Contributions of Pharmacists through the Promotion of Proper Drug Use

Yuya ISE; Mitsuko ONDA; Yoshihiko MIURA; Machiko SHIMAZAKI; Keiko KAWADA; Ken HAGIWARA; Shirou KATAYAMA; Arimichi KIKUCHI; Miwako KAMEI; Koji KOBAYASHI; Makoto SHIRAGAMI

doi:10.1248/yakushi.127.1021

Notes

Contributions of Pharmacists through the Promotion of Proper Drug Use

Yuya ISE, Mitsuko ONDA, Yoshihiko MIURA, Machiko SHIMAZAKI, Keiko KAWADA, Ken HAGIWARA, Shirou KATAYAMA, Arimichi KIKUCHI, Miwako KAMEI, Koji KOBAYASHI, Makoto SHIRAGAMI

Author information

Yuya ISE
Department of Pharmaceutical Service, Nippon Medical School Hospital
Mitsuko ONDA
Clinical Laboratory of Practical Pharmacy, Osaka University of Pharmaceutical Sciences
Yoshihiko MIURA
Department of Pharmaceutical Service, Nippon Medical School Hospital
Machiko SHIMAZAKI
Department of Pharmaceutical Service, Nippon Medical School Hospital
Keiko KAWADA
Department of Pharmaceutical Service, Nippon Medical School Hospital
Ken HAGIWARA
Department of Pharmaceutical Service, Nippon Medical School Hospital
Shirou KATAYAMA
Department of Pharmaceutical Service, Nippon Medical School Hospital
Arimichi KIKUCHI
Department of Pharmaceutical Service, Nippon Medical School Hospital
Miwako KAMEI
Social and Administrative Pharmacy, School of Pharmaceutical Sciences, Showa University
Koji KOBAYASHI
Research Unit of Physics, College of Pharmacy, Nihon University
Makoto SHIRAGAMI
Research Unit of Social and Administrative Pharmacy Sciences, College of Pharmacy, Nihon University

Keywords: pharmacist interventions, cost savings, cost avoidance, diagnosis procedure combination (DPC)

JOURNAL FREE ACCESS

2007 Volume 127 Issue 6 Pages 1021-1025

DOI https://doi.org/10.1248/yakushi.127.1021

Details

Abstract

The contents of pharmacist interventions, which were carried out by the ward pharmacists in their routine pharmacy service activities, were sorted and analyzed to evaluate the contributions of pharmacists. In the ward where pharmacists were stationed, there were a total of 196 cases of pharmacist intervention. The prescription was changed in 170 cases, giving a rate of prescription change of 86.7%. The breakdown of the pharmacist intervention was as follows: “efficacy/safety”, 106 cases, followed by “dosage regimen” (48 cases) and “compliance” (10 cases). Cost savings achieved during the investigation period were calculated to be 440,639 yen, and cost avoidance was valued at 1,941,847-3,883,695 yen using the Diagnosis Procedure Combination (DPC). The results of the present investigation showed that pharmacists contribute to through not only their pharmacy services, but also through the promotion of proper drug use and risk management, thereby contributing to hospital management through cost savings and avoidance.

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