医療薬学
Online ISSN : 1882-1499
Print ISSN : 1346-342X
ISSN-L : 1346-342X
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医師との協働に基づき作成したプロトコールの導入とその評価
― 整形外科領域の疼痛管理に対する薬剤師の処方支援 ―
藤岡 貴光齋藤 雅俊小林 義和斎藤 太寿伊東 崇仁阿部 真也町田 美香柴田 壮一井上  岳月村 泰規千葉 一裕厚田 幸一郎松原  肇
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2014 年 40 巻 7 号 p. 396-401

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In collaboration with orthopedic surgeons, we have developed and introduced a protocol for pharmacists with the aim of providing support for the prescription of analgesics used for pain associated with orthopedic areas. The prescription support mainly involves changes in the dose and administration of continually administered analgesics. This includes increasing, reducing, or discontinuing doses, as determined by the ward pharmacist in charge on the basis of the severity of the patient's pain. In the six-month period following the introduction of this protocol, 164 prescription entries (140 for oral drugs, 24 for external drugs) were made by pharmacists. For both oral and external drugs, the drugs prescribed were those having a high frequency of prescription at the hospital. Of the prescription entries for oral drugs, 94 were made for continued prescriptions. In addition, 18 were made for changes to prescriptions as needed and deletion, and 10 were for dose reduction. No adverse events were observed. All physicians who participated in the trial rated the protocol highly, and to justify their rating, many described the protocol as a procedure that “reduced the operational load for physicians.”
Many physicians requested expansion of the scope of this protocol, and all physicians stated, “I wish this protocol was introduced for other drugs.” Although the protocol was found to be highly beneficial, it is important to discuss physicians' responsibilities in cases of adverse events.

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© 2014 日本医療薬学会
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