원외처방 관리업무를 통한 의료서비스 증진 활동

Abstract

Outpatient prescription examination work by hospital pharmacist prevent probable occurrence of pharmaceutical incidents and reduce patient's discomfort and mental suffering. Eventually, it provides good quality medical treatment to patients. Futhermore, it can contribute to hospital's finance by examining the content relating to curtailment of medical profit by insurance system. This research has been carried out to reduce the percentage of outpatient prescription reissue by enforcing outpatient prescription management work such as finding out the errors of dosage and directions and confirming the overlapping prescriptions of those patients who have examined over 2 clinics in the hospital on same day. For those outpatient prescription reference starting from January 2007 to May 2007, we have calculated the percentage of revision and reissue separately. Based on this result, we have strengthened outpatient prescription reference and compared those of June 2007 to October 2007. We have made improvement plans which include an addition and itemization of outpatient prescription reference list by going through investigation. After examining the prescription, we have computerized the record of the revised context and thus reduced the statistic omission and the statistic required time. Moreover, we have monthly notified medical departments of the prescription revision statistic context by phone calls and thus made the feedback system with medical departments. When referencing the monthly outpatient prescription, the percentage of revision has been increased by 54% (3.6% vs5.54%). Monthly outpatient prescription reissue has been reduced by 24% (1.1% vs 0.84%). It has been reduced greatly; in June 2007, before the start of the improvement activity it was 1.5% but in October 2007, it was 0.51%. It has significantly reduced patient's discomfort of comimg back from drugstore outside of hospital to hospital to issue a renewed prescription. To promote medical services for outpatient in the future, pharmacist's active outpatient prescription management work, feedback of medical departments, and computer program's maintenance and development are necessary. In addition, it would be possible to accomplish sustaining work development and patient's service improvement by the backing of obligating hospital pharmacists' outpatient prescription examination work.