著者

鈴木 優司 横山 晴子 添田 真司 徳岡 健太郎 渡邊 昌之 北川 泰久 山田 安彦

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

pp.13-00193, (Released:2014-01-18)

参考文献数

11

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Low-dose aspirin-induced gastrointestinal lesions are becoming an important problem in clinical practice. In our investigation of such adverse effects, we obtained 4 important findings considered useful for physicians, as follows; 1) even when aspirin was given at a dose, the incidence rate of gastrointestinal lesions was higher than with other NSAIDs, 2) the odds ratios for gastrointestinal lesions induced by aspirin with a histamine H2 receptor antagonist and proton pump inhibitor were 0.6 and 0.4, respectively, as compared with aspirin alone, 3) it is difficult to administer aspirin, which exerts an antiplatelet effect, without inducing gastrointestinal lesions, and 4) these gastrointestinal lesions appears early, especially within 2 years after administration. We distributed a questionnaire to 41 physicians to confirm our findings, and compared high (n=20) and low (n=21) frequency aspirin prescription groups. The recognition rate of points 1 and 3 noted above in the high group was significantly elevated as compared to the low group, whereas there no significant difference in regard to the information in point 4 between the groups and the rate of recognition was low. Moreover, only 27% of the surveyed physicians were familiar with all 4 points. Prior to receiving this information, 17% of the physicians gave no related instructions their patients, which was reduced to 0% after receiving this information. Furthermore, 98% of those surveyed found the information to be useful. Our results suggest that these 4 points of information regarding potential adverse gastrointestinal effects of low-dose aspirin are useful for physicians.

著者

添田 真司 高柳 理早 渡邊 昌之 山田 安彦

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.137, no.5, pp.589-593, 2017 (Released:2017-05-01)

参考文献数

13

被引用文献数

1

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In this study, we established a methodology to calculate the rate of overlooking a dispensing error (inspecting error rate) as a new index for the purpose of determining dispensing error and malpractice rates. Using data obtained from analyses of these error rates at our and two other hospitals, an inspecting error rate was calculated for each institution. Our results showed that inspecting errors occurred at a frequency 3-5 times greater as compared to dispensing errors at each of the examined hospitals. We concluded that construction of a higher quality safety management system would be enabled by incorporation of an inspecting error rate as a new index to evaluate medical safety in regard to dispensing of medicines and managing inspection accuracy.

著者

駒田 真由 横山 直 湯浅 貴裕 添田 真司

出版者

一般社団法人 日本臨床救急医学会

雑誌

日本臨床救急医学会雑誌 (ISSN:13450581)

巻号頁・発行日

vol.16, no.6, pp.810-816, 2013-12-31 (Released:2014-01-15)

参考文献数

2

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東海大学医学部付属病院(以下,当院と略す)は東日本大震災に対する医療支援活動を石巻市で2011 年3 月27 日〜5 月2 日まで行った。今回,その際に薬剤師が行った活動の取り組みについて報告する。薬剤師が医療支援活動に参加するにあたり,当院薬剤部の医療支援体制を構築し,災害対策担当薬剤師,後方支援担当薬剤師,被災地担当薬剤師を選出した。災害対策担当薬剤師の指揮・統括のもと,後方支援担当薬剤師は,医薬品や薬剤関連物品の選定・準備を行い,被災地支援担当薬剤師は被災地にて調剤・投薬・服薬指導等を行った。この支援体制で薬剤師の医療支援活動をサポートし,全体的には円滑な活動ができたと考える。その一方で,さらに適切な医薬品選定や薬剤関連物品の軽量化に加え,医療支援活動経験者の育成が課題であることが明らかになった。

著者

添田 真司 小板橋 秀正 渡邊 昌之

出版者

日本医療薬学会

雑誌

日本医療薬学会年会講演要旨集

巻号頁・発行日

vol.18, 2008-09-01