1.Perception of Physicians, Pharmacists and Pharmaceutical Industries about Information in Package Inserts in Japan
Mitsuo Saito ; Lucia S. Yoshida ; Yuzuru Hayashi ; Kimie Sai ; Hiromi Takano-Ohmuro ; Takehiko Yajima ; Yasufumi Sawada ; Ryuichi Hasegawa
Japanese Journal of Drug Informatics 2012;14(1):2-13
Objective: A perception survey of healthcare providers and pharmaceutical industries about the current package insert (PI) was conducted to evaluate whether its layout and issues such as the contents concerning drug-drug interactions are found appropriate.
Methods: A questionnaire was sent via the Internet to physicians of various subspecialties, or via the postal service to pharmacy-employed pharmacists and pharmaceutical industries. It consisted of questions regarding the PI layout, the information contents on drug-drug interactions and other matters about PI revision.
Results: The survey showed that the PI is a major source of drug information for physicians (82.4%) and pharmacists (98.7%). The layout (order of appearance of headings and information about drug interactions in a tabular format) of the current PI is widely accepted by physicians, pharmacists, and pharmaceutical industries. There was, however, some degree of disagreement within these three groups in the perceptions about the presentation/contents of the several drug interactions, as well as about the timing for its updating. Around 24% of physicians and 35% of pharmacists view that the content of drug interactions is insufficient, and that information about adverse drug reactions and drug interactions is not enough updated in the PIs. On the other hand, near 86% of pharmaceutical industries were prone to wait for accumulation of enough data until revising the information in PIs.
Conclusions: Differences of perception were found between healthcare providers (i.e., PI users) and industries. Our survey revealed that the basic layout of the current PI should be preserved, but there are issues such as the contents and updating of information regarding drug interactions and adverse drug interactions that may require modifications according to the healthcare providers’ point of view.
2.A Road to the Abolishment of Moshiokuri.
Nobuko OTAKE ; Atsuko OGISO ; Eriko FURUTA ; Miyuki OGURA ; Norihiko SUGIYAMA ; Kaori OKUMURA ; Saeko KANEDA ; Shizuyo WATANABE ; Mineyo ARUGA ; Miyoko INAGAKI ; Yasuko HARA ; Chieko KASUGAI ; Hiromi YAJIMA
Journal of the Japanese Association of Rural Medicine 2000;49(2):128-131
Moshiokuri, or explaining what one did to one's successor before calling it a day, has long been regarded as a practice indispensable for the smooth continuation of nursing business. However, there has been much to be done in terms of efficiency. In our hospital, moshiokuri was taken up as a problem because it took long and prevented nurses from getting down to work by bedsides without delay. In 1994 the nursing record committee started to examine the practice and improvedthe roster. Later, the card indexing system for individuals was abolished. In 1998, the nursing department made the abolishment of moshiokuri practice its chief aim to improve nursing efficiency. For the attainment of the aim, the nursing record committee played an important role as a prime mover. While exchanges of information between wards were being promoted, study sessions were frequently held to enrich nursing records and improve the efficiency of nursing work. Thus, moshiokuri was partlydiscontinued and abolished totally in March, 1999. Now, the nurses have plenty of timecaring bed-ridden patients. Improvement has been made on the nursing record.