Ｆｏｃｕｓ Ｃｈａｒｔｉｎｇを用いた薬剤管理指導業務 （その２） チェック方式を用いた薬剤管理指導歴作成の有用性（標準化と効率化）について

Abstract

We have been recording instructions for medication management and instruction tasks (i.e. pharmaceutical care and counseling for inpatients) using the focus charting® (FC) system. In the present study, we improved the FC system by employing check lists, and thus examined the utility of this new method. The patient focus of the medication management and instruction plan was determined based on information on patient compliance and adverse events, and pharmaceutical management was performed for each focus. The medication management and instruction history were recorded according to the basic FC system, with entry A (action) being recorded by the check list system. As a result, the minimum standards for pharmaceutical management could thus be established, to obtain a uniform quality for each patient. In comparison to the conventional FC system, the number of instructions increased, but the mean job time required to disseminate such instruction was significantly shortened. These results suggest that the present system is very useful for performing medication management and instruction tasks.