服用状況報告の実践
チーム医療の一員として
2004 年 30 巻 1 号 p. 31-37
詳細
2004 年 30 巻 1 号 p. 31-37
To identify adverse drug effects or other problems associated with medication that patients themselves or their physicians may not be aware of, pharmacists at our institution devised a “Medication Monitoring Report” scheme, by which pharmacists are often able to recognize adverse drug effects or other problems associated with administered drugs through dialogue with patients. This scheme was introduced at our institution in September 1993. Each report includes information on various signs and symptoms occurring in patients receiving a given medication. Pharmacists obtain this information by interviewing patients directly. Problems or concerns associated with a medication identified in this manner are described in detail in the report, which when complete, is sent to the physician. Physicians and pharmacists later discuss the reports together.
In the present study, we collected and analyzed a total of 174 Medication Monitoring Reports completed between January 2000 and July 2001. In 122 of the 174 reported cases (70%), prescription changes, such as decrease in dosage, medication withdrawal, or change in medication, were made. This suggests that our Medication Monitoring Report scheme has contributed significantly to the improvement of patients' quality of life (QOL). Thus, partnership of this kind between the physician and the pharmacist may play an important role in the prevention of adverse drug effects. Also, by assuming responsibility for dispensing in clinical practice, pharmacists may help ensure the efficacy of drugs and that patients are satisfied with their medication.
