複数の担当薬剤師による服薬指導の現状と問題点

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In order to clarify the problem of medication counseling for outpatients by plural pharmacists working in rotation, we studied the state of utilization of our "Medication Counseling Comer" from July 1993 to April 1994, especially taking notice of the patients who made repeated use of this corner. During this period,814 outpatinnts consulted with the pharmacists on how to use their medicinal drugs (33.4%),their pharmacological effect (30.3%),their adverse reactions and interactions (15.0%) , and other reasons (21.3%) . The number of patients who consulted with the pharmacists at less twice was 97(11.9% of all users of the corner) , with 13 of them (1.6% of all) repeated the same question more than one. The elderly and psychiatric patients showed a tendency to use the corner repeatedly. In more than 80% of these cases, although a different pharmacist advised the patient who queried about the same matter as asked the last pharmacist, the advice given was almost identical for each pharmacist. The categories of the repeated questions put forword by the patients were concemed with their medications, the pharmacological effects (76.9%), adverse reactions (15.4%), and how to use (7.7%) the prescribed drugs. These findings suggest that a risk arises in the possibility of giving a different answer to the same question from the same patient by a different pharmacist working in this rotational counseling system. When the plural pharmacists take charge of medication counseling for outpatients in rotation, it is therefor necessary to maintain each patients counseling record carefully.
日本医療薬学会の論文
1996-04-10

複数の担当薬剤師による服薬指導の現状と問題点

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