prescription receiving process executed by the control unit 21 will be described with reference to the flowchart of FIG. In addition, the process procedure (step) number which the said control part 21 performs is called step S21, S22, ....

<Step S21>
First, in step S21, the control unit 21 determines whether or not the prescription data has been received from the host system 6. And when the said prescription data is received (Yes side of S21), the said control part 21 will transfer a process to step S22, and until the said prescription data are received (No side of S21), the said The determination in step S21 is repeated.

<Step S22>
In step S22, the control unit 21 analyzes the prescription data and stores various types of information in the prescription data storage unit 221 of the data storage unit 22, and stores the prescription management information D1 corresponding to the prescription data. It is stored in the prescription management storage unit 222.

<Step S23>
In step S23, the control unit 21 determines whether or not the prescription data is the corrected prescription data based on the prescription management information D1. Specifically, the control unit 21 determines that the prescription data is the corrected prescription data when the “prescription classification” included in the prescription management information D1 is “correction”. Thus, the control unit 21 monitors the input of the corrected prescription data from the host system 6 to the server 2 in the steps S21 to S23. Here, the control unit 21 when executing the monitoring process is an example of a correction monitoring unit.

  Here, if the said control part 21 judges that the said prescription data is the said corrected prescription data (Yes side of S23), it will transfer a process to step S24, and will judge that the said prescription data is not the said corrected prescription data If it has been performed (No side of S23), the process returns to step S21. If the control unit 21 determines that the prescription data is not the corrected prescription data, the control unit 21 causes each of the dispensing devices 7 to execute automatic dispensing based on the prescription data as described above.

<Step S24>
In step S24, the control unit 21 displays a warning screen P24 indicating that the corrected prescription data has been input on the display device 34 of the client terminal 3A arranged in the dispensing room. Specifically, the control unit 21 transmits a control signal for displaying the warning screen P24 to the control unit 31 of the client terminal 3A. Thereby, in the client terminal 3 </ b> A, the warning screen P <b> 24 is displayed on the display device 34 by the control unit 31. The said control part 21 when performing the said display process here is an example of a correction input display means. The warning screen P24 in the step S24 is not limited to the client terminal 3A arranged in the dispensing room, and the control unit 21 may display it on the other client terminal 3 or the portable terminal 4 or the like. Good.

  FIG. 9 is a diagram showing a display example of the warning screen P24. As shown in FIG. 9, the warning screen P24 includes “patient name” and “exchange ticket No.”, etc. “This prescription has already been dispensed. Please replace the prescription.” Etc. is displayed. Accordingly, a pharmacist working in the dispensing room can easily recognize the generation of the corrected prescription data by referring to the warning screen P24 of the display device 34. The control unit 21 may cause the client terminal 3A installed in the dispensing room to display the warning screen P24 and output a warning sound.

  Further, the control unit 21 displays different contents on the warning screen P24 according to the progress of the medication operation based on the pre-correction prescription data corresponding to the post-correction prescription data received in step S21. Specifically, the control unit 21 displays different contents before and after the medicine dispensed based on pre-correction prescription data corresponding to the post-correction prescription data is delivered to the patient or the hospital ward. For example, before the medicine dispensed based on pre-correction prescription data corresponding to the post-correction prescription data is delivered to the patient or the hospital ward, the control unit 21 has already completed the preparation as shown in FIG. Display that you are doing. On the other hand, after the medicine has been delivered to the patient or the hospital ward, the control unit 21 indicates that the medication has already been completed as shown in the warning text on the warning screen P24 as shown in FIG. Change and display. Thereby, the pharmacist or the like can appropriately deal with the urgency based on the progress of the prescription data pre-correction corresponding to the post-correction prescription data.

[Other embodiment 1]
By the way, in the said embodiment, the said 1st dispensing management process was demonstrated as a process shared about each of the said client terminal 3 and the said portable terminal 4. FIG. On the other hand, it is conceivable that the control unit 21 of the server 2 executes different processes depending on the installation location or purpose of use of the client terminal 3 and the mobile terminal 4. Here, the second dispensing management process suitable for the client terminal 3C will be described as a modification of the first dispensing management process with reference to FIG.

  FIG. 10 is a flowchart showing an example of the procedure of the second dispensing management process executed by the control unit 21 when the prescription identification code is read by the client terminal 3C. In addition, about the said 2nd dispensing management process, the same code | symbol is attached | subjected about the process procedure similar to the said 1st dispensing management process, and the description is abbreviate | omitted. Specifically, in the second dispensing management process, steps S121 to S122 are executed between step S12 and step S13 of the first dispensing management process.

<Step S121>
In step S121, the control unit 21 determines the presence / absence of prescription data of another department of the patient corresponding to the prescription identification code. The said control part 21 when performing the determination process which concerns here is an example of another department determination means. Specifically, the control unit 21 stores the other prescription data having the same patient ID and the same prescription data corresponding to the prescription identification code read in step S11 as the data storage unit 22. The prescription data storage unit 221 is searched. And the said control part 21 judges that the prescription data of another medical department exists about the said patient, when the said patient ID is the same, and the prescription data from which a medical department differs are extracted. Here, if the said control part 21 judges that the prescription data of the said other medical department exist (Yes side of S121), it will transfer a process to step S122 and will judge that the prescription data of the said other medical department does not exist Then (No in S121), the process proceeds to Step S13.

<Step S122>
In step S122, the control unit 21 reads prescription data of all medical departments from the prescription data storage unit 221 for the patient corresponding to the prescription identification code read in step S11, and displays the display on the client terminal 3C. It is displayed on the device 34. Thus, the said control part 21 when displaying the determination result in the said step S121 is an example of another department determination display means.

  As a result, when there is prescription data of another medical department for the patient corresponding to the prescription identification code, the prescription data of all the medical departments can be referred to at the medication counter at the same time. Therefore, it is possible to prevent a situation in which the medicine corresponding to the prescription data issued in another medical department is forgotten to be delivered to the patient at the medication window. In the second dispensing management process, the prescription data after correction or pre-correction prescription data corresponding to the prescription identification code is confirmed by checking the presence or absence of prescription data of another medical department by reading the prescription identification code once. Can be confirmed.

  When it is determined in step S121 that prescription data of another department exists for the patient corresponding to the prescription identification code, all the medical treatments of the patient are performed in the subsequent step S13 and step S15. It is also conceivable to determine the presence / absence of the pre-correction prescription data and the post-correction prescription data for each family prescription data. Thereby, in said step S14 or said step S16, the result of having judged the existence of the said pre-correction prescription data and the post-correction prescription data about each prescription data of all the departments of the said patient is displayed. For example, even when only one of the prescription data of a plurality of medical departments is corrected and the arrival of the medicine corresponding to the prescription data is delayed, the fact can be grasped. Forgetting to deliver the medicine to the patient is prevented.

[Other embodiment 2]
Here, a third dispensing management process suitable for the mobile terminal 4A will be described as a modification of the first dispensing management process with reference to FIGS. 11 and 12. In addition, about the 3rd dispensing management process, the same code | symbol is attached | subjected about the process sequence similar to the said 1st dispensing management process, and the description is abbreviate | omitted. Specifically, in the third dispensing management process, the BOX collation process in steps S31 to S33 is executed in addition to the first dispensing management process.

<Step S31>
In step S <b> 31, the control unit 21 determines whether or not the accommodation identification code has been read from the barcode 52 of the accommodation unit 51 by the mobile terminal 4 </ b> A. Here, if the said control part 21 judges that the said accommodation identification code was read by the said portable terminal 4A (Yes side of S31), it will transfer a process to step S11. On the other hand, the control unit 21 repeats the determination in step S31 until the accommodation identification code is read by the portable terminal 4A (No side of S31).

<Step S32>
In step S32, the control unit 21 appropriately selects the storage unit 51 corresponding to the storage identification code read in step S31 as the storage location of the medicine corresponding to the prescription identification code read in step S11. It is determined whether or not. Specifically, the control unit 21 corresponds to the ward information recorded in the prescription management information D1 corresponding to the prescription identification code read from the prescription or the medicine bag, and the barcode 52 of the storage unit 51. The ward information corresponding to the accommodation identification code read from the ward is collated. Here, the control unit 21 when executing the collation processing is an example of collation means. And if the said control part 21 judges that the said collation result is inconsistency (No side of S32), it will transfer a process to step S33. On the other hand, if the said control part 21 judges that the said collation result is in agreement (Yes side of S32), it will transfer a process to the said step S13. In this case, after the processing from the step S13 is executed, the processing is returned to the step S11, and the reading of the prescription identification code is repeatedly executed from the prescription or the medicine bag corresponding to the same ward. Then, the user collects the plurality of medicine bags corresponding to the same ward and stores them in the storage unit 51. Note that the control unit 21 performs an end operation set in advance on the mobile terminal 4A when the storage identification code is read from the bar code 52 of the storage unit 51 which is different depending on the mobile terminal 4A. If it is not, the process returns to step S31. Thereby, the user can perform the storing operation | work of the said medicine bag with respect to the said different accommodating part 51. FIG.

<Step S33>
In step S33, the control unit 21 displays an error on the display device 44 of the portable terminal 4A to indicate that the comparison result is inconsistent, that is, the ward corresponding to the prescription identification code, and the storage unit 51. The user is informed that the ward corresponding to is not consistent. The said control part 21 when performing the said alerting | reporting process here is an example of a discrepancy alerting | reporting means. The control unit 21 may also output a buzzer sound or a sound for notifying the error from the display device 44. FIG. 12 shows an example of the error display screen in step S33. The error display screen shown in FIG. 12 displays that the patient's ward is moving. As a result, when the patient has been transferred or changed, the error display screen can recognize that fact, so that the medicine transported to the patient's previous hospitalization ward is transported to the moved ward. Therefore, it is possible to save time and effort and improve the efficiency of the medication operation.

  As described above, in the third dispensing management process, the user reads the barcode 52 of the container 51 and the barcode D2 of the medicine bag by using the portable terminal 4A, thereby storing the medicine bag. The suitability of the previous can be confirmed. Therefore, it is possible to prevent the medicine bag from being stored in the wrong storage portion 51.

[Other embodiment 3]
Here, a fourth dispensing management process suitable for the client terminal 3A will be described as a modification of the first dispensing management process with reference to FIG. In the embodiment, the dispensing management system 1 includes a plurality of the client terminals 3A. Each of the client terminals 3 </ b> A is arranged in one of the dispensing rooms, or arranged in the plurality of dispensing rooms, thereby being used by a plurality of users (pharmacists).

  FIG. 13 is a flowchart showing an example of the procedure of the fourth dispensing management process executed by the control unit 21 when the prescription identification code is read by the client terminal 3A. In addition, about the said 4th dispensing management process, the same code | symbol is attached | subjected about the process procedure similar to the said 1st dispensing management process, and the description is abbreviate | omitted. Specifically, in the fourth dispensing management process, steps S41 to S43 are executed in addition to the first dispensing management process.

<Step S41>
When it is determined that the corrected prescription data exists for the prescription data corresponding to the prescription identification code read in step S11 (Yes side of S13), the control unit 21 performs the steps S14, S41, And step S42 is performed.

  In step S41, the control unit 21 displays a stop selection screen for allowing the user to select whether or not to stop dispensing based on the prescription data before correction. Thereafter, the control unit 21 waits for a cancel operation performed on the operation device 35 by the user or an operation not to cancel.

<Step S42>
In step S42, the control unit 21 records whether or not to stop dispensing based on the prescription data before correction according to the user operation of the client terminal 3A. Specifically, the control unit 21 records whether or not the dispensing is stopped in the prescription management information D1 corresponding to the prescription data. The said control part 21 when performing the recording process which concerns here is an example of a stop recording means. Thereby, in the said dispensing management system 1, it becomes possible to confirm whether the dispensing based on the said prescription data was stopped by referring to the said prescription management information D1. Of course, it is also conceivable that the control unit 21 causes the data storage unit 22 of the server 2 to store stop information related to whether or not the dispensing of the prescription data is stopped separately from the prescription management information D1.

<Step S43>
On the other hand, when it is determined that the pre-correction prescription data exists for the prescription data corresponding to the identification code read in step S11 (Yes in S15), the control unit 21 performs steps S16 and S43. Execute.

  In step S43, the control unit 21 refers to the prescription management information D1 corresponding to the pre-correction prescription data, and reads the prescription identification code in the step S11 on the display device 34 of the client terminal 3A. The recording result of the presence or absence of discontinuation of the dispensing based on the pre-correction prescription data in step S42 is displayed. The said control part 21 when performing the display process which concerns here is an example of a stop display means. In addition, as a display mode of the presence or absence of the discontinuation of the dispensing, for example, it is conceivable that this is displayed only when the dispensation is stopped. That is, it can be considered that there is no indication of discontinuation of the dispensing, and that the dispensation is not suspended.

  Thus, by notifying the presence or absence of discontinuation of dispensing based on the pre-correction prescription data, the user of the client terminal 3A can easily recognize the presence or absence of discontinuation of dispensing based on the pre-correction prescription data. . Thereby, for example, when the dispensing based on the pre-correction prescription data is stopped, the user determines that the medicine dispensed based on the pre-correction prescription data cannot be used, and adds the prescription data to the prescription data. Based dispensing can be initiated. In addition, when the dispensing based on the pre-correction prescription data has not been stopped, the user has already dispensed based on the pre-correction prescription data, so the pharmaceutical dispensed based on the pre-correction prescription data Can be used, and after obtaining the medicine, dispensing based on the prescription data can be executed.

  Moreover, the said control part 21 records the completion | finish presence or absence of the completion of the dispensing for every pharmaceutical contained in the said prescription data in the said prescription data in the said step S42, and displays the completion of the dispensing for every said pharmaceutical in the said step S43 It is also possible. This makes it possible to prevent unnecessary dispensing in the unit of pharmaceuticals in the prescription data.

  In step S41, the control unit 21 may display the difference between the corrected prescription data and the prescription data, or the content of the corrected prescription data. Accordingly, the user can confirm whether or not the medicine dispensed based on the prescription data can be used in the dispensing based on the corrected prescription data, and can consider whether or not to stop the dispensing. Similarly, in step S43, the control unit 21 may display the difference between the pre-correction prescription data and the prescription data, the pre-correction prescription data, or the like. Thereby, the user can confirm whether or not the medicine dispensed based on the pre-correction prescription data can be used in the dispensing based on the prescription data.

[Other features]
Moreover, it is possible that the said dispensing management system 1 is equipped with the function shown below. In addition, each function shown below is implement | achieved when the said control part 21 performs various processes according to the said dispensing management program.

[Batch judgment function]
The control unit 21 of the server 2 determines the presence / absence of the post-correction prescription data and the pre-correction prescription data for a plurality of the prescription data corresponding to either one or both of a taking time and a preset taking group. It is conceivable to have a collective determination function for determining collectively. The taking group is a group including a plurality of patients belonging to each ward or each ward, for example.

  Specifically, the control unit 21 receives designation of one or both of the dosing time and the dosing group in accordance with a user operation of the client terminal 3 or the mobile terminal 4. Then, the control unit 21 determines whether or not the corrected prescription data or the precorrection prescription data exists for one or a plurality of the prescription data corresponding to the designated taking time and the taking group. . Thereafter, the control unit 21 lists the determination result of the presence / absence of the corrected prescription data or the precorrection prescription data for each of the prescription data in the client terminal 3 or the portable terminal 4 where the specified operation is performed. Display.

  FIG. 14 is a diagram showing a display example of the determination result. Specifically, in FIG. 14, “after breakfast on January 12” is designated as the dosing time, and “West A Ward” to which patient A, patient B, and patient C belong is designated as the taking group. A display example of the determination result is shown. In FIG. 14, the prescription data corresponding to the patient B is displayed in a background color different from other prescription data, and it is shown that the corrected prescription data exists for the prescription data corresponding to the patient B. Yes.

  As described above, according to the collective determination function, the user can collectively check the presence / absence of the corrected prescription data and the precorrected prescription data for the plurality of prescription data corresponding to the dosing time and the dosing group. can do. For example, when dispensing medicines for each ward, by specifying the ward, it is possible to confirm whether or not the prescription data of multiple patients has been corrected collectively, and the efficiency of the medicine distribution work in the hospitalized ward . Similarly, when dispensing medicines at different times of administration, it is possible to confirm whether or not corrections have been made to the prescription data of multiple patients by specifying the time of taking the medicine. Is made more efficient.

[Differential dispensing support function]
By the way, in the prescription reception process (see FIG. 8), when it is determined that the corrected prescription data has been generated (Yes side of S23), when the dispensing based on the prescription data before correction has already been completed. The pharmacist needs to execute dispensing based on the corrected prescription data again in the dispensing room. On the other hand, the control unit 21 determines a difference between the prescription data before correction and the prescription data after correction, displays a difference on the client terminal 3A or the like, and notifies the user of the difference dispensing support function. It is conceivable to have. Thereby, the pharmacist can complete the dispensing based on the corrected prescription data by performing only the dispensing corresponding to the difference. It is also conceivable that the controller 21 automatically executes the difference dispensing by controlling the dispensing device 7 based on the difference between the prescription data before correction and the corrected prescription data.

  Furthermore, an error in the case where the control unit 21 replaces the medicine with a medicine bag containing medicines to be dispensed based on the corrected prescription data from a medicine bag containing medicines dispensed based on the prescription data before correction. It is conceivable to have a function of preventing Specifically, the control unit 21 assigns a prescription identification code different from the prescription identification code corresponding to the prescription data before the correction to the corrected prescription data, and the prescription identification code is corrected by the printer 8. It is printed on a medicine bag that contains medicines corresponding to post-prescription data.

  Therefore, the control unit 21 determines that the prescription identification code of the medicine bag corresponding to the prescription data before correction and the prescription identification code of the medicine bag corresponding to the corrected prescription data are the client terminal 3 or the mobile phone. When read by the terminal 4, based on each of the prescription identification codes, it is determined whether or not both are appropriate as replacement targets. Specifically, the control unit 21 determines that each medicine bag is the same when the “order No.” or “exchange ticket No.” included in the prescription management information D1 corresponding to each prescription identification code is the same. It is conceivable that it is determined that the object is suitable for replacement, and that effect is displayed on the client terminal 3 or the portable terminal 4. And when the "order No." or "exchange ticket No." etc. of the said prescription management information D1 corresponding to each said prescription identification code etc. are not the same, the said control part 21 is suitable for each said medicine bag as replacement object If it is not, an error is displayed on the client terminal 3 or the portable terminal 4.

[Highlighting function]
In addition, the control unit 21 has an emphasis function for emphasizing the display mode or print mode of information on each drug included in the prescription data as the frequency at which the drug becomes a correction target in the corrected prescription data increases. It is possible. The said control part 21 when performing the process for embodying the emphasis function here is an example of an emphasis means.

  Specifically, the control unit 21 executes a frequency recording process for recording the correction frequency corrected by the corrected prescription data in the data storage unit 22 for each medicine. Note that the correction frequency is, for example, the number of corrections in the past preset period, or the correction ratio with respect to the number of times dispensed, and the like, as long as the index can determine the correction frequency for each drug. It is not limited. And the said control part 21 changes the display mode or printing mode of the information of the said pharmaceutical according to the said correction frequency at the time of the display of the said prescription data containing the said pharmaceutical name, or printing. For example, the control unit 21 changes the display color or display size of the drug information according to the correction frequency of the drug. Specifically, the control unit 21 may change the display color of the medicine from black or white to a warm color such as red or orange through a cold color such as blue or green as the correction frequency increases. . The control unit 21 may increase the display size of the medicine as the correction frequency increases. Note that the emphasis mode is not limited to the display color and the display size, and may be expressed by a change in a figure or an illustration.

  Here, FIG. 15 is a diagram showing an example of the display form of the medicine, FIG. 15 (A) shows a state where none of the medicines has the high correction frequency, and FIG. 15 (B) shows “AAA medicine”. A display example in a state where the correction frequency is relatively high is shown. Specifically, as shown in FIG. 15B, the background color of “AAA medicine” is displayed in a color (for example, red) different from the background color of other pharmaceuticals. On the other hand, as shown in FIG. 15 (B), “bbb medicine” and “EEE medicine” are displayed in bold, and although the frequency of correction is lower than “AAA medicine”, “VVV medicine” and “GGG medicine”. This indicates that the correction frequency is higher than that. As described above, the control unit 21 emphasizes the display mode or the printing mode as the correction frequency increases for each drug, so that the user is careful about the item corresponding to the drug name that is likely to be corrected. Can be urged.

  Further, in addition to the correction frequency in the corrected prescription data, the control unit 21 records the frequency for each drug name that is the target of error in the dispensing operation or the inspection operation in the medication operation, and the error frequency is It may be possible to emphasize the display mode or print mode of the item corresponding to the drug name as the price increases.

1: Dispensing management system 2: Server 20: Bus 21: Control unit 22: Data storage unit 23: Communication interface 24: Operation device 25: Display device 26: Drive device 27: Recording medium 3: Client terminal 30: Bus 31: Control Unit 32: Data storage unit 33: Communication interface 34: Operation device 35: Display device 36: Bar code reader 37: Drive device 38: Recording medium 4: Mobile terminal 40: Bus 41: Control unit 42: Data storage unit 43: Communication Interface 44: Operation device 45: Display device 46: Camera 5: Pass box 51: Storage unit 52: Bar code 6: Host system 7: Dispensing device 8: Printer

Claims (23)

When prescription data or a prescription identification code that can identify the prescription data is read from a prescription or a medicine bag , the prescription before correction is the past prescription data when the prescription data is obtained by correcting past prescription data Determining means for determining the presence or absence of at least one of the corrected prescription data, which is data or prescription data after correction of the prescription data;
Informing means for notifying the determination result by the determining means when it is determined by the determining means that at least one of the pre-correction prescription data or the corrected prescription data exists;
Dispensing management system with   When the determination means determines that the pre-correction prescription data exists, the determination result indicates that the pre-correction prescription data exists or the prescription data is corrected prescription data. The dispensing management system according to claim 1, which is notified as follows.   When the notification means determines that the corrected prescription data exists, the determination result indicates that the corrected prescription data exists or the prescription data is precorrection prescription data. The dispensing management system according to claim 1 or 2, which is notified as follows. Comprising one or more reading terminals having code reading means for reading the prescription data or the prescription identification code from the prescription or the barcode or two-dimensional code printed on the medicine bag;
When the determination means reads the prescription data or the prescription identification code by the code reading means of the reading terminal, at least one of the pre-correction prescription data or the post-correction prescription data corresponding to the prescription data The dispensing management system according to any one of claims 1 to 3, wherein presence or absence is determined. The reading terminal includes terminal display means for displaying information,
The notification means corresponds to the reading terminal that has read the prescription data or the prescription identification code when the determination means determines that at least one of the pre-correction prescription data or the post-correction prescription data exists. The dispensing management system according to claim 4, wherein the terminal display means displays the determination result of the determination means.   The reading terminal includes a dispensing room where pharmaceuticals are dispensed, an examination table where pharmaceuticals are examined, a medication window where pharmaceuticals are delivered to patients, an in-patient transportation port where pharmaceuticals are delivered to an inpatient ward, and a patient who takes medicines The dispensing management system according to claim 5, wherein the dispensing management system is disposed at any one or a plurality of locations in the hospital ward. A plurality of the reading terminals arranged in one or a plurality of the dispensing chambers;
Whether or not to stop dispensing based on the prescription data when the determining means determines that the corrected prescription data corresponding to the prescription data read by the reading terminal arranged in the dispensing chamber exists. Stop recording means capable of recording according to user operation of the reading terminal,
Based on the pre-correction prescription data by the stop recording means when the determination means determines that the pre-correction prescription data corresponding to the prescription data read by the reading terminal arranged in the dispensing chamber exists A discontinuation display means capable of displaying on the terminal display means corresponding to the reading terminal the recording result of the discontinuation of dispensing,
A dispensing management system according to claim 6.   The dispensing management system according to any one of claims 4 to 7, wherein any one or more of the reading terminals are portable terminals. Correction monitoring means for monitoring the input of the corrected prescription data to the dispensing management system;
When it is determined that the corrected prescription data has been input by the correction monitoring means, the fact that the corrected prescription data has been input is displayed on the dispensing chamber display means arranged in the dispensing chamber where the pharmaceutical is dispensed. Correction input display means;
A dispensing management system according to any one of claims 1 to 8.   The correction input display means causes the dispensing room display means to display different contents before and after a medicine dispensed based on pre-correction prescription data corresponding to the post-correction prescription data is passed to a patient or hospital ward. 9. A dispensing management system according to 9.   The correction input display means displays that the preparation is completed before the medicine dispensed based on the pre-correction prescription data corresponding to the corrected prescription data is delivered to the patient or hospital ward, The dispensation management system according to claim 10, which displays that the medication has been completed after being delivered to the patient or hospital ward.   The progress recording means which records the progress information in the medication operation | work until it dispenses a pharmaceutical based on the said prescription data and it dispenses to a patient according to the reading of the said prescription data or the said prescription identification code is provided. The dispensing management system according to any one of the above.   The dispensing management system according to claim 12, wherein the notifying unit notifies the progress information in the medication operation based on the pre-correction prescription data or the post-correction prescription data together with the determination result.   When the determining means determines that the corrected prescription data exists, the notifying means notifies information on whether or not the dispensing based on the corrected prescription data included in the progress information has been completed. The dispensing management system according to claim 13.   The dispensing management system according to any one of claims 12 to 14, wherein the progress information includes an execution date and time for each work process in the dosing work when the prescription data or the prescription identification code is read. When the prescription data or the prescription identification code is read, other department determination means for determining the presence or absence of prescription data of another medical department of the patient corresponding to the prescription data;
Other department determination display means for displaying a determination result by the other department determination means;
A dispensing management system according to any one of claims 1 to 15.   When the determination means determines that there is prescription data of another medical department of the patient by the other department determination means, at least one of the pre-correction prescription data or the post-correction prescription data for each of the prescription data The dispensing management system according to claim 16, wherein presence / absence is determined. A medicine container provided with a storage identification code capable of identifying the storage part in each of the storage parts in which medicines dispensed based on the prescription data are stored;
Collation means for collating information on a ward or a ward corresponding to the accommodation identification code read from the accommodation unit with information on the ward or ward corresponding to the prescription data or the prescription identification code read from the prescription or the medicine bag; ,
When the collation result by the collation means is inconsistent, mismatch notification means for notifying that effect,
A dispensing management system according to any one of claims 1 to 17.   The prescription data corresponding to either or both of the designated taking time and the taking group when the judging means designates either or both of taking time and a preset taking group The dispensing management system according to any one of claims 1 to 18, wherein the presence or absence of at least one of the pre-correction prescription data or the post-correction prescription data is determined for each.   The dispensing management system according to any one of claims 1 to 19, further comprising: a dose history recording unit that records, as history information, that the dose of the drug has been completed when a drug code capable of identifying a drug to be administered is read. .   21. The method according to claim 1, further comprising an emphasizing unit that emphasizes a display mode or a print mode of information on each drug included in the prescription data as the frequency at which the drug becomes a correction target in the corrected prescription data increases. The dispensing management system described in 1. By computer
When prescription data or said prescription data identifiable prescription identification code is read from the prescription or bag, the prescription data is a prescription data before the previous correction in case of a modification of the past prescription data A determination step of determining the presence or absence of at least one of pre-correction prescription data or post-correction prescription data which is prescription data after correction of the prescription data;
A notification step of notifying the determination result of the determination step when it is determined by the determination step that at least one of the pre-correction prescription data or the post-correction prescription data exists;
Dispensing management method to execute. On the computer,
When prescription data or said prescription data identifiable prescription identification code is read from the prescription or bag, the prescription data is a prescription data before the previous correction in case of a modification of the past prescription data A determination step of determining the presence or absence of at least one of pre-correction prescription data or post-correction prescription data which is prescription data after correction of the prescription data;
A notification step of notifying the determination result of the determination step when it is determined by the determination step that at least one of the pre-correction prescription data or the post-correction prescription data exists;
Dispensing management program to execute.

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