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Dispensation of medicines in hospital

Dispensation of medicines in hospital
IPC classes for russian patent Dispensation of medicines in hospital (RU 2517680):
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FIELD: transport, distribution.

SUBSTANCE: invention relates to computation, particularly, to dispensation of medicines in hospitals. Method of distribution of different medicines between several patients comprises the steps that follow. Receipt of request from individual patient for medicine. Definition if requested medicine is an extra medicine. Confirmation via protected device arranged in individual patient cubicle of compatibility of requested medicine with medicines taken by individual patient at present. Selective dispensation of requested medicine solely in the case if requested medicine is the extra medicine compatible with medicines taken by individual patient at present, via protected stationary device. Displacement of the mobile device carrying obligatory medicines for several patients between cubicles. Dispensation of one of obligatory medicines via said mobile device.

EFFECT: dispensation of extra medicines via stationary device located nearby or inside the cubicle.

12 cl, 4 dwg

 

Daily patients admitted due to age, infirmity or accident, do not receive adequate care. If the request for the provision of medicines in a timely manner is not running, it can cause resentment. In some cases requests from patients for hours remain unanswered. Often the delay in response caused by excessive workload of health workers because of the numerous tasks of daily care, including the distribution and delivery of drugs.

In the allocation and issue of medicines health workers use a centralized inventory management system. In this system, drugs are stored centrally. And the mandatory and additional drugs are distributed and issued to each patient by obtaining medications from the Central warehouse and placing them on a mobile cart. In some cases, the health worker gives patients required drugs according to the regimen, and additional medications at the patient's request. Additional medications often include medications taken as needed (so-called drugs Pro Re Nata or PRN). The PRN medications are drugs, prescription regimen which is not assigned, and the reception is at the discretion of the healthcare worker or patient. PRN is often accepted as an additional among the CTB together with prescribed drugs to treat the symptoms of the disease (for example, pain/heat, constipation, insomnia, fear, dizziness/vomiting). Most PRN drugs are painkillers, such as paracetamol (Tyienol) or hydrocodone (visual), purgatives, such as docusinate, drugs (soothing), such as zolpidem (Ambien) or lorazepam (wall street journal coupons), and antiemetics means, such as ondansetron or dimenhydrinate (Gravol). These medications may include drugs without prescription, freely available to patients, except those who are in the hospital or the hospital.

At the request of the patient to provide additional medications the health care worker takes the medicine at the Central warehouse and returned to the patient for the issuance of additional medications. Often when taking required medication when nurses come to the house to each patient for distribution of required medicines, patients are asked to give them additional medications. When you receive a request for the issuance of additional drugs, such as PRN, the health care worker leaves the chamber of the patient, taking additional medication in the Central warehouse and returned to the chamber to the patient for dispensing medications. After issuing additional medications the health care worker goes to the next patient for the issue of compulsory medication, which may also require additional medication. Accordingly, met the staff goes back to the Central warehouse to retrieve the requested additional medications and returned to the patient for issuance.

The present invention provides methods and systems for distributing drugs. These methods and systems allow for the distribution of additional drugs through the stationary distribution device located in the immediate vicinity or in the inside chamber of the individual patient, whereas binding drugs are distributed through a mobile device in hand. The use of multiple devices distribution allows to increase the degree of patient satisfaction by reducing delays in obtaining the requested medication. Such methods and systems reduce the number of returns paramedics at the Central warehouse for additional medicines for patients. In addition, such methods and systems enable health care workers to effectively provide medications to patients and the hospital to perform accounting for the consumption of drugs.

In some embodiments, the implementation of the described system of distribution of drugs in the patient. The system preferably includes a first distribution device located within or in the immediate vicinity of the house of the patient, designed to store additional medicines and providing access to additional drugs only authorized employees, as well as the Central warehouse, which stores additional medications, use the e for replenishment in drugs in the first device the distribution of additional drugs.

In some embodiments, the implementation of the first device of the hand is fixed in the chamber of the patient, and the number of additional drugs include drugs PRN. In other embodiments, implementation of the first distribution device keeps track of which medications are stored and issued through the first device. In some embodiments, the implementation of the first device of the hand, in order billing, can bind to the given drugs to specific patients, to issue additional medications according to the instructions received from the Central warehouse, and/or provide access to only one additional dosage medication after receiving the request for the issuance of additional medications. In other embodiments, the implementation in a mobile device of the hand may be required medications to the patient, and the replenishment of required medicines in the mobile device distribution is carried out from the Central warehouse.

In some embodiments, the implementation describes how to dispense medicines in hospital. The method preferably includes issuing through the distribution of the first medication after receiving a request from the patient about the issuance of additional medications, the device of the hand is fixed in the chamber of the hospital in which the patient and attached to it, and replenishment of the first Lakers the VA device of the hand is made from the Central warehouse.

In some embodiments, the implementation of the method further includes issuing the first patient medications by employees of the hospital. In some embodiments, the implementation provides that the distribution of the first drugs through the distribution device includes unlocking the protective mechanism of the first device. In other embodiments, implementation of the distribution of the first drugs includes providing access to one dosage of the first drug and/or issuance of the PRN medication. Some of these methods additionally include the input of administrative data for access to medicines in the device distribution, automatic tracking device hand what drugs were given through the hand and/or automatically billed to the patient for additional medications given via the distribution device. In some embodiments, the implementation of the issuance of the first drugs includes remote giving commands to the device of the hand is about giving the patient access to additional drugs. Some methods provide that the replenishment of the first drugs includes storing stock extra medication in your hand from the calculation of the estimated needs of the patient. In some embodiments done by the means provided, the device access distribution is, at least, using one of the following systems: system of locks and keys, device fingerprint recognition and voice recognition.

In other cases described here, the methods of distribution of different types of medications to multiple patients include selective distribution of additional medications through secure, fixed device installed in the individual patient, the request for the issuance of additional drugs, as well as the distribution of binding of drugs to individual patients via mobile device distribution.

In some embodiments, the implementation of the methods additionally include repeating the method of distribution used for an individual patient, with respect to several patients. The methods may further provide that the distribution of additional drugs through fixed distribution device includes unlocking a protective mechanism to secure the device. In some embodiments, the implementation of the methods additionally include automatic input of the corresponding administrative information for the purpose of distribution through the fixed protected device, and the management of administrative information through the Central warehouse.

According to certain aspects of the present invention proposes a method of distributing medicines. The method includes distributing the first medication related to additional drugs through the first device in case of receipt of request for issue of drugs. The first device is tied to an individual patient. The method also includes distributing the second medication related to mandatory drug through the second device. The second device is associated with multiple patients.

According to other aspects of the present invention proposes a method of individual dispensing medications to multiple patients. The method includes distributing additional drugs through a stationary device located in the chamber of the individual patient, in case of receipt of request for the issuance of additional medications. In addition, the method includes the mandatory distribution of drugs using a mobile device that is associated with multiple patients.

According to another aspect of the present invention, a system for distributing medications to multiple patients. The system includes a first device for distribution of the first medications related to additional drugs. The first device is tied to an individual patient. The system also includes a second device, Clearspace second medication, related to the required medicines. The second device is associated with multiple patients.

Additional characteristics and advantages of the invention set forth in the description below and in part will be obvious from the description, or will be known in the practical implementation of the invention. The objectives and other advantages of the invention will be realized and achieved by the structure, in particular, presented in the written description and appended claims, and accompanying drawings.

It should be understood that the above General description and the following detailed description is given as an example, are generic and are intended to provide further explanation of the invention in the form as it is declared.

The accompanying drawings, intended for further explanation of the invention, are an integral part of the present description of the invention, illustrate embodiments of the invention and together with the description serve to explain the principles of the invention.

On figa presents the scheme of the hospital and the route that should the health worker when giving medications to patients.

On fig.1b presents the scheme of the hospital and another route that should the health worker when giving medications to patients.

Figure 2 shows the block diagram of Commerce individual patient as well as the first and second device to dispense medicines under the options for the implementation of the present invention.

Figure 3 shows the block diagram of the distribution of medicines at the request of the patient according to the options of implementing the present invention.

Figure 4 schematically shows embodiments of the considered devices hand.

The present invention generally relates to drugs. Namely, the present invention relates to the distribution of drugs through a separately installed to improve the efficiency of health workers and the General level of patient satisfaction. According to the present invention in an individual device of the hand adjacent to each individual patient, provides additional medications. In a separate device distribution contains mandatory drug and it can serve multiple patients. Through the use of more than one device to dispense medicines to the medical staff, after receiving the request for the issuance of additional drugs are not necessary each time to go get some medicine at the Central warehouse. The health workers do not need to return unused medication.

Patients receive two kinds of medicines: mandatory and optional. Drugs used to treat disease in a patient, referred to as mandatory drugs, they are individual for each patient. Often these medications are prescription, vpisannaya. Required drugs, in General, more expensive drugs.

Additional medications generally used to relieve pain and discomfort. These may include medications PRN. To mention here the PRN medication intended for very specific purposes, include, including, but not limited to, the drugs offered to the patient as necessary, but which are not included in the scheme of daily medication. For additional drugs, in General, no specific dates of admission and dosages, however, the number of reception may be limited by the specific manufacturer for more drugs. Additional medications differ in that they are relatively inexpensive.

In figures 1A and 1b pointers 100 marked the route should the health worker when giving medicines to patients. In the middle of the pointer 100 is the Central warehouse 102. Mandatory and additional medications are stored in the Central warehouse 102. Preparation of required medicines, issued by the health workers in individual patients is carried out at the Central warehouse 102. Drugs are placed in separate trays for each patient and placed on mobile medical cart or health post. The term "truck"that has many different meanings, is used here in the literal sense and in the cancel into itself, not limited to, decentralized storage system or device, which may be, for example, the device MEDSTATION®, offered by the company Cardinal Health. Through the use of mobile platform providers can individually to issue a compulsory medication for each hospitalized patient, without returning to the Central warehouse 102 for mandatory drug for each patient.

To replenish stocks required and additional drugs Central warehouse 102 tracks information on residues of drugs and the demand for new drugs. In some embodiments, the implementation of the information tracked by the Central warehouse 102 is provided directly to health care providers. Alternatively, this information is provided by devices of the hand. Each device of the hand directs administrative information to the electronic control unit warehouse residues located at the Central warehouse 102. After that, the electronic control unit inventory remains handles administrative information.

In figures 1A and 1b shows the many chambers of the patients 104-118. All patient rooms are separated from each other. Specialists in the art will understand that the chamber may include physical walls, such as walls and on the ERI. Alternatively, the chambers can be separated by fences, for example curtains. Although shown eight wards with 104 through 118, the number of chambers in the hospital may be more or less depending on the size and capabilities of the hospital.

On figa shows the route provider that uses only one hand to meet the medical needs of individual patients. The route begins with the fact that the health care worker should be in the chamber 104 to issue mandatory drug to the patient. During the granting of the drug, the patient asks for additional medication to relieve his/her headache or similar ailment. Because cart no additional medications, the health care worker to obtain it you have to go back to the Central warehouse 102. To do this, the health care worker has not only to do the optional path, but to spend precious time that health workers could use to meet the medical needs of the patient.

The next house on the route of the health - chamber 106. The patient in the chamber 106 is not asking for more medication, so after a patient required medicines health worker goes to the next patient in the chamber 108. However, this time the patient from the chamber 108 asks to give him extra l is the drugs from insomnia or similar drugs. Health workers again have to return to the Central warehouse 102 to obtain the appropriate additional medications.

After that, the provider is sent to the chamber 110 and 112. From chamber 112 to the health care worker falls for the third time to return to the Central warehouse 102 and to receive the requested additional patient medications. After that the provider serves patients in the chambers 114, 116 and 118. Every time a health care worker has to return to the Central warehouse 102 for additional drugs, the health care worker loses precious time that he could devote to patient care.

There are alternative solutions for the issuance of additional patients drug. For example, the health worker may initially issue a compulsory drugs to patients in the wards 104-118, and then after that give additional medications that have been requested for the time spent by paramedics in the chambers 104-118. The health care worker however still have to go to the Central warehouse 102 for additional drugs. Health workers also need to write down or memorize additional medications requested by each patient. In addition, you may experience a significant delay in time between the patient was requested to provide additional drugs and execution e is th query the provider.

In other embodiments, implementation of the request for additional medicines can do at the moment when the health care worker is at the other patient, in one of the chambers 104-118. To query the health care worker will have to obtain the requested additional medication in the Central warehouse 102. Then the health worker comes to the house requesting the patient to the distribution of additional medications. Then the health worker again have to go back to the house where he was before receiving the request.

In some embodiments, implementation, additional medications may be stored in the medical cart. However, once the provider completes his/her route, additional medication is necessary to return to the Central warehouse 102. As a result, the drug many times to shift. For example, each time before use, the drug has to load on the truck, and then unload at the Central warehouse 102 after completion of the healthcare worker his/her route. Loading and unloading of drugs selects the time that the health care worker could spend on the satisfaction of other needs of the patients.

Fig 1b shows the route provider that uses multiple devices distribution to meet the medical needs of each individual patient is. In addition to the devices used for the distribution of the binding of drugs to individual patients, use another device for the distribution of additional drugs in individual patients within each of the chambers 104-118. As additional medications may be issued in each of the chambers 104-118 individually, the medical worker can serve each of the chambers 104-118, without going to the Central warehouse 102. The health care worker may follow from the chamber 104 in the chamber 106, and so forth, without losing precious time. Thus, the provider can meet the other needs of the patients.

Figure 2 shows the device 202 for distribution of additional medications, located inside or in close proximity to each chamber 104-118, together with the medical cart 204 transported between chambers 104-118. The device 202 may have multiple compartments, and each compartment can store different kinds of additional drugs, such as Tyienol, sleeping, etc. Together with the medical cart 204, both required and additional medications may be issued without leaving chambers 104-118.

The distribution device 202 may have a locking device 206 to limit access to individual patients chamber 104-118 to additional drugs. Such closure devices 206 prevent the opening of sliding the ers 210 device 202 of the hand. One of the locking devices may be a system of locks and keys. Other locking device 206 may be a device fingerprint recognition. Another locking device 206 may be a voice recognition or dial lock. Specialist in the art will understand that there are many different types of locking devices 206, which may impede the opening device 202, or, in other words, there are many different types of locking devices 206, which may limit access to additional drugs in the device 202 of the hand, and can provide access to additional drugs to individuals eligible for these drugs. In other embodiments, the implementation of the locking device 206 in the device 202 is not required.

The device 202 of the hand may also include interface 208 of the user, by means of which the provider or other authorized person may give instructions to the device 202 associated with the receipt of the requested additional drugs. For example, in some embodiments, the implementation of the health care worker fits the device 202 of the hand, accesses the interface 208 of the user after passing through security, through the locking device 206, the cat is itself, for example, be a device fingerprint recognition. After gaining access to the user interface 208 and passing through security, the provider can specify additional drug that was requested. After receiving the request, the device 202 may open one of the boxes and provide the health care worker the ability to pick up and throw the medicine. In some embodiments, the implementation of the interface 208 of the user is the LCD display, which displays the contents of the device 202 and which has input means such as keyboard, buttons or touch screen, with which the health worker can provide input data to the device 202.

In additional embodiments, the implementation of the health care worker may specify a requested drug to pass security checks. This may be preferable in that case, if for various additional drugs require different levels of security or if for some drugs have restrictions due to possible incompatibility with other required medications. To gain access to the medication, the health care worker should approach the device 202 and to specify, via interface 208, the requested medication. In some embodiments, the exercise device 202 confirms the compatibility of the medication with drugs, animeanime patient at the moment, and after checking, the device 202 can offer provider to unlock or otherwise open the shut-off device 206. After receiving confirmation that the provider has the right to obtain access to additional drug, device 202 can unlock the corresponding box 210 which is a medicine to open the drawer 210 with medication, or otherwise to give the medicine to the health care worker to patient.

In variants of the implementation shown in figure 2, the device 202 distribution of additional drugs enshrined in the chamber. In some embodiments, implementation, device 202 can be attached to the patient bed. The device 202 may also be attached to the table next to the patient. The specialist who has ordinary knowledge in the art it will be clear that the device 202 can be attached to any fixed object. In some embodiments, the exercise device 202 can move within the chambers 104-118. In other embodiments, the exercise device 202 is located in the immediate vicinity of the house of the patient. For example, in some embodiments, the implementation, the device 202 may be attached to the wall outside the house of the patient.

In some embodiments, implementation, device 202 can be activated from the Central object. For example, on Fig device 202 can be controlled by the provider through the terminal or from the Central panel 212, located on the post of health worker. If the patient needs additional medication, the patient can call the provider and make an application. In some embodiments, the implementation provides that the provider can remotely open the device 202 from the post of health worker through the Central panel 212. This is especially useful for ambulatory patients who can't get out of bed and pick up the drugs themselves. Central unit 212 may be a terminal that is connected to one or more devices 202 of the hand directly, wirelessly or otherwise.

Central unit 212 may also be connected in a similar manner with other electronic modules in the hospital. For example, in some embodiments, the implementation, as shown in figure 4, the Central panel 212 is connected directly, via a wireless connection or otherwise with module 214 management of the hospital. Module 214 management hospital may include database 216 patient and device 218 information processing in patients for accounting and processing of all expenses for which a particular patient is billed. In some embodiments, the implementation of the information about the issuance of additional drugs is automatically transferred from the device 202 distribution in the database 216 patients che is ez Central unit 212 and the device 218 information processing in patients. This information may be processed and automatically be included in the expense of the patient.

Module 214 management of the hospital may also include information database 220 employees and device 222 of the data processing staff. The database 220 for employees may include, among other things, information related to the access of employees of the hospital to the device 202 of the hand. For example, the database 220 for employees may include fingerprints paramedics for their comparisons using the fingerprint reader when trying provider to gain access to the device 202. When reading fingerprints paramedics locking device 206 device 202 device 222 of the information processing by the staff or the Central console can access the database to verify whether the health care worker's right of access to the requested medication. Accordingly, the health care worker charged with providing care for patients in other wards, which he usually does not serve, will still be able to access devices 202 of the hand in the other wards, as the personal information about the health care worker is stored centrally and available to all devices 202 of the hand in the hospital. In addition, medicines, issued by a specific provider, you can also tracking is tested according to the information from the database by the staff, in which the date and time when the paramedics tried to access any of the devices 202 of the hand in the hospital.

In some embodiments, fixation is related to how much medication is left in the device 202, preferably stored on a Central panel 212. Accordingly, in the device or on the Central panel 212 may provide an indicator showing when you need to refill any medications. In some embodiments, the implementation of the indicator indicates the name and the number of additional drugs, which must be replenished.

In addition, when a health care worker remotely provides access to the device 202, for example, from the Central panel 212, the device 202 preferably provides access to only one dosage of the requested medication. In some embodiments, the implementation of the medicines are in the drawer 210, and a drawer 210 is divided into compartments for the storage of only one dose of medication. When a health care worker, remotely or otherwise, opens a drawer for the patient or another health care worker, drawer preferably extends so that it was possible to take only the next dose of medication. Accordingly, the device 202 may monitor or keep a record of what medications x is anatta and issued through the device 202.

Figure 3 presents the block diagram 300 showing the use of two devices distribution for timely execution of requests by patients. First, the cell 302, the health care worker starts issuing mandatory drug with medical carts for patients in wards 104-118. In cell 304, while the health care worker in one of the chambers 104-118, the health care worker receives a request from the patient.

In the cell 306 decision paramedic determines whether the application is a request for additional medication. In the cell 308 paramedic takes more medication from the device 202 and generates additional medication to the patient from whom received a request for additional medication. In some embodiments, the implementation of the health care worker have to unlock the device, paired with the device 202. To open the lock of the health care worker can use the existing key. Alternatively, to open the lock of the health care worker may use fingerprints. Also the health care worker can open the lock voice. The examples are merely typical, to unlock the device can be used and other methods of identification. After that, the cell 310, the health care worker goes into the next chamber and completes patient care.

In other embodiments, implementation of the present invention, Metabo is nick, are patient in one of the chambers 104-118, receives a request from another patient, from another chamber 104-118. To query the health care worker is sent to one of the chambers 104-118, where is the patient making the request, and gets an additional drug from the device 202 of the hand, attached to an individual patient. The use of the device 202 can save valuable time due to the fact that there is no need to go for additional drugs to the Central warehouse 102. Then the health worker is returned to the patient in one of the chambers 104-118.

In order to improve the accounting requirements in pharmaceuticals administrative information is entered every time the device 202 distribution of additional drugs. The health worker can either directly enter the information, or the device 202 can automatically offer to enter information. The device 202 transmits the information to the electronic control unit warehouse residues located at the Central warehouse 102. Thus, the Central warehouse 102 may control the inventory of required and additional drugs and to restock them.

In some embodiments, implementation, when a patient requests and receives additional medication, when the access device 202 to the processing unit sends a signal which is processed them for considering what medications were given to the patient. This information can be used for accounting records medication and billing. For example, in some embodiments, implementation, when the patient requests additional drug, device 202 sends a notification to account for the patient to include issued drugs at the expense of the patient. Accordingly, the device 202 can automatically keep records about taking more of the medication.

The use of the device 202 distribution of additional drugs can reduce the return of drugs to the Central warehouse 102. Accordingly, additional medications may be in the chambers 104-118 in individual patients. Because you do not need to make loading and unloading more drugs, less time is spent on the processing of drugs, and the health care worker, you receive additional time to meet your other needs of the patients. In addition, tightened control over the use of drugs in order to reduce losses, for example, through the fault of the staff.

The device 202 distribution of additional drugs also allows the health worker to adjust the supply of additional drugs, because he probably knows the needs of individual patients and has access to wholesale inventory of medicines at the Central SC the hell 102. As changes in demand for certain drugs, the provider can increase or decrease the number of medications stored in the chambers. In addition, knowing what illnesses are suffering or likely to suffer the patient, the provider can support the device 202 distribution of the stock of certain medications so that such drugs were not finished during the patient's stay in the hospital or the hospital. In addition, if additional medications can have the side effect of the acceptance thereof, together with a mandatory for the patient's medications, the medical worker can selectively replace additional drugs in the device 202 distribution for drugs that are more compatible with required medicines.

When additional medication is in the device 202 of the hand, then the provider may immediately comply with the request of the patient and give him medicine. Such quick response to the request of the patient increases the degree of patient's satisfaction and helps to reduce stress or tension, which the patient can experience, if he has to wait until the health care worker will bring him more medicine. In addition, the presence of additional drugs in the device 202 of the hand reduces the number of errors that otherwise may be admitted, if metab is Tiku have to return to the Central warehouse 102.

Description of the invention allows any specialist with knowledge in the art, to implement various embodiments of described herein. Although the present invention is, in particular, has been described with reference to various figures and options for implementation, it should be understood that they have been included solely for descriptive purposes and should not be considered as limitations of the scope of this invention.

There are numerous other ways of implementing the present invention. Various methods and system described herein may be arranged differently than shown, without departing from the scope and essence of the invention. Qualified specialists in the art will be apparent various improvements in these embodiments, implementation, and General principles set forth herein may be applicable to other embodiments. Thus, the invention is not permitted to make numerous changes and modifications experts having ordinary knowledge in the art, without departing from the spirit and scope of this invention.

In the detailed description, numerous specific details are given to form a complete understanding of the present invention. Meanwhile, specialists, possessing rows of the knowledge in the art, it will be obvious that the present invention can be realized without of these specific details. In other cases, in order to avoid confusion in the understanding of the present invention, the authors decided not to give a detailed description of well-known structures and technologies.

1. The method of distribution of different types of medications to multiple patients, the method consists of:
receiving a request from an individual patient on the issuance of the medication;
determine whether the requested additional medication medication;
confirmation via secure the anchor device located in the chamber of the individual patient, the compatibility of the requested medications with medications taken by individual patient at the present time;
selective distribution of requested medications only in case if the requested medication is an additional drug that is compatible with the medications the individual patient at the present time, through a secure fixed device;
move the mobile device between the patient's room, in the mobile device are required medications for multiple patients; and
distribution to individual patients one of the essential medicines through a mobile device.

2. The method according to claim 1 Supplement is Ino comprising repeating the method of distribution, used for an individual patient, with respect to several patients.

3. The method according to claim 1, in which the distribution of additional drugs through fixed distribution device includes unlocking the protective mechanism of the protected device.

4. The method according to claim 1 additionally comprising:
automatic input management information for the respective distribution through the fixed-protected device; and
administrative information management from a Central console.

5. The method according to claim 1, in which additional medications are not prescribed.

6. The method according to claim 1, additionally containing a binding to a particular patient medication issued through a secure, fixed device, for the purpose of billing.

7. The method according to claim 1, additionally containing an answer in a secure, fixed device on instructions received from the Central control for distribution of additional drugs.

8. The method according to claim 1, additionally containing limiting access to only one additional dose of medication in response to request for additional medicines.

9. The method according to claim 1, wherein issuing the first medication contains remote provision of instructions in a secure, fixed device to provide access to individual PAC is enta to additional medication.

10. The method according to claim 6, further containing automatic generation accounts for an individual patient for additional medication issued to an individual patient through a secure, fixed device.

11. The method according to claim 1, additionally containing replenishment extra medication in a secure, fixed device, based on the anticipated needs of the individual patient.

12. The method according to claim 1, in which access to a secure, fixed receive device using at least one of the system of locks and keys, device fingerprint recognition and voice recognition.

 

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