リスクマネジメントとしての睡眠薬による転倒・転落事故防止における薬剤師の役割 (2)

看護師アンケートからの考察

抄録

In hospital risk management, it is very important for pharmacists to prevent not only cases with risk in which the pharmacist is concerned directly, but also drug-related accidents. In particular, pharmacists must sufficiently recognize the intention of a physician's hypnotics to prevent drug-induced tumbling accidents. However, at Ehime University Hospital, hypnotics are not controlled by the patient directly, but by nurses are distributing it at the diagnosis and treatment department when necessary. It is necessary to grasp the degree of recognition for the hypnotics of the nurse in order to reduce a risk of tumbling accidents by patients using such hypnotics. In the present investigation, a questionnaire on hypnotics usage was carried out for nurses of Ehime University Hospital. As a result, nurses considered that hypnotics were related to the tumbling accident but hypnotics were necessary for the patient complaining of insomnia. In spite of knowing the drug's name and the characteristics on benzodiazepines well, it was clear that nurses did not know about the muscle relaxant action of benzodiazepines and the fact that new medicine has a weak muscle relaxant action. It is necessary for pharmaciststo provide sufficient information on the hypnotics in order to understand the meaning of the hypnotics prescription of doctors sufficiently. In addition, information must be given to nurses regarding the efficacy and side effects of hypnotics which then should be provided to patients being medicated by hypnotics.