2 0 0 0 OA 病院薬剤部から見た医薬品異物混入問題の解析
- 著者
- 松葉 和久 半谷 眞七子 長谷川 信策 小池 香代
- 出版者
- 一般社団法人日本PDA製薬学会
- 雑誌
- 日本PDA学術誌 GMPとバリデーション (ISSN:13444891)
- 巻号頁・発行日
- vol.2, no.1, pp.11-17, 2000 (Released:2006-08-01)
- 参考文献数
- 5
During 1987-1997, Nagoya City University Hospital experienced 22 cases of claim/complaint and recall of the pharmaceutical products. This included 9 cases of abnormality of container and package, 6 cases of contamination, 3 cases of content excess/shortage, and 2 cases of content abnormality and mislabeling. When observing from dosage form, a lot of complaint and recall were the injections of 9, and, next, the external preparations of 7. After enforcing PL law, claims/complains have increased in our hospital. We made the pharmaceutical companies claims of upgrading them and we got the improvement plans as the answer books of how these pharmaceutical companies resolved these problems as follows: contaminations of parts of manufacturing processes, insects, denatured ingredients etc. By using these answers from the companies, each reason of specific and interesting incident was observed and analyzed with the idea of Human Factors. As the results, reasons of most incidents were in the relationship between Liveware and Software.
1 0 0 0 OTC薬の必要性を選別するための薬剤師のコミュニケーションの分析
- 著者
- 半谷 眞七子 柴田 章代 亀井 浩行 松葉 和久 浅井 雅浩 谷山 正好
- 出版者
- 一般社団法人日本医療薬学会
- 雑誌
- 医療薬学 = Japanese journal of pharmaceutical health care and sciences (ISSN:1346342X)
- 巻号頁・発行日
- vol.33, no.8, pp.693-701, 2007-08-10
- 参考文献数
- 13
- 被引用文献数
- 2 8
It is an important task of the pharmacist to triage appropriate over-the-counter (OTC) drugs for patients to achieve efficacy and safety.In this study,we investigated the present situation regarding the triage of OTC drugs for patients based on pharmacists interviewing patients in a fact-finding survey which determined how pharmacists in a drugstore communicate with patients during such interviews.<br>We analyzed patterns of pharmacist communication with patients for the purpose of triaging OTC drugs in the drugstore and compared them with typical recommended communication patterns in the United States.In the drugstore,there were 3 patterns of initiating dialog with patients purchasing OTC drugs which were (1)“What are your symptoms?”2)“What is the name of the drug that you want?”and (3)“What disease do you have?” <br>Using the first pattern we conducted a role play simulating the triaging of OTC drugs by pharmacists actually working in drug stores to standardized patients.In response to the patient’s description of his or her current symptoms,pharmacists used various speech patterns to explain the suitability of drugs selected and the cautions in use.In interviews conducted by inexperienced pharmacists,time was wasted in communication and there was no logical flow in them.Afterwards,some pharmacists said that they had not been able to obtain enough information from patients for triaging OTC drugs and others thought it was necessary to set algorithms for this purpose.These opinions suggest that pharmacy education in Japan should include training that makes pharmacists realize their responsibility in triaging OTC drugs for patients.