Characteristics of Prescription Audits for Home Medical Care Patients ―Analysis of Pharmaceutical Intervention Records Project in Gifu―

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  • Uno Akane
    Laboratory of Pharmacy Practice and Social Science, Gifu Pharmaceutical University
  • Suzuki Manabu
    Laboratory of Pharmacy Practice and Social Science, Gifu Pharmaceutical University Gifu Pharmaceutical Association
  • Ueda Yukino
    Laboratory of Pharmacy Practice and Social Science, Gifu Pharmaceutical University
  • Kobayashi Atsushi
    Laboratory of Pharmacy Practice and Social Science, Gifu Pharmaceutical University
  • Kai Junko
    Laboratory of Home Team Care Pharmacy, Gifu Pharmaceutical University
  • Namaki Nobuhiro
    Laboratory of Community Healthcare Pharmacy, Gifu Pharmaceutical University
  • Obara Michiko
    Laboratory of Community Healthcare Pharmacy, Gifu Pharmaceutical University
  • Azisawa Kanae
    Laboratory of Pharmacy Practice and Social Science, Gifu Pharmaceutical University
  • Hayashi Yui
    Laboratory of Pharmacy Practice and Social Science, Gifu Pharmaceutical University
  • Hayashi Hideki
    Laboratory of Pharmacy Practice and Social Science, Gifu Pharmaceutical University Gifu Pharmaceutical Association Laboratory of Home Team Care Pharmacy, Gifu Pharmaceutical University Laboratory of Community Healthcare Pharmacy, Gifu Pharmaceutical University
  • Tanase Tomohiro
    Gifu Pharmaceutical Association
  • Hibino Yasushi
    Gifu Pharmaceutical Association
  • Sugiyama Tadashi
    Laboratory of Pharmacy Practice and Social Science, Gifu Pharmaceutical University Gifu Pharmaceutical Association Laboratory of Home Team Care Pharmacy, Gifu Pharmaceutical University Laboratory of Community Healthcare Pharmacy, Gifu Pharmaceutical University

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  • 在宅医療患者に対する処方監査の特徴―岐阜県におけるPharmaceutical Intervention Record（薬学的介入報告）の分析―
  • ザイタク イリョウ カンジャ ニ タイスル ショホウ カンサ ノ トクチョウ : ギフケン ニ オケル Pharmaceutical Intervention Record(ヤクガクテキ カイニュウ ホウコク)ノ ブンセキ

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Abstract

<p>This study analyzed characteristics of prescription audits for home medical care patients, focusing on the Pharmaceutical Intervention Records (PIR) project conducted in collaboration with the Gifu Pharmaceutical Association and the Gifu Pharmaceutical University. The pharmacists registered audit data for 1,546 prescriptions into the PIR database in 2018. For the analysis, we divided the 1,546 prescriptions into a subject group (those with prescriptions for home medical care patients) and a control group (comprising other prescriptions). In the subject group, the proportion of elderly people, women, and patients who were prescribed six or more drugs was significantly higher than that of those in the control group. In addition, as a characteristic of prescription audits for the subject group, the audit information sources included consultation with doctors and nurses, the state of patients and patient homes, check of unused medicine, and test results. In addition, the reasons for pharmaceutical inquiries were renal dysfunction and serious side effects, and the type of prescription change was change of drug form. These proportions were significantly higher than in the control group. For these reasons, it was suggested that pharmacists use practical communication and trust relationships with patients and patients’ families as well as interprofessional collaboration to collect information. Moreover, the result suggest that they should inspect prescriptions according to patients’ vital signs and state of taking medicine.</p>

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