Abstract
The medical accident is increasing year by year including small mistakes. To prevent these accidents, hospitals should make some actions. In Chukyo-Hospital, the pharmacists are doing medicine management for all patients in 1998 and afterwards. The ward pharmacists check every prescription by doctors after grasping the inpatients backgrounds. This medicine management system is effective to prevent accidents by drug misuse.
This time, we report the result of checking about 8, 500 injection prescription sheets and internal prescription sheets for inpatients during past six months in a mixed ward. 165 sheets of unsuitable directions and prescriptions were found. 56 sheets of 165 were double medication of gastric internal medicines from our hospital and other hospitals. 12 sheets were also double medication of medicine by injections and by internal medicines. These mistakes seem not so serious. On the other hand, we found serious mistakes. 12 examples were over-medications for patients whose kidney functions were reduced. 9 examples were contraindicated prescriptions. 5 examples were allergy inducers for the allergic patients. 4 examples were unsuitable drug combinations. Three examples seemed making bad effects against operations. 3 examples were all serious and we could prevent accidents beforehand.
We want to work active as risk managers in our hospital to protect inpatients from accidents and to be trusted by inpatients.
