2014 年 40 巻 5 号 p. 297-303
To ensure the proper use of pharmaceutical products, it is very important to check outpatient prescriptions brought by patients when they are hospitalized. However, in recent years, this checking has become a huge task for medical staff to manage, especially with the increase in the number of generic medicines. On April 2010, the chief of the Health Policy Bureau, Ministry of Health, Labour and Welfare, released an important statement, “Implementation of team medical care by the cooperation and linkage of medical staff,” indicating legal pharmaceutical activities to promote team medicine. The Ministry has established a new role for ward-pharmacists related to medical fees. In Kyoto University Hospital, we established a protocol for outpatient medication management, which clarifies the division of the roles played by doctors, nurses and pharmacists, according to the statement of the chief of the Health Policy Bureau (protocol-based pharmacotherapy management, PBPM). In this protocol, ward-pharmacists check outpatient prescriptions and propose the most suitable prescription to physicians by entering the physician order-entry system. Although it is an examination in only one ward, the introduction of this protocol effectively reduced doctors' and nurses' workloads by about 20 minutes per patient. Ward-pharmacists increased the frequency of prescription interventions, and also obviated errors committed by doctors. The practice of this PBPM on the management of outpatient medications greatly contributed to a reduction in the burden on doctors and nurses, and simultaneously improved medication safety in our hospital. This report presents an example of how medical team care can ensure high-quality patient treatment in a hospital.