病院薬剤師における業務内容の分類法と定量的分析

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The time spent by clinical pharmacists on various activities was measured using a multidimensional work-sampling method to identify their work activlties and the staff requirements. This study was conducted over a 10-day period using, as study subjects, two clinical pharmacists working in the surgical wards of a hospital (50 beds each). To analyze the work activities, the hospital pharmacy work was carefully classified, categorized, de-fined and coded based on information obtain from pharmaceutical studies and interviews conducted during the stud y. During the study period, 9,592 observations were collected. The results showed that the study subjects (clini-cal pharmacists) spent 78.6% of their time or about 6.3 hours per day performing clinical activities. The major work activities included the following : (1) giving instructions and consultations to patients (23.6%) ; (2) re-viewing and assessing the patients' charts and perforrning drug-use reviews (21.4%) ; (3) sharing patient infor-mation with staff (15.4%) ; (4) managing drug information (9.9%). On average, a pharmacist provided service to 15.O patients each day and spent 7.2 minutes with each patient providing inpatient-consultation services. The results showed time variations ranging from 1.O to 38.5 minutes in the inpatient-consultation activities and a further study was required to investigate the relationship between the casual tlme variation and the patient's characterlstics. In fact, the two pharmacists of this study were able to provide consultation servlces to only 76.9% of the inpatients in their wards. In conclusion, the results of this study revealed that hospital pharmacists had insufficient time to provide adequate clinical services to all patients. Therefore, staff requirements should be estimated based on the time required to be spent by a pharmacist on each patient while also considering variations in each patient's needs and characteristics.
日本医療薬学会の論文
2001-06-10

病院薬剤師における業務内容の分類法と定量的分析

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