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병원약제부의 약품식별업무와 질의응답업무에 관한 업무분석;한 대학병원의 경우
최지홍,김정애,스리니바산샨무감,용철순,최한곤,유봉규,Choi, Ji-Hong,Kim, Jung-Ae,Shanmugam, Srinivasan,Yong, Chul-Soon,Choi, Han-Gon,Yoo, Bong-Kyu 대한약학회 2008 약학회지 Vol.52 No.4
Drug identification service and other drug-related query service are becoming increasingly important in hospital pharmacy. The goal of this research was to investigate current situation of the service in hospital pharmacy, which recently implemented the services as part of provision of advanced hospital pharmacy service in order to assure national health improvement. We investigated the report performed from November 2006 through April 2007 in a university hospital located in Daegu, Korea. Number of drug identification service performed was 81 cases during the first three months period (period I), but it increased to 222 cases during the second three months period (period II), which suggested that the service was welcomed by medical staff in the hospital. Time to process each case was about 30 minutes in the period I while it was only 16 minutes in the period II. Proportion of the unidentifiable cases remained at about 25% during the entire period, which suggests that the system for the identification task appears to have some limitations such as unsatisfactory support from the Korea Pharmaceutical Association, laws, and regulations. A vast majority of drug-related queries were mostly from physicians (60.5%) followed by nurses and pharmacists. Time to process each drug-related query was 10.6 minutes in the period I while it was 6.9 minutes in the period II. Queries answered immediately were about 70% of all queries in the period I, but increased to about 85% in the period II.
산제 조제 업무의 효율성 및 산제의 안정성 확보를 위한 개선방안
권대선,김재희,채정훈,김윤경,이은주,박지수,최지홍,문보경 한국병원약사회 2009 병원약사회지 Vol.26 No.2
Abstract: A medication is designed to act effectively, and it is crucial to administrate a original dosage form so as to maintain the stability of compound and to bring adequate effects. However, it is happening to break into powder in terms of patient's age and difficulty in swallowing. Therefore, among the oral dosage medications, we should categorize into “The group of prohibit-ing crushing” and “The group of permitting crushing, with wary”. In addition, by providing these information to the prescribers and placing on records, we try to guarantee the efficacy, stability, as well as safety. From 16th of June in 2008 to 20th of June in 2008(5days), all prescriptions were compiled and analyzed. According to the data, we realized that “The group of prohibiting crush-ing” had been prescribed to crush although they could not crush. That it, useless and impractical system laid a burden on both prescribers and pharmacists. Moreover, by means of distinctive standard, the accuracy of double-checking system was also deteriorated. Therefore, new com-puterized program is made. Owing to this program which is restricted to prescribe “The group of prohibiting crushing” to crush, consistent checkup for compounding medication turn into possible Accordingly, through this program, a patient can not only be administrated appropriately, but the pharmacist also behave more coherently. However, in order to administrate more delicately and to establishing better compounding circumstance, further investigation will be required.