1.Problems Regarding Prescription Confirmation and Solutions in Community Pharmacies
Masaki Fujieda ; Takuya Nonaka ; Aiko Hayashi ; Yoshitaka Hasegawa ; Ryota Tsukioka ; Azusa Morisawa ; Miya Ohishi ; Hiroki Satoh ; Yasufumi Sawada
Japanese Journal of Drug Informatics 2016;18(3):192-200
Objective: Prescription check and inquiry is one of the most important operations of pharmacists to provide optimal drug therapy to the patient. Although a number of studies related to inquiries of prescriptions have already been reported, there is little report about requests for doctor and hospital based on the examples. Therefore, this study aimed to clarify the current problems revealed by inquiries about prescriptions by not only analyzing these inquiries but also investigating requests for doctors and hospitals.
Methods: We investigated 6,255 inquiries about prescriptions and requests for doctors and hospitals at 584 insurance pharmacies from August 4 to 10, 2014. Then, the inquiries about prescriptions and requests for doctors and hospitals were categorized.
Results: The most frequent category of inquiries about prescriptions was “Questions about administration and dosage” (21.5%). On the contrary, the most frequent request for doctors was “Efficiency in gathering information from and providing information to a patient” (2,067 cases).
Conclusions: The present study clarified current problems revealed by inquiries about prescriptions by investigating requests for doctors and hospitals that were based on examples. Furthermore, the problems were classified into ten categories, and these should be noted by doctors and hospitals at the time the prescription was issued.
2.Analysis of Data from Reports on Medical Device Faults in Drug-Device Combinations in Japan
Yasunori NAGANO ; Yuki YAMAMOTO ; Akira INOUE ; Masaki FUJIEDA
Japanese Journal of Drug Informatics 2024;25(4):195-203
Objective: Analysis of data from reports of medical device faults in drug-device combinations (DDCs) can prevent adverse events caused by errors and lead to improvements. However, there is a paucity of published articles reporting the analysis of data on faults in DDCs. The aim of this study was to analyze data of faults in these medical devices in Japan.Methods: The review summarized information from the Pharmaceuticals and Medical Devices Agency data on “case reports of suspected failures of the mechanical and instrumental parts of DDCs” reported between 25 November 2014 and 31 July 2022. Information was collected from public documents on “year reported”, “age”, “gender”, “trade name”, “generic name”, “mechanical device part name”, “mechanical device part failure status”, and “hazard” and “outcome”.Results: There were approximately 1,300 reports of medical device faults in DDCs over the study period, with the number increasing year by year. Five device parts (insulin pen injectors, pre-filled syringes, drug and vaccine injectors, disposable hypodermic needles, and intrauterine contraceptive devices) accounted for 90% of the reports. We found that there was a considerable amount of missing data on reportable items such as age and gender of the patient. Our analysis also showed that 90% of the medical device fault reports involving DDCs were related to malfunction or breakage.Conclusion: In order to use DDCs more safely and effectively it is important to review reports and analyse data of faults in these devices.