Introduction and Evaluation of a Newly Established Holiday Work System in the Ward Pharmacy at Municipal Ikeda Hospital
| Autor: | Michiaki Myotoku, Keiko Irishio, Chiaki Iwamoto, Tomoko Shioishi, Emi Miyamoto, Kazunori Shimomura, Syunichi Kawaguchi, Yumi Tomida, Toshiko Inui, Natsuko Suemura, Chika Yohiro, Yuki Ihara, Akiko Nakanishi, Yoko Murayama |
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| Rok vydání: | 2006 |
| Předmět: |
Medication Systems
Hospital media_common.quotation_subject MEDLINE Nurses Pharmaceutical Science Pharmacy Pharmacists Medical care Injections Promotion (rank) Japan Nursing Surveys and Questionnaires Work Schedule Tolerance Humans Medication Errors Medicine Adverse effect Quality of Health Care media_common Pharmacology Risk Management business.industry Questionnaire medicine.disease Clinical pharmacy Medical emergency Pharmacy Service Hospital business Work systems human activities |
| Zdroj: | YAKUGAKU ZASSHI. 126:1003-1010 |
| ISSN: | 1347-5231 0031-6903 |
| DOI: | 10.1248/yakushi.126.1003 |
| Popis: | At the Municipal Ikeda Hospital, a system in which pharmacists stationed in one ward pharmacy dispense drugs to be administered by injection and injectable preparations delivered to patients' bedsides was introduced in April 2000. This system was aimed at minimizing risks related to injections. Initially, however, on holidays, nurses played the roles of pharmacists in terms of the injections, and there were concerns over a possible rise in the incidence of errors (adverse events/near-misses) related to injections on these days compared with weekdays. Later, when planning to introduce a new holiday work system in the ward pharmacy, we took into account such factors as the number of pharmacists needed on holidays, their duties on holidays and the influence on weekday pharmacy activity of compensatory days-off taken by such pharmacists. In May 2004, the new holiday work system was introduced in the ward pharmacy. Under the new system, 5 pharmacists work at the ward pharmacy on holidays. After this system was put into operation, the number of injections dispensed at the ward pharmacy averaged 230 per day, and 177 per holiday. To evaluate the validity of this system, we recently conducted a questionnaire survey of nurses at our hospital. The survey involved 139 nurses. Of these nurses, 69.1% responded that the number of incidents (adverse events/near-misses) related to dispensing injections on holidays had decreased. Furthermore, 65.4% of the nurses reported a decrease in incidents related to the delivery and administration of injectable preparations. More than half of the nurses answered that the new system had made it easier for them to collect information on medicines and helped them provide better nursing services. When the nurses were asked to make a general assessment of the new system, 90% rated the system as "good." The results of this survey indicate that keeping the ward pharmacy open on holidays contributes to the promotion of the proper use of medicines, reduction of risks related to injections and improvement in the quality of medical care. |
| Databáze: | OpenAIRE |
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