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研究生： 游智仁
Chi-Yen Yu
論文名稱： 配藥器之設計與實作
The Design and Implementation of Smart Medication Dispensers
指導教授： 張韻詩
Jane W.S. Liu
口試委員:
學位類別： 碩士
Master
系所名稱： 電機資訊學院 - 資訊工程學系
Computer Science
論文出版年： 2008
畢業學年度： 96
語文別： 英文
論文頁數： 93
中文關鍵詞： 配藥器 、CPOE 、藥物 、藥物排程器
外文關鍵詞： dispenser, CPOE, medication, medication scheduler
相關次數： 點閱：3  下載：0 
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    • 本篇論文描述一個自動的配藥器 (簡稱配藥器)，此配藥器可幫助居家的使用者在長期無專業看護的照顧之下，更容易地依照藥方服用多種藥物。 此配藥器可自動依照藥方，幫使用者排定吃藥的時程表。並在排定的吃藥時間到達時，分配正確數量的藥物給使用者吃。當使用者因為忘記或是其他事情，導致無法按時服用藥物，配藥器也會動態地更改吃藥的時程表，使得使用者所服用的藥量以及服用時間皆能按照藥方裡的指示。

    ABSTRACT I ACKNOWLEDGEMENT III LIST OF TABLES VII LIST OF FIGURES VIII CHAPTER 1 INTRODUCTION 1 1.1 Motivation 1 1.2 Contribution 2 1.3 Organization 3 Chapter 2 Related Work 6 2.1 Support Infrastructure 6 2.1.1 Computerized Physician Order Entry Systems 7 2.1.2 Prescription Authoring Tool 9 2.2 Medication Usage Assistant Tools 11 2.2.1 Automatic Medication Tools 11 2.2.2 Manual Medication Tools 12 2.2.3 Dumb Medication Tools 13 Chapter 3 Assumption and User Scenario 15 3.1 Assumption 15 3.2 User scenario 16 3.2.1 Set up 18 3.2.2 Operation Stage 20 3.2.3 Enhanced Dispenser 22 3.2.4 User Preferences 24 Chapter 4 Medication Scheduler Specification 27 4.1 Dosage Parameter 28 4.2 Special Instruction 31 4.3 Consistency and Feasibility 33 Chapter 5 Medication Scheduler Application Interface 36 5.1 Action Oriented Model 36 5.2 Basic APIs 39 5.3 Communication flow 43 5.3.1 Case 1: User Takes Medication on Time 44 5.3.2 Case 2: User missed a Dose 46 5.3.3 Case 3: Call Doctor 48 Chapter 6 Dispenser architecture 50 6.1 Overview 50 6.2 Host Requirement 51 6.3 Hardware components and driver interface 53 6.3.1 RFID reader 55 6.3.2 Binary Sensor Array (BSA) 56 6.3.3 Verification device 57 6.3.4 Reminder & button 57 6.4 Software Component Structure 58 6.4.1 Work queue and worker thread 58 6.4.2 Event and action handler 61 6.4.3 “DoseAfterResponse” action 62 Chapter 7 Implementation 64 7.1 Communication between Host and Microcontroller 64 7.2 The Prototype 67 7.3 State Transition Diagram of Dispenser Controller 69 7.3.1 Initialization of MSS and medication container 70 7.3.2 Interaction with Scheduler 76 Chapter 8 Summary and Feature Works 79 Reference 82 Appendix: State Transition Diagram 85

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    [2] http://www.dynamic-living.com/automated_medication_dispenser.htm and http://www.epill.com/

    [3] My Pill Box at http://www.mypillbox.org/mypillbox.php

    [4] Jane W.S. Liu, C.S.Shih, P.H.Tsai, H.C.Yenh, P.C.Hsiu, C.Y.Yu, and W.H.Chang “Point-of-Care Support for Error-Free Medication Process” February 2007

    [5] D. C. Schmidt, et al., “Leader/followers: a design pattern for efficient multithreaded event de-multiplexing and dispatching,” http://ftp.icm.edu.pl/packages/ace/ACE/PDF/lf-PLOPD.pdf

    [6] http://of.openfoundry.org/projects/dispenser
    “Smart dispenser project”

    [7] R. W. Park, S. S. Shin, Y. I. Choi, J. O. Ahu, and S. C. Hwang, “CPOE and Electronic Medical Record Systems in Korea Teaching Hospitals,” Journal of American Medical Informatic Association, September 2005.

    [8] D. M. Cutler, N. E. Feldman, and J. R. Horwitz, “U. S. Adoption of Computerized Physician Order Entry Systems,” Health Affairs, Vol. 24, No. 6, 2005.

    [9] R. L. Davis, “Computerized Physician Order Entry Systems: The Coming of Age for Outpatient Medicine,” PLoS Medicine, September 2005.

    [10] B. Koppel, et al. “Role of Computerized Physician Order Entry Systems in Facilitating Medication Errors,” Journal of AMA, Vol. 293, No. 10, 2005.

    [11] Han-Chun Yen, Pi-Cheng Hsiu, Chi-Sheng Shih, Pei Hsuan Tsai, Jane W.S. Liu “APAMAT: A Prescription Algebra for Medication Authoring Tool”. March 2006

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    [13] R. W. Park, S. S. Shin, Y. I. Choi, J. O. Ahu, and S. C. Hwang, “CPOE and Electronic Medical Record Systems in Korea Teaching Hospitals,” Journal of American Medical Informatic Association, September 2005.
    [14] D. M. Cutler, N. E. Feldman, and J. R. Horwitz, “U. S. Adoption of Computerized Physician Order Entry Systems,” Health Affairs, Vol. 24, No. 6, 2005.
    [15] R. L. Davis, “Computerized Physician Order Entry Systems: The Coming of Age for Outpatient Medicine,” PLoS Medicine, September 2005.

    [16] B. Koppel, et al., “Role of Computerized Physician Order Entry Systems in Facilitating Medication Errors” Journal of AMA, Vol. 293, No. 10, 2005.

    [17] “Pharmacy – nursing shared vision for safe medication use in hospitals: executive session summary,” Am. Journal of Health – Syst Pharma, Vol. 60, 2003.

    [18] iHealthBeat, "Frist aide says EMR bill could pass." http://www.ihealthbeat.org, January 30, 2004.Accessed August 30, 2005.

    [19] iHealthBeat, "Clinton reiterates IT stance, details legislation." http://www.ihealthbeat.org, January 29, 2004.Accessed August 31, 2005.

    [20] King WJ, Paice N, Rangrej J et al. “The effect of computerized physician order entry on medication errors and adverse drug events in pediatric inpatients.” Pediatrics.2003 September

    [21] D W Bates, L L Leape, D J Cullen, et al., “Effect of Computerized Physician Order Entry and a Team Intervention on Prevention of Serious Medication Errors”, JAMA, 280 (1998), pp. 1,311–1,316.

    [22] Kuperman GJ, Bobb, A, Payne TH et al. “Medication related Clinical Decision Support in Computerized Provider Order Entry Systems: A Review” J Am Med Inform Assoc. 2007; 14(1):29-40. Epub 2006 Oct 26

    [23] Ross Koppel, Joshua P. Metlay, Abigail Cohen, Brian Abaluck, A. Russell Localio, Stephen E. Kimmel, and Brian L. Strom,“Role of computerized physician order entry systems in facilitating medication errors,” The Journal of the American Medical Association, vol. 293, pp. 1197 – 1203, March 2005.

    [24] Cutler DM, Feldman NE, Horwitz JR. “U.S. Adoption of Computerized Physician Order Entry Systems.” Health Affairs, 24, no. 6 (2005): 1654-1663

    [25] M.Governo, V.Riva,P.Fiorini, C.Nugent “MEDICATE Teleassistance System” The 11th International Conference on Advance Robotics Coimbra, Portugal, June 30 – July 3, 2003

    [26] Dadong Wan, “Magic Medicaine Cabinet: A Situated Portal for Consumer Healthcare” in Proceedings of First International Symposium on Handheld and Ubiquitous Computing (HUC ’99), September 1999.

    [27] MD2: http://www.epill.com/md2.html

    [28] Tamara. L. Hayes, John M. Hunt, Andre Adami and Jeffrey A. Kaye “An Electronic Pillbox for Continuous Monitoring of Medication Adherence” EMBS Annual International Conference, New York City ,USA ,Aug 30-Sept 3, 2006

    [29] K. Fishkin, M. Wang, and G. Borriello, "A ubiquitous system for medication monitoring," presented at Pervasive 2004, April 18-23, Vienna, Austria, 2004.

    [30] PDRHealth, Drug Information, http://www.pdrhealth.com/drug_info/

    [31] P. C. Hsiu, H. C. Yeh, P. H. Tsai, C. S. Shih, D. H. Burkhardt, T. W. Kuo, J. W. S. Liu, T. Y. Huang, “A General Model for Medication Scheduling,” Institute of Information Science, Academia Sinica, Taiwan, Technical Report TR-IIS-05-008, July 2005.

    [31] Windows API: WaitForMultipleObjects http://msdn.microsoft.com/en-us/library/ms687025(VS.85).aspx

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