個別認証技術を用いた医療用麻薬フェンタニル注射液の院内個別管理

抄録

One of the most important operations for pharmacists is drug management. Specifically, pharmacists need to carefully and strictly manage and record narcotic drugs according to the “Narcotics and Psychotropics Control Law”, which places both operational and mental burdens on medical staff. In this study, we verified the practicality of the “Shachihata Authentication Management Program” system, which can identify minute non-uniformity in print, for the management of Fentanyl Injection ampules individually and for visualization of them in hospital. To evaluate accuracy of the system, 300 Fentanyl Injection labels were registered and authenticated. Then to verify traceability, each Fentanyl Injection label was registered when stocking in drug safe for narcotic drugs, then they were authenticated when dispatched to wards and operation rooms, when returned to the pharmacy as non-used, and when disposed as used at the pharmacy. As a result of evaluation of accuracy, all 300 ampules were completely identified individually. The traceability of all 189 ampules, which were stocked in drug safe during the study period, was certified individually in hospital. Additionally, the system could record and output the data in the format of narcotic drug accounts, and revealed a stagnation of ampules in drug safe in the operation room. Furthermore, the time required to register or authenticate per one ampule was about 10 seconds. The results indicate that the system realized the traceability of Fentanyl Injection individually in real-time in hospital, suggesting that the system contributes to appropriate individual management for strictly managed drugs without operational and mental pressure.