RESUMO
Objective: Confirmation by pharmacists of brought-in drugs is not only limited to identification of drugs, but also requires prescription design and proposals based on the background of patients and evaluation of associated information. In this study, we analyzed the content of brought-in drugs related PreAVOID reports in our hospital according to the years of pharmacist experience in order to help educate pharmacist for better brought-in drugs confirmation.Method: Various interventions regarding brought-in drugs were compared between two groups: pharmacists with >6 years of experience (group H) and those with < 5 years of experience (group L). PreAVOID reports, which related to drugs brought in by patients admitted to the Ogaki Municipal Hospital between April 1, 2018 and March 31, 2019 were assessed.Result:The PreAVOID reporting rate for the number of brought-in drugs confirmed was higher in group H (1.56%) than in group L (1.12%) (odds ratio 1.399, p = 0.023). The PreAVOID reporting rate when reporting was based solely on prescription information did not differ between these two groups, but when patient background, including disease-related information, was included with prescription information, the rate was higher in group H (0.80%) than in group L (0.30%) (odds ratio 2.725, p < 0.001). Group H provided more reports related to unnecessary drugs.Conclusion: The involvement of pharmacists in the evaluation of brought-in drugs is important when reviewing subsequent medical treatments. Our findings suggest that to improve the quality of treatment, it is necessary to provide appropriate newcomer education, such as conducting case studies using PreAVOID cases.
RESUMO
<b>Objective: </b>Pharmacist interventions are effective for appropriate medical management. The Japanese Society of Hospital Pharmacists has recommended the “pre-avoid report” to foster appropriate pharmacotherapy since 1999. The “pre-avoid report” format consists of two forms : “serious report” and “preventive report.” The number of “preventive reports” has comprised about 90% of “pre-avoid reports.” However, this format of the “preventive report” since 1999 has shown inadequacy due to changes in pharmacists’ ability. In the present study, we conducted a re-modification of the “preventive report” format using an assay to create the present “preventive report” format.<br><b>Methods: </b>We retrospectively reviewed the pharmacists’ “preventive report” of the “pre-avoid report” from January 2014 to December 2014 in the Department of Pharmacy, Okayama University Hospital.<br><b>Results: </b>The present format included 101 cases of “others” in the “preventive report” format. This “others” section consisted of “non-intervention of pharmacotherapy” (51%), “forget to stop pre-operation drugs” (14.7%), and “inadequate treatment (wrong administration day, unnecessary treatment). These factors were not identified with the present format of the “preventive report.”<br><b>Conclusion: </b>In the present study, we suggested that it is necessary to revise the format of the “preventive report” to reflect.
RESUMO
PREAVOID is pharmaceutical intervention that is utilized to illustrate pharmacists’ contributions to medical care. Currently, there is a great need for pharmacists to provide good medical services to inpatients; as a result, many pharmacists conduct pharmaceutical management in hospital wards. However, pharmacists who have limited experience in working in the ward do not know exactly what they should check with respect to pharmaceutical management. To resolve this problem, we determined 16 pharmaceutical-management items based on PREAVOID that was conducted at Nagara Medical Center. Moreover, we conducted a pre-questionnaire survey assessing whether pharmacists who had worked in the ward for fewer than 4 years attended to these 16 check items in their daily work prior to our introducing the list to them. The results indicated that pharmacists who had fewer than 2 years of experience working in wards attended to the 16 check items less than those who had more than 2 years of experience, and approximately half of the pharmacists had not received adequate guidance before beginning work at the ward. In addition, most pharmacists indicated that clear check points were useful for conducting pharmaceutical management and the 16 check items were useful for their daily work. These results indicate that the 16 check items are a useful educational tool for enabling pharmacists to conduct high quality pharmaceutical management from the initial stage and that using the 16 check items is superior to pharmacists only gaining this ability via prolonged experience working in the ward.
RESUMO
The Japanese Society of Hospital Pharmacists (JSHP) started to collect the pharmaceutical care reports from the hospital pharmacists by a name of “PreAVOID” from 1999. The report number of PreAVOID increased year by year and reached about 50,000 totals in 2006. PreAVOID reports are classified in 2. One is the prevention of the adverse reaction and the drug interaction, the other is the avoidance of progress to the adverse reaction. In the latter, the role of the adverse reaction monitoring is included. Therefore PreAVOID is able to apply in Pharmacovigilance. PreAVOID is reported to JSHP by Fax or E-mail or the homepage of JSHP and it is evaluated and classified and then are accumulated in the database. The accumulated PreAVOID reports are utilized for creation of the pharmaceutical care information, study promotion about the medical economy. Therefore PreAVOID takes an important role as a nucleus of the pharmaceutical care management system by the pharmacists.<br> We are convinced that PreAVOID will be able to contribute to achievement of real purpose of Pharmacovigilance that is the effective and safety drug therapy.