산제 조제 업무의 효율성 및 산제의 안정성 확보를 위한 개선방안
Further improvement plan for the efficiency of compounding and the stability of crushing tablet
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A medication is designed to act effectively, and it is crucial to administrate a original dosage form so as to maintain the stability of compound and to bring adequate effects. However, it is happening to break into powder in terms of patient's age and difficulty in swallowing. Therefore, among the oral dosage medications, we should categorize into "The table prohibiting crushing" and "The table permitting crushing, with wary". In addition, by providing these information to the prescribers and placing on records, we try to guarantee the efficacy, stability, as well as safety. From 16th of June in 2008 to 20th of June in 2008(5days), all prescriptions were compiled and analyzed. According to the data, we realized that "The table prohibiting crushing" had been prescribed to crush. That it, useless and impractical system laid a burden on both prescribers and pharmacists. Moreover, by means of distinctive standard, the accuracy of double-checking system was also deteriorated. Therefore, new computerized program is made. Owing to this program which is restricted to prescribe "The table prohibiting crushing" to crush, consistent checkup for compounding medication turn into possible, regardless of individual opinion. Accordingly, through this program, a patient can not only be administrated appropriately, but the medical practitioners also behave more coherently. However, in order to administrate more delicately and to establishing better compounding circumstance, further investigation will be required.
Abstract
A medication is designed to act effectively, and it is crucial to administrate a original dosage form so as to maintain the stability of compound and to bring adequate effects. However, it is happening to break into powder in terms of patient's age and difficulty in swallowing. Therefore, among the oral dosage medications, we should categorize into "The table prohibiting crushing" and "The table permitting crushing, with wary". In addition, by providing these information to the prescribers and placing on records, we try to guarantee the efficacy, stability, as well as safety. From 16th of June in 2008 to 20th of June in 2008(5days), all prescriptions were compiled and analyzed. According to the data, we realized that "The table prohibiting crushing" had been prescribed to crush. That it, useless and impractical system laid a burden on both prescribers and pharmacists. Moreover, by means of distinctive standard, the accuracy of double-checking system was also deteriorated. Therefore, new computerized program is made. Owing to this program which is restricted to prescribe "The table prohibiting crushing" to crush, consistent checkup for compounding medication turn into possible, regardless of individual opinion. Accordingly, through this program, a patient can not only be administrated appropriately, but the medical practitioners also behave more coherently. However, in order to administrate more delicately and to establishing better compounding circumstance, further investigation will be required.
참고문헌 (8)
- 이재휘, "의약품 제형의 발전과 최신정보", 월간의약정보, 385(7), pp.117~125 (2007)
- 오준희, "분쇄불가 정제의 유효성 향상 방안에 관한 연구", 병원약사회지, 24(3), pp.1~16 (2007), 한국병원약사회
- Cornish P, "Avoid the crush, hazards of medication administration in patients with dysphagia or a feeding tube", CMAJ, 172, pp.871~ (2005)
- James A, "The legal and clinical implication of crushing tablet medication", Nurse times, 100, pp.28~
- Lesar TS, "Prescribing errors involving medication dosage forms", L. Gen intern Med., 17, pp.579~ (2002)
- Morris H, "Administering drugs to patients with swallowing difficulties. NurseTimes", 101, pp.28~ (2005)
- Beckwith MC, "Guide to drug therapy in patients with enteral feeding tubes", Hasp pharm, 39, pp.225~237 (2004)
- 안혜림, "소염효소제 장용정(브로멜라인)의 분할 및 분쇄 시 위액 pH에서의 안정성", 병원약사회지, 24(4), pp.1~8 (2007), 한국병원약사회