著者
辻 敏和 永田 健一郎 川尻 雄大 山田 孝明 入佐 俊弘 村上 裕子 金谷 朗子 江頭 伸昭 増田 智先
出版者
公益社団法人 日本薬学会
雑誌
YAKUGAKU ZASSHI (ISSN:00316903)
巻号頁・発行日
vol.136, no.11, pp.1573-1584, 2016 (Released:2016-11-01)
参考文献数
20
被引用文献数
3

There are many reports regarding various medical institutions' attempts at the prevention of dispensing errors. However, the relationship between occurrence timing of dispensing errors and subsequent danger to patients has not been studied under the situation according to the classification of drugs by efficacy. Therefore, we analyzed the relationship between position and time regarding the occurrence of dispensing errors. Furthermore, we investigated the relationship between occurrence timing of them and danger to patients. In this study, dispensing errors and incidents in three categories (drug name errors, drug strength errors, drug count errors) were classified into two groups in terms of its drug efficacy (efficacy similarity (−) group, efficacy similarity (+) group), into three classes in terms of the occurrence timing of dispensing errors (initial phase errors, middle phase errors, final phase errors). Then, the rates of damage shifting from “dispensing errors” to “damage to patients” were compared as an index of danger between two groups and among three classes. Consequently, the rate of damage in “efficacy similarity (−) group” was significantly higher than that in “efficacy similarity (+) group”. Furthermore, the rate of damage is the highest in “initial phase errors”, the lowest in “final phase errors” among three classes. From the results of this study, it became clear that the earlier the timing of dispensing errors occurs, the more severe the damage to patients becomes.
著者
新井 学 倉田 佳明 磯貝 哲 高橋 信行 橋本 功二 平山 傑 土田 芳彦 村上 裕子 辻 英樹 井畑 朝紀 成田 有子
出版者
北海道整形外科外傷研究会
巻号頁・発行日
2010

肘頭骨折を合併した小児上腕骨外顆骨折の2例を経験した。【症例1】7歳男児,遊具から転落受傷し,上腕骨外側顆骨折はJacob 分類stageⅢ,肘頭骨折は2mmの転位であった。両骨折に対し観血的骨接合術を施行した。【症例2】4歳男児,ソファーから転落受傷し,上腕骨外顆骨折はJacob 分類stageⅡ,肘頭骨折は転位がわずかであった。右上腕骨外側顆骨折に対し観血的骨接合術を施行した.肘頭骨折は保存的加療とした。2症例とも骨癒合が得られ可動域制限なく経過良好である。肘頭骨折に上腕骨外側顆骨折が合併する受傷機転として,肘関節伸展位で内反および外反力が関与し,上腕骨外側顆骨折を合併した肘頭骨折は比較的稀であるが,見逃されると機能障害を残すため認識しておくべき損傷形態である。