Involvement of the Pharmacy in Improvement of Hospital Management

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  • 病院経営改善への薬剤部の参画

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Our pharmacy accepted the challenge of improving management at Ehime University Hospital from the perspective of rationalizing drug use. The following 3 points were considered important and examined : increasing the rate of prescriptions dispensed at pharmacies outside the hospital, switching to generic drugs, reducing unnecessary drug use by providing information on the proper use of drugs. Information was processed on the pharmacy client terminal computer system using Microsoft ACCESS 2000, which was connected through an open database connectivity (ODBC) interface with an Oracle database. This allowed information to be retrieved from the hospital application system network.<BR>As a result of our efforts, the Management Improvement Committee made a request to departments and doctors with low rates for prescriptions dispensed outside the hospital to cooperate in increasing them. The rate has now risen to over 90%. Nine injection drugs were switched to generics, which has reduced costs. Our investigation of the use of blood preparations (Antithrombin III drugs) revealed that it was more economical to use one particular drug in this category. Pharmaceutical kits containing antibiotics were switched to separate vials except in cases where there was concern associated with such a switch. High use of albumin preparations and G-CSF pharmaceuticals was reduced through the use of information sheets informing clinical departments and doctors about their proper use. Our contributions to management improvement enabled drug use to be reduced to about 70% of the previous level, even better than the target of about 85% versus the previous year. Our project seemed to have raised awareness of the importance of using drugs properly and drug cost control among the doctors in each clinical department.

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