アンプル法とプレフィルド・シリンジ法による注射剤の混合プロセスにおけるリスクと作業効率の比較分析

フォーマット:

論文

責任表示:

古川, 裕之 ; 小川, 充 ; 坂尾, 雅子 ; 和田出, 静子 ; 土屋, 文人 ; 小松原, 明哲 ; 宮本, 謙一

言語:

日本語

出版情報:

日本医療薬学会 = Japanese Society of Pharmaceutical Health Care and Sciences, 2003-06-10

著者名:

古川, 裕之

小川, 充

坂尾, 雅子

和田出, 静子

土屋, 文人

小松原, 明哲

宮本, 謙一

続きを見る

掲載情報:

医療薬学 = Japanese Journal of Pharmaceutical Health Care and Sciences

ISSN:

1346-342x      

巻:

29

通号:

3

開始ページ:

270

終了ページ:

278

バージョン:

publisher

概要:

An improvement in the utilization of medical devices and instruments is important in order to prevent medical accidents from a viewpoint of human engineering. However, it is much important to prevent any operations of health care practitioners which may cause such accidents. In this study, we evaluated the risk involved with the injection of drugs in order to prevent medical accidents by the misuse of medical devices. First, a risk evaluation was … performed. Next, the administration of drugs by 5 nurses and pharmacists was recorded by VTR in order to analyze the administration and length of time required. In addition, the ampule method was compared with the pre-filled syringe (PFS) method. Regarding the risk evaluation, the patient risk and worker risk related to the PFS method was respectively about 1/4 lower and about 1/3 lower than with the ampule method. Regarding the administration time, a 60% decrease in the administration time was observed for pharmacists but for nurses the decrease was slight. The PFS method was thus found to be clearly more effective than the ampule method for the prevention of medical accidents, related to human error. However, risk associated with human error cannot be completely removed even when using the PFS method. Problems still remain regarding mix-ups with drugs, injuries suffered by health care practitioners, and bacteria contamination due to inadvertent needle stabs. In conclusion, the PFS method had excellent results regarding administration efficiency and safety, while it increased the amount of the medical wastes. 続きを見る

URL:

http://hdl.handle.net/2297/36333