JPH069602B2 - Prescription dispensing manual work guidance system - Google Patents

Description

Description: [Industrial field of use] The present invention relates to a manual work guidance system for prescription preparations.

[Prior Art] In general, a hospital pharmacy accepts a large number of prescriptions issued by doctors of each clinical department, and according to their contents,
We perform necessary dispensing work and various other work.

In addition, in recent years, with the advancement of medical treatment, specialized subdivision, and diversification of drugs, the absolute amount of dispensing work that must be processed at hospital pharmacies tends to increase, while
Since it is desired to shorten the waiting time for patients, as a means to efficiently perform the necessary dispensing work, a tablet dispensing machine that dispenses tablets one by one and a powdered medicine
A powdered medicine packaging machine for packaging individual doses and various other dispensing devices have been developed and put into practical use.

By the way, in order to operate these dispensing devices, it is not possible to apply the content of the prescription to the dispensing device as it is, depending on the type of drug that each dispensing device can handle, and even when using the same dispensing device, Different operating information must be applied depending on the characteristics of the drug and various conditions.

That is, in the prescription, for example, 8 tablets per day,
At 4 minutes, 3 tablets per day, 3 tablets per day, 3 tablets per day, 2 tablets per day, 1 tablet daily, daily dose of powder D mg mg, 3 minutes per day, and powder E daily. Consider, as an example, the case where the dose was prescribed to be taken by the patient in the amount of 3 mg / min.

However, tablets A and B can be separately packaged in one package, tablet C must be packaged separately from tablets A and B, and powder D, E can be packaged in one package with each other, but when they are mixed into a dividing mass prior to packaging and mixed and applied to a vibrating feeder, they separate from each other and are not evenly divided. It shall have the condition that there is.

In this case, the tablets A, B, and C can be packaged by an appropriate tablet packaging machine, and the first, second, and third doses of the tablets A, B, and C can be performed in the first, second, and third doses, respectively.
2 tablets and 1 tablet B were packaged together into 1 package, and the 4th time, only 2 tablets A were packaged, and 1 package was prepared in each package.
While letters such as "morning", "daytime", "evening", and "sleep" are printed in order from the second time, aside from this, two tablets of each tablet C are packaged, and "daytime" is put in each packet. The tablet packing machine must be instructed with operating information that requires printing of characters such as "."

Further, the powdered medicines D and E can be packaged by an appropriate powdered medicine packaging machine. First, the powdered medicine D is daily mgm × the number of days, and the powdered medicine E is daily dose n.
Prepare mg x a few minutes, and when putting this into a dividing mass prior to packaging, divide each by a vibrating feeder separately and divide each into 1 batch, and package both into 1 package. It is necessary to instruct the powder-dispensing and packaging machine with operating information that letters such as "morning", "daytime", and "evening" should be sequentially printed on each of these packages.

Therefore, conventionally, a worker of a hospital pharmacy looks at a prescription received from a doctor, selects a prescription that can be executed by, for example, a tablet packing machine or a prescription that can be executed by a powder medicine packing machine from the prescriptions, and prescribes those prescriptions. The contents are subjected to processing necessary for execution on a tablet packaging machine to create operation information for the tablet packaging machine, or the processing required for execution on a powder medicine packaging machine to create operation information for the powder packaging machine. Moreover, these operation information are applied to the tablet packaging machine or the powdered medicine packaging machine to execute the necessary packaging work.

That is, conventionally, the operator obtains the data of the dispensing unit necessary to operate the dispensing device such as the tablet dispensing machine or the powder dispensing machine from the content of the prescription written in the prescription unit (RP unit). The prescription data (data for each prescription unit) is subjected to necessary processing to create dispensing data (data for each dispensing unit), and the dispensing data is instructed to execute the required dispensing operation.

On the other hand, when the dispensing operation by the dispensing device is not partially automated, the operator manually processes the portion.

[Problems to be Solved by the Invention] However, a drug to be dispensed by a dispensing device is not dispensed according to a prescription unit indicated on a prescription, but the type of the dispensing device, the characteristics of the drug, and the dispensing data are displayed. Since the preparation unit is prepared according to an arbitrarily selected preparation unit from among a number of preparation units that can be considered depending on various conditions such as the individual manner of making the worker, the worker must manually process it. The work that must be done
It varies depending on the type of dispensing device, the characteristics of the drug, etc.Therefore, the worker must first elucidate in what dispensing unit the drug is dispensed and then perform the necessary manual work. Therefore, there is a problem that it takes time to perform the manual work, which easily leads to making the patient wait.

The present invention solves the above-mentioned problems of the conventional ones, and even when a drug is dispensed according to any dispensing unit considered from the prescription unit shown in the prescription, the manual work required for the dispensing is required. If so, the operator can be informed in advance of the contents without waiting for execution of drug dispensing work by the dispensing device, and manual work can be performed in advance, whereby the waiting time of the patient can be shortened as much as possible. It is intended to provide a manual work guidance system for prescription dispensing.

[Means for Solving the Problems] In order to achieve the above object, the present invention provides a dispensing device, an operating means for generating dispensing data based on a prescription, and instructing the dispensing data to the dispensing device. When the necessity of work is included, it is provided with a guide means for showing the contents of the manual work without waiting for the execution order of the dispensing data by the dispensing device.

[Advantages] By adopting the above means, the present invention provides the operator with the contents of manual work required for dispensing without waiting for the execution order of the drug dispensing work by the dispensing device. You can be informed so that the necessary manual work can be done in advance.

[Embodiment] An embodiment of the present invention shown in the drawings will be described below.

FIG. 1 shows an embodiment of the present invention. 1, 1, ... Are prescriptions issued by a doctor, 2 is input means for generating prescription data from the contents of each prescription 1, 3 is a dispensing device, 4 is a dispensing device. Three
When the dispensing data of the dispensing device 3 includes the need for manual work, the operating means 5 for converting and instructing the prescription data executable by the dispensing data of the dispensing device 3 indicates the dispensing data by the dispensing device 3. It is a guiding means that shows the contents of the manual work without waiting for the arrival of the execution order of.

The input means 2 is a keyboard or other input device 6 suitable for the operator to input the contents while looking at each prescription 1.
And a display device 7 such as a CRT or LCD and a CPU
It has another control device 8 and a storage device 9 such as a ROM and a RAM.

Then, when the contents written in the prescription unit (RP unit) for a large number of prescriptions 1, 1, ... Are input as they are by the input device 6, the input device 2 causes the control device 8 to The prescription data stored in the storage device 9 is generated by generating prescription data (data of a prescription unit) whose contents are not substantially changed, and the prescription data stored in the storage device 9 is stored in an appropriate communication means. The operating means 4, the generating means 5 and other necessary devices are utilized via the.

The dispensing device 3 is a tablet dispensing machine adapted to dispense a tablet for each dose, or a powder dispensing dispenser adapted to dispense a powder for each dose, and other appropriate dispensing machine device. It is a kind.

The operating means 4 is provided in combination with the dispensing device 3, and has a keyboard or other input device 1 having necessary keys such as a correction key that can be operated by an operator as needed.
0, CRT or LCD or other display device 11, C
It includes a PU or other control device 12 and a ROM, RAM or other storage device 13.

Then, when the prescription data stored in the storage device 9 of the input means 2 includes the prescription data that can be executed by the combined dispensing device 3, the operating means 4 stores the prescription data that can be executed in the storage device. 9, the control device 12 converts the prescription data into predetermined dispensing data according to the condition of the medicine peculiar to the dispensing device 3 and handled, and stores it in the storage device 13. When the execution order of the dispensing data comes, the dispensing device 3 is instructed to use it as operation information, and the dispensing device 3
Is operated according to the dispensing data.

That is, the prescription data generated by the input means 2 based on the content of the prescription 1 and stored in the storage device 9 is, for example, "tablet A is 8 tablets / day, 4 minutes, and tablet B is 3 times / day.
Tablets, 3 minutes, 2 tablets C daily, once a day, powder D mg mg daily, 3 minutes daily, powder E daily doses nmg, 3 minutes daily, to patients, respectively. Take it. , The operating means 4 (4a) combined with the dispensing device 3 (for example, the tablet packaging machine 3a) fetches the prescription data for the tablets A, B, C from the prescription data,
On the other hand, the operating means 4 (4b) combined with the dispensing device 3 (for example, the powdered medicine packaging machine 3b) fetches the prescription data for the powdered medicines D and E from the prescription data.

Then, the operating means 4a stores the prescription data of the tablets A, B, C in the drug condition registered in advance in the storage device 13 (for example, "tablets A, B can be packaged in one package each other"). And "the tablet C must be packaged separately from the tablets A and B." and the like), and these conditions are satisfied. , "Of the four times a day, the 1st, 2nd, and 3rd tablets were each packaged with 2 tablets A1 tablet and 1 tablet B, and the 4th tablet was packaged with only 2 tablets A,
In each of these packages, "morning", "daytime",
While printing characters such as "Evening" and "Sleep", separately from this, each tablet C is packaged in 2 capsules, and "Day" is placed in each package.
Print characters such as. Is stored in the storage device 13.

Further, the actuating means 4b stores the prescription data of the powdered medicines D and E in the medicine condition registered in advance in the storage device 13 (for example, “the powdered medicines D and E can be packaged in one package with each other, Prior to packaging, when they are put into a divided mass, if they are mixed and applied to a vibrating feeder, they will separate from each other and will not be evenly divided. " To satisfy, "Preparing powder D in daily dose mgm x days and powder E in daily doses nmg x days, and when loading them into divided masses prior to packaging, both should be vibrated separately. After dividing into 1 batch for each batch, both are packaged into 1 package for each batch, and characters such as "morning", "daytime", "evening" are sequentially printed on each of these packages. Is stored in the storage device 13.

Then, the dispensing data stored in the storage device 13 of the actuating means 4a and the dispensing data stored in the storage device 13 of the operating means 4b are respectively guided by the appropriate communication means and other necessary devices. It is designed to be used for other purposes.

The guide means 5 is provided in combination with the dispensing device 3, and is a keyboard or other input device 1 having necessary keys such as a correction key that can be operated by an operator as necessary.
4, CRT or LCD or other display device 15, C
It has a PU or other control device 16 and a ROM, RAM or other storage device 17.

The guiding means 5 is then combined with the dispensing device 3
(Paper dispensing machine 3a, powdered medicine packaging machine 3b) corresponding to the operation means 4 (4a, 4b) stored in the storage device 13 of the storage device 13, the dispensing data requiring manual work is called and fetched and controlled. The device 16 does not wait for the execution order of the dispensing data by the dispensing device 3 (tablet dispensing machine 3a, powder dispensing machine 3b) to arrive, so that the operator can easily understand the manual work required to execute the dispensing data in advance. The content is converted into a predetermined content (dispensing unit) and then displayed on the display device 15.

That is, in the dispensing data stored in the storage device 13 of the actuating means 4a, "the first, second, and third doses of the four doses a day, the tablets A2 tablets and the tablet B1 tablets are collectively included in one package. In the 4th package, only 4 tablets A were packaged.
In each of these packages, "morning", "daytime",
While printing characters such as "Evening" and "Sleep", separately from this, each tablet C is packaged in 2 capsules, and "Day" is placed in each package.
Print characters such as. Dispensing data having the content "." Of these, for example, tablets A and B are stored in the tablet feeder, but tablet C is stored in the tablet feeder because it is too soft to be stored in the tablet feeder. In such a case, the guiding means 5a requires the necessary manual work of "sprinkle two tablets C for two days each on a sprinkling device having a large number of compartments for accommodating the medicine once". Is displayed on the display device 15.

In addition, in the dispensing data stored in the storage device 13 of the operating means 4b, "Powder D is prepared in a daily dose of mg mg x days, and Powder E is prepared in a daily dose of nmg x days, and is packaged. Prior to the above, when they were put into the divided mass, they were separately placed on a vibrating feeder and divided into single doses, and then both were packaged into a single package and the "morning" was added to each package.
Print characters such as “day”, “evening”, and “sleep”. If there is dispensing data of the content, and, for example, among these, for example, when the injection into divided masses is not automated, the guiding means 5b causes the powdered drug D to be 1 mg of the daily dose of mg mg × the number of days of the powdered drug E.
Prepare the daily dose of nmg × the number of days, put them separately on a vibrating feeder, and put them in a divided mass divided into three times the number of days. The content of the necessary manual work "" is displayed on the display device 15.

Further, the guiding means 5a, 5b not only display the contents of the manual work required to execute the dispensing data from the operating means 4a, 4b, but also prescribe a certain patient stored in the storage device 9 of the input means 2. In the data, dispensing device 3 (tablet packing machine 3
a. If there is prescription data that is not suitable for execution together with the prescription data that can be executed by the powder medicine packaging machine 3b), the prescription data that is not suitable for execution is called from the storage device 9 and loaded.
The control device 16 converts the prescription data that is inappropriate for execution into a predetermined content (dispensing unit) so as to be easily understood by the operator, and is necessary for executing the dispensation work based on the prescription data that can be executed by the patient. The contents of the manual work are displayed on the display device 15.

Next, the operation of the above will be described.

First, on the prescription 1, 8 tablets A daily, 4 times daily, 3 tablets B daily, 3 times daily, 3 tablets C daily, 2 daily tablets, 1 day daily, 1 powder D daily. Daily dose of mg mg, 3 minutes, and powder E of 1
When the daily dose of nmg and the dose of 3 are prescribed for each patient, when the content written in the prescription unit (RP unit) is directly input to the input means 2 by the input device 6, Based on the above, the control device 8 does not substantially change the content of the prescription data (prescription unit data).
Is generated and the prescription data is stored in the storage device 9.

Then, the operating means 4 combined with the tablet packaging machine 3a
a captures the prescription data for tablets A, B, and C from the prescription data, and stores the prescription data in the drug condition registered in advance in the storage device 13 (for example,
The condition that "tablets A and B can be packaged in one package each other", and "tablet C must be packaged separately from tablets A and B. And other conditions), so as to satisfy these conditions, "the first, second, and third doses of four times a day are each packed with two tablets A and one tablet B each in one packet. Then, for the 4th time, after packing only 2 tablets A,
Characters such as "morning,""daytime,""evening," and "sleep" are printed in order from the first time, and separately from this, two tablets of each tablet C are packaged, and " Print characters such as "daytime". "
It is converted into the dispensing data having the above content and stored in the storage device 13.

In addition, the guide means 5a combined with the tablet packaging machine 3a
Are stored in the storage device 13 of the operating means 4a.
"Tablet A2 for the 1st, 2nd, and 3rd doses of 4 doses a day
Tablets and 1 tablet B were packaged in a single package, and only 4 tablets A were packaged for the 4th time, and in each of these packages, "morning", "daytime", and "evening" were sequentially taken from the first time. While printing characters such as "," and "sleeping", the tablets C are separately packaged into two tablets each, and characters such as "day" are printed on each packet. For example, the tablets A and B are stored in the tablet feeder, but the tablet C is not stored in the tablet feeder because it is too soft to be stored in the tablet feeder. In this case, on the display device 15, the content of the necessary manual work of “sprinkle two tablets C each for two days on a hand-spreading device equipped with a large number of compartments each containing a drug once” is displayed. indicate.

Therefore, the worker sees the contents displayed on the display device 15 of the guiding means 5a, and says, "The tablet C is placed in a hand-spreading device having a large number of compartments for accommodating the medicine one time at a time.
Squeeze each tablet for a few minutes a day. It is possible to perform the necessary manual work in advance without waiting for the execution order of the dispensing data by the tablet packaging machine 3a including the same.

As a result, when the execution order of the dispensing data comes, and when the operating means 4a instructs the tablet packaging machine 3a to use the dispensing data as the operation information, the tablet packaging machine 3a.
Immediately, the first, second, and third doses of the tablet A2 tablets and the tablet B1 tablet were packaged in a single package for the first four times a day, and only the tablet A2 tablets were packaged for the fourth time. In each of these packages, from the first time, "morning", "daytime", "evening",
While printing characters such as "sleeping", separately from this, the tablets C that have been hand-sown in advance on a hand-sending device are packaged in 2 packs each, and the characters such as "day" are packed in each packet. Will be printed.

On the other hand, the operating means 4b combined with the powder medicine packaging machine 3b
Reads the prescription data for powdered medicines D and E from the prescription data stored in the storage device 9, and stores the prescription data in the drug condition registered in advance in the storage device 13 (for example, “Powdered medicines D and E are Although they can be packaged in one package, if they are mixed and applied to a vibrating feeder when they are put into a divided mass prior to packaging, they are separated from each other and are not evenly divided. Conditions, etc.), and to satisfy this condition, prepare “Powdered drug D for daily dose mmg × days and powdered drug E for daily dose nmg × days” and When putting them in the divided mass, both are separately placed on the vibrating feeder and divided into each dose, and both are packaged into one package at a time, and the "morning" and "daytime" are added to each of these packages. , Characters such as "Evening" are printed in order. It is converted into the dispensing data having the above content and stored in the storage device 13.

In addition, the guide means 5b combined with the powder medicine packaging machine 3b
Is stored in the storage device 13 of the operating means 4b,
"Powder D for daily dose mgmg x minutes, powder E for daily dose nmg
× Prepare for the number of days, and when putting this into a dividing mass prior to packaging, divide both by separately into a vibrating feeder and divide each into one, and package both into one package at a time, Characters such as "morning", "daytime", and "evening" are sequentially printed on each of these packages. For example, when dispensing into divided masses is not automated in the dispensing data having the content of “,” “Powder D is daily dose mgmg × number of days and powder E”
The daily dose of nmg × the number of days is prepared, and both are separately placed on a vibrating feeder and put into a divided mass divided into three times the number of days. The content of the required manual work "" is displayed on the display device 15.

Therefore, the worker sees the content displayed on the display device 15 of the guide means 5b and determines that "the dose D of powder is mmg per day.
X days and powder E for daily dose nmg x days are prepared, and both are separately placed on a vibrating feeder and put into a divided mass divided into three times the number of days. The necessary manual work "" can be performed in advance without waiting for the execution order of the dispensing data by the powder medicine packaging machine 3b including the arrival.

As a result, when the execution order of the dispensing data comes, and the actuating means 4b thereby instructs the dispensing data 3b as the dispensing data as the operating information, the dispensing powder dispensing machine 3b.
Immediately, the powdered medicine D and the powdered medicine E, which have been previously divided into the divided masses, are packaged one by one into one package, and in each of these packages, "morning", "daytime", and "evening" Characters such as “” will be printed in order.

In the above-mentioned embodiment, the input device 2 includes the input device 6, the display device 7, the control device 8 and the storage device 9 as an example, but the input device 2 is not limited to this. , Instead of a keyboard suitable for the operator to enter the contents while looking at each prescription 1,
An appropriate optical character reading scanner such as R may be used, and, for example, instead of the doctor creating the prescription 1, the doctor or his assistant uses the input means 2 to display the prescription content. Data may be directly input, and in that case, a prescription based on the prescription data can be printed out by using an appropriate prescription printer or the like, if necessary.

Further, in the above embodiment, the tablet dispensing machine 3a and the powder dispensing machine 3b are illustrated as the dispensing device 3, but the dispensing machine 3 is not limited to this, and for example, an appropriate liquid dispensing machine or a tablet dispensing machine and a powder dispensing machine. A tablet powder dispensing and packaging machine in combination with a packaging machine and other appropriate dispensing machine devices can be used.

In the above embodiment, the input device 1 is used as the operating means 4.
0, the display device 11, the control device 12, and the storage device 13 are exemplified, but the invention is not limited to this.
Further, in the above embodiment, the dispensing data stored in the storage device 13 of the operating means 4a and the dispensing data stored in the storage device 13 of the operating means 4b are respectively guided by the appropriate communication means. 5 It is designed to be used for other necessary equipment, but it is not limited to this.
For example, instead of the data to be dispensed, the dispensed data may be provided for the use of appropriate devices.

Furthermore, in the above-mentioned embodiment, as the guide means 5, the input device 14, the display device 15, the control device 16 and the storage device 17 are provided.
However, the present invention is not limited to this, and the guiding means 5 (5a, 5b) is the dispensing device 3
It may be integrally provided in each of the tablet packing machine 3a and the powdered medicine packing machine 3b.

Further, in the above-mentioned embodiment, the operating means 4 and the guiding means 5 are configured separately, but the invention is not limited to this. For example, the function of the operating means 4 can be obtained by operating an appropriate switching key or the like. , The function as the guide means 5,
It may be switched, and in the above embodiment,
Actuating means 4 (4a, 4b) and guiding means 5 (5a, 5)
Although b) is provided corresponding to each of the dispensing device 3 (tablet dispensing machine 3a, powdered medicine dispensing machine 3b), it is not limited to this. For example, the operating means 4 includes the tablet dispensing machine 3a and the tablet dispensing machine 3a. It may be common to the powder medicine packaging machine 3b,
Others It is needless to say that the present invention can be variously changed and modified in the above embodiment.

[Effects of the Invention] Since the present invention is configured as described above, the manual work required for dispensing can be performed even when the drug is dispensed according to any dispensing unit that can be considered from the prescription unit indicated in the prescription. If so, the contents can be notified to the worker in advance without waiting for the execution of the drug dispensing work by the dispensing device, so that the necessary manual work can be performed in advance, thereby waiting time of the patient. It has an excellent effect such that the length can be made as short as possible.

[Brief description of drawings]

 FIG. 1 is a block diagram showing an embodiment of the present invention. 1 ... prescription, 2 ... input means 3 ... dispensing device, 3a ... tablet packaging machine 3b ... powder packaging machine 4,4a, 4b ... operating means 5,5a, 5b ... guidance means 6 ... input Device, 7 ... Display device 8 ... Control device, 9 ... Storage device 10 ... Input device, 11 ... Display device 12 ... Control device, 13 ... Storage device 14 ... Input device, 15 ... Display Device 16 ... Control device, 17 ... Storage device

Claims (1)

[Claims] 1. A dispensing device, and operating means for generating dispensing data based on a prescription and instructing the dispensing data to the dispensing device.
When the dispensing data includes the need for manual work,
A manual work guide system for prescription dispensing, comprising guide means for indicating the contents of the manual work without waiting for the execution order of the dispensing data by the dispensing device.