Analysis of Responses of Clinical Pharmacists to Questions on Drugs from Medical Staff and Their Effect on Therapy

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  • Mario Yasunari
    Division of Life Sciences, Graduate School of Natural Science and Technology, Kanazawa University Department of Hospital Pharmacy School of Medicine, Kanazawa University School of Pharmaceutical Sciences, International University of Health and Welfare
  • Nishigami Jun
    Department of Hospital Pharmacy School of Medicine, Kanazawa University
  • Uchiwa Hisako
    Department of Hospital Pharmacy School of Medicine, Kanazawa University
  • Ino Shuichi
    Department of Internal Medicine School of Medicine, Kanazawa University
  • Okada Toshihide
    Department of Internal Medicine School of Medicine, Kanazawa University
  • Mabuchi Hiroshi
    Department of Internal Medicine School of Medicine, Kanazawa University
  • Miyamoto Ken-ichi
    Division of Life Sciences, Graduate School of Natural Science and Technology, Kanazawa University Department of Hospital Pharmacy School of Medicine, Kanazawa University

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  • 病棟スタッフからの質問とそれらに対する薬剤師による薬学的対応

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Abstract

Clinical pharmacists now participate in drug therapy as members of the patient care team and play a role in the safety management of drugs. Our role is thus expanding into the realm of clinical practice and we have more chances to communicate with other medical staff. They often ask us for information on drugs and providing them with such information can have an effect on drug therapy.<BR>With this situation in mind, we investigated the nature of questions asked by medical staff and determined the differences between the information requested by doctors and that asked for by nurses, targeting questions and answers give at Kanazawa University Hospital from April through October in 2003. There were 206 questions in total consisting of 91 questions from doctors and 111 questions from nurses. We found that 27.7% of the responses we gave resulted in therapy changes such as prescription adjustment. The rate for therapy changes was higher for doctors than for nurses (41.8% versus 17.1%).<BR>In conclusion, the involvement of pharmacists helps to ensure proper drug use and leads to qualitative improvements in medical care but it is necessary to accumulate data as evidence of the useful role that pharmacists can play in this respect.

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