Medication errors frequently occur, some of them having a high grade. In our hospital, we established a daily staying system under which clinical pharmacists are on hand in wards for the safety management of drugs. Doing this showed that serious cases of medication errors occurred at the points of input (when doctors write prescriptions) and output (when nurses prepare medications and administer them to patients). Therefore, the clinical pharmacists made timely checks (we refer to them as “real-time checks”) on prescription details and the preparation and administration of medications. Thanks to these real-time checks, medication errors of grade 3 could be avoided.
When we asked doctors and nurses to evaluate the daily staying system, 86 % of them said that the real-time checks in wards by clinical pharmacists were necessary, and we were able to demonstrate that the daily staying system was effective for the safety management of medications.
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