WO2014162485A1 - Medical-information management system and medical-information management method - Google Patents

Abstract

[Problem] To provide a medical-information management system and the like which make it possible to easily determine the suitability or the like of a drug combination, and to reduce the burden on a health care provider or the like. [Solution] A medical-information management system (1) for determining the suitability of combination dose information (75a) in the information for a plurality of drugs to be administered to a patient using a plurality of medical devices (70a), and when determined that the combination dose information for the multiple pieces of drug information is unsuitable, providing drug-combination-unsuitable information, and requesting the user to re-input combination dose information for the multiple pieces of drug information.

Description

Medical information management system and medical information management method

The present invention relates to a medical information management system and a medical information management method for managing medical information such as drug information used in hospitals, for example.

Conventionally, in hospitals and the like, infusion pumps and the like have been used in order to appropriately administer drugs to patients (for example, Patent Document 1).

Also, in hospitals, there are cases where a plurality of drugs are administered continuously to a patient or a plurality of drugs are administered simultaneously. In such a case, a plurality of the above-mentioned infusion pumps were prepared and arranged in the rack device, and these infusion pumps were linked via the rack device to administer the drug to the patient.

JP 2011-87678 A

However, depending on the drug, there is a case where it must not be administered in combination, and there has been a problem in that careful attention is required for the combined administration of the drug, which increases the burden on medical staff.

Therefore, an object of the present invention is to provide a medical information management system and a medical information management method that can easily determine the suitability of a combination of medicines and reduce the burden on medical staff.

In the present invention, the object is to determine the suitability of combination administration information of a plurality of pieces of drug information administered to a subject using a plurality of medical devices, and the combination administration information of the plurality of pieces of drug information is inappropriate. Is achieved by a medical information management system characterized in that the drug combination inappropriate information is provided and the user is requested to re-input combination administration information of the plurality of drug information.

According to the above configuration, using a plurality of medical devices, it is determined whether or not combination administration information of a plurality of drug information to be administered to a subject, and when the combination administration information of the plurality of drug information is inappropriate, It is the structure which provides the said drug combination inadequate information.
For this reason, when a user such as a medical worker inputs combination administration of a plurality of drugs that should not be administered in combination, drug combination inadequate information is provided to the user. It can be seen that the selection of the drug combination is inappropriate.
In addition, since the user can know that the combination of drugs entered by himself / herself is inappropriate, it is possible to prevent the user from inadvertently administering an inappropriate combination of drugs to the patient. it can. That is, the user can easily determine the suitability of the combination of medicines, and can reduce the burden on medical staff.

Moreover, in the said structure, since it becomes the structure which asks a user to re-input the combination administration information of these several chemical | medical agent information, the user can input the combination administration information of suitable chemical | medical agent information smoothly. .

Preferably, the drug combination inadequate information includes information on drugs that cannot be combined absolutely and information on drugs that cannot be combined in combination, and the user is provided with the information on drugs that cannot be combined as relative information that is not suitable for combination. However, when the combination administration information of the same plurality of pieces of drug information is re-input, the drug combination inappropriate information is not provided again.

According to the above configuration, the drug combination inadequate information includes information on drugs that cannot be combined absolutely and information on drugs that cannot be combined in combination. However, when the combination administration information of the same plurality of drug information is re-input, the drug combination inappropriate information is not provided again.
That is, the drug combination inadequate information includes “absolute combination impossible drug information” that should absolutely avoid the combination of drugs, and “relative combination” that should generally be avoided if possible. "Unavailable drug information".
The “relative combination impossible drug information” is information that allows combination administration in some cases. Therefore, when the combination administration information of a plurality of pieces of drug information input by the user is “relative combination impossible drug information”, the fact is notified to the user, and the user recognizes the fact and the same. When the combination administration information of a plurality of drug information is input, the input is permitted.
Therefore, the system is easy to use for the user.

Preferably, the plurality of medical devices are arranged in a rack unit, and the rack unit is configured to be able to communicate with a medical information management device, and the medical information management device receives combination administration information of the plurality of drug information. It is obtained from the rack unit, based on the combination administration information of the obtained plurality of drug information, the suitability is determined, and when it is inappropriate, the drug combination inappropriate information is generated. To do.

According to the configuration, the plurality of medical devices are arranged in a rack unit, and the rack unit is configured to be able to communicate with a medical information management device. The medical information management device stores combination administration information of a plurality of drug information. Based on the combination administration information of the plurality of pieces of drug information acquired from the rack unit, the suitability is determined, and if it is inappropriate, the drug combination inappropriate information is generated.
For this reason, even when a plurality of medicines are administered in combination using a plurality of medical devices and rack units, the medical information management device performs the suitability and smoothly transmits the results to the medical devices and rack units. In addition, it is possible to notify the user of inappropriate drug combination information.

In the present invention, the object is to determine the suitability of combination administration information of a plurality of pieces of drug information administered to a subject using a plurality of medical devices, and the combination administration information of the plurality of pieces of drug information is inappropriate. Is achieved by a medical information management method characterized in that the drug combination inappropriate information is provided and the user is requested to re-input combination administration information of the plurality of drug information.

As described above, according to the present invention, a medical information management system and a medical information management method that can easily determine the suitability of a combination of medicines and reduce the burden on medical staff and the like are provided. be able to.

It is the schematic which shows the "medicine combination management system" which concerns on embodiment of the "medical information management system" of this invention. It is a schematic block diagram which shows the infusion pump shown in FIG. It is a schematic block diagram which shows the rack apparatus shown in FIG. It is a schematic block diagram which shows the management server shown in FIG. FIG. 5 is a schematic block diagram illustrating contents of a “first various information storage unit” in FIG. 4. It is a schematic block diagram which shows the content of the "2nd various information storage part" of FIG. 3 is a schematic flowchart showing a main operation example of the “drug combination management system” shown in FIG. 1. 6 is another schematic flowchart showing a main operation example of the “drug combination management system” shown in FIG. 1. 6 is another schematic flowchart showing a main operation example of the “drug combination management system” shown in FIG. 1. 6 is another schematic flowchart showing a main operation example of the “drug combination management system” shown in FIG. 1.

Preferred embodiments of the present invention will be described below in detail with reference to the accompanying drawings.
The embodiments described below are preferred specific examples of the present invention, and thus various technically preferable limitations are given. However, the scope of the present invention is particularly limited in the following description. Unless otherwise stated, the present invention is not limited to these embodiments.

FIG. 1 is a schematic diagram showing a “drug combination management system 1” according to an embodiment of a “medical information management system” of the present invention.
As shown in FIG. 1, the medicine combination management system 1 includes, for example, two infusion pumps 70a and 70b which are medical devices.
These infusion pumps 70a and the like are, for example, for administering different drugs A and B to a subject, for example, a patient. That is, the infusion pump 70a and the like have a configuration in which a tube (not shown) that feeds a drug solution such as the drug A can be disposed therein, and performs operations such as pressing by pressing the tube. Thus, the flow rate of the chemical solution fed in the tube is controlled.

Further, these three infusion pumps 70a and the like have, for example, a rack device 10 which is a rack portion shown in FIG.
The rack apparatus 10 has a rack body 11 and a communication box 15 for communicating with other devices at the lower part thereof.
Further, the rack body 11 includes three mounting parts (first mounting part 12 and second mounting part) including two mounting parts for mounting two infusion pumps 70a and 70b as indicated by arrows in FIG. Part 13 and third attachment part 14).
That is, the two infusion pumps 70a and 70b in FIG. 1 are arranged in the first mounting portion 12 and the second mounting portion 13, respectively.
In the present embodiment, for convenience of explanation, a case where only two infusion pumps 70a and 70b are arranged in the first mounting portion 12 and the second mounting portion 13 will be described. However, the rack apparatus 10 shown in FIG. Has a configuration in which three infusion pumps can be arranged.

Further, as shown in FIG. 1, the medicine combination management system 1 includes, for example, a management server 30 that is a medical information management device, and the management server 30 is configured to be able to communicate with the rack device 10.

By the way, when the medicine combination management system 1 administers the medicine (medicine) sent by the two infusion pumps 70a and 70b in FIG. 1 to the same patient simultaneously or successively, for example, each infusion pump 70a. Etc. are configured to send liquids in cooperation via the rack device 10.

As shown in FIG. 1, the infusion pump 70a and the like have an infusion pump side display 71 that is a display unit that displays various information, for example, and an infusion pump side input device 72 that is an input unit that inputs various information. Also have.
Specifically, the infusion pump side input device 72 is a dial, an input button, or the like.

By the way, the rack apparatus 10 and the management server 30 such as the infusion pump 70a shown in FIG. 1 have a computer, and the computer includes a CPU (Central Processing Unit), a RAM (Random Access Memory), and a ROM (Read Only Memory). Etc., and these are connected via a bus.

FIG. 2 is a schematic block diagram showing the infusion pump 70a and the like shown in FIG.
As shown in FIG. 2, the infusion pump 70 a and the like have an “infusion pump control unit 73”. The infusion pump control unit 73 controls the “infusion pump side input device 72” and the “infusion pump side display 71” shown in FIG. 1, and communicates with the “management server 30” in FIG. Side communication device 74 ". The “infusion pump control unit 73” also controls each storage unit, determination unit (program), and the like shown in FIG. 2, and these configurations will be described later.

FIG. 3 is a schematic block diagram showing the rack apparatus 10 shown in FIG.
As illustrated in FIG. 3, the rack apparatus 10 includes a “rack control unit 16”. The “rack control unit 16” controls the “first mounting unit 12”, the “second mounting unit 13”, the “third mounting unit 14”, and the “communication box 15” shown in FIG. The “rack-side communication device 18” that performs communication with the “rack-side display 17” to be displayed and the “management server 30” in FIG. 1 is controlled. The “rack control unit 16” also controls each storage unit, processing unit (program), and the like shown in FIG. 3, and these configurations will be described later.

FIG. 4 is a schematic block diagram showing the management server 30 shown in FIG.
As illustrated in FIG. 4, the management server 30 includes a “server control unit 31”. The “server control unit 31” includes a “server-side input device 32” for inputting various information, a “server-side display 33” for displaying various information, and a “server-side communication device 34” for communicating with the rack device 10 of FIG. ”And“ first various storage units 40 ”and“ second various storage units 50 ”shown in FIG. 4 are also controlled.
5 and 6 are schematic block diagrams showing the contents of “first various information storage unit 40” and “second various information storage unit 50” in FIG. 4, respectively. These contents will be described later.

7 to 10 are schematic flowcharts showing main operation examples of the “drug combination management system 1” shown in FIG. Hereinafter, the operation and the like will be described according to the flowcharts of FIGS. 7 to 10, and the configurations and the like of FIGS. 1 to 6 will be described.

In the present embodiment, for example, a medical worker such as a nurse, who is a user, attaches the infusion pumps 70a and 70b to the rack apparatus 10 in FIG. 1, and the infusion pumps 70a and 70b control the liquid feeding, respectively. The following describes an example in which data of the medicine A and the medicine B to be inputted are input to the patient simultaneously or successively.

First, in step ST (hereinafter referred to as “ST”) 1 in FIG. 7, a nurse or the like controls the medicine A and medicine B with the infusion pumps 70 a and 70 b, respectively, and these are the same or continuous. Information for administration in cooperation is input to the infusion pump 70a.
Specifically, “medicine setting information (drug name (drug name A, etc.), other infusion pump number (for example, 70b), etc.) to be linked” is input to the infusion pump 70a etc. To do.

Next, the process proceeds to ST2. In ST2, the infusion pumps 70a and 70b associate the “medicine etc. setting information” input thereto with the infusion pump numbers (70a and 70b) of the infusion pumps 70a and 70b. As “setting information 75a”, it is stored in the “pump side medicine setting information storage section 75”.
In the present embodiment, as shown in “Pump side medicine setting information 75a” in FIG. 2, “infusion pump number 70a is registered so as to deliver medicine A and cooperate (combine) with infusion pump 70b. .
On the other hand, although not shown in the figure, the infusion pump 70b in the figure also sends the medicine B and is registered so as to cooperate with the infusion pump 70a.
In the present embodiment, as the cooperation, for example, simultaneous administration is taken as an example. Therefore, in the present embodiment, the medicine A of the infusion pump 70a and the medicine B of the infusion pump 70b are administered simultaneously to the patient.

Also, “pump side medicine setting information 75a” is an example of “combination administration information of a plurality of medicine information”.

Next, proceed to ST3. In ST3, the infusion pump 70a transmits the “pump side medicine setting information 75a” in the “pump side medicine setting information storage unit 75” of FIG. The infusion pump 70b also transmits to the rack device 10 in the same manner.

Next, the process proceeds to ST4. In ST4, the rack device 10 associates the “pump side medicine setting information 75a” received from each of the infusion pumps 70a and 70b with the rack number, for example, R001, as “rack side medicine etc. setting information 19a”. The information is stored in the rack side medicine etc. setting information storage unit 19 ”(see FIG. 3).
That is, as shown in “rack side medicine setting information 19a” in FIG. 3, the liquid feeding medicines A and B of the infusion pumps 70a and 70b related to the rack apparatus (R001) and their cooperation are stored in association with each other.

Next, proceed to ST5. In ST5, the “pump cooperation operation information presence / absence determination processing unit (program) 20” of FIG. 3 operates to determine whether or not “cooperation operation” information exists in the “rack side medicine setting information 19a”.

When it is determined in ST5 that the “rack side medicine setting information 19a” does not include “cooperation operation” information, it is determined that there is no simultaneous or continuous administration of a plurality of medicines and there is no risk due to combination administration, and ST6 Proceed to
In ST6, the rack apparatus 10 transmits the operation start information (infusion start) to the infusion pumps 70a and 70b, the infusion pumps 70a and 70b start to operate, and the infusion to the patient is started.

On the other hand, if “cooperation operation” information exists in “rack side medicine setting information 19a” in ST5, for example, if it is described in “rack side medicine etc. setting information 19a” in FIG. In ST 7, the rack device 10 transmits “rack side medicine setting information 10 a” to the management server 30.

Next, proceed to ST8. In ST8, the management server 30 stores the received “rack side medicine setting information 19a” as “server side medicine etc. setting information” in the “server side medicine etc. setting information storage unit 41” of FIG.

Next, proceed to ST9. In ST9, the “combination impossible information determination processing unit (program) 42” in FIG. 5 operates, and “server side medicine etc. setting information storage unit 41” in FIG. The “cooperative operation” information corresponding to “absolute combination impossible drug information” or “relative combination impossible drug information” is referred to as “server side drug etc. setting” with reference to “uncombinable drug information 43a” in the information storage unit 43. It is determined whether or not the information exists.

Thus, in the “uncombinable drug information 43a”, simultaneous or continuous administration that is a combination of drugs should be absolutely avoided, and the prohibited “absolute combination impossible drug information” and the combination of drugs are prohibited. There is "relative combination impossible drug information" that should generally be avoided if possible. In the present embodiment, “absolute combination impossible drug information” is, for example, drug A and drug C, and “relative combination impossible drug information” is, for example, drug A and drug B.

These “absolute combination impossible drug information” and “relative combination impossible drug information” are examples of “drug combination inadequate information”.

Next, proceed to ST10. In ST10, the “combination impossible information determination processing unit (program) 42” of FIG. 5 operates, and “absolute combination impossible drug information” or “relative combination impossible drug information” of “uncombinable drug information 43a” of FIG. It is determined whether or not the “cooperation operation” information corresponding to is present in the “server-side medicine etc. setting information”.

In ST10, when it is determined that “cooperation information” corresponding to “absolute combination impossible drug information” or “relative combination impossible drug information” does not exist in “server side drug etc. setting information”, a plurality of drugs Even if there is simultaneous or continuous administration, it is determined that there is no risk of combination administration, and the process proceeds to ST11.
In ST11, the management server 30 transmits the operation start information (infusion start) to the infusion pumps 70a and 70b via the rack device 10, and the infusion pumps 70a and 70b start to operate, and the infusion fluid is supplied to the patient. Is started.

On the other hand, if it is determined in ST10 that the “server side drug etc. setting information” includes “cooperation information” corresponding to “absolute combination impossible drug information” or “relative combination impossible drug information”, the process proceeds to ST12. move on.
In ST12, the “combination impossible information determination processing unit (program) 42” in FIG. 5 operates, and the cooperative operation information corresponding to “absolute combination impossible drug information” or “relative combination impossible drug information” is displayed as “uncombinable drug information”. The information is stored in the “unmatchable medicine corresponding information storage unit 44” as “corresponding information”.
In the present embodiment, for example, the “incompatibility drug applicable information” includes “infusion pump number (70a) of rack number (R001), drug (A), infusion pump number (70b), and“ cooperation ”of drug (B). The “operation” corresponds to “relative combination impossible drug information” and is stored in the “uncombinable drug corresponding information storage unit 44”.

Next, proceed to ST13. In ST13, the management server 30 transmits the “uncombinable drug applicable information” in the “uncombinable drug applicable information storage unit 44” to the rack device 10, in this embodiment, for example, the rack number (R001).

Next, proceed to ST14. In ST14, the rack apparatus 10 transmits the received “uncombinable drug corresponding information” to the corresponding infusion pump 70a and infusion pump 70b.

Next, the process proceeds to ST15. In ST15, the infusion pumps 70a and 70b in FIG. 1 display on the infusion pump-side display 71 or the like, for example, “cooperation operation” between the medicine A of the infusion pump number (70a) and the medicine B of the infusion pump number (70b). The combination administration is displayed as “relative combination impossible drug information”, and a re-input screen is displayed.
Therefore, a nurse or the like who has input information such as drug A to the infusion pump 70a or the like should generally avoid cooperation (combination) between drug A and drug B by the input if possible. It is possible to recognize that it is “relative combination impossible drug information”, and an opportunity to change the input is given.

Therefore, when the combination of the medicine A and the medicine B is input by mistake, it can be changed to the correct combination by re-input, and it is possible to prevent an inappropriate combination of medicines from being administered to the patient. Can do.
That is, a nurse or the like can easily determine the suitability of a combination of drugs, and can reduce the burden on the nurse or the like.
In addition, since nurses and the like are required to re-enter drug administration information, it is possible to smoothly input appropriate drug combination administration information.

Next, the process proceeds to ST16 in FIG. In ST16, it is determined on the re-input screen of the infusion pump-side display 71 etc. of the infusion pumps 70a and 70b whether or not the nurse or the like has re-entered the drug etc. setting information.
That is, the “drug etc. setting information re-input determination unit (program) 76” of FIG. 2 is operated, and the “re-input screen” displayed on the infusion pump-side display 73 etc. It is determined whether or not “the other infusion pump number of the subject” has been re-input.
In the present embodiment, it is determined that the combination of the medicine A and the medicine B once inputted is “relative combination impossible medicine information”, which is inputted by the nurse or the like as prescribed by the doctor in charge. Therefore, the nurse or the like inputs the same in the case of re-input.

If it is determined in ST16 that the input has been made again, the process proceeds to ST17. In ST17, the “medicine etc. setting information re-input determination unit (program) 76” in FIG. 2 operates, and the re-input medicine etc. setting information is set as “pump side re-input medicine etc. setting information 77a” in FIG. It is stored in the side re-input medicine etc. setting information storage section 77 ”. The infusion pump 70b is similarly processed.

Next, proceed to ST18. In ST18, the infusion pumps 70a and 70b transmit “pump-side re-input medicine setting information 77a” in the “pump-side re-input medicine setting information storage unit 77” to the rack device 10.

Next, proceed to ST19. In ST19, the rack apparatus 10 associates the “pump-side re-entry medicine setting information 77a” received from each of the infusion pumps 70a and 70b with the rack number (R001), and sets the “rack-side re-entry medicine etc. setting” of FIG. Information 21a ”is stored in the“ rack-side re-input medicine setting information storage unit 21 ”.

Next, proceed to ST20. In ST20, the rack apparatus 10 determines whether or not “cooperation operation” information exists in the “rack-side re-input medicine etc. setting information 21a”. That is, it is determined whether there is information on simultaneous or continuous administration of drugs using a plurality of infusion pumps 70a and the like.

When it is determined in ST20 that the “rack side re-entry medicine setting information 21a” does not include “cooperation operation” information corresponding to “absolute combination impossible drug information” or “relative combination impossible drug information”, The input of the medicine is changed by the re-input, and it is determined that there is no risk due to the combined administration even if there are simultaneous or continuous administration for a plurality of new re-input drugs, and the process proceeds to ST21.

In ST21, the rack apparatus 10 transmits the operation start information (infusion start) to the infusion pumps 70a and 70b, the infusion pumps 70a and 70b start to operate, and the infusion to the patient is started.

On the other hand, in ST20, if “link operation information” corresponding to “absolute combination impossible drug information” or “relative combination impossible drug information” exists in “rack-side re-entry drug etc. setting information 21a”, go to ST22. move on. In ST <b> 22, the rack device 10 transmits “rack-side re-input medicine setting information 21 a” to the management server 30.

Next, the process proceeds to ST23 in FIG. In ST23, the management server 30 sets the received “rack-side re-entry medicine etc. setting information 21a” as “server-side re-entry medicine etc. setting information” and “the server-side re-entry medicine etc. setting information storage unit 51” in FIG. To remember.

Next, proceed to ST24. In ST24, the “medicine etc. setting information identity determination unit (program) 52” of the management server 30 of FIG. 6 operates, and the “server side reentry medicine etc. setting information storage unit 51” “server side reentry medicine etc. setting” The “information” is compared with “server-side medicine setting information” in the “server-side medicine setting information storage unit 41” in FIG.

Next, the process proceeds to ST25. In ST25, the “medicine etc. setting information identity determination unit (program) 52” of FIG. 6 operates to judge whether “server side re-entry medicine etc. setting information” is the same as “server side medicine etc. setting information”. Is done.
That is, whether or not a user such as a nurse has changed information such as a medicine setting (information on a medicine to be delivered and other linked infusion pump 80b etc.) on the re-input screen of the infusion pump 70a or the like. to decide.

If it is determined in ST25 that “server-side re-entry medicine setting information” is not the same as “server-side medicine etc. setting information”, it is determined that the input content has been changed and the process proceeds to ST26.
In ST26, the management server 30 sets “server-side re-entry medicine setting information storage unit 51” “server-side re-entry medicine etc. setting information” and “combination impossible drug information storage unit 43” “combination impossible” in FIG. With reference to “drug information 43a”, it is determined whether or not “cooperative operation” information corresponding to “absolute combination drug information” or “relative drug combination information” exists.

Then, the same process as ST10 and the subsequent steps in FIG. 8 is executed. Since these contents are duplicated, description thereof is omitted.

On the other hand, if it is determined in ST25 that “server side re-entry medicine setting information” is the same as “server side medicine etc. setting information”, the process proceeds to ST27.
That is, in this case, a user such as a nurse does not change the input information on the re-input screen.
In this embodiment, the content is not changed even on the re-input screen.

In ST27, the “absolute combination impossible drug information determination unit (program) 53” of FIG. 6 operates, and whether or not the “server side re-entry drug setting information” corresponds to “absolute combination impossible drug information”. Judging.
That is, as in the present embodiment, the fact that the re-input information such as the nurse is not changed means that the doctor who dares to execute the combination (cooperation) with the medicine A and the medicine B It is determined whether the information corresponds to “absolute combination impossible drug information” for which simultaneous or continuous administration, which is a combination of drugs, should be avoided absolutely.

In ST27, if the “server-side re-input drug etc. setting information” corresponds to “absolute combination impossible drug information”, it is determined that the cooperation of the drugs is dangerous, and the process proceeds to ST28.
In ST28, the “server-side re-input medicine etc. setting information” is stored in the “uncombinable drug applicable information storage unit 44” as “uncombinable drug applicable information” in FIG.
Thereafter, the processes after ST13 in FIG. 8 are executed, and re-input of drug information or the like is prompted to the infusion pump-side display 71 such as the infusion pump 70a.
Therefore, it is possible to prevent the execution of cooperation of medicines corresponding to “absolute combination impossible medicine information”.

On the other hand, if the “server-side re-entry drug setting information” does not correspond to “absolute combination impossible drug information” in ST27, it should be avoided if a combination of drugs is generally possible. It is determined that the information is “uncombinable drug information”, and re-entry proceeds to ST29 because there is a special reason.
In ST28, the management server 30 transmits the operation start information (infusion start) to the infusion pumps 70a and 70b via the rack device 10, and the infusion pumps 70a and 70b start to operate, and the infusion fluid to the patient. Is started.

As described above, in the present embodiment, the “relative combination impossible drug information” is information in which combination administration is permitted in some cases, and therefore, the same information is input by re-input. In the case of “combinable drug information that cannot be combined”, in consideration of the convenience of use by nurses and the like, it is configured to permit the delivery of medicine as input.

By the way, the present invention is not limited to the above-described embodiment. In the present embodiment, the infusion pump 70a and the like have been described as an example of the medical device, but the present invention is not limited to this, and can be suitably applied to other medical devices such as a syringe pump.
Further, in the present embodiment, whether or not it corresponds to “uncombinable drug information 43a” or the like is executed by the management server 30 via the rack device 10, but the present invention is not limited to this and is not limited to this. Such a determination may be made by the pump 70a, the rack device 10, or the like.
In the present embodiment, the editing of “uncombinable drug information 43a” in the “uncombinable drug information storage unit 43” is not referred to deeply. A nurse or the like will create a database manually. However, the present invention is not limited to this. For example, drug information that cannot be combined from the “Nichi medicine combination contraindication database” provided by the Japan Medical Association may be incorporated into the “non-combination drug information storage unit 43” and converted into a database. Furthermore, the database may be edited for each hospital. In other words, the editing of the “uncombinable drug information 43a” in the “uncombinable drug information storage unit 43” is not limited to manual input by a nurse or the like, but the “uncombinable drug information 43a” is acquired by communication with the outside. Is possible.

DESCRIPTION OF SYMBOLS 1 ... Drug combination management system, 10 ... Rack apparatus, 11 ... Rack main body, 12 ... 1st mounting part, 13 ... 2nd mounting part, 14 ... 3rd mounting part, DESCRIPTION OF SYMBOLS 15 ... Communication box, 16 ... Rack control part, 17 ... Rack side display, 18 ... Rack side communication apparatus, 19 ... Rack side chemical | medical agent setting information storage part, 19a ... Rack Side drug etc. setting information, 20... Pump cooperation operation information presence / absence judgment processing unit (program), 21... Rack side re-input medicine etc. setting information storage unit, 21 a. DESCRIPTION OF SYMBOLS 30 ... Management server, 31 ... Server control part, 32 ... Server side input device, 33 ... Server side display, 34 ... Server side communication apparatus, 40 ... 1st various memory | storage part , 41... Server side medicine setting information Memory unit 42... Combination impossible information determination processing unit (program) 43... Combination impossible drug information storage unit 43 a... Combination impossible drug information 44. ... 2nd various information storage part, 51 ... Server side re-entry medicine etc. setting information storage part, 52 ... Medicine etc. setting information identity judgment part (program), 53 ... Absolute combination impossible medicine Information judging unit (program), 70a, 70b ... infusion pump, 71 ... infusion pump side display, 72 ... infusion pump side input device, 73 ... infusion pump control unit, 74 ... infusion pump Side communication device, 75... Pump side medicine setting information storage section, 75 a... Pump side medicine setting information, 76... Medicine setting information re-input determination section (program), 77. Re-entry drug Setting information storage unit, 77a · · · pump side reenter agents such setting information

Claims (4)

Using a plurality of medical devices, the suitability of combination administration information of a plurality of drug information to be administered to a subject is judged, and when the combination administration information of the plurality of drug information is inappropriate, the drug combination inappropriate information is A medical information management system, characterized in that the system is configured to prompt a user to re-input combination administration information of the plurality of pieces of drug information. The drug combination inadequate information includes absolute combination impossible drug information and relative combination impossible drug information,
When the user re-enters combination administration information of the same plurality of pieces of drug information after providing the relative combination impossible drug information to the user as the drug combination inappropriate information, the drug combination inappropriate information again. The medical information management system according to claim 1, wherein the medical information management system is configured to provide no information. The plurality of medical devices are arranged in a rack part, and the rack part is configured to be communicable with a medical information management device,
The medical information management device acquires combination administration information of the plurality of pieces of drug information from the rack unit, determines suitability based on the acquired combination administration information of the plurality of pieces of drug information, and when it is inappropriate The medical information management system according to claim 1, wherein the medical combination inappropriate information is generated. Using a plurality of medical devices, the suitability of combination administration information of a plurality of drug information to be administered to a subject is judged, and when the combination administration information of the plurality of drug information is inappropriate, the drug combination inappropriate information is A medical information management method, characterized in that it is configured to prompt a user to re-input combination administration information of the plurality of pieces of drug information.

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