地域医療と健康教育

抽象的な

Places to Managing Medicines Patients Brought in Hospital: Which is Better Central Pharmacy or Hospital Wards?

Suzuki S, Yoshino N, Koike T, Mochizuki N, Ohta T, Hisamatsu D, Takeno KM, Shinohara A, Ouchi H, Ikegawa K, Saito S and Yamaguchi M

Background: Checking patients brought in medicine (CPBM) service in a hospital is one of the core service in the pharmacy division. At the National Cancer Center Hospital East, pharmacists performed the service in a central pharmacy, however, it has changed the working place, from the central pharmacy to hospital wards, since it was criticized that patients had long waiting time for CPBM. According to the change of working place, ward pharmacists check the medicines in a ward from February 5th 2015, compared that pharmacists checked the medicine in the central pharmacy in the past.
Objective: We evaluated benefits of change locations from the central pharmacy to hospital wards to check medicines brought to hospital by inpatients.
Methods: We conducted retrospective analysis of pharmacists' records of medicines brought to a hospital. We made two groups, central pharmacy group (CG) which pharmacists who worked in a dispensing room worked for the service in the central pharmacy from January 7th 2015 to February 4th 2015 and ward pharmacy group (WG) which ward pharmacists worked for the service in the ward from February 5th 2015 to March 5th 2015.
Results: There were 836 cases in WG and 836 cases in CG, respectively. There is no difference in patient demographics between WG and CG. The rate of CPBM was higher in WG [87% (724/836)] than in CG [72% (606/836)] (p<0.001). Average (± SD) time of the service, from start to double check, was shorter in WG [53 minutes (± 38)] than in CG [126 minutes (± 60)] (p<0.001). Pharmacists' interventions according to the check was higher in WG [32% (264/836)] than in CG [14% (121/836)] (p<0.001). Check for narcotic medicines was 15% (127/836) in WG and 0% in CG.
Conclusion: The change of service location does not only reduce patients' waiting time but also enhance clinical pharmacy service in inpatient.