調剤業務効率化に向けた簡易懸濁法の導入
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概要
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Many elderly patients are fed by tube in Towa hospital and two special elderly nursing homes. Therefore the work of crushing practice for medication using feeding tubes has been increasing steadily year by year. The purpose of this study was to investigate the current crushing practice and to improve pharmacy practice efficiency through the introduction of simple suspension method that enables tablets and capsules to be administrated after dissolving or collapsing in hot water without crushing. We counted the number of prescriptions in crushing dispensing between January and December 2004 and investigated how nurse medicate in each ward. The current crushing practice hours was compared with predicted hours using simple suspension method. Furthermore, we examined the medicine that we should give information about when we use the method. The following results were obtained. The crushing dispensing percentage of all prescriptions was 13.0%. That breakdown was 43.5% for recuperation facilities, 30.4% for two special elderly nursing homes, and 26.1% for general wards. We predicted that the simple suspension method would reduce the monthly dispensing time from 43.2 hours required for crushing to 11.3 hours. The medication by nurse varied between wards. In addition to listing the 49 medicines that was impossible to administer using feeding tubes, we made an information card on Sennoside as medicine used most often that need to be changed in prescription. These results suggest that the introduction of simple suspension method enable to conduct more efficient and effective pharmacy practice.
- 日本医療薬学会の論文
- 2006-06-10
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