Effects of the Introduction of a Simplified Query Protocol on Transitioning from In-Hospital to Out-of-Hospital Qrescriptions

  • SUZUKI Chinami
    Hokkaido P.W.F.A.C,Sapporo Kosei General Hospital,Department of Hospital Pharmacy
  • KUBO Junichi
    Hokkaido P.W.F.A.C,Asahikawa Kosei General Hospital,Department of Hospital Pharmacy
  • TAKAGI Akihiko
    Hokkaido P.W.F.A.C,Engaru Kosei General Hospital,Department of Hospital Pharmacy
  • TAKATORI Shigoh
    Hokkaido P.W.F.A.C,Asahikawa Kosei General Hospital,Department of Hospital Pharmacy
  • MIZUTANI Akifumi
    Hokkaido P.W.F.A.C,Sapporo Kosei General Hospital,Department of Hospital Pharmacy
  • SATO Hiroshi
    Hokkaido P.W.F.A.C,Engaru Kosei General Hospital,Department of Hospital Pharmacy
  • MORITA Makiko
    Hokkaido P.W.F.A.C,Engaru Kosei General Hospital,Department of Hospital Pharmacy
  • SATO Kimihito
    Hokkaido P.W.F.A.C,Engaru Kosei General Hospital,Department of Hospital Pharmacy

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Other Title
  • 院内処方から院外処方への移行における疑義照会簡素化プロトコ-ル導入の効果
  • インナイ ショホウ カラ イン ガイ ショホウ エ ノ イコウ ニ オケル ギギ ショウカイ カンソカ プロトコール ドウニュウ ノ コウカ

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Abstract

Engaru-Kosei General Hospital created a protocol for simplifying inquiries when shifting from in-hospital prescriptions to out-of-hospital prescriptions. Therefore, we examined the effects of this protocol based on the prescription content before the transition. Between January and March 2018, there were 12,861 patients aged 59.5 ± 24.7 years, 55.6% of whom were over 65 years old. The number of prescriptions was 28,052 and the average number of drugs was 3.2 ± 2.6. The number of prescriptions for which inquiries were made was 4,020. The time required for simulated question inquiry was 75.4 ± 20.5 seconds/case, which was approximately 84.1 hours in 3 months when calculated using the 4,020 cases of question inquiry. The protocol made it possible to efficiently carry out inquiries about concerns over the shift to out-of-hospital prescriptions, and reduced the workload of doctors and patient waiting time at insurance-specified pharmacies. In the future, it will be important for local medical staff to continue to be involved in drug therapy for patients while utilizing protocol-based drug therapy management.

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