JP4205875B2 - Medical goods management rack system - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a management rack system for medical articles, and preferably to a management rack system for catheters.
[0002]
[Prior art]
Catheter is one of the most frequently used medical articles in hospitals, but because it is frequently used, management is sloppy. However, since one catheter costs about 30,000 to 50,000 yen, it is a considerable amount of money per year. Therefore, careless management of entry / exit of catheters may affect hospital management.
[0003]
The catheter is stored in a dedicated catheter storage case, but in the conventional storage case, anyone can freely hold the catheter inside or simply place the catheter stored in the box on the shelf. The catheter could be taken out. It has also happened that the catheter is accidentally left somewhere. Therefore, it is difficult to accurately manage the entry / exit of the catheter, and accidents for loss are frequently occurring.
[0004]
Furthermore, if the catheter is poorly managed, there will be a dead stock that will expire, and a lack of insurance claims due to omissions in the medical records. In addition, the above-described problems can occur in other medical articles.
[0005]
Conventionally, the delivery of medical articles such as catheters to hospitals is performed by so-called sales representatives who visit the hospital to check and replenish used medical articles, or manage the inventory on the hospital side. Since the usage was confirmed and replenished, personnel costs were incurred.
[0006]
[Problems to be solved by the invention]
The present invention was devised to solve the above-described problems, and aims to manage a medical article, particularly a catheter, in a simpler and more reliable manner. Another object of the present invention is to perform catheter management in association with a patient. Another object of the present invention is to save labor in ordering and receiving medical articles such as catheters.
[0007]
[Means for Solving the Problems]
The technical means adopted by the present invention to achieve such an object will be described below. The catheter is described as an example of a medical article. A management label is affixed to each catheter housed in the space, and the management label is composed of a non-contact type ID tag (preferably an RFID tag) in which catheter information is stored. The antenna is capable of receiving signaled information from the tag, the door is always in a security state, and when the catheter is released, the issuer associates it with patient information on which the catheter is used. After the security state is canceled by authentication and the catheter is delivered, the information of the catheter stored through the antenna is read, and the delivery is performed. Compared with catheter information (preferably, an article master storing rack constants and types of catheters is preferably used), the information on the delivered catheter is managed together with patient information. .
[0008]
The authentication associated with the patient information is preferably configured to be performed via a patient ID label issued by the issuer inputting the patient information. More preferably, the patient ID label is provided with a non-contact type ID tag (preferably an RFID tag) storing patient information. The management system is provided with an antenna that constitutes a sensor, and security is released by holding a patient ID label over the antenna. The authentication associated with the patient information may be performed by inserting a card or directly inputting a patient ID or the like.
[0009]
At the time of warehousing of the catheter, the warehousing manager inputs the authentication information given in advance, so that the security is released. It should be noted that the case of returning the unused portion after releasing the catheter in association with the patient information after releasing the catheter is not included in “at the time of entry”, and in such a case, it is handled in the same manner as at the time of delivery. Further, in this specification, the security state means a state in which the door is locked or a state in which an alarm sound is sounded when a person who does not obtain authentication opens, preferably one provided with locking means. Good. Further, the ordering information is automatically transmitted to the supplier based on the goods information that has been issued. Although the order information may be transmitted directly from the rack built-in computer, in one preferred embodiment, the order information is transmitted via a server installed separately from the rack built-in computer. The reason for not sending the data directly is that the data (amount, billing item, etc.) is revised according to the national policy, so the shipping information sent to the server (the server always updates the information) This is because information can be manipulated based on the information and immediately sent to the hospital as medical information. Such medical information includes an amount necessary for insurance claims, a classification number, and patient information (associated).
[0010]
Preferably, the non-contact type ID tag employed in the present invention is an RFID tag configured to convert stored information into a signal and transmit the signal to the antenna by receiving a radio wave from the antenna. Means for transmitting / receiving and controlling the radio frequency from the tag is well known, and disclosed in, for example, JP-T-10-512993, JP-A-11-144156, JP-A-2000-20839, and the like. Preferably, the non-contact type ID is an RFID tag including a data carrier including an IC chip and an antenna (for example, a small dipole antenna). As such a non-contact type ID tag, an S-label (Japan Information System Co., Ltd.) can be used. The radio frequency from the S-label is read by a scanner via an antenna and sent to a computer for processing. However, the data carrier that can be adopted in the present invention is not limited to the S-label, can write data, can transmit the stored information signaled to the antenna, and has a certain distance. Any non-contact type ID tag that can receive and recognize a signal with an antenna even if they are separated from each other, and can identify information from a plurality of tags at the same time. Regarding the non-contact type ID tag, in addition to the above-mentioned publications, for example, JP-A-10-269287, JP-A-2000-118633, JP-A-2000-136407, JP-A-2000-259947, JP-A-2000-272723. It is also disclosed in No. etc. In the present invention, the non-contact type ID tag is configured to transmit / receive radio waves to / from an antenna and receive the radio waves from the antenna, thereby converting stored information into a signal and transmitting it to the antenna. However, this does not exclude a non-contact type ID with a built-in power source. Further, the shape of the non-contact type ID tag is not limited, and it may be a label or the tag itself may constitute a card.
[0011]
DETAILED DESCRIPTION OF THE INVENTION
[System overall configuration]
The catheter management rack system according to the present invention has a rectangular parallelepiped main body as a whole, and the main body has a catheter storage section 1 and a processing control section 2 in which a computer device and the like are incorporated. . In the illustrated one, the processing control unit 2 is provided at the central portion in the left-right direction of the main body, and the catheter storage units 1 are formed on the left and right sides thereof. The catheter housing portion 1 is a space surrounded by inner walls on the left, right, front, back, and top and bottom, and is wound with a plurality of hangers (not shown) for suspending a catheter extending in a long shape and housed in a box. And a shelf (not shown) on which the catheter is placed.
[0012]
The catheter housing portion 1 is provided with an opening / closing door 3 that allows access to the internal space, and the opening / closing door 3 may be any form such as a rotary type, a sliding door type, or a shutter. The open / close door 3 is always in a locked state so that it cannot be opened even if a person who has not obtained authentication attempts to open it. In addition, in the thing of illustration, the opening / closing door of the left side storage part 1 is abbreviate | omitted and shown.
[0013]
An antenna 4 is provided on the inner wall of the storage unit 1 near the processing control unit 2, and the antenna 4 is electrically connected to the computer via a scanner. The antenna 4 and the scanner function as a tag reader or a reading device. A computer constituting the processing control unit 2 includes a central processing unit (CPU), a keyboard 6 (preferably withdrawing / inserting), an input device such as a touch panel, a display 5 for displaying input data, output data, post-processing data, and the like. A display device, a storage device for storing various data, a modem, a terminal adapter or router, various I / O interfaces, and other components included in a general computer device are included. The processing control unit 2 includes a label issuing machine 7 for writing predetermined information on a label and issuing a label storing the information, and an antenna 8 constituting a sensor (having basically the same configuration as the antenna 4). The label issuing machine 7 and the antenna 8 are each electrically connected to a computer. FIG. 4 shows another embodiment of the antenna 4. In this embodiment, the antenna 4 provided on the side wall is configured to be movable up and down, and the other configurations are substantially the same as those in FIG. is there. The configuration in which the antenna 4 is movable up and down is set in advance when, for example, a guide portion extending in the vertical direction is provided on the side wall, the antenna 4 is movable along the guide portion, and the door is closed. The antenna is moved up and down once for a predetermined time. By making the antenna movable up and down, it is possible to reduce internal dead points and the number of antennas (cost reduction).
[0014]
[Article Master File]
In the rack, the number (constant) of catheters stored in the storage unit 1 and the types of catheters are determined in advance, and the constants and types of catheters are stored in the computer as article master files. As will be described later, the article master file is created at the same time as the first warehousing process, for example.
[0015]
[Catheter management label]
The catheter management label is a seal-like label, and an S-label exemplified as a non-contact type ID tag is incorporated. In the S-label, information for specifying a product (product name, product code, etc.), information on whether or not there is an insurance claim, and expiration date information are stored. The expiration date may be confirmed by an EAN code. The catheter management label is attached to all the catheters stored in the storage unit 1 of the rack.
[0016]
[Issuance of catheter management labels]
The catheter management label is issued from a label issuing machine 7 connected to a computer. In the inventory process (first warehousing process), if you enter the product information (product name, product code, expiration date, etc.) and constants (catheter constants stored in the rack), the label management machine will supply the catheter management labels for the inventory. Is issued. The catheter management label is issued by picking up the article name, article code, and expiration date from the article information in the article master file, and writing and storing such information on the S label.
[0017]
[Patient ID label]
The patient ID label is a seal-like label, and an S-label exemplified as a non-contact type ID tag is incorporated. The patient ID label stores patient ID, name, and department information.
[0018]
[Issuance of patient ID label]
The patient ID label is issued from the label issuing machine by inputting the patient information of the examination scheduled on the day, specifically the patient ID, the patient name, and the department. In one preferred embodiment, patient information is input by reading from a card reader a patient card on which patient information is magnetically stored.
[0019]
[Non-contact ID (identification) tag]
The non-contact type identification data carrier used in the present invention will be described. The data carrier used in the embodiment is an S-label of US Single Chip Systems (SCS) commercially available from Japan Information Systems. The S-label includes an IC chip that stores and holds information and a small dipole antenna, and identifies information by using a radio technology called RFID (Radio Frequency Identification). The S-label is configured to receive radio waves from a transmission / reception antenna, convert information stored using the received radio waves as power, and transmit the information to the antenna. The information is read by the scanner via the antenna. Sent to a computer for processing.
[0020]
[Security measures for doors]
The open / close door is always locked and cannot be opened without permission. The opening / closing door is opened by obtaining authentication at the time of entering and leaving. At the time of warehousing, authentication information such as a password or fingerprint given in advance is input, and if the input authentication information is correct, a control signal for unlocking the door is output to unlock the door. Locked. At the time of delivery, the patient ID label is issued by inputting the patient information, and when the information of the patient ID label matches the already input patient information, a control signal for releasing the door lock is output. The door is unlocked. In addition, when the actual catheter in the rack is read after the warehousing and is different from the article master, a warning (for example, a warning sound) is generated.
[0021]
[Inventory processing (first goods receipt processing)]
A person authorized to manage a PC incorporated in the rack is authenticated by a fingerprint or a password. In the inventory processing, by inputting article information and constants from the keyboard 6, the catheter management labels for the inventory are issued from the label issuing machine 7 mounted on the rack. The catheter management labels are attached to all the catheters one by one and stored in the rack storage unit 1. The same operation is performed when the constant of the catheter stored in the rack or the type of the catheter is changed.
[0022]
[Outgoing processing]
When the patient information of the examination scheduled for the day is input from the input means such as the keyboard 6, a patient ID label is issued from the label issuing machine 7. At the time of the delivery process, the delivery person gets authentication by bringing the patient ID label closer to the sensor 8, and when the authentication is obtained with the patient ID label, the locked state or the warning sound standby state is released. If an unauthenticated person tries to open the door, it will not be released in the locked state, or an alarm will sound. Taking out the catheter (may be taken out from the rack) from the rack and closing the door (for example, it is configured so that radio waves are transmitted from the antenna in the closed state), the actual product and the article master are collated, Displayed on the display screen. The displayed catheter is confirmed one by one on the touch panel, and when the patient ID label is read again by the sensor 8 and re-authentication is obtained, it is determined that the series of operations has been completed. By doing this, for example, when 3 people have left, if someone has taken one, only two are displayed on the touch panel showing information on the three catheters displayed on the screen. Touch to get re-authentication. One is treated as lost. The same process is performed for the returned article.
[0023]
[Confirmation of catheter used]
When the daily processing is performed on the day, the total number of catheters stored in the storage unit 1 of the rack, the total number of uses (managed together with patient information), and the article master are checked to check for loss or the like. Also, catheter ordering (corresponding to usage) and accurate usage information for each patient are stored in a flash memory card. At the same time, the expiration date is confirmed by the catheter management label (the EAN code information may be managed as the S-label for the expiration date). Specifically, for example, an expired catheter is displayed on the display unit.
[0024]
[Warehousing processing]
In the warehousing process, when the amount that can be received (difference between the constant and the current stock quantity) is confirmed on the touch panel, a catheter management label is issued, and the issued label is attached to the receiving catheter, and the door 3 is locked. It is stored in the storage unit 1 of the released rack. When the rack is closed, an audible alarm will sound if the warehouse is incorrect. This is to prevent forgetting to attach a label and forgetting to insert a catheter. By performing the warehousing process at the end of the day, management can be started on the next day from a state in which the number of stocks matches the article master. If the replenishment is not in time, it may be necessary to start with a smaller number of inventory than the article master. In this case, if replenishment storage is not performed during the day, the outgoing article is specified by comparing the actual stock with the last stock of the day.
[0025]
[Process flow]
The flow of the system during the warehousing process will be described based on the block diagram shown in FIG. When authentication information such as a password is input from the keyboard 6 during the warehousing process, the computer can be accessed and the door 3 is unlocked. When the number and type of catheters to be stored are input from the keyboard 6, a catheter management label storing information on the catheters to be stored is issued from the label issuing machine 7. The management label is attached to the corresponding catheter, and the unlocking door 3 is opened to store the catheter. When the open / close door 3 is closed, a radio wave is transmitted from the antenna 4 and the antenna 4 receives a signal from a management label attached to the catheter in the storage unit 1 of the rack. The article master information stored in the storage unit of the computer is compared with the catheter (actual item) in the rack storage unit 1, and if there is a difference, an alarm sound is generated.
[0026]
The delivery time will be described with reference to FIG. First, when patient information is input using the keyboard 6 or the reading device, the input patient information is stored in the storage unit of the computer, and a patient ID label storing the information is issued from the label issuing machine 7. When the patient ID label is brought close to the antenna (sensor) 8 provided on the front surface of the rack, the information stored in the patient ID label is read (from the sensor 8 to supply power to the RFID tag mounted on the patient ID label). When the radio wave is constantly emitted), the door is unlocked by collating with the patient information stored in the storage unit of the computer. Then, the unlocked opening / closing door 3 is opened, and one or a plurality of catheters are taken out. When the door 3 is closed, a radio wave is transmitted from the antenna 8 and the actual product and the article master are collated to display the delivery amount on the computer screen. It is assumed that a series of operations are completed after the displayed used articles are confirmed one by one on the touch panel, and are authenticated again.
[0027]
The flow of the management system according to one embodiment of the present invention will be described with reference to FIG. 5 as appropriate.
[Launch management system]
When the power of the catheter rack is turned on, the administrator authority password input screen is displayed ((1) in FIG. 5). When an administrator (for example, a female manager) enters a password using an input means such as a keyboard, the screen shown in FIG. 5 (2) is displayed. In FIG. 5 (2), three buttons of information input, daily processing, and diagnosis delivery are displayed. These buttons are preferably a touch panel and can be selected by touching a finger. There are no restrictions on how to open and close the rack. For example, if security is released by entering the administrator password and the information input button or daily processing button is selected, the security release is maintained. The catheter can be received, and security is entered when the examination delivery button is selected, and the security is released by authentication with the patient label. Alternatively, on the next screen where the administrator password is entered, the security is released when the information input button or the daily processing button is selected, and the security is released when the examination delivery button is selected. Instead, the security may be released by authentication with a patient label. Alternatively, security by other methods may be used.
[0028]
[Creation of master file and receipt of catheter]
When the information input button is touched, an article information and constant input screen (not shown) is displayed. By inputting the article information and constant, a master file is created and a management label corresponding to each article is issued. . A management label is affixed to each corresponding article and stored in the rack.
[0029]
[Departure of catheter]
When the diagnosis delivery button is selected on the screen of FIG. 5 (2), as shown in FIG. 5 (3), a message “Please pass the medical card. A patient label will be issued” is displayed. The catheter rack is provided with a slide type magnetic card reader close to the keyboard, and the patient information stored in the patient card is read by sliding the patient card composed of the magnetic card to the reader. A patient label is issued based on the read patient information. Magnetic patient cards that store patient information are commonly used in hospitals. By bringing the issued patient label closer to the sensor, the screen shown in FIG. 5 (4) is displayed. In FIG. 5 (4), the patient name is automatically displayed by the information from the patient label. When the name of the person in charge is entered in the staff field, the security is released and the rack can be opened and closed. When the screen shown in FIG. 5 (4) is displayed, select the takeout button when the catheter is taken out, and select the return button when the catheter is returned.
[0030]
In the case of delivery, when taking out is selected, the catheter is taken out from the rack, and the door is closed, radio waves are transmitted from the antenna when the door is closed, and information on the catheter in the rack is read. By comparing the read information with the information of the catheter in the rack before the delivery using the patient label, the catheter delivered based on the patient label is displayed together with the patient name. The outgoing goods are a touch panel, and the displayed goods are confirmed one by one on the touch panel, and authentication is acquired again. When the examination button is selected after obtaining the authentication, the screen returns to the screen shown in FIG. 5 (3). If the patient is a new patient, the patient label is issued through the patient card. The screen shown in FIG. 5 (4) is displayed by holding the patient label over the screen. In the case of the last consultation delivery on that day, when the completion button is selected, the screen of FIG.
[0031]
[Return of catheter]
If there is a return item, hold the patient label over the sensor to release the security. That is, returning to the screen of FIG. 5 (4), the staff name is input and the return button is selected. The article returned to the rack or the article taken out again is displayed on the screen after the door is opened and closed. Similarly, confirmation is made point by point on the touch panel, authentication is again obtained, and the operation is completed.
[0032]
[Daily processing]
When the completion button is selected on the screen of FIG. 5 (6), the screen of FIG. 5 (1) is displayed. When the administrator authority enters the password, the screen of FIG. 5 (2) is displayed. Select daily processing. Use confirmation and fraud processing for each case (for each patient) are confirmed in daily processing (FIG. 5 (10)). When the daily processing button is selected on the screen shown in FIG. 5 (2), the screen shown in FIG. 5 (10) is displayed. The screen is displayed for each patient (for each case). On the screen, there are columns for staff name, patient name, removed article, returned article, fraudulent processing, staff name, patient name, removed article are automatically displayed, also displayed when there is a returned article, If there is an article that does not correspond to any of the items, it is displayed in an unauthorized process. The screen of FIG. 5 (10) has an information transmission button. By clicking the information transmission button, the information on the articles used for each patient is transmitted to the server. Further, these pieces of information may be transmitted to the server for each patient, but preferably the data is transmitted in a batch by an information transmission button. The information on the used articles is transmitted to the server in association with the patient, and the server aggregates the information on the used articles for the entire day and transmits it as ordering information to the sales company computer. The computer on the catheter rack side and the server are only required to be electrically connected so that information can be transmitted and received, and any means such as a telephone line, the Internet, a dedicated network, and radio may be used.
[0033]
When all the information on the article used on that day is transmitted, the screen of FIG. 5 (13) is displayed. On the screen, a list of articles that can be received is displayed, and at the same time, the expiration date is checked with the EAN code on the management label and displayed on the screen. In the warehousing process after daily processing, the goods that can be warehousing are confirmed one by one on the touch panel (FIG. 5 (13)). A management label is issued corresponding to the amount confirmed on the touch panel. Inspection (attaching a management label to the article) is performed in the released rack. When the door is closed, if the warehousing (including expiry removal) is wrong, a warning is displayed on the screen.
[0034]
[emergency]
In an emergency (for example, when there is no manager at night), when the emergency button is selected on the screen shown in FIG. 5 (1), the screen shown in FIG. 5 (16) is displayed. When a user name (for example, a doctor in charge) / patient name is entered on the screen of FIG. 5 (16), the security is released and the rack can be opened and closed. When the article is taken out and the door is closed, the operation is completed, and the next day, the management authority performs confirmation work by daily processing.
[0035]
FIG. 6 is a schematic diagram illustrating one embodiment of a management system. The information on the medical article delivered is associated with the patient information and transmitted from the computer 10 built in the catheter rack of the hospital 9 to the server 11 via a dedicated telephone line. The computer constituting the server 11 is a central processing unit (CPU), a storage device for storing various data, a keyboard, an input device, a display device, a modem, a terminal adapter or router, various I / O interfaces, and other general computer devices. It has the component which is provided. The storage device stores information necessary for insurance claims, an amount of money, a classification number, and the like. In the server 11, information on the medical articles that have been delivered is aggregated, and the delivery information is transmitted as ordering information from the server 11 to the computer of the store 12 through a dedicated telephone line. The dealer 12 obtains the catheter from the manufacturer 13 according to the ordering information, and delivers the delivered catheter to the hospital 9. In this way, since ordering is automated in response to delivery, the person in charge at the store does not have to visit the hospital each time to check the inventory, and the hospital can also operate with the minimum necessary inventory. The installation location of the server is not limited, and it may be in the hospital or outside the hospital, but it is preferably installed outside the hospital from the viewpoint of reducing in-hospital management costs.
[0036]
The server stores medical materials, prescription information, etc., and the delivery information and medical information are associated with the patient information and go through predetermined information processing to a hospital computer (a computer with a built-in rack or another computer). Sent. According to such a business model, for the hospital 9, the server 11 can place an order with each sales company and can operate with the minimum necessary inventory, and information on the articles used is returned from the server as medical information. . Therefore, the management cost and labor cost can be reduced in the hospital 9. The administrator 11 of the server 11 is paid a fee related to the management commissioned work from the hospital 9. For the manufacturer 13, the existing distribution route of the catheter is maintained. For the sales company 12, although the distribution route to the manufacturer 13 and the hospital 9 is maintained, the number of visits to the hospital can be reduced by automating the ordering and the costs such as labor costs can be reduced.
[0037]
【The invention's effect】
As described above, according to the present invention, it is possible to manage a medical article, particularly a catheter, in a simpler manner and in association with a patient.
[Brief description of the drawings]
FIG. 1 is a schematic overall perspective view of a rack system according to the present invention.
FIG. 2 is a block diagram showing a flow during warehousing processing.
FIG. 3 is a block diagram illustrating a flow during a delivery process.
FIG. 4 is a schematic view of a rack system showing an antenna according to another embodiment.
FIG. 5 is a diagram exemplifying a display screen of a rack system built-in computer;
FIG. 6 is an overall system diagram illustrating catheter ordering.

Claims (5)

A rack having a storage section for storing medical articles, a door body that can be opened and closed, and a processing control section; an antenna provided on the inner wall of the storage section; and a display means.
Affixing a management label to each medical article stored in the storage unit,
The management label stores medical article information , and includes a contactless ID tag that converts the stored information into a signal by receiving radio waves from the antenna, and transmits the signal to the antenna .
The door body is always in a security state, and when the medical article is delivered, the security state is released by authentication associated with patient information in which the medical article is used,
The antenna provided on the inner wall of the storage unit can receive signalized information from the non-contact ID tag of each medical article stored in the storage unit,
After the door body is opened and the medical article is delivered, a radio wave is transmitted from an antenna provided on the inner wall of the storage unit by closing the door body and stored in the storage unit via the antenna . By reading the information of the medical article and comparing it with the medical article information before leaving, the delivered article is displayed as a touch panel on the display means, touching the touch panel to check the delivered article one by one, and the patient A medical article management rack system that manages information on medical articles delivered by re-authentication based on information together with patient information. The medical article management rack system according to claim 1, further comprising a label issuing machine mounted on the rack, and an antenna provided on the front surface of the rack,
The management label is issued from the label issuing machine along with the warehousing process,
Release of the security state at the time of delivery of the medical article is performed through a patient ID label issued by the label issuing machine by inputting patient information, and the patient ID label is stored in a contactless manner in which patient information is stored. A medical article management rack system including a type ID tag and releasing a security state by authentication associated with patient information by holding a patient ID label over an antenna provided in front of the rack. The medical article management rack system according to claim 1 or 2 compares the article existing in the storage unit, the delivered article managed together with the patient information, and the article master in daily processing. A medical article management rack system configured to identify The medical article management rack system according to any one of claims 1 to 3 reads information on medical articles stored in the storage unit via an antenna provided on the inner wall of the storage unit after returning the medical articles. By comparing with the medical article information before returning, the returned article is displayed as a touch panel on the display means, and the article returned by touching the touch panel is re-authenticated. Medical goods management rack system. 5. The medical article management rack system according to claim 1, wherein an antenna provided on an inner wall of the storage unit is movable up and down.

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