JPH08255201A - Drug administration audit check system - Google Patents

Abstract

(57) [Summary] [Purpose] To provide a drug administration inspection check system that can determine and output whether or not the monitoring information has been confirmed by a doctor at the time of inspection check. [Structure] An audit information database 2 that stores audit information for each drug or a combination of drugs, a patient drug history database 4 that records a drug history for each patient, and audit information included in the audit information database 2 for each patient. It has a confirmation information database 12 that stores confirmation information including whether or not relevant audit information is confirmed, and an audit information display control unit 14 that controls the display of the audit information based on the confirmation information included in the confirmation information database 12. When the monitoring information is displayed by the audit check on the medicine for which the doctor has instructed the medication, the monitoring information set as confirmed by the doctor is not displayed on the terminal device 6.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a drug administration audit check system, and more particularly to a drug administration audit check system capable of efficiently performing drug drug audit check.

[0002]

2. Description of the Related Art When administering a drug to a patient in a medical institution such as a hospital, a doctor first examines each patient and prepares a prescription. The prescription describes a drug that is considered to be optimal for the patient and a medication instruction such as usage of each drug, and the drug is prepared and administered to the patient according to the medication instruction in the pharmacy.

However, when a plurality of drugs are administered to a patient at one time, it is necessary to consider the interaction due to the combination of these drugs. In other words, it is necessary to consider the dose limitation when taking these drugs in combination or the phytotoxicity due to the combination of these drugs. Further, depending on the patient's constitution such as allergy or the type of diabetic disease, some drugs may not be allowed or may be undesirably administered even if they are one kind of drug.

Therefore, the doctor or pharmacy comprehensively judges the efficacy of each drug, the interaction due to the drug combination, the characteristics of each patient, etc., and checks the drug or drug combination that may be administered for each patient. Therefore, an audit check is performed in advance to eliminate audit errors.

FIG. 5 is a conventional system configuration diagram for performing such an audit check. The conventional system has, as a database, an audit information database 2 that stores audit information for each drug or a combination of drugs and a patient drug history database 4 that records a drug history for each patient. Further, the doctor operates the terminal device 6 to search the databases 2 and 4 based on the input of the medication instruction written on the prescription issued,
It has an audit information display unit 10 for outputting corresponding audit information to the terminal device 6 or the printer 8.

FIG. 6 is a diagram showing the format of the contents of the monitoring information stored in the audit information database 2. In FIG. 6 (a), the daily dose limit for each drug and the limit dose data for one dose are shown in FIG. 6 (b), and the drug damage and usage of the combination of the drugs (A) and (B) are shown in FIG. Interaction data relating to information such as guidance is shown in FIG. 6C, and annotation data relating to the relationship between each drug and a disease is shown. For example, combination data including textual information such as "halve the dose of drug (A)" is stored for drugs (A) and (B), and a drug has a pyrinic allergy, glaucoma or diabetes. The note data for performing a so-called contraindication check of prohibiting administration to a patient is stored.

The conventional operation will be described below.

[0008] The doctor diagnoses the patient and inputs a prescription, that is, a medication instruction according to the symptom or the like from the terminal device 6. At this time, the audit information display unit 10 refers to the audit information database 2 and the patient medication history database 4 based on the drug and patient for which the medication instruction is given, and performs an audit check on the applicable drug or a combination thereof. If there is no audit information on the drug, the prescription will be sent to the pharmacy. Here, if there is the corresponding audit information, the audit information display unit 10 displays the content on the terminal device 6 operated by the doctor. After checking the displayed audit information, the doctor
Keep the current medication instructions, adjust the dose,
Or change the drug to be administered.

[0009] In the pharmacy, the medicine is prepared according to the medication instruction written on the prescription by the doctor. At this time, the inspection check is performed from the terminal device 6 in the pharmacy. As described above, usually, not only the doctor but also the pharmacy conducts double audit checks to make sure that no dangerous drug or a combination thereof is administered to the patient.

[0010]

However, in the past, even if the audit information has already been referred and confirmed by a doctor or the like, the corresponding monitoring information is uniformly displayed every time the audit information database is referred to. . In other words, for recurrent patients, the same prescription is used to administer the same drug as the previous time unless there is no problem with the previous drug, but in such a case, the confirmed monitoring information is not displayed. Even if it is almost unnecessary, when the confirmed monitoring information is displayed every time, the audit information must be confirmed every time, so it is not possible to quickly issue a prescription, which is related to medical treatment. It will take extra time for the work that is not done.

Further, since the monitoring information which has already been referred to and confirmed is displayed every time, there is a possibility that new or useful monitoring information may be overlooked.

The present invention has been made to solve the above problems, and an object thereof is to determine whether or not the monitoring information has been confirmed by a doctor or the like at the time of an audit check and to output it. To provide a possible drug administration audit check system.

[0013]

In order to achieve the above object, the present invention provides a drug or a combination thereof to be administered to a patient based on audit information by each drug or a combination of drugs and a drug history for each patient. In a drug administration audit check system that conducts an audit check of the adequacy of the information, a confirmation information database that stores confirmation information for each patient, including confirmation information regarding whether or not confirmation of audit information related to the patient, and a confirmation information based on the confirmation information included in the confirmation information database. And an audit information display control means for controlling the display of audit information.

Further, the confirmation information is characterized by including limit amount confirmation data of a medicine related to a patient.

Alternatively, the confirmation information includes interaction confirmation data based on a combination of drugs related to a patient.

[0016] Alternatively, the confirmation information includes note confirmation data of a medicine related to a patient.

Alternatively, the confirmation information includes confirmer information.

Further, the audit information display control means displays only the monitoring information instructed by the confirmation information.

[0019]

The drug administration inspection check system according to the present invention having the above-mentioned configuration performs an audit check in advance when a doctor or the like issues a medication instruction to a patient. When the audit information corresponding to the combination exists, the audit information display control means displays only the audit information instructed based on the confirmation information recorded for each patient, or displays it together with the fact that the audit information has been confirmed. . Therefore, doctors, etc.
It is possible to identify at a glance whether or not the monitoring information regarding the combination and the annotation has been confirmed and the confirmation information is not.

Further, by providing the confirmer information, the same system can be used by a plurality of confirmers of a plurality of medical institutions.

[0021]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT A preferred embodiment of the present invention will be described below with reference to the drawings. It should be noted that the same elements as those of the related art are given the same reference numerals.

FIG. 1 is a system configuration diagram showing an embodiment of a drug administration inspection check system according to the present invention.
This system is the same as the conventional audit information database 2,
In addition to the patient medication history database 4, the terminal device 6 and the printer 8, a confirmation information database 12 for storing confirmation information including the presence or absence of confirmation of the audit information related to each patient among the audit information included in the audit information database 2 and It is characterized by having an audit information display control unit 14 as an audit information display control means for controlling the display of the audit information based on the confirmation information contained in the confirmation information database 12. This system is constructed by a general computer, each database 2, 4, 12 is formed in an external storage device such as a magnetic disk device, and the audit information display control unit 14 is a CP.
It is realized by U and an application program.

FIG. 2 is a diagram showing a format of the confirmation information recorded in the confirmation information database 12. Different data formats are prepared depending on the content of the audit error. FIG. 2A shows limit amount confirmation data for performing the limit amount check. In this data, a patient code for identifying a patient, a drug code for identifying a drug, a doctor code for identifying a doctor as confirmer information and a medical institution code with a doctor, and a confirmation section for registering the presence or absence of a display, The confirmation date when the corresponding audit information is checked and the confirmation content that records the doctor's comments such as the doctor's opinion and actual coping method are recorded. This is shown in FIG.
It is confirmation information corresponding to the monitoring information of (a).

FIG. 2B shows the interaction confirmation data for the interaction due to the combination of two kinds of chemicals. This data includes the same patient code as above, the drug code of two kinds of drugs, the confirmation category, the confirmation date, and the confirmation content. This is confirmation information corresponding to the monitoring information of FIG.

FIG. 2 (c) shows note confirmation data depending on the constitution and disease of the patient. This data includes a patient note code indicating note data for the patient in addition to the patient code, drug code, confirmation category, confirmation date, and confirmation content. This is confirmation information corresponding to the monitoring information of FIG.

FIG. 3 is a flow chart showing the audit check processing in this embodiment. The operation of this embodiment will be described below with reference to this figure.

The doctor diagnoses the patient and inputs a prescription according to the symptom or the like, that is, a medication instruction from the terminal device 6 (step 101). At this time, the audit information display control unit 14
The audit information database 2 and patient medication history database 4 are referred to based on the drug and patient for which the medication is instructed,
An audit check is performed using the corresponding chemical or a combination thereof (step 102). If there is no audit information about the drug or the like, there is no problem and this process ends, and the prescription is sent to the pharmacy (step 103).

If there is the relevant audit information, the audit information display control unit 14 reads the confirmation information about the relevant patient from the confirmation information database 12 (step 1).
04). If there is no confirmation information, all the monitoring information will be displayed on the terminal device 6 as in the conventional example. The display control of the audit information display control unit 14 when there is the confirmation information in step 105 will be described later.

FIG. 4 is a display example of the monitoring information and the confirmation information in this embodiment. When there is the monitoring information, the information for identifying the patient and the monitoring information related to the patient in the predetermined area 16 and Confirmation contents are displayed. This embodiment is characterized in that areas 18 and 20 for inputting a confirmation category and a confirmation date are provided for each displayed monitor information and the like. When it is desired to set that the doctor has confirmed the confirmation information (step 106), the date of the confirmed date is input to the confirmation date area 20 on this display screen.
Thereby, the confirmed date can be recorded. If there is monitoring information that does not need to be displayed, a check is made in the area 18 of the confirmation section corresponding to that information. As a result, the monitoring information checked in the future will not be displayed individually, so that the useful monitoring information can be easily noticed.
In this way, when the confirmation information is set and the confirmation information database 12 is updated (step 107), if the medication instruction is changed (step 108), a new medication instruction will be issued.

Here, in step 105, the audit information display control unit 14 displays the confirmation information together with the monitoring information. The display control performed at this time will be described.

The audit information display control unit 14 refers to the confirmation information in the confirmation database 12, and if the confirmation classification is set by the above-described method, the corresponding monitoring information is excluded from the display target. If the confirmation indicator is not set,
Applicable monitoring information and confirmation information are displayed.

In this way, the prescription in which the medication instruction is written is sent to the pharmacy, and the pharmacy also conducts the same audit check as above to administer the drug or a combination thereof that is dangerous to the patient. You can make every effort not to do so. Of course, if a reissue of the prescription is requested, the process returns to the doctor's audit check.

As described above, according to this embodiment, confirmation information is provided for each patient in addition to the audit information common to all patients.
Since the display of each audit information is controlled, it is not necessary to display the confirmed audit information every time. Therefore, it becomes easy to focus on useful and new audit information, and the prescription can be issued accurately and promptly. This is
This allows the patient to be kept in contact with the patient for a longer time within the prescribed medical treatment time.

By the way, as shown in FIG. 2A, by adding the medical institution code and the doctor code as the confirmer information to the data of each confirmation information, the system in this embodiment can be applied to a plurality of different medical institutions. It can be used by doctors. That is, the confirmation of the monitoring information should be performed for each doctor and the presence or absence of the display should be specified for each doctor. Therefore, by providing a doctor code area, it can be used by a plurality of doctors including pharmacies, and by providing a medical institution code area, the system of this embodiment can be used by a plurality of medical institutions. Becomes

In the above embodiment, the confirmation date may be input by any method such as automatically setting the date of the current day without actually inputting the date. The input setting of is not the gist of the present invention.

Further, in the present embodiment, the confirmation classification and the confirmation date are separately provided as in the example of the display screen, but they may be expressed by one data or area depending on the specifications of the application, the operation method and the like. .

Further, when there is monitoring information that is not displayed, displaying the number of monitoring information can alert a doctor or the like.

[0038]

According to the first aspect of the present invention, since the confirmation information is associated with the inspection information of the medicine related to each patient so as to be provided for each patient, it is possible to control the presence or absence of the display of the monitoring information. Is possible. Particularly, in the invention according to claim 6, since only the monitoring information instructed by the confirmation information can be displayed, it is possible to confirm other useful or novel monitoring information more quickly and surely. .

Further, according to the inventions of claims 2, 3 and 4, it is possible to handle the monitoring information regarding the limit amount, the combination and the note of the medicines respectively related to the patient.

According to the invention of claim 5, since the confirmation information is provided with the confirmer information, it can be used by a plurality of confirmers.

[Brief description of drawings]

FIG. 1 is a system configuration diagram showing an embodiment of a drug administration inspection check system according to the present invention.

FIG. 2 is a diagram showing a format of confirmation information recorded in a confirmation information database in the present embodiment.

FIG. 3 is a flowchart showing an audit check process in this embodiment.

FIG. 4 is a diagram showing a display example of monitoring information and confirmation information in the present embodiment.

FIG. 5 is a block diagram of a conventional drug administration inspection check system.

FIG. 6 is a diagram showing a format of contents of monitoring information.

[Explanation of symbols]

2 audit information database, 4 patient medication history database, 6 terminal device, 8 printer, 12 confirmation information database, 14 audit information display control unit.

Claims (6)

[Claims] 1. A drug administration audit check system for checking the adequacy of a drug or a combination thereof to be administered to a patient based on audit information of each drug or a combination of drugs and a drug history for each patient, and an audit related to a patient. A confirmation information database that stores confirmation information including whether or not information is confirmed for each patient, and an audit information display control unit that controls the display of audit information based on the confirmation information included in the confirmation information database. A characteristic drug administration audit check system. 2. The drug administration inspection check system according to claim 1, wherein the confirmation information includes limit amount confirmation data of a drug associated with a patient. 3. The drug administration inspection check system according to claim 1, wherein the confirmation information includes interaction confirmation data based on a combination of drugs associated with a patient. 4. The drug administration inspection check system according to claim 1, wherein the confirmation information includes note confirmation data of a drug associated with a patient. 5. The drug administration inspection check system according to claim 1, wherein the confirmation information includes confirmer information. 6. The drug administration inspection check system according to claim 1, wherein the audit information display control unit displays only the monitoring information instructed by the confirmation information.