国立循環器病センターにおける薬剤管理指導に関する調査 : パイロットスタディによる評価

概要

論文の詳細を見る
Conducting clinical pharmacy practice in consideration of inpatient needs is one of the most important activities of pharmacists. In view of this, we conducted a pilot study at the National Cardiovascular Center to evaluate the effectiveness of our practice of clinical pharmacy. During the study period, 892 drug compliance instructions were given to 312 patients and there were 1,785 events that had to be managed. In order to manage these events, we provided information in 2,007 instances to patients (65%) or medical staff (35%). Among the events, the frequency of adverse reactions was 6.3%, with a rate per drug compliance instruction of one in eight. Medical errors accounted for 1.9% of the events, giving a rate of one error per 24 drug compliance instructions. Twenty percent of all prescription changes arose from information provided by pharmacists and 6.0% of changes in prescriptions were attributable to the medication errors detected by pharmacists. Thus, pharmacists were involved in about 25% of prescription changes. As our conclusion, clinical pharmacy practice which helps to avoid adverse reactions and provides useful information to patients and medical staff is a prerequisite for effective pharmacotherapy.
日本医療薬学会の論文
2004-03-10