Ward-based pharmacy interventions are effective for proper medical management. In Hiroshima University Hospital, clinical pharmacists participate in almost all inpatient cases. In addition to the regular clinical pharmacists for the 4 wards, a supervising pharmacist was allocated additionally to overview and to help them as a trial. The supervising pharmacist reviewed the prescriptions and assignments of physicians, and ordered authorized prescriptions. As a result, the number of drug-related incident reports for two months decreased from 17.3 to 3.0, compared to the number of reports of the past three years. The revision of prescriptions by a supervising pharmacist assembly might reduce the inspection workload and number of inquiries by the central pharmacy. On the questionnaire, 94% of physicians expressed a decreased burden during this trial. Also a decreasing trend of overtime work of nursing staff was reported. Therefore, the allocation of a supervising pharmacist may contribute to medical safety and efficient work management of medical staff who are concerned with drug therapy.
We conducted a survey on the immunization requirements of the students in the fourth year of the 4-year-course departments of pharmacy in Japan by using a self-administered questionnaire, which was mailed to the directors of the institutes. Of the 61 departments invited, 54 responded. Program of seroprevalence examination or vaccination was not in place against measles, rubella, mumps and varicella, and hepatitis B in 31.5% (17/54), 53.7% (29/54), 57.4% (31/ 54), and 68.5% (37/54), respectively. Surveillance of the history of infection and vaccination was carried out in 21 departments, but only 5 departments insisted on documented evidence of immunity. Students who were proven to be susceptible to these diseases were required to receive immunization in most departments that performed seroprevalence examination. Seroprevalence examination was carried out in colleges in 83.3% (25/30), and the expenses were born by department in 70.0% (21/30). On the other hand, vaccination was carried out in colleges in 30.0% (9/30), and the expenses were born by department in 6.7% (2/30). Of the 54 departments, 29, 11, and 3 departments executed these programs in the 3rd year, 4th year, and at the time of admission, respectively. In‰uenza vaccination during the year of clinical clerkship and tuberculosis skin test was required in 20.4% (11/54) and 37.0% (20/54), respectively; these were carried out in the colleges in 8 and 19 departments and the expenses were born by department in 1 and 18 departments, respectively. Countermeasures against these infectious diseases were found to be insu‹cient in most departments of pharmacy.
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