1.Effects of Pharmacist-led Narcotics Management in the Operating Room
Kazuyuki NAKAMURA ; Toshiyuki KUBOTA ; Hiroyuki MANSHIO ; Yuichi DOI ; Makiko ARAKAWA ; Eiji YONEYAMA ; Hiroshi YOSHIDA ; Kazumasa NEGITA ; Akio KATSUMI ; Mitsue OKADA ; Satomi SAEKI ; Makoto HATTA
Journal of the Japanese Association of Rural Medicine 2014;63(1):19-28
Since February, 2012, Anjo Kosei Hospital has embarked upon a new scheme for efficiently handling narcotics during surgical operations. For the purpose pharmacists are allowed to enter the operating room for a while. At the same time, the implementation of digital record keeping for narcotics management tasks has started, making it possible to simplify the handling of a great number of patients. By reviewing the effects on narcotics handling and hours billed, we could determine the effectiveness of operating room pharmacist-led narcotics management at Anjo Kosei. Out of narcotics prescriptions (n＝647) handled in the operating room for one month, 84.7% (548/647) was accounted for by prepared narcotics and 99.8% (646/647) by post-operation management. The introduction of the digital record system resulted in a reduction from 53.3±9.6 minutes to 39.6±6.3 minutes for narcotics preparation, and a reduction from 66.8±16.1 minutes to 41.1±13.5 minutes for post-operation management (p<0.01). It has added to the work efficiency and simplification of operations. Moreover, due to the intervention of pharmacists in the operating room, 92.3% of narcotics prescriptions was performed using the new management system within a relatively short time (80.8±18.4minutes). These data show that the introduction of the new scheme has resulted in more efficient management of narcotics at Anjo Kosei.
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