処方オーダリングシステムおよびＴＤＭオーダリングシステムと連動した抗ＭＲＳＡ薬使用届け出システムは適正使用を推進する

概要

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To help ensure the proper use of anti-Methicillin-resitant S.aureus (MRSA) drugs,we developed a system for prior notification of the use of these drugs,which is incorporated into the physician order-entry system.The setup also includes a Therapeutic Drug Monitoring (TDM) order-system,which is booted automatically when a physician orders anti-MRSA drugs other than linezoride.Our system allows pharmacists and members of the infection control team to make detailed checks of notifications and dosage regimens.In this study,we evaluated the notification system from the viewpoint of the proper use of anti-MRSA drugs.The total number of vials of anti-MRSA injections consumed decreased significantly after its introduction while the number of orders for TDM doubled as compared with before system introduction.Twenty percent of TDM orders through the new system were those which pharmacists had requested physicians to raise based on clinical data and drug regimens.By helping ensure the proper use of anti-MRSA drugs,the new system has improved clinical outcomes.
日本医療薬学会の論文