医療薬学
Online ISSN : 1882-1499
Print ISSN : 1346-342X
ISSN-L : 1346-342X
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Failure Mode and Effects Analysis 手法にて作成したがん化学療法注射処方せん 処方監査チェックリストの教育効果
貝瀬 眞由美山口 正俊杉林 堅次
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2009 年 35 巻 7 号 p. 478-486

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We developed a modified method of training on checking cancer chemotherapy prescriptions for inexperienced pharmacists.To do this,errors found by pharmacists in prescriptions at the Niigata Prefectural Koide Hospital from April 2006 to March 2008 were subjected to failure mode and effects analysis (FMEA).Based on the results,a checklist was prepared and then used in a preliminary drill to check its suitability for inexperienced pharmacists.The preliminary drill consisted of two tests on the prescription form:a learning test and a final evaluation test,and the risk priority number for each failure mode in FMEA was used for scoring tests.The checklist was used only in the learning test.Though the inexperienced pharmacists took more time to complete the final test than pharmacists experienced in checking prescriptions in their daily work,there was no difference in scores between them.Furthermore,the inexperienced pharmacists were as good as the experienced pharmacists in finding errors in the final test that might cause major adverse reactions in patients,missing none of them.These results indicate that our FMEA-based checklist would be a useful tool in training on the checking of cancer chemotherapy prescriptions for inexperienced pharmacists.

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© 2009 日本医療薬学会
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