Drug inspection support device, drug inspection support system, and drug inspection method

Abstract

To develop an agent inspection support device that can reduce time required for inspection while maintaining accuracy of inspection.SOLUTION: An agent inspection support device 3 supports inspection of an agent collected by an agent collection device 2 and / or manual operation, and the device has a plurality of agent inspection means, can execute a plurality of agent inspection plans different in accuracy by selectively executing the agent inspection means, has information acquisition means that acquires first information and second information, wherein the first information is information related to agent collection routes and / or equipment and materials associated with the collection of agents, and the second information is information related to operators involved in the collection of agents, and has plan selection means that selects the agent inspection plan on the basis of the first information and the second information. The agent inspection plan selected by the plan selection means is executed.SELECTED DRAWING: Figure 1

Description

[Technical Field]

[0001] The present invention relates to a medicine inspection support device used to inspect whether medicines are collected as prescribed. The present invention also relates to a medicine inspection support system equipped with a medicine inspection support device and a medicine collection device. The present invention also relates to a medicine inspection method. [Background technology]

[0002] At dispensing pharmacies, etc., medicines are collected based on prescriptions issued by doctors, and after inspecting whether they have been collected as prescribed, they are provided to patients, etc. Patent Document 1 discloses a medicine inspection support device that supports inspections performed by pharmacists.

[0003] Patent Document 1 also discloses a medicine packaging device. The medicine packaging device houses multiple medicine cassettes, and automatically discharges a predetermined amount of solid medicine from the medicine cassettes. The medicine packaging device has a medicine packaging device, and the medicines discharged from the medicine cassettes are packaged in single doses. [Prior art documents] [Patent documents]

[0004] [Patent Document 1] WO2014 / 129526 publication [Patent Document 2] WO2016 / 47569 publication Summary of the Invention [Problem to be solved by the invention]

[0005] The pharmacist's inspection work is the final confirmation work before providing medication to patients, etc., and is the most important and careful work in the dispensing process. On the other hand, drug inspection is a time-consuming task. For example, even if a medicine inspection support device such as that disclosed in Patent Document 1 is used, it takes a considerable amount of time to complete the inspection. The present invention focuses on the above-mentioned problems and aims to develop a medication inspection support device that can shorten the time required for inspection while maintaining the accuracy of the inspection. Another objective of the present invention is to develop a medication inspection support system and a medication inspection method that solve the same problems. [Means for solving the problem]

[0006] An embodiment for solving the above-mentioned problems is a drug inspection support device that supports the inspection of drugs collected by a drug collection device and / or manually, has multiple drug inspection means and is capable of implementing multiple drug inspection plans with different levels of accuracy, has an information acquisition means for acquiring first information and second information, the first information being information about the drug collection route and / or equipment involved in drug collection, and the second information being information about workers involved in drug collection, has a plan selection means for selecting a specific drug inspection plan from the multiple drug inspection plans based on the first information and the second information, and is characterized in that inspection is carried out by one or more of the drug inspection means in accordance with the drug inspection plan selected by the plan selection means.

[0007] A medication inspection plan is a selection of medication inspection tools to be used. A medication inspection plan may include one or more medication inspection tools to be used. Implementing a medication inspection plan means performing an inspection using a medication inspection tool included in the medication inspection plan. When selecting a plan, information other than the first information and the second information may be taken into consideration.

[0008] In the above-mentioned aspect, the drug collection device has the function of storing multiple types of drugs inside and automatically dispensing the desired drug, and it is desirable that the second information includes information about the worker who was engaged in the work of storing the drugs in the drug collection device.

[0009] In each of the above-described aspects, it is desirable that the second information includes at least one of the following information (A1) and (A2). (A1) Whether or not you have a public qualification. (A2) Amount of experience.

[0010] Another aspect for solving a similar problem is a drug inspection support device that supports the inspection of drugs collected by a drug collection device and / or manually, and is characterized in that it has multiple drug inspection means and is capable of implementing multiple drug inspection plans of different accuracy, has information acquisition means for acquiring first information, the first information being information regarding the drug collection route and / or equipment involved in drug collection, has plan selection means for selecting a specific drug inspection plan from the multiple drug inspection plans based on the first information, and inspection is carried out by one or more of the drug inspection means in accordance with the drug inspection plan selected by the plan selection means.

[0011] When selecting a plan, information other than the first information may be taken into consideration.

[0012] In each of the above aspects, it is desirable that the first information includes the following information (B1). (B1) Whether all collected drugs were collected using a drug collection device, and whether the drug collection device has the function of storing multiple types of drugs inside and automatically dispensing the desired drug.

[0013] In each of the above aspects, it is desirable that the first information includes the following information (C1). (C1) Whether all of the collected drugs were contained in the drug collection device.

[0014] In each of the above aspects, it is desirable that the first information includes the following information (D1). (D1) Whether at least a portion of the collected drugs were collected using a drug collection device, which has a manual sowing section, which has multiple drug injection sections, and which allows an operator to manually inject a predetermined number of drugs into the drug injection sections, and whether at least a portion of the collected drugs were collected via the manual sowing section.

[0015] In each of the above-mentioned aspects, the collected drugs are collected using a drug collection device, the drug collection device has a manual sowing section and multiple drug cassette mounting sections, the manual sowing section has multiple drug input sections, and an operator manually loads a predetermined number of drugs into the drug input sections, at least two types of drug cassettes are mounted in the drug cassette mounting sections, at least one type of drug cassette is a fixed cassette used exclusively for a specific drug, and at least one other type of drug cassette is a general-purpose cassette used for multiple types of drugs, and it is desirable that the first information includes the following distinctions (E1) to (G1). (E1) All of the collected drugs were contained in the fixed cassette. (F1) Some or all of the collected drugs were collected via the general-purpose cassette, and all others were drugs contained in the fixed cassette. (G1) Some or all of the collected drug passes through the hand-sowing area.

[0016] In each of the above-described aspects, it is desirable that the first information includes information on whether the following requirement (H1) is met. (H1) The drugs are collected using a drug collection device, which is equipped with multiple drug cassettes, stores multiple types of drugs inside the drug cassettes, and has the function of automatically dispensing the desired drug.

[0017] In the above aspect, it is desirable that the first information includes the following information (I1): (I1) Classification by structure of the drug cassette

[0018] In the above-mentioned aspect, it is desirable that the structural classification of the drug cassette includes a drug insertion section for inserting drugs, and that the drug insertion section may or may not be lockable.

[0019] In each of the above-mentioned aspects, it is desirable that the structural classification includes those that are applicable to a wide variety of drugs and those that are applicable to a small variety of drugs.

[0020] In each of the above aspects, it is desirable that the first information includes the following information (J1). (J1) Classification of the above medicine cassette by use

[0021] In the above-mentioned aspect, it is desirable that the drug cassettes be classified by use into fixed cassettes used exclusively for specific drugs and general-purpose cassettes used for multiple types of drugs.

[0022] In each of the above-mentioned aspects, it is desirable that plan change control be implemented to downwardly correct the accuracy of the drug inspection plan, provided that the first information and / or the second information include specific, specific information, a specific drug inspection plan is selected based on the first information and / or the second information and the drug inspection plan is implemented, and then the same drug inspection plan is selected multiple times using the first information and / or the second information including the specific information and the drug inspection plan is implemented multiple times, and there are no errors in the drugs collected in all implementations. In each of the above aspects, it is desirable that the information acquired by the information acquisition means includes specific, concrete information, a specific drug inspection plan is selected based on the information and the drug inspection plan is implemented, and then the same drug inspection plan is selected multiple times using information including the specific information and the drug inspection plan is implemented multiple times, and plan change control is implemented to downwardly revise the accuracy of the drug inspection plan, provided that there are no errors in the drugs collected in all implementations.

[0023] An aspect of the drug inspection support system is a drug inspection support system having a drug inspection support device of each of the above aspects and a drug collection device, wherein the drug collection device has a manual sowing unit and a plurality of drug cassette mounting units, the manual sowing unit has a plurality of drug insertion units, and an operator manually inserts a predetermined number of drugs into the drug insertion units, and at least two types of drug cassettes are mounted in the drug cassette mounting units, and it is desirable that at least one type of drug cassette is a fixed cassette used exclusively for a specific drug, and at least one other type of drug cassette is a general-purpose cassette used for a plurality of types of drug.

[0024] An aspect of the drug inspection method is a drug inspection method that uses a drug inspection support device to support the inspection of drugs collected by a drug collection device and / or manually by an operator, wherein the drug inspection support device has multiple drug inspection means and is capable of implementing drug inspection plans of different accuracy, selects the drug inspection plan based on first information and the second information, and carries out inspection by one or more of the drug inspection means in accordance with the drug inspection plan, wherein the first information is information regarding the drug collection route and / or equipment involved in collecting the drugs, and the second information is information regarding the operator involved in collecting the drugs. [Effects of the Invention]

[0025] By using the medicine inspection support device of the present invention, it is possible to reduce the time required for inspection while maintaining the accuracy of the inspection. [Brief explanation of the drawings]

[0026] [Figure 1] FIG. 1 is a front view of a medicine inspection support system according to an embodiment of the present invention. [Figure 2] FIG. 1 is a cross-sectional view of an A-type cassette (fixed cassette). [Figure 3] FIG. 1 is a perspective view of a B-type cassette (general-purpose cassette). [Figure 4] FIG. [Figure 5]10 is an explanatory diagram conceptually illustrating a lid locking means built into the medicine cassette, showing the lid locking means in a locked state. FIG. [Figure 6] 10 is an explanatory diagram conceptually illustrating a lid locking means built into the medicine cassette, showing the lid locking means in an unlocked state. FIG. [Figure 7] FIG. [Figure 8] 10 is an explanatory diagram showing the relationship between the cassette placement portion and the medicine cassette when the medicine cassette is attached to the cassette placement portion. FIG. [Figure 9] FIG. 2 is a schematic diagram showing the inside of the medicine inspection support device. [Figure 10] FIG. 2 is a block diagram of a control device of the medicine inspection support device. [Figure 11] This is a selection table for drug inspection plans. DETAILED DESCRIPTION OF THE INVENTION

[0027] The following describes further embodiments of the present invention. A medicine inspection support system 1 of this embodiment is made up of a medicine dispensing device (medicine collection device) 2 and a medicine inspection support device 3. The medicine dispensing device 2 is roughly divided into a cassette mounting section 5, a manual sowing section 6, and a medicine packaging section 8. The cassette mounting section 5 also has a fixed cassette mounting area 10 and a general-purpose cassette mounting area 11. An A-type cassette (a fixed cassette) 13 is mounted in the fixed cassette mounting area 10. A B-type cassette (a general-purpose cassette) 15 is mounted in the general-purpose cassette mounting area 11.

[0028] In the medicine dispensing device 2, a plurality of types of medicine cassettes are used. Structurally, the drug cassettes are divided into A-type cassettes 13 and B-type cassettes 15. Variable-type A-type cassettes are also available. Furthermore, some medicine cassettes have a locking function and some do not. Furthermore, drug cassettes are divided into fixed cassettes and general-purpose cassettes based on their intended use. Type A cassette 13 can only be used as a fixed cassette. Type B cassette 15 is primarily used as a general-purpose cassette, but can also be used as a fixed cassette. The semi-variable A-type cassette is primarily used as a fixed cassette, but can also be used as a general-purpose cassette.

[0029] As shown in FIGS. 2 and 3, the A-type cassette 13 and the B-type cassette 15 each have medicine storage sections 16 and 17 capable of storing a large number of solid medicines such as tablets or capsules. Both the A-type cassette 13 and the B-type cassette 15 have the function of discharging the medicines from the medicine storage sections 16 and 17 one by one. The medicine dispensing device 2 also has a counting means (not shown) that can count the number of solid medicines discharged from the A-type cassette 13 and the B-type cassette 15. The medicines discharged from the A-type cassette 13 and the B-type cassette 15 fall down a medicine dispensing passage (not shown) provided on the backside and are sent to the medicine packaging unit 8 below, where they are packaged in single doses.

[0030] The A-type cassette 13 and the B-type cassette 15 have different structures and functions. In this embodiment, the A-type cassette 13 and the B-type cassette 15 also have different uses. 2, the A-shaped cassette 13 has a rotor 22 built into the medicine containing section 16. The rotor 22 is formed with a longitudinal groove-shaped pocket 21 for containing tablets. By rotating a rotor 22 in the medicine container 16 with a motor 23, the medicines in the medicine container 16 are discharged one by one.

[0031] In the A-type cassette 13, a pocket 21 formed in the rotor 22 forms part of the dispensing path, and the medicine falls into the pocket 21 and is discharged from the medicine discharge port 18. The A-type cassette 13 can also be said to be a cassette with a fixed dispensing path, and in principle the size of the pocket (dispensing path) 21 cannot be changed. Therefore, the size of the medicine that can be discharged depends on the size of the pocket 21. Therefore, the A-type cassette 13 can only discharge solid medicines within a certain range of sizes and shapes. The semi-variable A-type cassette (not shown) has been modified so that the size of the pocket 21 and the medicine outlet 18 can be changed. The semi-variable A-type cassette can also be said to be a cassette with a semi-variable dispensing path.

[0032] On the other hand, as shown in FIG. 3, the B-type cassette 15 has a medicine container 17 in which a large number of tablets are contained, and an inner rotor 25 and an outer rotor 26 inside the medicine container. The B-type cassette 15 can accommodate tablets and capsules of various shapes and structures, and can discharge them one by one or multiple by multiple.

[0033] The inner rotor 25 is rotated by a motor (not shown) and moves up and down to deliver the medicine to the outer rotor 26.

[0034] Outer rotor 26 is located on the upper side of medicine containing section 17. The upper end of inner rotor 25 is located on the same horizontal plane as outer rotor 26. The outer rotor 26 is also rotated by a motor (not shown).

[0035] A part of outer rotor 26 is connected to medicine outlet 27 that discharges tablets from medicine container 17. A height regulating member 30 and a width regulating member 32 are arranged on dispensing path 28 formed by outer rotor 26. The height regulating member 30 regulates the height above the conveying surface of the outer rotor 26. The height regulating member 30 limits the height of an object passing through that area. The height regulating member 30 regulates the height of a tablet that can be conveyed to the medicine discharge port 27 by the outer rotor 26.

[0036] On the other hand, width regulating member 32 protrudes from the side of outer rotor 26 into the area of ​​outer rotor 26 (dispensing path 28), and temporarily narrows the width of dispensing path 28 of outer rotor 26. Width regulating member 32 regulates the widthwise size of the tablet that can be transported to medicine outlet 27 by outer rotor 26.

[0037] In the case of B-type cassette 15, when the height and width are the height and width of one tablet contained in medicine containing section 17, the tablet can be dispensed one by one. In addition, the B-type cassette 15 can change the height and width of the tablets that can be transported by operating a member not shown in the figure to move the height regulating member 30 and the width regulating member 32. Therefore, the B-type cassette 15 can accommodate various sizes.

[0038] The B-type cassette 15 can also be said to be a cassette with a variable dispensing path. The B-type cassette 15 can change the height and width of the tablets that can be transported by moving the height regulating member 30 and width regulating member 32, so it can accommodate a wider range of solid medicines than the A-type cassette 13.

[0039] Comparing the structure of each cassette, the A-type cassette 13 and the semi-variable A-type cassette have a rotor 22 inside, and the pocket 21 of the rotor 22 forms part of the dispensing path and regulates the size of the medicine passing through. In contrast, the B-type cassette 15 has a height restricting member 30 and a width restricting member 32, which restrict the size of the medicine that passes through.

[0040] Comparing the functions of each cassette, the Type A cassette 13 can only dispense medicines of a specific shape, while the Type B cassette 15 can dispense medicines of any size. The semi-variable Type A cassette is similar to the Type B cassette 15 in the range of applicable drug shapes. That is, while the A-type cassette 13 can only dispense solid medicines within a certain range of sizes and shapes, the B-type cassette 15 can dispense medicines of a wide range of shapes, including larger and smaller medicines, capsules, and other medicines, by adjusting the height restriction member 30 and width restriction member 32. Also, like the B-type cassette 15, the semi-variable A-type cassette can dispense medicines of a wide range of shapes by adjusting the width (circumferential direction), height, and thickness (radial direction) of the pockets of the rotor 22. The A-type cassette 13 is compatible with a small number of drugs, whereas the B-type cassette 15 is compatible with a large number of drugs.

[0041] In this embodiment, an A-type cassette 13 is mounted in the fixed cassette mounting area 10, and a B-type cassette 15 is mounted in the general-purpose cassette mounting area 11. For purposes of application, the A-type cassette 13 mounted in the fixed cassette mounting area 10 is referred to as a fixed cassette, and the B-type cassette 15 mounted in the general-purpose cassette mounting area 11 is referred to as a general-purpose cassette.

[0042] The fixed cassette (A-type cassette 13) mounted in the fixed cassette mounting area 10 is used exclusively for a specific drug. For example, one fixed cassette (A-type cassette 13) always contains drug A and no other drugs. Another fixed cassette (A-type cassette 13) always contains drug B and no other drugs.

[0043] On the other hand, the general-purpose cassette (B-type cassette 15) mounted in the general-purpose cassette mounting area 11 is used to store a plurality of types of medicines. In this embodiment, five general-purpose cassettes (B-type cassettes 15) are installed, and there are cases where different medicines are stored in each cassette. For example, assume that the prescribed medications are drug A, drug B, and drug C, and that the fixed cassette mounting area 10 has a fixed cassette for drug A (type A cassette 13) and a fixed cassette for drug B (type A cassette 13), but no fixed cassette for drug C. In this case, one of the general-purpose cassettes (B-type cassette 15) is filled with drug C, and drug C is discharged from B-type cassette 15. Furthermore, if the fixed cassette does not contain drug D and the prescription includes drug D, drug D is filled into one of the general-purpose cassettes (type B cassette 15) and drug D is discharged from type B cassette 15. Therefore, the general-purpose cassette (B-type cassette 15) is filled with various medicines depending on the situation.

[0044] The A-type cassette 13 and the B-type cassette 15 are divided into those with a locking function and those without a locking function. The lockable A-type cassette 13L and the lockable B-type cassette 15L each have a locking function, and each have a cover member for closing the solid medication storage section, and also have a cover locking means for holding the cover member in a locked state. Here, "the lid member is locked" means that the lid member cannot be opened. A lid member in the "locked state" cannot be opened without using a tool or performing a complicated operation. In addition, the lockable A-type cassette 13L and the lockable B-type cassette 15L used in this embodiment can only be placed on a specific mounting table, etc., and the lid member can be opened and the medicine filled inside only when a person qualified to unlock it is authenticated and a specific operation is performed.

[0045] The locking mechanisms of the locking A-type cassette 13L and the locking B-type cassette 15L are the same, so the locking B-type cassette 15L (hereinafter simply referred to as the B-type cassette 15L) will be described as a representative example. 5 and 6, the B-type cassette 15L has a locking mechanism 72 for locking a cover member 71 inside a main body 70. The locking mechanism 72 has an operating lever 65. A hole 73 is provided in the bottom surface of the body 70 of the B-type cassette 15L.

[0046] 7 and 8, there is a cassette placing section 75 on or near the medicine dispensing device 2. The cassette placing section 75 is a section where the B-type cassette 15L is temporarily placed (placed) in order to replenish the B-type cassette 15L with medicines.

[0047] The cassette placement section 75 is provided with a lid lock operation means 76. The lid lock operation means 76 has a rod 78 as shown in Figures 7 and 8. The rod 78 is always immersed in an opening 80 and protrudes vertically as required. In this embodiment, a rod 78 protrudes from the lid lock operating means 76 and is inserted into a hole 73 of the B-type cassette 15L. The rod 78 passes through the hole 73 to operate the operating lever 65 of the locking mechanism 72, thereby unlocking the lid member 71. When the rod 78 is separated from the operating lever 65, the locking mechanism 72 returns to the locked state.

[0048] The manual sowing section 6 is similar to known sections and has multiple drug insertion sections 33 as shown in Figure 4, and an operator manually inserts a predetermined number of drugs into the drug insertion sections 33 for each dosing period (morning, noon, evening, etc.). The bottoms of the drug insertion sections 33 then open one by one, and the drugs in each section 33 drop out and are sent to the drug packaging section 8 below.

[0049] Next, how to use the medicine dispensing device 2 will be described. In the medicine dispensing device 2 of this embodiment, each fixed cassette (A-type cassette 13) is filled with a dedicated medicine. The drug filling work is performed by workers called pharmacists or technicians. Specifically, drugs are poured from drug bottles into the A-shaped cassette 13, and at that time, readable identification means such as barcodes or two-dimensional codes attached to the drug bottles are read using a code reader or the like. The codes attached to the drug bottles are read using a reading device attached to the drug dispensing device 2 and a portable reading terminal. In many cases, the portable reading terminal is used to select drug bottles from shelves, and the reading device attached to the drug dispensing device 2 is used to actually transfer the drugs from the drug bottles to the A-shaped cassette 13.

[0050] Furthermore, data written on an RFID (Radio Frequency Identification) or the like attached to the A-type cassette 13 is read out, and it is confirmed whether or not the A-type cassette 13 is the one to be filled with the medicine in the medicine bottle. In addition, the name of the worker who filled the medicine is recorded. This information is recorded in a host device (not shown) or the medicine dispensing device 2.

[0051] Some of the general-purpose cassettes (B-type cassettes 15) are filled with medicines in the same manner as when filling the fixed cassettes (A-type cassettes 13). Some of the general-purpose cassettes (B-type cassettes 15) are empty.

[0052] The medicine dispensing device 2 dispenses medicines according to prescription data and packages them for individual doses. If all of the drugs included in the prescription data are stored in the drug dispensing device 2 and all of them are stored in the fixed cassette (A-type cassette 13) in the fixed cassette mounting area 10, the desired drugs are ejected from the fixed cassette (A-type cassette 13) and packaged in single doses. All of the medications included in the prescription data are stored in the medication dispensing device 2, but if some or all of the medications are stored in a general-purpose cassette (B-type cassette 15), the desired medications are ejected from the fixed cassette (A-type cassette 13) and the general-purpose cassette (B-type cassette 15) and packaged in single doses.

[0053] When the prescription data includes medicines that are not built into the medicine dispensing device 2, a general-purpose cassette (B-type cassette 15) or the manual dispensing unit 6 is used. When using a general-purpose cassette (B-type cassette 15), the medicine bottle included in the prescription is located and the medicine is filled into the general-purpose cassette (B-type cassette 15). At this time, the barcode or two-dimensional code attached to the medicine bottle is read by a code reader and recorded. The name of the worker who filled the bottle is also recorded.

[0054] When using the manual sowing unit 6, the medicine bottles included in the prescription are found and a predetermined number of medicines are poured into the medicine pouring unit 33 of the manual sowing unit 6 according to the prescription. The bottoms of the medicine insertion sections 33 then open one by one, and the medicines in the medicine insertion sections 33 are dropped one by one and sent to the medicine packaging section 8 below. At this time, the barcode or two-dimensional code attached to the medicine bottle is read by a code reader and recorded. The identity of the worker who manually sowed the medicine is also recorded.

[0055] Next, the medicine inspection support device 3 will be described. The medicine inspection support device 3 is a device that inspects the quantity and type of medicine to be inspected. The medicine inspection support device 3 can inspect the quantity and type of medicine to be inspected, which is supplied in a state where it is packaged in single doses in packaging paper, one package at a time. As shown in Figure 1, the medicine inspection support device 3 has an introduction section 41 for introducing the medicine to be inspected on the side of a housing 40, and a display device (operation panel) 42 on the front. The medicine is packaged in translucent packaging paper and supplied to the medicine inspection support device 3 in a state visible from the outside. The medicine inspection support device 3 also supplies the sachets in the form of a continuous sachet, in which multiple sachets each containing a single dose of medicine are formed in a continuous fashion, and can inspect each sachet in turn.

[0056] 9, the medicine inspection support device 3 includes transport means 45, 46 and an inspection unit 47. The medicine inspection support device 3 also includes a control device 50. The inspection section 47 has a photographing device 51 and a lighting device 52, which photograph the sachets placed in the inspection section 47 and the medicines contained therein.

[0057] The control device 50 can perform processes such as a drug inspection process to inspect whether the drugs contained in each sachet are as prescribed, and supply control to supply a continuous string of sachets connected in a strip shape to the drug inspection support device 3.

[0058] The control device 50 includes a known CPU and memory. The control device 50 functionally has a communication unit 53, a first memory unit 55, a second memory unit 56, a plan selection program 57, and an inspection database 58, as shown in FIG. The communication unit 53 is capable of communicating with a higher-level device (not shown) and the drug dispensing device 2, and is a means for obtaining prescription information and the first information and second information described below from the higher-level device and the drug dispensing device 2, and functions as an information acquisition means. The first storage unit 55 stores first information acquired via the communication unit 53, which is an information acquisition means. The second storage unit 56 stores second information acquired via the communication unit 53, which is an information acquisition means. The inspection database 58 stores information about medicines necessary for conducting inspections. Specifically, images of the medicines are stored as master images. Information for identifying the medicines, such as markings on the medicines, and the shapes and dimensions of the medicines, is also stored.

[0059] The medicine inspection support device 3 has multiple medicine inspection means. Furthermore, the medicine inspection support device 3 can selectively implement the medicine inspection means to implement multiple medicine inspection plans with different levels of accuracy. Specifically, the medicine inspection support device 3 has the following medicine inspection means.

[0060] (1) Engraving inspection If the solid dosage form is a tablet, a fixed dosage form identifier (to identify the type of fixed dosage form) is engraved or printed on the surface of the tablet. If the solid dosage form is a capsule, a fixed dosage form identifier is printed on the surface of the capsule. In the medicine inspection support device 3 of this embodiment, a solid medicine is photographed by the photographing device 51. Then, the markings are recognized from the image. The medication inspection support device 3 pre-stores information linking each solid dosage form with the fixed dosage form identifier formed on each solid dosage form. Then, based on the extracted image and the fixed dosage form identifier stored in association with the imprinted tablet specified in the prescription data, it determines whether the photographed imprinted tablet is the medication specified in the prescription data. This determination can be made based on the match rate between the imprint appearing in the extracted image and the fixed dosage form identifier. That is, the user can determine whether the imprint of the photographed imprinted tablet matches the fixed dosage form identifier of the medication specified in the prescription data, for example, by displaying them side by side on the screen. In this case, it is preferable to display medication data such as the medication name and photo to facilitate comparison. Furthermore, if the match rate is low, it is more preferable to notify this by changing the display color, etc.

[0061] (2) Shape inspection The control device 50 is provided with an inspection database 58 that stores images of medicines as master images. The control device 50 executes a process (image matching process) that matches the master images registered in the inspection database 58 with the images of medicines acquired by the photographing device 51, and can perform an inspection job of inspecting whether the medicines are packaged in sachets as prescribed. The control device 50 also uses image matching processing to determine whether or not a drug similar to the drug packaged in the sachet (similar drug) exists in the inspection database 58 (similarity determination), and can issue a warning if a similar drug exists. That is, by executing a drug type matching inspection, a drug type match determination and a similarity determination are made. Colors can also be compared.

[0062] (3) Financial audit The medicine inspection support device 3 can count the number of solid medicines in each sachet and perform an inspection to check whether the prescribed number of medicines is packed in the sachet.

[0063] The medication inspection support device 3 can also perform full inspections and random inspections. Full inspections are a method of inspecting all solid medications in each sachet. Random inspections are a method of inspecting solid medications in specific locations, such as the beginning, middle, or end of a continuous strip of sachets.

[0064] The medicine inspection support device 3 of this embodiment can appropriately select the medicine inspection means described above and implement medicine inspection plans with different degrees of accuracy. The selection of a plan is arbitrary, and the possible combinations are numerous. For example, it may be possible to implement three types of audit plans: an advanced audit plan, an intermediate audit plan, and a simple audit plan. In the advanced inspection plan, for example, all of the aforementioned "stamp inspection," "shape inspection," and "counting inspection" are carried out on all sachets. In the intermediate inspection plan, for example, the aforementioned "shape inspection" and "count inspection" are carried out on all sachets. In a simple inspection plan, for example, only a "counting inspection" is carried out on all packets. Drug inspection plans are not limited to those described above, and more drug inspection plans may be set up by combining the accuracy of the "stamp inspection," the scope of drugs subject to similarity judgment in the "shape inspection," whether full inspection or random inspection is performed, etc.

[0065] The medicine inspection support device 3 of this embodiment has a plan selection means for selecting one of the above-mentioned "advanced inspection plan," "intermediate inspection plan," and "simple inspection plan." Specifically, the plan selection means is realized by a plan selection program 57 stored in the control device 50. In this embodiment, the selection of the medicine inspection plan is performed based on the first information and the second information.

[0066] Here, the second information is information about the workers involved in collecting the medicines. The second information includes information about the workers who were engaged in the work of storing the medicines in the medicine dispensing device (medicine collecting device) 2. As described above, the medicine dispensing device (medicine collecting device) 2 has A-type cassette 13 and B-type cassette 15, which are filled with medicine and then mounted in their predetermined positions. The second information includes information about the worker who filled the A-type cassette 13 or B-type cassette 15 with the medicine.

[0067] The second information also includes the qualifications and experience of the worker. The qualifications may be official qualifications such as pharmacist, doctor, dentist, nurse, clinical laboratory technician, or radiologist, or may be certified qualifications recognized by a pharmacy or hospital. For example, the qualifications may be a position such as a person in charge, a supervisor, a section chief, or a department manager. The qualifications of the worker to be acquired as the second information is preferably information as to whether or not the worker is a pharmacist. The level of experience can be measured by the specific number of years of experience, the number of times the person has actually performed drug filling work, and the number of times the person has attended training sessions, etc.

[0068] Information about the workers involved in collecting the medicines is obtained by communication means (information acquisition means) 53 from a higher-level device (not shown) or medicine dispensing device 2, and is stored in second memory unit 56. The qualifications held by the workers are also obtained from a higher-level device (not shown) and stored in second memory unit 56.

[0069] The first information is information about the drug collection route and the equipment involved in collecting the drug. The first information includes information as to whether the collected medicines have been collected using the medicine dispensing device (medicine collecting device) 2. In addition, if the collected medicines have been collected using a medicine dispensing device (medicine collection device) 2, information as to whether all of the medicines have been supplied from the medicine dispensing device 2 is also included. Further, the first information includes information as to whether the drugs were collected using the manual sowing unit 6, whether all of the drugs were in the A-type cassette 13, and whether the drugs included drugs supplied from the B-type cassette 15. The first information also includes information as to whether the A-type cassette 13 or B-type cassette 15 filled with the medicine has a locking function.

[0070] In brief, the primary information includes the following: (i) Whether all collected drugs were collected using drug dispensing device 2, and whether drug dispensing device 2 has the function of storing multiple types of drugs inside and automatically dispensing the desired drug. (ii) Whether all of the collected medicines were contained in the medicine dispensing device 2. (iii) Whether at least a portion of the collected drugs were collected using a drug dispensing device 2, the drug dispensing device 2 has a manual spreading section 6, and whether at least a portion of the collected drugs were collected via the manual spreading section 6. (iv) Whether all of the drugs collected were drugs contained in fixed cassettes. (v) Whether some or all of the collected medications were delivered via universal cassettes and all others were medications contained in fixed cassettes. (vi) Whether some or all of the collected drugs are coming through the manual sowing section. (vii) Whether the collected drugs were collected using a drug dispensing device 2, which is equipped with multiple drug cassettes, stores multiple types of drugs inside the drug cassettes, and has the function of automatically dispensing the desired drug. (viii) Type of drug cassette A-type cassette 13, B-type cassette 15, whether or not it has a locking function, etc.

[0071] The plan selection program, which is the plan selection means, selects one of the "advanced inspection plan," "intermediate inspection plan," and "simple inspection plan" based on a combination of the first information and the second information. The selection of a medication audit plan depends on the likelihood of errors occurring. Focusing on the second piece of information, which is the worker-related information, experienced pharmacists are less likely to make mistakes, and filling and manual dispensing work performed by experienced pharmacists is the most reliable. Next, the reliability of work performed by pharmacists with less experience is high. Although not qualified, work performed by a veteran worker is expected to be just as reliable as work performed by a less experienced pharmacist. In contrast, work performed by unqualified and inexperienced workers is less reliable.

[0072] Furthermore, when we look at the primary information, which is the drug collection route and / or the equipment involved in drug collection, the reliability of the drugs dispensed from the locking type A cassette (fixed cassette) 13L is highest, and the reliability decreases in the order of the locking type A cassette (fixed cassette) 13, the locking semi-variable type A cassette (fixed cassette), the locking semi-variable type A cassette (fixed cassette), the locking type B cassette (general-purpose cassette) 15L, the locking type B cassette (general-purpose cassette), and the manual sowing unit 6. Furthermore, when the B-type cassette 15 is used as a fixed cassette, it is more reliable than when it is used as a general-purpose cassette.

[0073] For example, if the following conditions are met, the probability of an error occurring is low, so the "simple audit plan" is selected. (a) All collected medicines are supplied from the medicine dispensing device 2. (b) and all of the drugs were supplied from locked A-type cassette 13L. (c) The worker who filled the drugs into the locked A-type cassette 13L was a pharmacist with considerable experience.

[0074] On the other hand, if the following conditions are met, it cannot be said with certainty that there are no mistakes, so the "Advanced Inspection Plan" is selected. (a) All collected medicines are supplied from the medicine dispensing device 2. (d) Some of the collected drugs were collected via hand-seeding. (e) The person who performed the manual sowing work is a licensed pharmacist.

[0075] Furthermore, if the worker is a novice, there is a high probability that he or she will make a mistake, and therefore the worker is not suitable for inspection using the medicine inspection support device 3. Therefore, a message to that effect is displayed on the display device, and the worker is sent for visual inspection.

[0076] Since there are a wide variety of combinations of the first information and the second information, an example is shown in FIG. 11 and individual descriptions are omitted. As a general rule, when multiple workers are involved in collecting medications, the medication inspection plan is selected based on the likelihood of an error made by the least reliable worker. For example, if drugs A, B, and C are prescribed, and drugs A and B were filled into cassette A 13 by the most reliable, experienced pharmacist, but drug C was filled into cassette A 13 by a somewhat less reliable, new pharmacist, the medication inspection plan is selected based on the likelihood of an error made by the new pharmacist. Similarly, if the collected medications are collected via different collection routes or using different equipment, a medication inspection plan is selected based on the least reliable collection route or the likelihood of an error occurring in the equipment. Then, the medicine inspection support device 3 automatically implements the selected medicine inspection plan. It is recommended that before the medication inspection plan is executed, a display be displayed indicating that the medication inspection plan has been selected and confirmation be requested. It is also desirable to employ a control that allows the medication inspection plan to be changed manually.

[0077] As a result of implementing each medicine inspection plan, if the collected medicines are in accordance with the prescription data, a message to that effect is displayed on the display device (operation panel) 42 shown in FIG. If there is an error in the medicine or the number of medicines, the inspection result will be "NG" and the details of the error will be displayed on the display device 42. At this time, the operator may specify the error and display it. If a drug (also called an unregistered drug) whose shape or other information is not recorded in the inspection database 58 is prescribed, the inspection result will be "NG," but it is desirable to display a message to distinguish it from an "NG" result due to an error such as the one described above. Similarly, if a transparent medication is prescribed, the inspection result will be "NG." Transparent medications are not suitable for inspection using image processing because their outlines may not be identifiable or the background pattern may be visible when photographed with the photographing device 51. Therefore, if a transparent medication is prescribed, the inspection result will be "NG," but in this case too, it is desirable to display a label to distinguish it from the "NG" result caused by the above-mentioned error.

[0078] For example, it is desirable to display a message such as "Contains unidentified medicines" or "Contains transparent medicines," and to have such a statement written on the journal paper as well. In addition, since it is known before the inspection that the prescription contains unidentified drugs or transparent drugs, it is desirable to conduct the necessary inspection of drugs other than unidentified drugs and transparent drugs based on the quantity, shape, markings, etc.

[0079] When unregistered or transparent drugs are prescribed, visual inspection is required, but by distinguishing them from "NG" results due to normal errors, the inspection process can proceed smoothly and it is also expected to prevent errors in visual inspection.

[0080] In principle, if both the first information and the second information are the same, the same drug inspection plan is selected, but the drug inspection plan may be changed taking into account the passage of time (number of inspections). For example, if a new, unqualified employee fills a specific A-type cassette 13 with drug A, drug inspection will initially be carried out using the "Advanced Inspection Plan," but it is conceivable that drugs will be discharged from the same A-type cassette 13 multiple times as prescriptions for different patients, and drug inspections will be carried out each time using the "Advanced Inspection Plan," resulting in no errors being discovered. In such a case, it is difficult to imagine that there was an error in filling the A-type cassette 13 with the medicine. In such a case, the inspection accuracy may be lowered, and for example, a "medium inspection plan" may be performed. As mentioned above, a portable reading terminal is used when selecting medicine bottles from shelves, etc., but if this step is not performed, the inspection accuracy rank may be increased, and if medicines are dispensed from the same A-type cassette 13 multiple times as prescriptions for different patients, and medicine inspection is performed each time, but no errors are found, the inspection accuracy rank may be decreased.

[0081] In the medicine inspection support device 3 of this embodiment, the control device 50 has built-in the plan change control program 48 that lowers the rank of inspection accuracy as described above. Following the example above, the second information contains specific information about a particular worker, namely, a "new, unqualified worker." The first information also includes specific information indicating that the product has been delivered via a specific A-type cassette 13. In this case, an "advanced inspection plan" is implemented. However, the "advanced inspection plan" is then repeated two or three times using the first and second information containing the specific information described above, and if there are no errors in the drugs collected in all implementations, the accuracy of the drug inspection plan is revised downward and the "intermediate inspection plan" is implemented.

[0082] Furthermore, the rank of inspection accuracy may be changed depending on whether or not the prescribed medicines include medicines with similar shapes, etc. For example, if there are drugs with similar shapes, etc., it may be expected that shape inspection alone will not be sufficient to ensure completeness. In such cases, the inspection accuracy level may be increased and an inspection of the markings may be carried out. For example, if there is a different drug with a similar shape in the drug image held in the inspection database 58, this data can be easily extracted, for example, by attaching a flag to the data. If there is no drug of a similar shape in the specified drug group to be compared for the prescribed drug, a shape inspection is performed, and if there is a drug of a similar shape in the drug group to be compared, the inspection accuracy rank is increased and an imprint inspection is performed. The drug group to be compared may be, for example, drugs taken at the same time. The selection of the drug group to be compared is arbitrary, and may be expanded to include, for example, drugs with the same prescription, drugs installed in the drug dispensing device 2, or even drugs held by pharmacies, etc.

[0083] The embodiment described above is a drug inspection support system 1 that combines a drug dispensing device (drug collection device) 2 and a drug inspection support device 3, and is used to inspect drugs after they are placed in sachets, but the drug inspection support device 3 may also be used to inspect drugs that have been collected before packaging. The medicine inspection support device 3 may also be used to inspect medicines collected manually. [Explanation of symbols]

[0084] 1; medication inspection support system, 2; medication dispensing device (medication collection device), 3; medication inspection support device, 5; cassette mounting section, 6; manual sowing section, 10; fixed cassette mounting area, 11; general-purpose cassette mounting area, 13; A-type cassette, 13L; A-type cassette with lock, 15; B-type cassette, 15L; B-type cassette with lock, 33; medication input section, 47; inspection section, 50; control device, 53; communication means, 57; plan selection program (plan selection means), 58; inspection database, 71; cover member, 75; cassette mounting section

Claims

1. A drug collection device and / or a drug inspection support device that supports the inspection of drugs collected manually, Having multiple drug inspection means, It is possible to implement multiple drug inspection plans with different levels of accuracy. an information acquisition means for acquiring first information; The first information is information regarding a drug collection route and / or equipment involved in the collection of the drug, a plan selection means for selecting a specific medicine inspection plan from the plurality of medicine inspection plans based on the first information; Inspection is carried out by one or more of the drug inspection means according to the drug inspection plan selected by the plan selection means, In addition to the marking inspection and shape inspection that are carried out using images, it is also possible to carry out a counting inspection that counts the number of medicines. The medicine collection device is equipped with a plurality of medicine cassettes, stores a plurality of types of medicine in the medicine cassettes, and has a function of automatically dispensing a desired medicine, The drug collection device includes a manual spreading unit having a plurality of drug injection units into which a predetermined number of drugs are injected by an operator through manual spreading work, Each of the plurality of medicine input sections has a bottom that opens, allowing the medicine input into the medicine input section to fall to the bottom, The plan selection means is a drug inspection support device characterized in that it selects an advanced drug inspection plan that performs the counting inspection, the stamp inspection using images, and the shape inspection for all sachets, with one of the conditions being that at least some of the collected drugs were collected using a drug collection device, that at least some of the collected drugs were collected via the manual sowing section, and that the worker who performed the manual sowing work was a pharmacist.

2. The system includes an imaging device and an inspection database, and the inspection database stores images of medicines as master images; The drug inspection support device according to claim 1, characterized in that the shape inspection performed using the image executes a process of matching a master image with an image of the drug acquired by a photographing device.

3. The method includes: a photographing device; and an inspection database, wherein the inspection database stores information for identifying a fixed drug identifier attached to the drug; The drug inspection support device described in claim 1 or 2, characterized in that the stamp inspection performed using the image recognizes a fixed drug identifier from the captured image and determines whether the photographed drug is a prescribed drug.

4. The second information is obtainable; the second information is information about a worker involved in collecting the medicine; 4. The medicine inspection support device according to claim 1, wherein a specific medicine inspection plan is selected from the plurality of medicine inspection plans based on the first information and the second information.

Images