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論文
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松田, 静枝 ; 石崎, 純子 ; 松嶋, 由紀子 ; 長田, 幸恵 ; 横山, 英子 ; 越野, みつ子 ; 片田, 真理子 ; 古川, 裕之 ; 分校, 久志 ; 宮本, 謙一 ; 和田出, 静子
概要:
金沢大学大学院自然科学研究科分子作用学<br />金沢大学薬学部
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小川, 充 ; 小松原, 明哲 ; 古川, 裕之 ; 宮本, 謙一 ; 坂尾, 雅子 ; 和田出, 静子
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古川, 裕之 ; 毎田, 千恵子 ; 大森, 美加子 ; 清水, みさを ; 桶, 展代 ; 旭, 満里子 ; 中島, 恵美 ; 市村, 藤雄 ; 佐藤, 保 ; 分校, 久志 ; 和田出, 静子 ; 野川, 文子 ; 氷見, 嘉康 ; 宮崎, 逸夫
概要:
金沢大学医学部付属病院<br />The supply of injectable drugs for individual patients using the prescription order entry system was st
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arted from Apr. of 1995 at Kanazawa University Hospital. The injectable drugs for individual patient are set up by pharmacists into each compartment of the kart (Ordering Kart : Sakase Corporation), and then are carried by nursing assistants to the respective clinical areas. The characteristics of this supply method are [1] it is set up by 4 pharmacists on a daily schedule (8 : 30 am-3 : 30 pm) . [2] injectable drugs for emergency are louded in a special compartment of the carrying kart, and [3] are set up for prescription entry by the physicians within 24 hours. As a result, it is thus possible to check the prescription (dosage, route, incompatibility and stability), to reduce the stock of injectable drugs in the ward while, in addition, manpower for both the nursing and medical office personnel can be reduced.
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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
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
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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.
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小藤, 幹恵 ; 野川, 文子 ; 前多, 公子 ; 干場, 順子 ; 浦, 美奈子 ; 山内, 由美子 ; 河辺巳, 知子 ; 砂後谷, かね子 ; 谷元, みゆき ; 和田出, 静子 ; 分校, 久志 ; 佐藤, 保
概要:
平成10年度国立大学附属病院医療情報処理部門連絡会議論文集 95-98, 1999
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