Checking Outpatient Prescriptions on the Day of Hospitalization to Ensure Safety of Treatment-Role of Supervising Pharmacist in the Checking Process

Accession number;05A0464598
Title;Checking Outpatient Prescriptions on the Day of Hospitalization to Ensure Safety of Treatment-Role of Supervising Pharmacist in the Checking Process
Author; HARA CHIEKO (Asahikawa Medical Coll., Hospital, JPN) KOEDA MASAYOSHI (Asahikawa Medical Coll., Hospital, JPN) YAMASHITA YASUNORI (Asahikawa Medical Coll., Hospital, JPN) FUJIMARU SAYAKA (Asahikawa Medical Coll., Hospital, JPN) OTAKI KOICHI (Asahikawa Medical Coll., Hospital, JPN) MORITA MAYUMI (Asahikawa Medical Coll., Hospital, JPN) ONO TAKASHI (Asahikawa Medical Coll., Hospital, JPN) YAMADA TAKEHIRO (Asahikawa Medical Coll., Hospital, JPN) HAYASE NOBUMASA (Hokkaido Inst. of Pharm. Sci.)
Journal Title;Japanese Journal of Pharmaceutical Health Care and Sciences
Journal Code:Y0888A
ISSN:1346-342X
VOL.31;NO.5;PAGE.360-366(2005)
Figure&Table&Reference;FIG.2, TBL.3, REF.7
Pub. Country;Japan
Language;Japanese
Abstract;To ensure the proper use of pharmaceutical products, it is important to check outpatient prescriptions brought by patients when they are hospitalized. In recent few years, with the introduction of the Diagnosis Procedure Combination (DPC) into the medical service fee system, patient's hospital days have been reduced. As this makes it necessary to schedule operations soon after admission, it is essential that pharmacists check prescription drugs, over-the-counter drugs and supplements brought to hospital by patients as soon as possible after hospitalization. For this purpose, we have established a convenient checking system under which the supervising pharmacist allocates patients to the respective pharmacists in charge of each ward in the morning of the day of admission. Each pharmacist interviews one or two patients to check their medicines between 2 and 5 p.m. when they can fit this in with their normal work. The advantage of this system is that it makes it easier to collect more precise information on patients through interviews and checking their medicines at the bedside. It also enables us to provide better advice to both patients and ward staff. Our system has contributed to raising the safety of patient treatment. Until now, several operations have been suspended because patients were taking anti-coagulation drugs and cases like this show the great importance of checking patient medications before hospitalization. Under the DPC system, the use of outpatient prescriptions during hospitalization has contributed to reducing hospital expenditure and our checking system has helped ensure that this is done safely. (author abst.)