Development and Evaluation of Pharmaceutical Services in the ICU/CCU by Medical Staffs

DOI Web Site Web Site PubMed 6 Citations 4 References
  • MIYAZAKI Norio
    Kyoritsu College of Pharmacy
  • SEKINE Yuko
    Department of Pharmacy, University of Tokyo Hospital, Faculty of Medicine, University of Tokyo
  • AOYAMA Takao
    Department of Pharmacy, University of Tokyo Hospital, Faculty of Medicine, University of Tokyo
  • YASUNO Nobuhiro
    Department of Pharmacy, University of Tokyo Hospital, Faculty of Medicine, University of Tokyo
  • NAKAMURA Hitoshi
    Department of Pharmacy, University of Tokyo Hospital, Faculty of Medicine, University of Tokyo
  • YAMADA Yasuhiko
    Tokyo University of Pharmacy and Life Science
  • IGA Tatsuji
    Department of Pharmacy, University of Tokyo Hospital, Faculty of Medicine, University of Tokyo

Bibliographic Information

Other Title
  • ICU/CCUにおける薬剤業務の展開と他の医療スタッフからの評価及び問題点の解析
  • ICU CCU ニ オケル ヤクザイ ギョウム ノ テンカイ ト タ ノ イリョウ スタッフ カラ ノ ヒョウカ オヨビ モンダイテン ノ カイセキ

Search this article

Description

  Questionnaires were sent out to the staffs (13 physicians, 52 nurses and 5 medical engineers) of the ICU/CCU at the University of Tokyo Hospital, to evaluate pharmaceutical services by analyzing problems in the services offered. Four components of pharmaceutical services were evaluated: inventory control of drugs, check of drug usage and doses, mixing of injections, and offering drug information. Almost all responses from medical staffs evaluated pharmaceutical services overall as “good”. The high response rate (96%) from the nursing staff was attributed to the fact that they were familiar with the pharmacist's role with drug inventory, and mixing injections, when nursing was not available for these tasks. Although 50% of physicians rated the pharmaceutical services of providing drug information as “good”, this value was lower than responses on other items of the questionnaires, which suggests some dissatisfaction. The occurrences of drug information obtained by passive offering (121 subjects) was 4 times as common as drug information obtained by active offering (30 subjects). From this finding, and comments on the questionnaires from physicians, it suggests that physicians require more drug information for dosage regimens, and prefer the drug information to be provided more actively. Further, an important comment from physicians and nurses was that the services of pharmacists are not available on all shifts/all days of the week to provide consultation for drug information and mixing of injections. Although having a pharmacist available daily around the clock is desirable and ideal to the medical team, the number of pharmacists under the present system cannot support this. As a solution, we think that it is crucial that pharmacists educate medical staff when they are present to in order to optimize therapy and patient care over time.<br>

Journal

  • YAKUGAKU ZASSHI

    YAKUGAKU ZASSHI 124 (5), 279-286, 2004-05-01

    The Pharmaceutical Society of Japan

Citations (6)*help

See more

References(4)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top