Drug administering system and administering method

• US 6,670,885 B2
• Filed: 06/11/2002
• Issued: 12/30/2003
• Est. Priority Date: 06/12/2000
• Status: Expired due to Fees

• Current Assignee: Gansui Kaihatsu Corporation
• Original Assignee: Gansui Kaihatsu Corporation
• Inventors: Kosaka, Hiroyuki
• Primary Examiner(s): POPE, DARYL C
• Application Number:
  US10/049,339
• Publication Number:
  US 20020163435A1
• Time in Patent Office: 567 Days
• Field of Search: 340/506, 340/3.1, 340/505, 340/286.02, 340/286.07, 700/233, 700/236, 705/2, 705/3
• US Class Current: 340/309.16
• CPC Class Codes: G16H 10/65 stored on portable record carriers, e.g. on smartcards, RFID tags or CD
• CPC Class Codes: G16H 20/13 delivered from dispensers
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 70/40 relating to drugs, e.g. their side effects or intended usage

Abstract

A medication system prevents medication mistake by checking kinds and doses of pharmaceuticals, coincidence of patient, and so on, when a doctor forms a clinical chart, when a pharmacist prepares the pharmaceuticals following the clinical chart or when the prepared pharmaceuticals are medicated to the patient. Patient barcodes showing the kinds and doses of the pharmaceuticals to be medicated are affixed on the clinical chart when the pharmacist prepares the pharmaceuticals, the barcodes provided on a receptacle or a package of the pharmaceuticals are read by a barcode reader and contents are compared by accessing a database in a server by a second terminal equipment. Furthermore, a patient barcode provided in the vicinity of a bed of an inpatient is read by a portable terminal equipment; the patient barcodes are compared to be judged whether the patients coincide or not.

Claims

1. A medication system of pharmaceuticals comprising:

a database for memorizing kinds of pharmaceuticals and information with respect to each pharmaceutical;

a first recognition means connected to the database and for recognizing at least the kind and dose of a pharmaceutical from a distinguishing mark provided on a receptacle or a package of each pharmaceutical;

a second recognition means connected to the database and for recognizing at least the kind and dose of pharmaceutical from a distinguishing mark provided on a prescription or a clinical chart;

a comparison means for comparing the kinds and doses of the pharmaceuticals recognized by the first recognition means with those recognized by the second recognition means; and

an alarm means for outputting an alarm when at least one of the kinds and the doses of pharmaceuticals does not coincide in a result of the comparison by the comparison means.

2. The medication system of pharmaceuticals in accordance with claim 1, wherein the comparison means further judges whether two or more pharmaceuticals are prohibited to be combined with each other when two or more pharmaceuticals has been described on the prescription or clinical chart;

and the alarm means outputs an alarm when two or more pharmaceuticals are prohibited to be combined with each other.

3. The medication system of pharmaceuticals in accordance with claim 1, wherein the second recognition means identifies the patient from the distinguishing marks for identifying the patient provided on the prescription or clinical chart;

the first recognition means accumulatively memorizes total dose of each medicated pharmaceutical with respect to each patient identified by the second recognition means in the database;

the comparison means compares the total dose of each pharmaceutical with a permissible dose thereof which is previously memorized in the database; and

the alarm means outputs an alarm when the total dose surpasses the permissible dose.

4. The medication system of pharmaceuticals in accordance with claim 1, wherein the second recognition means identifies the patient from the distinguishing marks for identifying the patient provided on the prescription or clinical chart;

the first recognition means memorizes date and time of last medication of each pharmaceutical with respect to each patient identified by the second recognition means in the database;

the comparison means calculates elapsed time from the last medication with respect to each pharmaceutical, and compares the calculated elapsed time with a predetermined time during which the medication is prohibited; and

the alarm means outputs an alarm when the elapsed time has not reached to the predetermined time.

5. The medication system of pharmaceuticals in accordance with claim 1, further comprising a third recognition means for recognizing the patient from the patient recognizing mark provided on a body of the patient or in the vicinity of a bed, and wherein the comparison means compares the patient recognized by the second recognition means with the patient recognized by the third recognition means;

and the alarm means outputs an alarm when the patients do not coincide.

6. The medication system of pharmaceuticals in accordance with claim 1, wherein the database is memorized in a server connected via a network.

7. The medication system of pharmaceuticals in accordance with claim 6, wherein at least the third recognition means is a codeless terminal equipment.

8. A medication system of pharmaceuticals comprising:

a first database for memorizing kinds of pharmaceuticals and information with respect to each pharmaceutical;

a second database for memorizing prescriptions or clinical charts on which information with respect to kinds and doses of pharmaceuticals medicated to patients are electronically recorded;

a first recognition means connected to the first database and for recognizing at least the kind and dose of a pharmaceutical from a distinguishing mark provided on a receptacle or a package of each pharmaceutical;

a clinical chart reading means connected to the second database, for accessing the second database based on an information for identifying a patient and for reading an inherent electronic prescription or clinical chart of the patient;

a second recognition means for recognizing at least the kind and dose of pharmaceutical from the electronic prescription or clinical chart;

a comparison means for comparing the kinds and doses of the pharmaceuticals recognized by the first recognition means with those recognized by the second recognition means; and

an alarm means for outputting an alarm when at least one of the kinds and the doses of pharmaceuticals does not coincide in a result of the comparison by the comparison means.

9. The medication system of pharmaceuticals in accordance with claim 8, wherein the comparison means further judges whether two or more pharmaceuticals are prohibited to be combined with each other when two or more pharmaceuticals will be described on the prescription or clinical chart;

and the alarm means outputs an alarm when two or more pharmaceuticals are prohibited to be combined with each other.

10. The medication system of pharmaceuticals in accordance with claim 8, wherein the first recognition means accumulatively memorizes total dose of each medicated pharmaceutical with respect to each patient in the second database;

the comparison means compares the total dose of each pharmaceutical with a permissible dose thereof which is previously memorized in the first database; and

the alarm means outputs an alarm when the total dose surpasses the permissible dose.

11. The medication system of pharmaceuticals in accordance with claim 8, wherein the first recognition means memorizes date and time of last medication of each pharmaceutical with respect to each patient in the second database;

the comparison means calculates elapsed time from the last medication with respect to each pharmaceutical, and compares the calculated elapsed time with a predetermined time during which the medication is prohibited; and

the alarm means outputs an alarm when the elapsed time has not reached to the predetermined time.

12. The medication system of pharmaceuticals in accordance with claim 8, further comprising a third recognition means for recognizing the patient from the patient recognizing mark provided on a body of the patient or in the vicinity of a bed, and wherein the comparison means compares the patient recognized by the second recognition means with the patient recognized by the third recognition means;

and the alarm means outputs an alarm when the patients do not coincide.

13. The medication system of pharmaceuticals in accordance with claim 8, wherein the database is memorized in a server connected via a network.

14. The medication system of pharmaceuticals in accordance with claim 13, wherein at least the third recognition means is a codeless terminal equipment.

15. A medication method of pharmaceuticals characterized by including the steps of:

memorizing kinds of pharmaceuticals and information with respect to each pharmaceutical in a database;

providing a distinguishing mark corresponding to the kind and a dose of each pharmaceutical on a receptacle or a package thereof;

providing a distinguishing mark corresponding to kinds and doses of pharmaceuticals described on a prescription or a clinical chart to the prescription or clinical chart;

reading the distinguishing mark provided on the prescription or clinical chat by using a recognition apparatus when pharmaceuticals to be medicated to a patient are prepared by following the description of the prescription or clinical chart;

reading the distinguishing mark provided on the receptacle or package of the prepared pharmaceuticals by using the recognition apparatus;

comparing whether at least the kinds and doses of the prepared pharmaceuticals coincide with those described on the prescription or clinical chart or not from the information recorded in the database by using the read distinguishing marks; and

medicating the prepared pharmaceuticals to the patient after confirming the kinds and doses of the pharmaceuticals are coincided.

16. The medication method of pharmaceuticals in accordance with claim 15 further comprising the steps of judging whether two or more pharmaceuticals are prohibited to be combined with each other when two or more pharmaceuticals has been described on the prescription or clinical chart;

and stopping the medication of the pharmaceuticals when two or more pharmaceuticals are prohibited to be combined with each other.

17. The medication method of pharmaceuticals in accordance with claim 15, further comprising the steps of providing distinguishing marks for identifying the patient on the prescription or clinical chart;

identifying the patient from the distinguishing marks by using a distinguishing apparatus;

accumulatively memorizing total dose of each medicated pharmaceutical with respect to each identified patient in the database;

comparing the total dose of each pharmaceutical with a permissible dose thereof which is previously memorized in the database; and

stopping the medication of the pharmaceuticals when the total dose surpasses the permissible dose.

18. The medication method of pharmaceuticals in accordance with claim 15, further comprising the steps of providing distinguishing marks for identifying the patient on the prescription or clinical chart;

identifying the patient from the distinguishing marks by using a distinguishing apparatus;

memorizing date and time of last medication of each pharmaceutical with respect to each identified patient in the database;

calculating elapsed time from the last medication with respect to each pharmaceutical;

comparing the calculated elapsed time with a predetermined time during which the medication is prohibited; and

stopping the medication of the pharmaceuticals when the elapsed time has not reached to the predetermined time.

19. The medication method of pharmaceuticals in accordance with claim 15, further comprising the steps of providing a distinguishing mark on a body of the patient or in the vicinity of a bed;

identifying the patient from the distinguishing mark by using a distinguishing apparatus;

comparing the identified patient with the patient described on the prescription or clinical chart; and

stopping the medication of the pharmaceuticals when the patients do not coincide.

20. A medication method of pharmaceuticals characterized by including the steps of:

memorizing kinds of pharmaceuticals and information with respect to each pharmaceutical and electronic prescriptions or clinical charts, on which at least kinds and doses of pharmaceuticals to be medicated to patients are described, in a database;

providing a distinguishing mark corresponding to kind and dose of pharmaceutical on a receptacle or a package thereof;

reading the distinguishing mark provided on the receptacle or package of the prepared pharmaceuticals by using a recognition apparatus when the pharmaceuticals to be medicated to a patient are prepared by following the kinds and doses of the pharmaceuticals described on the electronic prescription or clinical chart;

comparing whether at least the kinds and doses of the prepared pharmaceuticals coincide with those described on the prescription or clinical chart or not from the information recorded in the database by using the read distinguishing marks; and

medicating the prepared pharmaceuticals to the patient after confirming the kinds and doses of the pharmaceuticals are coincided.

21. The medication method of pharmaceuticals in accordance with claim 20 further comprising the steps of judging whether two or more pharmaceuticals are prohibited to be combined with each other when two or more pharmaceuticals will be described on the prescription or clinical chart;

and stopping the medication of the pharmaceuticals when two or more pharmaceuticals are prohibited to be combined with each other.

22. The medication method of pharmaceuticals in accordance with claim 20, further comprising the steps of accumulatively memorizing total dose of each medicated pharmaceutical with respect to each patient in the database;

comparing the total dose of each pharmaceutical with a permissible dose thereof which is previously memorized in the database; and

stopping the medication of the pharmaceuticals when the total dose surpasses the permissible dose.

23. The medication method of pharmaceuticals in accordance with claim 20, further comprising the steps of providing distinguishing marks for identifying the patient on the prescription or clinical chart;

identifying the patient from the distinguishing marks by using a distinguishing apparatus;

memorizing date and time of last medication of each pharmaceutical with respect to each identified patient in the database;

calculating elapsed time from the last medication with respect to each pharmaceutical;

comparing the calculated elapsed time with a predetermined time during which the medication is prohibited; and

stopping the medication of the pharmaceuticals when the elapsed time as not reached to the predetermined time.

24. The medication method of pharmaceuticals in accordance with claim 20, further comprising the steps of providing a distinguishing mark on a body of the patient or in the vicinity of a bed;

identifying the patient from the distinguishing mark by using a distinguishing apparatus;

comparing the identified patient with the patient described on the prescription or clinical chart; and

stopping the medication of the pharmaceuticals when the patients do not coincide.