※一部利用できない機能があります
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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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論文
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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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論文
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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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