Guide to standardize internal medicine under mixed situation of patient’s own medication and in-hospital prescribed medication

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  • 持参薬と入院後処方薬の混在下における内服業務の標準化指針の開発
  • ジサンヤク ト ニュウイン ゴ ショホウヤク ノ コンザイ カ ニ オケル ナイフク ギョウム ノ ヒョウジュンカ シシン ノ カイハツ

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Abstract

<p>　　For proper administration of medications brought into the hospital by patients （hereafter, medications brought in）, several studies have proposed specialized operations for the medications brought in.　At present however, these studies have not yet discussed the integrated management of the medications brought in and the medications prescribed post-admission.　Therefore, we conducted this study to develop a standardized guide for internal medication management, taking into account the differences in nature between the medications brought in and the medications prescribed post-admission, to enable integrated management.</p><p>　　For internal medication management, we developed operational goals to realize integrated manage­ment:collections of information, directions （orders）, preparation, and medication （taking the medicine）.　We also developed a guide to standardize the aforementioned operations, taking into account the characteristics of the medications brought in.　In order to achieve integrated management, it is necessary to appropriately implement four procedures-“acceptance”, “stop”, “co-administration” and “switching”, taking into account the three characteristics defining of brought-in medications namely that （1） it is externally prescribed/dispensed, （2） its condition before hospital admission is variable for each patient, and that （3） it belongs to the patient.　We verified the validity of the operational goals and of the guide for standardization via a survey conducted at a hospital.</p>

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