内外用薬と注射薬併用における薬物相互作用チェックシステムの必要性

Abstract

In a clinical medication, two or more medicines are often prescribed for a patient. For the effective and safe use of medical supplies, it is thought that various checks should be performed at the time of a prescription order entry and an injection order entry. However, the widely used order entry check system for a prescription order and each injection order is carried out in many cases independently. From a viewpoint of the proper use of medical supplies, the check system for a prohibited combined use is required regarding prescription-injection. We extracted the prescription and injection data of all patients, and checked for drug interactions. Although there were few cases of actual contraindicated combined use of the prescription-injection based on a check of the data, since there were very many the combination variations, it was suggested that it is necessity to check the combined use of prescription-injections. In the present condition from various factors, since changing the order entry system is impossible, as an alternative, in case an individual set of inpatient's injections is performed, patient's data should be checked by our system, and an interaction check of prescription-injectioshould be done, while also informing the doctors in charge of all findings. By continuing such examinations and informing the results to all doctors at our hospital, the proper use of medical supplies should thus be improved.