Evaluating the Effectiveness of Protocol-Based Pharmacotherapy Management in Streamlining Inquiries about In-Hospital Prescriptions and Reducing Unplanned Doctor Visits for Diabetic Patients

Misaki Wakahara; Kazuyuki Nakamura; Tadamasa Miura; Koichi Mori; Tomokazu Fujii; Kunikazu Kondo; Naohiro Mizutani; Yoji Sugiura

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Evaluating the Effectiveness of Protocol-Based Pharmacotherapy Management in Streamlining Inquiries about In-Hospital Prescriptions and Reducing Unplanned Doctor Visits for Diabetic Patients

VernacularTitle:糖尿病患者の外来処方における疑義照会簡易化および予約外受診抑制に対するプロトコルに基づく薬物治療管理の有用性評価
Author: Misaki WAKAHARA ¹ ; Kazuyuki NAKAMURA ² ; Tadamasa MIURA ¹ ; Koichi MORI ³ ; Tomokazu FUJII ¹ ; Kunikazu KONDO ⁴ ; Naohiro MIZUTANI ⁴ ; Yoji SUGIURA ⁵
Author Information

1. Dept. of Pharmacy, Anjo Kosei Hospital
2. Dept. of Pharmacy, Toyota Kosei Hospital
3. Dept. of Medical Information, Anjo Kosei Hospital
4. Dept. of Endocrinology and Diabetes, Anjo Kosei Hospital
5. Dept. of Medical Division, JA Aichi Koseiren
From:Journal of the Japanese Association of Rural Medicine 2024;73(1):12-20
CountryJapan
Language:Japanese
Abstract: At Anjo Kosei Hospital, patients receive injectable medication for diabetes treatment and devices for self-monitoring of blood glucose as in-hospital prescriptions. Pharmacists manage prescriptions according to established protocols when there is over- or under-prescribing. In this study, we retrospectively examined outpatient prescriptions for patients attending endocrinology and diabetology from January 2014 to June 2015 (before protocol implementation) and from July 2015 to December 2020 (after protocol implementation) to evaluate the usefulness of protocol-based supporting prescription by pharmacists. Changing prescriptions based on the protocol simplified prescription queries in 661 of 721 cases (91.7%), and significantly decreased the rate of unplanned doctor visits after the introduction of the protocol (p<0.05). Optimization of prescriptions through protocol-based assistance in prescribing is expected to reduce the burden on physicians, patients, and pharmacists by reducing the number of formal inquiries for questionable prescriptions and the number of unplanned doctor visits.