Abstract
An injectable medicine dispensing system based on an auto ampule dispensing (AAD) system was introduced at Yokohama City University Medical Center. We made a drug interaction check list and a dose check list for pediatrics on which to base inquiries concerning prescriptions for injectable medicines for inpatients and over a three-year period, investigated the effectiveness of the inquiries and interventions resulting from them. There were a total of 865 inquiries and the number of inquiries increased 1.5-fold after residents were reassigned. Inquiries concerning dose accounted for approximately 66% of the total.
The number of inquiries for the five main clinical departments comprised 50% of the total number of inquiries. This suggests that careful instruction of residents before their reassignment to the main clinical departments is important. Inquiries were effective in avoiding adverse events for 64% of all adverse events. These inquiries were also effective in reducing medical expenses.
Inquiries concerning the injectable medicine dispensing system at Yokohama City University Medical Center based on a drug interaction check list and dose check list for pediatrics were therefore useful.
