JPH03218741A - Prescription inspecting system - Google Patents

Abstract

PURPOSE:To quickly and exactly execute the prescription inspection by outputting the direction for use corresponding to prescription data of an inspection object and the past prescription data to a prescription inspection business form and offering them to the prescription inspection, and also, checking automatically the medication injury and raising an alarm. CONSTITUTION:An output processing part 9 extracts use direction data 19 corresponding to each item of prescription input data 15 and prescription history data 20 of the patient concerned from a use direction file 30 and a prescription history data file 12, edits them together with the prescription input data 15 and outputs them. All the data related to the medication injury such as the total dosed quantity by a joint diagnosis, etc., the direction for use of a medicine of an inspecting object, etc., are outputted in accordance with the input data 15, therefore, the prescription inspection can be executed exactly and quickly. On the other hand, a monitoring part 10 refers to the extracted use direction data 19 and the prescription history data 20, inspects an interaction by joint use of different kinds of regimens in a prescribed period, the external quantity in the same prescription and a feature of the patient concerned, checks whether an injurious effect caused by enforcing the prescription input data 15 exists or not, and outputs an error message 17, when it is discriminated to be injurious.

Description

[Detailed Description of the Invention] [Summary] The present invention relates to a prescription audit method, and aims to accurately and quickly perform a prescription audit, and to verify the validity of a prescription based on prescription data written and input in the prescription. This is a prescription auditing method that audits prescription data, including a usage file that stores prescription usage data, a prescription history data file that stores patient prescription history data, and usage data that corresponds to the input prescription data and the patient. an output processing unit that extracts prescription history data from the prescription history data file and the usage file, edits and outputs the prescription data together with the prescription data; Interactions due to concomitant use of prescriptions. We have installed a monitoring unit that verifies the maximum amount of the same prescription and the characteristics of the patient concerned, checks whether there are any harmful effects associated with implementing the prescription data, and outputs an error message if it is determined to be harmful. The device is configured to output usage data and prescription history data corresponding to the patient and use the same for prescription auditing, and to check whether the prescription data has harmful effects on the patient and issue an alarm.

[Industrial application field]

The present invention relates to improvements in prescription auditing methods in hospitals and the like.

[Problems to be Solved by the Prior Art and the Invention] It is said that there are approximately several dozen types of drugs that doctors prescribe based on their thorough knowledge of efficacy, dosage, drug harm to the constitution, etc.

For this reason, in cases where a patient is examined in multiple departments at a hospital with multiple medical departments and many drug autopsies departments, interactions due to the combination of prescribed drugs, etc.
It is not possible to completely avoid drug damage such as extreme overdosing and contraindications due to the patient's constitution.

Therefore, prescription audits have traditionally been performed by pharmacists and the like at the time of dispensing, but since it is done manually, there are problems such as low reliability and time consuming.

In view of the above problems, it is an object of the present invention to provide a prescription auditing method that allows prescription auditing to be performed accurately and quickly.

[Means to solve the problem]

In order to achieve the above object, the prescription auditing method of the present invention is based on prescription usage data 1, as shown in FIG.
9, a prescription history data file 12 that stores patient prescription history data 20, and usage data 1 corresponding to the input prescription input data 15.
9 and the patient's prescription history data 20 from the prescription history data file 12 and the usage file 30, and edit and output the same with the prescription input data 15;
Then, by referring to the extracted usage data 19 and prescription history data 20, verifying the interactions due to the combination of different prescriptions within a predetermined period, the maximum amount of the same prescription, and the characteristics of the patient, and calculating the prescription input data 15. A monitoring unit 10 is provided which checks whether there are any harmful effects associated with the implementation of the system and outputs an error message 17 when it is determined that there is a harmful effect.

[For production]

Prescription history data (past prescription data) for patients is filed in a prescription history data file 12, and usage data 19 for prescriptions (mainly drugs) is filed in a usage file 30.

When prescription data to be audited (prescription input data 15) is input, the output processing unit 9 stores usage data 19 corresponding to each item of this prescription input data 15 and prescription history data 20 of the patient in a usage file 30 and It is extracted from the prescription history data file l2, edited and output together with the prescription input data 15.

As a result, all data related to drug harm, such as the total prescription amount due to concurrent medical examinations, usage of pharmaceutical autopsy to be audited, etc., are output in correspondence with the prescription input data 15, so prescription audits can be performed accurately and quickly. can.

On the other hand, the monitoring unit 10 refers to the extracted usage data 19 and prescription history data 20 and determines the interaction caused by the combination of different prescriptions within a predetermined period. The quantity of the same prescription and the characteristics of the patient are verified to check whether there are any harmful effects associated with implementing the prescription input data 15 (such as taking medicine), and if it is determined to be harmful, an error message 17 is output.

In addition to the above, an image of the prescription is read by an image reading device and output together with the prescription input data 15 and the like. Thereby, erroneous input of the prescription input data 15 can be checked without comparing it with the prescription, so prescription auditing can be performed quickly.

As a result of the above, it is possible to prevent drug damage due to concurrent medical examinations in hospitals etc. that have a large number of medical departments.

〔Example〕

Embodiments of the present invention will be described in detail with reference to the drawings.

FIG. 2 is a diagram showing an example of a prescription audit form, FIG. 3 is a configuration diagram of an embodiment, FIG. 4 is a system flowchart, and FIG. 5 is a flowchart of drug damage check processing.

This embodiment shows an example in which the present invention is applied to a prescription ordering system that performs reception, prescription issuance, accounting, drug compounding, etc. online. We will also show an example in which the system has a drug damage audit function based on concurrent diagnosis, a drug damage audit function based on constitution, and a prescription image output function.

Figure 3 shows reception terminal 1. Clinical department terminal 2. This shows an example of a system in which a pharmacy terminal 4, an accounting terminal 6, an automatic dispensing/packaging machine 5, etc. are placed in a hospital and connected to a central computer 7, and processes from patient reception to accounting and drug delivery are performed online. .

In the central computer 7 in FIG. 3, 8 is a registration unit that registers the prescription input data 15 for the current day input from the clinical department terminal 2 and the prescription image data 22 obtained by reading the prescription into the transaction file 13 using the patient number as a key. At the same time, the audited prescription input data 15 is edited as prescription history data 20 corresponding to the patient number and registered in the prescription history data file 12. Reference numeral 9 denotes an output processing unit, which outputs a prescription audit form 18, which will be described later, after inputting data on the clinical department terminal 2. Reference numeral 10 denotes a monitoring unit, which checks each item of the prescription input data 15 to be audited for the presence or absence of drug damage, which will be described later, when the prescription audit form 18 is output.

Reference numeral 11 denotes a drug mask file (corresponding to the usage file 30), in which usage data 19 is registered along with drug information used for accounting processing such as drug prices, using the drug name as a key.

12 is a prescription history data file in which past audited prescription input data 15 is filed for patients.

This prescription history data 20 includes patient data such as age and gender, prescription history data 20 by department of consultation, contraindication/allergy information, and the like.

Further, 3 is an image reading device connected to the clinical department terminal 2, and the read prescription image data 22 is transmitted to the medical department terminal 2.
The data is sent to the central computer 7 via , and registered in the transaction file 13 .

Although not shown, all terminals are equipped with a display section and a printer.

The flow of work based on the above system configuration is as follows. See Figure 4 (1) When a patient visits the hospital for the first time, he or she will go to the reception desk and register for the first visit. At this time, patient data is input to the reception terminal 1, and the magnetic stripe. An embossed medical card will be issued.

(2) When the patient goes to the reception desk of the medical department with the patient's ticket, the patient's ticket is inserted into the department terminal 2. As a result, a prescription is issued and the patient is notified of the order of receipt.

In addition, in the case of a re-examination, the previous prescription data is output to the prescription.

(3) After the examination, the doctor issues a prescription. At this time, a prescription is created by erasing the changed part of the previous prescription data and adding only new prescription data.

(4) The operator at the reception desk of the clinical department has prescription input data 15
is input into the clinical department terminal 2, and the image of the prescription is read. As a result, a medicine exchange number is issued, prescription input data 15 and prescription image data 22 are transmitted together with the medicine exchange number to the central computer 7, and a medicine exchange ticket is issued and handed to the patient.

(5) After the transmitted prescription input data 15 and prescription image data 22 are registered in the transaction file 13, the output processing section 9 outputs the prescription audit form 18.

(6) A prescription audit is performed by a staff member based on this form, and if drug damage or the like is discovered, the doctor in charge or the like corrects the prescription, and the contents of the transaction file 13 are corrected.

(7) When the prescription audit form 18 for which the audit has been completed is input into the automatic dispensing and packaging machine 5, the automatic dispensing and packaging machine 5 inputs the prescription audit form l.
8 reads the OCR characters of the medicine exchange number, requests the central computer 7 to transmit the corresponding prescription input data 15, and dispenses the medicine.

(8) During this time, accounting processing is performed and the packaged medicines are handed over to the patient in exchange for a medicine voucher.

In the above series of processes, after the prescription input data 15 and the prescription image data 22 input on the clinical department terminal 2 are registered in the transaction file 13, the following form output process and check process related to the present invention are performed. be exposed.

(a) Prescription audit form output The output processing unit 9 extracts prescription input data 15 and prescription image data 22 from the transaction file 13 using the patient number as a key. Then, the usage data 19 regarding each item (drug) of the prescription input data 15 is extracted from the drug mask file 11, and the patient's prescription history data 20 is extracted from the prescription history data file 12.

From this prescription history data 20, prescription history data 20a of the relevant department, prescription history data 20b of other departments, and patient contraindication/allergy information 20c are further classified and extracted, and prescription input data 15
, along with prescription image data 22 and usage data 19,
The prescription audit form 18 shown in FIG. 2 is edited and printed out.

The prescription audit form 18 output as described above is audited by a staff member, but as shown in the figure, all the data regarding drug damage is available for patients, so the accuracy and speed of the audit is improved. In addition, these series of processes are performed based on the input prescription input data 1.
Conventionally, the prescription input data 15 output to the prescription audit form 18 and the prescription were checked to make sure there were no input errors, but in the present invention, the prescription image data 22 must be checked for input errors. Since it is output to form 18,
There is no need to take out the prescription, making checking easier.

(Example) Drug damage check Meanwhile, the monitoring unit 10 receives prescription input data from the output processing unit 9.
5. Receive the corresponding usage data 19 and prescription history data 20, and check for drug damage using the following method, for example.

■ If there is a drug for which the maximum amount (age, gender, etc.) for a predetermined period is specified in the usage data 19, the prescription history data 20b of other departments is searched for the presence or absence of a drug prescribed within the predetermined period; Check whether the total prescription amount from this time is within the maximum amount.

(2) If there is a drug whose interaction is specified in the usage data 19, it is checked whether the drug has been prescribed within a predetermined period.

■ If there is contraindication/allergy information 20c, check the presence or absence of the corresponding drug. In addition, the amount, interactions, contraindications, etc. of the currently prescribed prescription input data 15 itself are also checked.

(c) Error message If the prescription input data 15 is determined to be harmful after the above checks, the item and contents are displayed as an error message 17.

As a result, the prescription inspector pays special attention to the prescription input data 15 in question.

As described above, since the usage data 19, the prescription history data 20, and even the image of the prescription are output to the prescription audit form 18 along with the prescription input data 15, prescription audits can be performed accurately and quickly, and can be performed simultaneously in multiple clinical departments. Prevention of drug damage through medical examination is achieved.

In addition, radiation therapy. When preventing failures due to inspection,
This can be checked by comparing the exposure amount and allowable amount within a predetermined period.

〔Effect of the invention〕

As described above, the present invention provides a prescription audit method that outputs the usage and past prescription data corresponding to the prescription data to be audited into a prescription audit form for prescription audit, and also automatically checks for drug damage and issues an alarm. This has the effect of making prescription audits quick and accurate.

[Brief Description of the Drawings] Fig. 1 is a diagram of the principle of the present invention, Fig. 2 is a diagram showing an example of a prescription audit form, Fig. 3 is a configuration diagram of an embodiment, Fig. 4 is a system flowchart, and Fig. 5 is a diagram showing an example of a prescription audit form. The figure is a flowchart of chemical damage check processing. In the figure, 1 is a reception terminal, 2 is a clinical department terminal, 3 is an image reading device, 4 is a pharmacy terminal, 5 is an automatic dispensing packaging machine, 6 is an accounting terminal, 7 is a central computer, 8 is a registration department, and 9 is a output processing section,
10 is a monitoring unit, 11 is a drug mask file, 12 is a prescription history data file, 13 is a transaction file,
15 is prescription input data, 17 is error message, l8
is the prescription audit form, l9 is the usage data, 20 is the prescription history data, 20a is the prescription history data of the relevant medical department, 20b is the prescription history data of other departments, 20c is the patient's contraindication/allergy information, 22 is the prescription image data , 30 is a usage file. Figure 1 Figure 2 Figure 3 System flow chart Figure 4

Claims (1)

[Claims] 1) A prescription auditing method for auditing the validity of a prescription based on prescription input data written and input in the prescription, comprising a usage file (3) that stores prescription usage data (19).
0), a prescription history data file (12) that stores the patient's prescription history data (20), usage data (19) corresponding to the input prescription input data (15), and the patient's prescription history data ( 20) and the prescription history data file (12) and usage file (
30), an output processing unit (9) that edits and outputs the prescription input data (15), and refers to the extracted usage data and prescription history data;
We verify the interactions caused by the combination of different prescriptions within a specified period, the maximum amount of the same prescription, and the characteristics of the patient concerned, and check whether there are any adverse effects associated with the implementation of the prescription input data (15), and if it is determined that it is harmful. A monitoring unit (10) that outputs an error message (17) is provided, and usage data (19) and prescription history data (20) corresponding to the prescription input data (15) to be audited are outputted and used for prescription auditing. , a prescription audit method characterized in that the prescription input data is checked to see if there is any harmful effect on the patient, and an alarm is issued. (2) The prescription auditing method according to claim (1), wherein an image reading device is provided to read an image of the prescription and output it together with the prescription input data.