[summery]
  Our hospital appointed a pharmacist to be safety control manager of drugs.  With the aim of promoting an appropriate use of drugs, the safety control manager of drugs ensures the appropriate storage, the expiration, and the use record with control drugs following the business procedure every month.  These requirements were confirmed at all divisions of hospital, and then the nonconformity was recorded following the procedure.
  The largest number of nonconformity were entry on drugs unseal date and an exceeded the cutoff point of inventory.  We couldn’t gain sufficient improvement about an appropriate use of drugs.  The causes of this nonconformity were dispersion of drugs at each division and insufficient inventory control of drugs.  We attempted to gather and to keep drugs into one group.  As a result, the number of nonconformity greatly decreased at all divisions.  The amount of money of stock in hospital was decreased by about 20%.
  These results suggested that the confirmation of requirements with business procedure by the safety control manager’s rounds of hospital was extremely helpful method with an appropriate use of drugs.

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Abstruct
  Effective method for the management of information on adverse reactions is not uniformly in place, due to differences among medical facilities.  We have been developing a strategy for the effective management of adverse drug reactions on the transition of clinical records from paper to electronic media.
  We have taken a forward-thinking approach after 4 years identifying each year’s main target, predicted problems and how to address them in every year.  The targets for the four 1-year periods were: enabling the collection and analysis of information on adverse reactions from paper-based clinical records, standardized handling of adverse reactions in situations where paper records are still in use, transition of adverse reaction information to electronic records, and sharing of information on adverse reactions where electronic records are in use.  The Committee on Adverse Events conducted analysis of information on adverse reactions which were collected regardless of seriousness, disseminated useful information to all medical staff, and determined the degree to which each period target was achieved.
  The transition to electronic form of information on adverse reactions achieved 0% success within the target period.  Establishing effective management of adverse reactions will require 5 years, with as yet unresolved issues remaining.  During 5 years, 767 incidents of adverse reactions were reported, 73.1% by physicians, the proportion by nurses increasing from 6.7% to 22.3%.
  Strategic approach will help to establish a effective management of adverse reactions, which contribute to the adequate use of drugs and safety management of patients.

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Objective: To nurture pharmacists capable of contributing to the prevention of adverse reactions to psychotropic agents, the Sapporo Hospital Pharmacist Association has been holding a seminar for psychiatric pharmacy specialist.  A questionnaire survey was conducted to clarify the usefulness of this seminar and its future direction, and evaluate the necessity of providing information on psychotropic drugs.
Methods: An anonymous 21-item questionnaire was distributed to participants in the 2008 Sapporo Hospital Pharmacist Association seminar for psychiatric pharmacy specialist.
Results: The mean recovery rate was 76.3%, and the respondents had a broad background in terms of age, gender, etc.  The seminar was identified as being beneficial, and the participants’ awareness of the accreditation of Board Certified Pharmacist in Psychiatric Pharmacy showed regional characteristics.
Conclusion: Based on the survey results, guidelines on conducting the seminar in the future were successfully developed.  From now on, it is important to create an environment to nurture psychiatric pharmacy specialist in the Sapporo area.  Additional efforts should be made so that the provision of information on psychotropic drugs in the seminar can contribute to the prevention of adverse reactions to them.

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