JP2008061863A - Patient' bed and intravenous drip table with collating device - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a bed or an intravenous drip table with collating device capable of enhancing assuredness and convenience of administration of medicament and blood transfusion to a patient and capable of attaining both speed up of operation and prevention of medical accident. <P>SOLUTION: A patient collating device 2 and medicament or blood transfusion collating device 3, 4 are incorporated in each bed of a sick hospital room, hospital room managing information and medicament or blood transfusion administration information are divided for every patient and transmitted to the patient collating device 2 the medicament or blood infusion collating device 3, 4 of each bed via a communication line, an identifying code C2 carried by the patient is read and collated with hospital bed managing information in the patient collating device 2, an identifying code C3 of the medicament or blood transfusion medicament arranged in a predetermined location of the intravenous drip table T is read and collated with administration request information in the medicament or blood transfusion collating device 3, 4 an injection syringe I is identified and collated by arranging the injection syringe I in a reader 4-4 of the medicament or blood infusion collating device 4 arranged in the bed B and results are displayed in displays 2-3, 3-3, 4-3 respectively. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

  The present invention relates to an apparatus capable of automatically verifying whether a patient and a medicine to be administered to the patient coincide with each other, and more particularly to a patient bed and an infusion table provided with the apparatus.

In this type of conventional drug administration system, as disclosed in Patent Document 1, information on drugs administered to a patient managed by an information management system is displayed on a container of a drug administered at the bedside with a barcode or the like. The described identification information is read by a bar code reader or portable information terminal connected to the bedside to check consistency. Then, when the check result is OK, administration of the medicine is started to prevent an administration error.
JP 2001-357132 A

In the conventional drug administration system described above, the patient information provided in the bed where the patient is and the identification information of the drug to be administered to the patient are read using a portable information terminal or the like. It was necessary to perform the work of installing the medicine and starting the administration.
In addition, the portable information terminal has a problem in the reading accuracy of the barcode printed on the curved surface, and there are cases where it is necessary to read repeatedly until it can be read correctly.
The labor required for the above-mentioned work hinders the daily work quickly and has become a burden on medical staff.

  The present invention is intended to solve the problem of such a conventional configuration, and it is not necessary to carry a portable information terminal or the like having a problem in reading accuracy, etc. The purpose is to realize the reduction of the above.

The present invention has been made to achieve the above object, and the invention according to claim 1 relates to a patient bed, wherein each room number, each bed number in each room, and patient information belonging to each bed are obtained. A memory for storing bed management information collectively managed, a reader for reading patient information worn by the patient, and a patient belonging to the bed of the patient information read by the reader and the bed management information read from the memory It is characterized by having a collation device having a collator for collating information and a display for displaying a collation result.
The invention according to claim 2 relates to an infusion table, a memory for storing medication instruction information for managing patient identification code, drug / transfusion product identification code, quantity of drug / transfusion product, usage and administration date and time, A collation device having a reader for reading identification information attached to a container, a collator for collating the medication instruction information read by the reader with the medication instruction information read from the memory, and a display for displaying a collation result It is characterized by having.
The invention according to claim 3 relates to a bed for a patient, a memory for storing patient identification code, drug / transfusion product identification code, quantity of drug / transfusion product, usage, administration date and time and administration instruction information managed together, A collation having a reader for reading the identification information attached to the container, a collator for collating the medication instruction information read by the reader with the medication instruction information read from the memory, and a display for displaying a collation result It is characterized by having a device.
According to a fourth aspect of the present invention, in the patient bed according to the first or third aspect, the bed management information and the medication instruction stored in another database, wherein the verification device includes an interface connected to a communication line. The management information or the medication instruction information is updated by accessing the database through the communication line.
According to a fifth aspect of the present invention, in the infusion table of the second aspect, the collation apparatus includes an interface connected to a communication line, and the medication instruction information stored in another database is stored in the database through the communication line. The medication instruction information is updated by accessing.
The invention described in claim 6 is characterized in that, in the infusion stand of claim 5, when the administration of the medicine / blood transfusion is started, the administration start information is transmitted to the database.
The invention according to claim 7 is characterized in that, in the patient bed of claim 4, administration start information is transmitted to the database when administration of a medicine / blood transfusion is started.

In accordance with the present invention, a system for patient identification and drug identification is incorporated in a bed or drip stand to perform collation, thereby reducing the confirmation work prior to the administration of medical personnel and ensuring accurate reading. Can do.
In addition, by incorporating this system into the bed or drip stand, it is not necessary to carry a patient / drug identification information reader or install it on the bedside, and extra equipment can be eliminated from the bedside.

  Hereinafter, an embodiment of the present invention will be described with reference to FIGS.

FIG. 1 shows the configuration of an appropriate patient-drug matching apparatus according to the present invention.
In FIG. 1, reference numeral 1 denotes a medical information system, which includes a medical information system terminal (personal computer) 1-1 and a database 1-2, which are composed of a CPU, a memory, an input / output device, and a display device. The infusion medicine collation device 3 and the injection medicine collation device 4 are configured to be linked by a wired LAN or a wireless LAN.
In the medical information system 1, “bed information” indicating which bed a patient belongs to is stored in the database 1-2. The “bed information” includes a patient identification code, a bed identification code, a bed identification code, and the like. A medical worker such as a doctor or a nurse uses the medical information system terminal 1-1 for this bed information to check which bed in which sick room the patient belongs to. The bed information is divided into information for each bed and transmitted to the patient verification device 2. This transmission is executed when the bed information of the medical information system 1 is updated.
In addition, information on the medicine prescribed by the doctor to the patient is held in the database 1-2 as “medication instruction information”. The “medication instruction information” includes a patient identification code, a drug / transfusion product identification code, a quantity of the drug / transfusion product, a usage, a date of administration, and the like. The medication instruction information is also divided for each patient and transmitted to the infusion medicine collation device 3 and the injection medicine collation device 4.
This transmission is executed when the medication instruction information of the medical information system 1 is updated.
As described above, the bed information held by the patient verification device 2 and the medication instruction information held by the infusion drug verification device 3 and the injection drug verification device 4 are always updated.

The patient verification apparatus 2 includes a communication interface 2-1, a verification unit 2-2, a display unit 2-3, a reader 2-4, and a memory 2-5, and these are incorporated in the bed B.
The bed information is received from the medical information system 1 through the communication interface 2-1, and stored in the storage device of the memory 2-5.
On the other hand, the body (wrist or ankle) of the patient P is attached with a bar code incorporating a patient identification code C2 and a wristband with an IC tag.
The reader 2-4 reads the patient identification code C2 in the wristband, and reads a barcode and receives a signal transmitted from an IC tag. All the reception formats are performed in a non-contact manner, and this enables easy reading by simply holding the wrist over the reader 2-4, so that a medical worker performs troublesome reading work with a portable information terminal. Even without it, the patient can easily read it.
The collator 2-2 determines whether the patient identification code C2 received from the reader 2-4 matches the patient identification code of the bed information held in the memory 2-5, and transmits the result to the display. To do.
The display 2-3 displays the patient verification result. The display format may be displayed on a screen such as a liquid crystal display in consideration of adding the patient matching determination result to the display based on the patient identification code C2 and the bed information. In order to save the time for the confirmation work by taking the form, a character string such as “OK” or “NG” is briefly displayed on the liquid crystal display, and a color such as green or red is displayed with an LED lamp. It is recommended to do it with a simple method or a simple audio output.
This patient verification device 2 is incorporated in the bed itself to the extent that it does not impair the bed's original function. For example, by incorporating a wireless reader 2-4 at the wrist position when the patient is in bed, the patient can be in bed. Thus, since the patient identification code C2 in the patient wristband is read, it is possible to eliminate the work of the medical staff reading.
Further, when the reader 2-4 reads the patient identification code C2 in the patient wristband, the read patient information and the bed information (for example, which patient is stored in the database of the medical information system as the hospital information system) Information about which bed in a hospital room) is automatically verified, so that even if a patient who is different from the patient who should have belonged to the original bed is sleeping in that bed, Errors can be discriminated, and the result of the verification is displayed on the indicator in red or letters that indicate the warning, so that the medical staff can confirm the display and administer the drug. It is possible to reliably recognize whether or not the patient is trying. In addition, for the legitimate patient who has been read, collation of medicine and blood transfusion described later is performed.

The infusion medicine collating device 3 includes a communication interface 3-1, a collation device 3-2, a display device 3-3, a reader 3-4, and a memory 3-5, and these are incorporated in an infusion table T.
A barcode or IC tag in which a drug / transfusion product identification code C3 is recorded is attached to the container Y of the drug or transfusion product.
The reader 3-4 reads the infusion medicine / transfusion product identification code C3 by the above-described non-contact method, and the bar code or IC tag (C3) in a state where the container Y of the infusion medicine is suspended at a predetermined position. ) Automatically read and send the result to the collator 3-2.
The collator 3-2 receives the medication instruction information from the medical information system 1 through the communication interface 3-1, and holds it in the storage device of the memory 3-5. Then, based on the infusion medicine / transfusion product identification code C3 received from the reader 3-4 and the medication instruction information held in the memory 3-5, the infusion medicine / blood transfusion preparation at hand is issued from the doctor to the patient. It is determined whether the quantity is the same as that of the intravenous drip medicine / transfusion product, and the result is transmitted to the display. By this verification, it is possible to check whether the medicine that is going to be administered to a patient who is regularly in bed matches the instructions given by the doctor, and the display provided on the bed shows the result of the check. Is displayed on the display 3-3.
The system automatically performs the above processing from reading to collation. The medical staff confirms the display result, and if OK, administers the drug.

Since the drug to be administered using the syringe does not use the drip stand T, it is a cumbersome work to bring the drip stand T every time for collation of the injection drug identification code C4 attached to the syringe I. According to the present invention, the injection medicine collation apparatus 4 is provided on the bed B in the same manner as the patient collation apparatus 2 apart from the infusion table T.
The syringe I is attached with a bar code and an IC tag in which an injection drug identification code C4 is recorded. The injection drug collating device 4 includes a communication interface 4-1, a collator 4-2, a display 4-3, a reader 4-4, and a memory 4-5. Since the function of each device is the same as that of the infusion medicine collating device 3, duplicate explanation is omitted.
The collator 2-2, the display 2-3, and the reader 2-4 may be either individual solid or integrated as long as data can be transmitted and received. These devices are incorporated in portions that do not interfere with the original functions of the bed 6 and the drip stand 7.

  As described above, in addition to the patient verification device 2, the injection drug verification device 4 is also incorporated in the bed B. This injection medicine collating device 4 mainly reads identification information incorporated in a medicine used alone without using an infusion stand such as a syringe. Perform verification. The medication instruction information is information such as a drug name, quantity, and usage prescribed by a doctor for a patient.

  In the present invention, when the collation of the medicine is completed and a predetermined time elapses, the administration execution information is automatically transmitted to the medical information system based on the patient identification information, the medicine identification information, and the medication instruction information used in the collation. The administration information includes information such as patient ID, drug ID, and start time. The medical information system can receive the administration information and perform medication administration registration based on the received information.

FIG. 2 shows a processing flow of the patient verification device 2.
First, the bed management information is retrieved from the database 1-2 by the medical information system terminal 1-1, divided into information for each bed, transmitted to the patient verification device 2, and the memory 2-5 through the communication interface 2-1. (S21).
Next, the reader 2-4 automatically reads the identification code C2 and transmits it to the collator 2-2 when the patient goes to bed B (S22).
In the collator 2-2, the bed management information stored in the memory 2-5 as described above (that is, information indicating what kind of identification code the patient belongs to which bed in which room) and the reader 2-4 From the patient identification code C2 received from, it is determined whether the patient actually sleeping in the bed B is an original patient, and the result is transmitted to the display 2-3 (S23).
The display 2-3 displays “OK” if the patient is a regular patient in the bed B, and displays “NG” on the liquid crystal display if the patient is not a regular patient, or green if the patient is a regular patient. Otherwise, the red color is displayed with an LED lamp, and further, a simple audio output is performed (S24).
As described above, according to the patient verification apparatus according to the present invention, since the system automatically performs verification, it is possible to reduce and accurately perform the confirmation work before the administration of the medical staff.
Further, by incorporating the patient verification device according to the present invention into the bed, it is not necessary to carry a patient identification information reading device or install it on the bedside, and extra equipment can be eliminated from the bedside. Even if a patient who is different from the patient who should belong to the original bed is sleeping on the bed by some mistake, an error can be determined by this comparison.

FIG. 3 shows a processing flow of the infusion drug / transfusion product verification device 3 and the injection drug verification device 4. Since the infusion drug / transfusion product verification device 3 and the injection drug verification device 4 are the same in function only in the installation positions, the infusion drug / transfusion product verification device 3 will be described in the following processing flow. The verification device 4 will be described in parentheses.
Information on the medicine prescribed by the doctor to the patient is held in the database 1-2 as medication instruction information. The medication instruction information includes a patient identification code, a drug / transfusion product identification code, a quantity of the drug / transfusion product, a usage, an administration date and time.
The medication instruction information is divided for each patient and transmitted to the infusion drug / transfusion product verification device 3 (injection drug verification device 4). This transmission is executed when the medication instruction information of the medical information system 1 is updated. Thereby, the medication instruction information held by the patient verification device 2 is always updated (S31).
Next, the reader 3-4 (4-4) reads the barcode of the infusion medicine / transfusion product identification code C3 (injection medicine identification code C4) and receives a signal transmitted from the IC tag. The received infusion drug / transfusion product identification code C3 (injection drug identification code C4) is transmitted to the collator 3-2 (4-2) (step S32).
The collator 3-2 (4-2) receives the medication instruction information from the medical information system 1 through the communication interface 3-1 (4-1) as described above, and the storage device 3-5 (4-5) such as a memory. ).

It is determined whether or not the quantity of the infusion medicine / transfusion product identification code C3 (injection medicine identification code C4) received from the reader 3-4 (4-4) matches the quantity of medicine given to the patient from the medication instruction information. The result is transmitted to the display 3-3 (4-3) (S33).
A display 3-3 (4-3) displays a medicine collation result. The display format is a method of displaying a character string such as OK or NG on a liquid crystal display, a method of displaying a color such as green or red with an LED lamp, an audio output, or the like (S34).
As described above, according to the medicine collating apparatus according to the present invention, since the system automatically performs collation, it is possible to reduce the confirmation work prior to the administration of the medical staff.
In addition, by incorporating the present system into the drip bed T and the bed B, it is not necessary to carry around the reading device for the medicine identification information or to install it on the bedside, and extra equipment can be eliminated from the bedside.

FIG. 4 shows a processing flow of the registration of medication execution.
When the above-mentioned patient verification and the next drug verification are completed and there is no problem in verification and a certain time elapses, the start date and time etc. are displayed in the medication instruction information held by the verification units 2-2, 3-2, and 4-2. Is automatically transmitted to the medical information system 1 through the communication interfaces 2-1, 3-1, 4-1 (S41).
The medical information system 1 performs medication registration in the database 1-2 based on the received information (S42).

A work flow when a medical staff uses the apparatus according to the present invention will be described with reference to FIG.
First, the medical worker refers to the bed information and medication instruction information from the medical information system terminal 1-1 (S11).
In accordance with the information, a drug / transfusion product to be administered to the patient is prepared and moved to the hospital room to which the patient belongs (S12).
The patient is landing on the bed in the hospital room, and the display 2-3 of the patient verification device 2 on the bed displays the verification result. The medical staff confirms the display result and confirms that there is no difference between the patients (S13).
If there is no problem in the patient verification, then an infusion drug or a transfusion product is placed on the infusion table. For a medicine such as a syringe that does not use an infusion stand, the container is held over the reader 3-4 of the medicine / transfusion verification device 3 on the bed (S14).
The barcodes and IC tags (C3 and C4) installed at predetermined positions of the infusion medicine container Y and the syringe I are read by the readers 3-4 and 4-4 located at the installation location, and the medicine is verified. Will start automatically. In the case of a medicine that does not use an infusion stand T such as the syringe I, the medicine collation is automatically started when the container Y is held over the reader 4-4 incorporated in the bed as described above. The result of the medicine collation is displayed on the display 3-3 of the infusion stand T and the display 4-3 of the bed B, and the medical staff confirms the display and confirms that there is no difference in the medicine (S15). .
After confirmation, if there is no problem in the verification result, administration of the drug is started (S16).
After the administration, it is possible to return to the nurse station or the like and confirm the implementation information from the medical information system terminal 1-1 (S17).
When each result confirmation is NG in steps S13 and S15, the administration of the drug is stopped in both cases.

In accordance with the present invention, a system for patient identification and drug identification is incorporated in a bed or drip stand to perform collation, thereby reducing the confirmation work prior to the administration of medical personnel and ensuring accurate reading. Can do.
In addition, by incorporating this system into the bed or drip stand, it is not necessary to carry a patient / drug identification information reader or install it on the bedside, and extra equipment can be eliminated from the bedside.

It is a block diagram which shows the structure of the patient collation apparatus which concerns on embodiment of this invention, and a chemical | medical agent / blood transfusion collation apparatus. It is a flowchart of patient collation. It is a flowchart of a medicine and blood transfusion collation. It is a flowchart of dosing implementation registration. It is a flowchart which shows the procedure in which the medical worker performs medicine administration in the said embodiment.

Explanation of symbols

1 Medical Information System 1-1 Medical Information System Terminal 1-2 Database 2 Patient Verification Device 2-1 Communication Interface 2-2 Verification Unit 2-3 Display Unit 2-4 Reader 2-5 Memory 3 Infusion Drug / Transfusion Product Verification Device 3-1 Communication interface 3-2 Verification unit 3-3 Display unit 3-4 Reader 3-5 Memory 4 Injection drug verification device 4-1 Communication interface 4-2 Verification unit 4-3 Display unit 4-4 Reader 4-5 Memory B Bed C2 Patient Identification Code C3 Infusion Drug / Transfusion Product Identification Code C4 Injection Drug Identification Code P Patient T Infusion Base Y Drug / Transfusion Product Container

Claims (7)

  A memory for storing bed management information for collectively managing each hospital room number, each bed number in each hospital room, and patient information belonging to each bed; a reader for reading patient information worn by a patient; and A collation device having a collator that collates patient information read by a reader with patient information belonging to the bed of bed management information read from the memory, and a display that displays a collation result, Patient bed.   A patient identification code, a drug / transfusion product identification code, a memory for storing medication instruction information managed together with the quantity, usage, and administration date and time of the drug / transfusion product; a reader for reading the identification information attached to the drug container; An infusion stand comprising: a collation device that collates the medication instruction information read by the reader with the medication instruction information read from the memory; and a collation device that displays a collation result.   A patient identification code, a drug / transfusion product identification code, a memory for storing medication instruction information managed together with the quantity, usage, and administration date and time of the drug / transfusion product; a reader for reading the identification information attached to the drug container; A patient bed, comprising: a collator that collates the medication instruction information read by the reader with the medication instruction information read from the memory, and a display device that displays a collation result.   The collation apparatus includes an interface connected to a communication line, and the bed management information and the medication instruction information stored in another database are accessed through the communication line to access the database or the medication instruction information. The patient bed according to claim 1, wherein the patient bed is updated.   The collation apparatus includes an interface connected to a communication line, and the medication instruction information stored in another database is accessed through the communication line to update the medication instruction information. Item 2. The infusion stand according to item 2.   6. The drip stand according to claim 5, wherein administration start information is transmitted to the database when administration of a medicine / blood transfusion is started.   The patient bed according to claim 4, wherein administration start information is transmitted to the database when administration of a medicine / blood transfusion is started.

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