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국제의료기관인증평가의 약물관리 기준에 의한 약사의 역할 분석
구현준,민미나,한옥연,김영인,나현오 한국병원약사회 2012 병원약사회지 Vol.29 No.4
July 2010, Seoul St. Mary’s Hospital was accredited by the Joint Commission International (JCI). Through this, medication management processes changed significantly. The objective of this study is to evaluate the changed medication management processes and the role of hospital pharmacists. Refer to JCI accreditation standards of‘ medication management and use’and‘ Good Pharmacy Practice Standards(GPPS)’presented by the Korean Pharmaceutical Association, the questionnaire was developed. The survey was conducted on pharmacists, doctors, nurses, a total of 451 on duty. A total of 361 questionnaires were analyzed. The role of pharmacists was ranked 1st or 2nd from 48.8% to 97.4% in medication management step 6 (selection & procurement, storage, prescribing, dispensing, administration, monitoring) of three jobs as doctors, pharmacists, nurses. The job performance of pharmacist was evaluated from 2.52 to 3.65 points on a 5-point scale. It was evaluated lower by nurses and doctors than pharmacists. Therefore, hospital pharmacist role should be improved as the role’s importance for medication management. The hospital pharmacists should try to manage medication safely throughout medication management step 6.
송종오,민미심,조영일,김준호,허원만,주용진 건국대학교 의과학연구소 1994 건국의과학학술지 Vol.4 No.-
A clinical study was made in 234 cases of acute drug intoxications who visited to emergency room of Kon Kuk University Hospital during recent 4 years from January 1990 to december 1993. The following results were obtained. Total number of cases of acute drug intoxications was 234 which comprised 0.46% of total number of patients of the emergency room during the same period. The ratio of male to female was 1:1.07. The highest age incidence was in the third decade(27.8%). The monthly incidence was highest in July. Higher frequency was observed in summer season. The most common drug of the intoxication was pesticides and herbicides(52.6%), the remainders were sedatives and analgesics(24.8%), miscellaneous drugs(13.2%), rodenticides(5.6%) and unknown drugs(3.8%) in orders. The most common cause of drug intoxication was suicide(69.3%) and the others were accident, intention, unknown causes in orders. Main clinical manifestations were the impaired consciousness, nausea, vomiting, dizziness and dyspnea. Physical examination revealed tachycardia, increased blood pressure, miosis of the pupil and sweating. The complications were developed in 15.8% among 234 cases and common complications were respiratory failure, cardiovascular collapse, pneumonia, renal failure, pulmonary edema, brain edema in orders. Overall mortality rate was 8.1% of total cases and the mortality rate was highest in herbicide intoxication(29.4%).
의료기관의 Internet을 이용한 질의응답 업무 실태조사 : 약제과의 역할에 대한 고찰 Consideration of the role of pharmacy
한윤덕,최선,민미나,한옥연,황보신이 한국병원약사회 2002 병원약사회지 Vol.19 No.2
As information retrieval through internet has been popularized, a demand of medical information has been increased. But most medical information is provided by commercial web sites without evaluation the quality of information. So we suggested there were a demand for drug information supplement by special medical institutions. The aim of this research was to investigate medical information on the web sites of hospital, especially department of pharmacy, ad discuss methods of improvement. We selected the web sites of tertiary medical institutions had over 500 beds and evaluated question and answer (Q&A) sites on the webs in terms of consulting fields, overall organization and easiness of access. Among the consulting fields, we selected medicine Q&A field and estimated answering method, quality of Q&A and the time required to answer. We also conducted a verbal questionnaire survey of patients or their family to check the demands of medical information. Among the 39 institutions, 23 institutions(59%) performed Q&A on the webs and the consulting fields were mainly composed of disease(95.7%, 22 of 23) and medicine(26.1%, 6 of 23). Overall organization of Q&A sites was managed by central or each clinical department. Both management methods had similar rates(54.5%, 41%) but all Q&A sites of medicine was conducted by department of pharmacy. The access to the Q&A sites was easy regardless of consulting fields. We couldn't evaluate Q&A sites of medicine precisely because the only three web sites had conducted Q&A during the research period. As a result of questionnaire survey, 83.3% of answerers who were using internet expressed positive opinions about health information obtaining through the Q&A site of medical institution. But most people didn't know how to use the Q&A sites of hospital. In conclusion, disease consultation on the web was relatively activated but medicine consultation was very insufficient. So we should make an effort to provide medicine information on the web and discuss pharmacist's role in this part.
제 2형 당뇨병 환자에서 Dapagliflozin의 안전성 평가
한영현,최혜정,민미나,한옥연,황보신이 한국병원약사회 2019 병원약사회지 Vol.36 No.2
Background : Dapagliflozin, an Sodium-glucose co-transporter 2 inhibitor, is an oral antidiabetic agent that controls plasma glucose levels by facilitating the excretion of glucose in the urine and its usage is on the rise. However, safety concerns with dapagliflozin have increased because of reports of adverse events, such as dehydration and acute kidney failure. Therefore, We studied the pattern of adverse events and the therapeutic effects of dapagliflozin for the safe use of the antidiabetic agent. Methods : A retrospective analysis was performed by reviewing the electronic medical record of type 2 diabetes patients who had been prescribed dapagliflozin in endocrinology medicine at St. Mary's Hospital between January 1st and December 31st, 2015. We reviewed records of adverse events and changes in hemoglobin A1c (HbA1c), fasting glucose levels, body weight and estimated glomerular filtration rate (eGFR). Results : There were a total of 589 patients in this study. Ninety-three patients experienced adverse events. Among these, 91 patients had taken dapagliflozin with other antidiabetic agents. Fifty-seven patients experienced adverse events within six months after taking dapagliflozin. The proportion of adverse events occurred in patients with metabolic and nutritional disorders, urinary system disorders, skin and appendage disorders, gastrointestinal system disorders at frequencies of 26.3%, 18.4%, 12.3%, and 12.3% respectively. Skin and appendages disorders and reproductive disorders were more common in females than in males (P 0.05). There were no serious adverse events. HbA1c, fasting plasma glucose, body weight and eGFR decreased by 0.65%, 25.66 mg/dl, 2.27kg, 0.73 mL/min/1.73 m2, respectively, from baseline to the first visit. Conclusions : Dapagliflozin was effective with no serious adverse drug effects. This study found that skin and appendage disorders and reproductive disorders were more common in females. In terms of effectiveness, dapagliflozin decreased body weight, as well as plasma glucose.
김광호,김준호,주용진,진춘조,이영수,박형석,최의광,공수정,민미심 대한내과학회 1995 대한내과학회지 Vol.48 No.1
Benign duodeno-colic fistula is an exceedingly uncommon disease with less than 100 cases reported to date, inducing chronic watery diarrhea, weight loss, which brought about by duodenal ulcer, Crohn`s disease, cholelithiasis, intestinal tuberculosis, duodenal diverticulum. As the transverse colon crosses the second portion of the duodenum, their walls are in direct contact with no intervening tissue, thus allowing formation of a fistula between the two structures. We experienced a case of benign duodeno-colic fistula associated with unknown etiology in a 42-year-old female who had suffered from chronic watery diarrhea (3-4 frequencies/day) and weight loss (5 ㎏/year) for 1 year. The physical examination showed chronic ill appearance and mild direct tenderness on the epigastrium. Endoscopy showed the openings of the fistula on the duodenum and colon with normal surrounding mucosa, respectively. We report a case of benign duodeno-colic fistula associated with unknown etiology, confirmed by endoscopy, with review of literature.