Analysis of Disaster Prescriptions Received at a Pharmacy after the Kumamoto Earthquake

Eriko Anami; Toyonobu Sakamoto; Yuko Isoo; Tomoharu Tokuyama; Kenji Tsukamoto; Akiko Okitsu; Tomoko Amagata; Ichiro Inaba; Yasuaki Miyano; Hiroyuki Kido; Eiji Yukawa

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Analysis of Disaster Prescriptions Received at a Pharmacy after the Kumamoto Earthquake

VernacularTitle:熊本地震で保険薬局にて応需した災害処方せんの分析
Author: Eriko ANAMI ¹ ; Toyonobu SAKAMOTO ² ; Yuko ISOO ³ ; Tomoharu TOKUYAMA ³ ; Kenji TSUKAMOTO ⁴ ; Akiko OKITSU ⁵ ; Tomoko AMAGATA ⁶ ; Ichiro INABA ⁶ ; Yasuaki MIYANO ⁷ ; Hiroyuki KIDO ⁷ ; Eiji YUKAWA ⁷
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1. Shirakawasuigen Pharmacy
2. Omutachuo Pharmacy
3. Takumachuo Pharmacy
4. Shisuichuo Pharmacy
5. Yakkyoku Central Pharmacy Nagamine
6. Heartfelt Inc.
7. Chemist and Pharmacist
Keywords: earthquake disaster; prescription for disaster medications; prescription query; pharmacy
From:Japanese Journal of Drug Informatics 2021;23(3):135-142
CountryJapan
Language:Japanese
Abstract: Objective: Soon after two massive earthquakes in Kumamoto, Japan, on April 14 and 16, 2016, the Shirakawasuigen pharmacy located in the Minamiaso village received prescriptions for disaster medications. Since prescriptions for disaster medications are typically used at temporary emergency shelters, pharmacies usually do not receive requests for them. On checking the content of these prescriptions, we found numerous prescription errors and queries. This study aimed to assess issues with dispensing medications after disasters.Methods: We reviewed all disaster medication prescriptions received by the pharmacy from April 20 to May 28, 2016 and the medication histories of these patients. We confirmed each patient’s data and medical and medication histories. Furthermore, we classified disaster prescription errors and queries into five categories according to their content and summed them in each category.Results: We obtained patients’ medical and medication histories from 100 (77.5%) of the 129 prescriptions received. Of the 129 prescriptions, a total of 158 prescription errors and queries pertaining to 96 (74.4%) prescriptions were confirmed: 88 (55.7%) for unclear medication usage and dosages, 22 (13.9%) for incorrect medication names, 34 (21.5%) for pharmaceutical queries, 8 (5.1%) for exceeding fixed prescription days (within seven days), and 6 (3.8%) for other issues.Conclusion: Nearly 80% of the prescriptions for disaster medications had prescription errors and queries. Therefore, we evaluated that the prescription’s format and entry method can be improved. Furthermore, to ensure a smooth drug supply and to reduce prescription entry deficiencies and formal prescription queries, pharmacists need to effectively manage disaster prescriptions.