災害時初期行動の統制を目指した病院薬剤部部署別アクションカードの有用性

抄録

The disaster manual of our hospital stipulates that the damage situation for each department should be confirmed in a disaster and reported to the disaster headquarters. Since about half of the staff in our hospital's departments of pharmacy services work outside, it is difficult to confirm the damage situation at the time of a disaster. Therefore, to grasp the damage situation efficiently and control the incident responses in a disaster, we developed action cards for each department that summarize the actions that pharmacists should perform when confronted with disaster situations. The action cards were used for tabletop disaster training. The usefulness of the action cards was verified by analysis of participants' behavior according to four parameters before and after the training: safety, damage related to medicine, communication tools, and information transmission to the departments of pharmacy services.

Before the training, safety checks were conducted by 68.6％ of participants, checks of damage related to medicine and information transmission to the departments of pharmacy services by 25.7％ of participants, and communication tools' checks by 2.9％ of participants. The use of the action cards improved all parameters for the training participants by nearly 100％. Furthermore, it was possible to correct the safety actions of all the training participants. These results suggest that the action cards are useful for controlling incident responses in a disaster and can serve as disaster response guidelines for pharmacists.