薬剤管理自動化マガジンhttps://kitcheckjapan.publishers.fm/2018-03-06T11:08:21+00:00麻薬の管理とトレーサビリティ
2018-03-06T11:08:21+00:00kitcheckhttp://kitcheckjapan.publishers.fm/editor/831/http://kitcheckjapan.publishers.fm/article/17447/<p><img 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" /></p>2018-03-06T11:08:21+00:00救急カート管理システムの対象病院
2018-02-04T08:13:01+00:00kitcheckhttp://kitcheckjapan.publishers.fm/editor/831/http://kitcheckjapan.publishers.fm/article/17206/<p><strong>対象医療機関と概要</strong></p>
<p>導入対象医療機関は、病床数、手術室の数によって規模が分類されるが、大規模病院になる程そのメリットと効果は高い。救急対応の手術数、病床数、施設数などでコスト分岐点と対費用効果が得られる規模の病院を以下に示し、対費用効果を試算してみます。</p>
<p> </p>
<p> <strong>対象病院:</strong></p>
<ol start="1" type="1">
<li><strong>救急救命センターを持ち、呼吸器、循環器,消化器系の手術を主とし、</strong></li>
</ol>
<p><strong>手術件数が年3</strong><strong>,</strong><strong>000件を超える。</strong></p>
<ol start="2" type="1">
<li><strong>常設救急カートの台数が20を超え、且つ分散している。</strong></li>
<li><strong>使用する薬剤キットは基本キットと追加キットなど複数で常に事前準備を求める</strong></li>
<li><strong>人員的にもコスト的にも救急カートの維持管理に人を投入できない</strong></li>
<li><strong>システム管理者がいなく、システムの導入を躊躇している施設</strong></li>
</ol>2018-02-04T08:13:01+00:00救急カートの自動管理システムは薬剤部の大きな負荷軽減に繋がります
2018-01-23T12:20:17+00:00kitcheckhttp://kitcheckjapan.publishers.fm/editor/831/http://kitcheckjapan.publishers.fm/article/17111/<p>病棟、OP室、ICU、救急処置室などの院内の各所に設置された救急カートの管理は予測できない緊急時に対応する為に使用頻度に関わらず最良の状態で管理されなければなりません。</p>
<p>病院の最も注目される手術現場での麻酔、向精神薬などを含む手術薬剤の周術期管理などの論議がされる中で、救急カートの管理についてはあまり多くは語られません。</p>
<p>しかしながら、この管理は地味であり救急救命の為の薬剤キットの準備、使用期限の確認、リコールの対応などを手作業で行っている。作業は救急カートの維持管理の意味合いが強く、モーティベーションの上がる作業ではないために作業ストレスも多く、また夜間に作業が集中する事も多く、人的エラー誘発の原因ともなりかねない。</p>
<p> <img 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" width="353" height="247" /></p>2018-01-23T12:20:17+00:00フォーミュラリーによる薬剤トレー管理
2017-11-01T00:39:52+00:00kitcheckhttp://kitcheckjapan.publishers.fm/editor/831/http://kitcheckjapan.publishers.fm/article/16617/<p style="margin: 0px; text-align: left; line-height: 140%;"><span style="margin: 0px; line-height: 140%; font-family: 'MS Pゴシック'; font-size: 9pt;">米国においては多くの医療機関が院内で使用できる医薬品を選択して使用薬剤リストをマスターとして使っている。これを、「フォーミュラリー」と呼んでいます。</span></p>
<p style="margin: 0px; text-align: left; line-height: 140%;"><span style="margin: 0px; line-height: 140%; font-family: 'MS Pゴシック'; font-size: 9pt;">医師はフォーミュラリー内の医薬品で治療を行ないますので、実質的な薬剤選択の基準として位置づけられるため、製薬メーカにとってはフォーミュラリーに採用されるかが薬剤の販売に大きく影響します。</span></p>
<p style="margin: 0px; text-align: left; line-height: 140%;"><span style="margin: 0px; line-height: 140%; font-family: 'MS Pゴシック'; font-size: 9pt;">フォーミュラリーの目的は統計による薬剤選択によって効率的な治療を行い、治療にかかる薬剤費を削減することです。 フォーミュラリーを作る際には、文献、臨床データ、ガイドライン、薬剤費、などに加え薬剤消費の統計的データの参照が重要ですが、現在その情報を得るシステムがありません。</span></p>
<p style="margin: 0px; text-align: left; line-height: 140%;"><span style="margin: 0px; line-height: 140%; font-family: 'MS Pゴシック'; font-size: 9pt;">キットチェックの薬剤管理システムはトレー管理で現場の効率化と負担の軽減と共に、フォーミュラリー作成の基本データをも提供し、病院経営にも経済的メリットをもたらす事に貢献します。</span></p>
<p style="margin: 0px; text-align: left; line-height: 140%;"><span style="margin: 0px; line-height: 140%; font-family: 'MS Pゴシック'; font-size: 9pt;"> </span></p>
<p> </p>2017-11-01T00:39:52+00:00麻酔薬、向精神薬などの管理薬剤を100%管理し紛失事故を未然防止
2017-07-18T23:02:57+00:00kitcheckhttp://kitcheckjapan.publishers.fm/editor/831/http://kitcheckjapan.publishers.fm/article/15948/
<p style="language:ja;line-height:150%;margin-top:0pt;margin-bottom:0pt; margin-left:0in;text-align:left;direction:ltr;unicode-bidi:embed;mso-line-break-override: none;word-break:normal;punctuation-wrap:hanging"><span style="font-size:14.0pt; font-family:">トレー単位の運用の管理を</span><span style="font-size:14.0pt;font-family:">KitCheck</span><span style="font-size:14.0pt;font-family:">で行う事により、</span><span style="font-size:14.0pt;font-family:">1</span><span style="font-size:14.0pt;font-family:">術に対する使用薬剤がアンプル、バイアル単位で</span><span style="font-size:14.0pt;font-family:">100</span><span style="font-size:14.0pt;font-family:">%掌握する事が可能となり、薬局から払出し後通常</span><span style="font-size:14.0pt;font-family:">3</span><span style="font-size:14.0pt;font-family:">~</span><span style="font-size:14.0pt;font-family:">6</span><span style="font-size:14.0pt;font-family:">割近くあると言われる</span><span style="font-size:14.0pt;font-family:">不明薬剤(紐づけが出来ない)の発生が100%なくなります。</span></p>
<p style="language:ja;line-height:150%;margin-top:0pt;margin-bottom:0pt; margin-left:0in;text-indent:0in;text-align:left;direction:ltr;unicode-bidi: embed;mso-line-break-override:none;word-break:normal;punctuation-wrap:hanging"><span style="font-size:14.0pt;font-family:"> </span><span style="font-size:14.0pt; font-family:">-</span><span style="font-size:14.0pt;font-family:"> 使用情報と移動記録により確実に薬剤の動きが分かり、請求漏れ、紛失などの防止</span></p>
<p> </p>
<p> </p>
<p style="language:ja;line-height:150%;margin-top:0pt;margin-bottom:0pt; margin-left:0in;text-align:left;direction:ltr;unicode-bidi:embed;mso-line-break-override: none;word-break:normal;punctuation-wrap:hanging"> </p>
<p style="language:ja;line-height:150%;margin-top:0pt;margin-bottom:0pt; margin-left:0in;text-indent:0in;text-align:left;direction:ltr;unicode-bidi: embed;mso-line-break-override:none;word-break:normal;punctuation-wrap:hanging"> </p><br />
2017-07-18T23:02:57+00:00薬剤トレーによるセット交換方式の新たな問題を解決する
2017-06-10T12:03:44+00:00kitcheckhttp://kitcheckjapan.publishers.fm/editor/831/http://kitcheckjapan.publishers.fm/article/15656/
<p style="language:ja;margin-top:0pt;margin-bottom:0pt;margin-left:0in; text-indent:0in;text-align:left;direction:ltr;unicode-bidi:embed;mso-line-break-override: none;word-break:normal;punctuation-wrap:hanging"><span style="font-size:17.0pt; font-family:">従来のカート方式の問題点。</span></p>
<p style="language:ja;margin-top:0pt;margin-bottom:0pt;margin-left:0in; text-indent:0in;text-align:left;direction:ltr;unicode-bidi:embed;mso-line-break-override: none;word-break:normal;punctuation-wrap:hanging"> </p>
<div style="language:ja;margin-top:0pt;margin-bottom:0pt;margin-left:0in; text-align:left;direction:ltr;unicode-bidi:embed;mso-line-break-override:none; word-break:normal;punctuation-wrap:hanging"><span style="font-size:17.0pt">1.</span><span style="font-size:17.0pt;font-family:">定数配置薬の在庫量の過不足が管理できない</span></div>
<div style="language:ja;margin-top:0pt;margin-bottom:0pt;margin-left:0in; text-align:left;direction:ltr;unicode-bidi:embed;mso-line-break-override:none; word-break:normal;punctuation-wrap:hanging"><span style="font-size:17.0pt">2.</span><span style="font-size:17.0pt;font-family:">使用数でなく処方箋からの情報で過不足</span><span style="font-size:17.0pt;font-family:">請求が発生</span></div>
<div style="language:ja;margin-top:0pt;margin-bottom:0pt;margin-left:0in; text-align:left;direction:ltr;unicode-bidi:embed;mso-line-break-override:none; word-break:normal;punctuation-wrap:hanging"><span style="font-size:17.0pt">3.</span><span style="font-size:17.0pt;font-family:">手術単位での管理が出来ず、どの薬品が何処で何の手術に使われたか明確でない</span></div>
<div style="language:ja;margin-top:0pt;margin-bottom:0pt;margin-left:0in; text-align:left;direction:ltr;unicode-bidi:embed;mso-line-break-override:none; word-break:normal;punctuation-wrap:hanging"><span style="font-size:17.0pt">4.</span><span style="font-size:17.0pt;font-family:">医薬管理における手術部門の業務</span><span style="font-size:17.0pt;font-family:">負担が減らない</span></div>
<p> </p>
<p> </p>
<p style="language:ja;margin-top:4.08pt;margin-bottom:0pt;margin-left:0in; text-indent:0in;text-align:left;direction:ltr;unicode-bidi:embed;mso-line-break-override: none;word-break:normal;punctuation-wrap:hanging"><span style="font-size:17.0pt; font-family:">セット交換方式(</span><span style="font-size:17.0pt;font-family:">Tray Kitting)</span><span style="font-size:17.0pt;font-family:">の必要性とメリット。</span></p>
<p style="language:ja;margin-top:4.08pt;margin-bottom:0pt;margin-left:0in; text-indent:0in;text-align:left;direction:ltr;unicode-bidi:embed;mso-line-break-override: none;word-break:normal;punctuation-wrap:hanging"> </p>
<div style="language:ja;margin-top:4.08pt;margin-bottom:0pt;margin-left:.38in; text-indent:-.38in;text-align:left;direction:ltr;unicode-bidi:embed;mso-line-break-override: none;word-break:normal;punctuation-wrap:hanging"><span style="font-size:17.0pt">1.</span><span style="font-size:17.0pt;font-family:">術式に対する薬剤をキット化し個別トレーとして準備する事により、薬剤の準備作業を標準化し作業効率と準備ミスを減らし、手術単位で薬剤使用の管理ができる。</span></div>
<div style="language:ja;margin-top:4.08pt;margin-bottom:0pt;margin-left:.38in; text-indent:-.38in;text-align:left;direction:ltr;unicode-bidi:embed;mso-line-break-override: none;word-break:normal;punctuation-wrap:hanging"><span style="font-size:17.0pt">2.</span><span style="font-size:17.0pt;font-family:">術式毎に薬剤品目と数量を最適化でき、在庫量の適正化、定数配置場所の削減、必要薬剤が</span><span style="font-size:17.0pt;font-family:">1</span><span style="font-size:17.0pt;font-family:">トレー内に準備されているため術中の医師の薬剤使用の円滑化ができる</span></div>
<div style="language:ja;margin-top:4.08pt;margin-bottom:0pt;margin-left:.38in; text-indent:-.38in;text-align:left;direction:ltr;unicode-bidi:embed;mso-line-break-override: none;word-break:normal;punctuation-wrap:hanging"><span style="font-size:17.0pt">3.</span><span style="font-size:17.0pt;font-family:">トレー単位のため管理薬剤</span><span style="font-size:17.0pt;font-family:">の個別管理</span><span style="font-size:17.0pt;font-family:">が必要なく、</span><span style="font-size:17.0pt;font-family:">手術</span><span style="font-size:17.0pt;font-family:">部門で</span><span style="font-size:17.0pt;font-family:">の管理薬剤取扱い業務が軽減され本来の手術業務に専念できる</span></div>
<div style="language:ja;margin-top:4.08pt;margin-bottom:0pt;margin-left:.38in; text-indent:-.38in;text-align:left;direction:ltr;unicode-bidi:embed;mso-line-break-override: none;word-break:normal;punctuation-wrap:hanging"><br />
</div>
<div style="language:ja;margin-top:4.08pt;margin-bottom:0pt;margin-left:.38in; text-indent:-.38in;text-align:left;direction:ltr;unicode-bidi:embed;mso-line-break-override: none;word-break:normal;punctuation-wrap:hanging">
<p style="language:ja;margin-top:0pt;margin-bottom:0pt;margin-left:0in; text-indent:0in;text-align:left;direction:ltr;unicode-bidi:embed;mso-line-break-override: none;word-break:normal;punctuation-wrap:hanging"><span style="font-size:17.0pt; font-family:">セット交換方式(</span><span style="font-size:17.0pt;font-family:">Tray Kitting</span><span style="font-size:17.0pt;font-family:">)</span><span style="font-size:17.0pt;font-family:">でも解決しない問題点。</span></p>
<p style="language:ja;margin-top:0pt;margin-bottom:0pt;margin-left:0in; text-indent:0in;text-align:left;direction:ltr;unicode-bidi:embed;mso-line-break-override: none;word-break:normal;punctuation-wrap:hanging"> </p>
<div style="language:ja;margin-top:0pt;margin-bottom:0pt;margin-left:0in; text-align:left;direction:ltr;unicode-bidi:embed;mso-line-break-override:none; word-break:normal;punctuation-wrap:hanging"><span style="font-size:17.0pt">1.</span><span style="font-size:17.0pt;font-family:">薬剤単位からキット単位になり管理レベルは向上するがキットを管理するシステムが必要</span></div>
<div style="language:ja;margin-top:0pt;margin-bottom:0pt;margin-left:0in; text-align:left;direction:ltr;unicode-bidi:embed;mso-line-break-override:none; word-break:normal;punctuation-wrap:hanging"><span style="font-size:17.0pt">2.</span><span style="font-size:17.0pt;font-family:">有効</span><span style="font-size:17.0pt;font-family:">期限、リコールなど薬剤単位の管理はキット化では解決しない</span></div>
<div style="language:ja;margin-top:0pt;margin-bottom:0pt;margin-left:0in; text-align:left;direction:ltr;unicode-bidi:embed;mso-line-break-override:none; word-break:normal;punctuation-wrap:hanging"><span style="font-size:17.0pt">3.</span><span style="font-size:17.0pt;font-family:">回収トレーの処理(使用薬剤の補填、在庫戻し)とキットの再準備の効率化が懸案</span></div>
<div style="language:ja;margin-top:0pt;margin-bottom:0pt;margin-left:0in; text-align:left;direction:ltr;unicode-bidi:embed;mso-line-break-override:none; word-break:normal;punctuation-wrap:hanging"><span style="font-size:17.0pt">4.</span><span style="font-size:17.0pt;font-family:">薬剤及び</span><span style="font-size:17.0pt;font-family:">トレー</span><span style="font-size:17.0pt;font-family:">単位の所在と在庫量を常に把握して管理レベルを上げるのが困難</span></div>
<div style="language:ja;margin-top:0pt;margin-bottom:0pt;margin-left:0in; text-align:left;direction:ltr;unicode-bidi:embed;mso-line-break-override:none; word-break:normal;punctuation-wrap:hanging"><span style="font-size:17.0pt">5.</span><span style="font-size:17.0pt;font-family:">手術部の管理負担は軽減するがその反面、キット化による薬剤部の手間が増加する</span></div><br />
</div><br />
<p> </p>
<p> </p>
<div> </div>
<p> </p><br />
2017-06-10T12:03:44+00:00テキサス子供病院での子供向け薬品トレーの管理方法
2017-02-23T00:40:09+00:00kitcheckhttp://kitcheckjapan.publishers.fm/editor/831/http://kitcheckjapan.publishers.fm/article/14693/
<p>
<div>
<div>薬剤キットの回収・補充の自動化で効率と安全性が改善されました。</div>
<div> 状況 | 間違いを発生しやすい手作業の解消</div>
<div>テキサス子供病院はテキサス州ヒューストンにあり、600を超える病床を持つ全米最大の独立系の子供専門病院であり、小児科界のリーダーの立場にあります。<br />
<br />
当病院の薬剤科のスタッフは手作業に委ねている多くの作業で間違いが発生するリスクが増加する事に懸念をしていた。<br />
薬剤科は基本として患者の安全と投薬の使用の正確さを推進する立場にありました。 幼い脆弱な患者が殆どであるので、改善を進めて患者の安全を確実なものにする事が最優先課題でした。<br />
またもうひとつの定常的な課題は手作業や繰り返し作業を機械化して人員と施設の効率化を進めなければならないという点でありました。<br />
キットチェック導入前は、各薬剤のコード別に仕切られた箇所に薬剤科の専任者が薬剤キットを手作業で再包装して再補充をしていました。<br />
そして薬剤師が全ての薬剤を確認し、有効期限の管理規定に従いチェックしなければならなかった。それに加え、キットの状態、場所を記録する為データを手入力しなければならなかった。<br />
結果として全体のプロセスは定常的に確実に行う事は困難で、間違いを発生させる非常に大きな要因に成りかねなかった。</div>
<div><br />
</div> </div>
<div> </div>
<div>テキサス子供病院のスタッフはたった1週間のキットチェックの使用で回収・補充作業の著しい改善を目のあたりにしました。</div>
<div>薬剤師が中心になり薬剤科の時間削減を明確にするため、集中的な時間調査が行われました。</div>
<div>その結果、以前の手作業とキットチェックによる新たな回収、補充手順と比較してトレー当り96%もの時間短縮が出来た事が判明しました。</div>
<div><br />
キットチェックを定常的に使用する新たなプロシジャーではアプリケーションからのレポートを参照して期限切れの薬剤を含むキットを積極的に発見し再補充しています。<br />
このレポートの効果は使用履歴から薬剤の不足が発生しない様に在庫の最適化などにも活用しています。そればかりか、システムは新たな薬剤にタグをつけた瞬間からその薬品が回収対象かを直ちに見分ける事ができます。</div>
<div>そしてシステムは院内全てのトレーにある回収対象薬剤を仮想的に取り払います。</div>
<div><br />
</div>
<div>スタッフは300キットに対して9,000枚を超える薬剤にタグを貼付けています。</div>
<div>キットは救急用カートにも使われキットチェックのRFIDによって管理されています。 </div>
<div>"キットチェックへの移行には2~3日しかかかりません、そして以前の労力に依存する手作業中心のプロセスから脱却できたことに感謝しています。”と、述べています。<br />
</div></p>
<p><span style="font-weight: bold;"></span></p> 2017-02-23T00:40:09+00:00薬剤の使用期限の管理で在庫の適正化
2017-02-10T22:35:48+00:00kitcheckhttp://kitcheckjapan.publishers.fm/editor/831/http://kitcheckjapan.publishers.fm/article/14586/
<p>薬剤科のメンバーは<span style="font-size: 10pt;">KitCheck</span><span style="font-size: 10pt;">を使い始めて他にも応用が出来る事に気が付かされました。</span></p>
<p><span style="font-size: 10pt;">それは標準キットが適量でなく多めに入れてあるだけで、そのため使う時に期限切れの薬剤が紛れ込んでいる事も度々ありました。</span> <span lang="EN-US" style="margin: 0px; font-family: "AR Pゴシック体M"; font-size: 10pt; font-weight: bold;">"</span><span style="margin: 0px; font-family: "AR Pゴシック体M"; font-size: 10pt;">私たちは何故このような量を決めたのかと問い直す事もしていなかった、またこれらの薬剤は特定のトレーなのか、キットに発生するのかも問い正していなかった"とエドワード病院の手術室薬剤科責任者のヒューザ・ラジャ氏は語りました。</span><span style="margin: 0px; font-family: "AR Pゴシック体M"; font-size: 10pt;"></span></p>
<p><span style="margin: 0px; font-family: "AR Pゴシック体M";"><span style="font-size: 10pt;">そして、薬剤科のメンバーは薬剤の期限や分量を</span><span lang="EN-US" style="margin: 0px; font-size: 10pt;">13</span><span style="font-size: 10pt;">種類の異なるキットに対して継続的に監視する事を行っていない事に気が付きました。その結果として必要の無い薬剤とキットの在庫を持っていたことが分かりました。その波及的影響で在庫薬剤の費用の増加、期限切れによる高い廃棄率、そしてそれに使う無駄な労力が発生していました。</span></span></p>
<p><br />
<span style="margin: 0px; font-family: "AR Pゴシック体M"; font-size: 10pt;">キットチェックのアナリスティックは病院が必要とする薬剤コストの削減をキット薬剤の準備量を最適化する事により実現します。</span></p>
<p><span style="margin: 0px; font-family: "AR Pゴシック体M";"><span style="font-size: 10pt;">最初に注目したのは</span><span lang="EN-US" style="margin: 0px; font-size: 10pt;">10</span><span style="font-size: 10pt;">の心臓手術用ボックスの流れだった。薬剤師と麻酔医の双方が、このタイプのキットは雑然として品種も多すぎる、とコメントしていました。</span></span><span style="margin: 0px; font-family: "AR Pゴシック体M";"><span style="font-size: 10pt;">キットチェックのアナリスティックは、"</span><span lang="EN-US" style="margin: 0px; font-size: 10pt;">75</span><span style="font-size: 10pt;">回の使用統計から、</span><span lang="EN-US" style="margin: 0px; font-size: 10pt;">85</span><span style="font-size: 10pt;">種類の薬剤の内、</span><span lang="EN-US" style="margin: 0px; font-size: 10pt;">18.5</span><span style="font-size: 10pt;">種類が頻繁に使われることを示した”と、ラジャ氏は語り、"アナリスティックは更に各々の薬剤についてより深く、その最大・最小・平均を時系列でみる事ができるのは非常に素晴らしい。”と、付けえ加えました。</span></span><span style="font-size: 10pt;">このデータを使い、ラジャ氏は</span><span lang="EN-US" style="margin: 0px; font-size: 10pt;">3</span>つの条件を決めて薬剤の削減と不要の管理を行う事を始めました。</p>
<p><span style="font-size: 10pt;">1)動きの少ない薬剤 </span></p>
<p><span style="font-size: 10pt;">2)ほとんど使わない高価な薬剤</span></p>
<p><span style="font-size: 10pt;"></span><span style="font-size: 10pt;">3)容易に入手可能な薬剤に分類しました。</span></p>
<p><span style="font-size: 10pt;"></span><span style="margin: 0px; font-family: "AR Pゴシック体M";"><span style="font-size: 10pt;">キットチェックのアナリスティックから得られるデータにより心臓手術ボックスの在庫量を</span><span lang="EN-US" style="margin: 0px; font-size: 10pt;">25</span><span style="font-size: 10pt;">%削減し、薬剤数を</span><span lang="EN-US" style="margin: 0px; font-size: 10pt;">85</span><span style="font-size: 10pt;">品種から</span><span lang="EN-US" style="margin: 0px; font-size: 10pt;">64</span><span style="font-size: 10pt;">品種に削減する事ができました。その結果を計算するとこれだけで</span><span lang="EN-US" style="margin: 0px; font-size: 10pt;">900</span><span style="font-size: 10pt;">ドルを超える費用削減に相当し、心臓手術だけでも</span><span lang="EN-US" style="margin: 0px; font-size: 10pt;">10,000</span><span style="font-size: 10pt;">ドルに匹敵するものです。</span></span></p>
<p><span style="margin: 0px; font-family: "AR Pゴシック体M";"><span style="font-size: 10pt;">この削減は主にニトロプロシドナトリウムのバイアルを</span><span lang="EN-US" style="margin: 0px; font-size: 10pt;">2</span><span style="font-size: 10pt;">本から</span><span lang="EN-US" style="margin: 0px; font-size: 10pt;">1</span><span style="font-size: 10pt;">本に減らす事ができたからです。ナトリウムのバイアルの価格は近年</span><span lang="EN-US" style="margin: 0px; font-size: 10pt;">829</span><span style="font-size: 10pt;">ドルにも達していました。アナリスティックは病院が薬価の急変にも迅速に対応するための支援をします。</span></span><span lang="EN-US" style="margin: 0px; letter-spacing: 0.1pt; font-family: "AR Pゴシック体M"; font-size: 10pt;">"</span><span style="font-size: 10pt;">トレー内の数ある薬剤を減らすことは薬剤に掛けていた余分な費用を他に必要な医療行為に回す事ができます。 例えば、</span><span style="margin: 0px; font-family: "AR Pゴシック体M";"><span style="font-size: 10pt;">ニトロプロシドナトリウムの見直しだけで</span><span lang="EN-US" style="margin: 0px; font-size: 10pt;">10,000</span><span style="font-size: 10pt;">ドルもの削減が病院の経営だけでなく、トレーも整然と整理され、担当者の作業も容易になることができました。"と、ラジャ氏は語り、”さらにキットの重量も減り、運搬が楽になった。"とも、付け加えました。</span></span><br />
</p>2017-02-10T22:35:48+00:00セントリタ・メディカルセンターでの薬剤トレイ管理を自動化
2017-02-06T23:53:27+00:00kitcheckhttp://kitcheckjapan.publishers.fm/editor/831/http://kitcheckjapan.publishers.fm/article/14543/
<p style="margin: 10px 243px 0px 84px;"><span style="margin: 0px; color: rgb(0, 112, 192); letter-spacing: -0.3pt; font-family: "></span></p>
<p style="margin: 10px 243px 0px 84px;"> </p>
<p style="margin: 4px 383px 0px 12px; line-height: 115%;"><span style="margin: 0px; color: black; font-family: "><span style="font-size: 10pt;">セントリタ・メディカルセンターの薬剤師は精神的なフラストレーションを感じていた。薬剤師は毎日</span><span style="margin: 0px; font-size: 10pt;">2</span><span style="font-size: 10pt;">時間もの時間を掛けて薬剤トレーの薬品の使用期限の重複チェックを行わなければならなかった。"私たちは本来の医療行為以上の時間を間違いがないようにする事に費やしている。この時間を外来患者や臨床投薬などに使うべきである。”と、リサ・ブラディ主任薬剤師は話しています。</span></span></p>
<p style="margin: 1px 0px 0px;"><span style="margin: 0px; color: black; font-family: "> </span></p>
<p style="margin: 0px 374px 0px 12px; line-height: 115%;"><span style="margin: 0px; color: black; font-family: "><span style="font-size: 10pt;">セントリタ・メディカルセンターはオハイオ州リマにある</span><span style="margin: 0px; font-size: 10pt;">425</span><span style="font-size: 10pt;">床を持つ病院で</span><span style="margin: 0px; font-size: 10pt;">236</span><span style="font-size: 10pt;">の薬剤トレーを使い回している。救急用トレーは使用したフロアーから薬局に戻されてきた後、専任の職員が使用した薬剤リストを見てどの位補充するかを決めていた。また職員は手作業で有効期限をみて期限切れに近い薬剤を交換していた。
そしてその後、薬剤師がトレーの薬剤に間違いがないか見回してチェックをしていました。</span></span></p>
<p style="margin: 4px 62px 0px 12px; line-height: 115%;"><span style="margin: 0px; color: black; font-family: "><span style="font-size: 10pt;">その上、</span><span style="margin: 0px; font-size: 10pt;">60</span><span style="font-size: 10pt;">日毎に全ての薬剤トレーは期限切れ薬剤処理規定に従い検査をしなければならなかった。</span></span></p>
<p style="margin: 4px 62px 0px 12px; line-height: 115%;"><span style="margin: 0px; color: black; font-family: "><span style="font-size: 10pt;">この作業はフロアーを行ったり来たりしなければならず、トレー当り</span><span style="margin: 0px; font-size: 10pt;">30</span><span style="font-size: 10pt;">分近くも時間が取られていました。</span></span></p>
<p> </p>
<p style="margin: 10px 243px 0px 84px;"> </p>
<p style="margin: 10px 243px 0px 84px;"><span style="margin: 0px; color: rgb(0, 112, 192); letter-spacing: -0.3pt; font-family: ">79.6</span><span style="margin: 0px; color: rgb(0, 112, 192); letter-spacing: -0.3pt; font-family: ">%の時間短縮と初年度<span style="margin: 0px;">75</span>%の<span style="margin: 0px;">ROI</span></span></p>
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<p style="margin: 4px 405px 0px 48px; line-height: 115%;"><span style="margin: 0px; font-family: "><span style="font-size: 10pt;">セントリタはこの結果を</span><span style="margin: 0px; font-size: 10pt;">2015</span><span style="font-size: 10pt;">年半期の</span><span style="margin: 0px; font-size: 10pt;">ASHP(</span><span style="font-size: 10pt;">米国病院薬剤師会</span><span style="margin: 0px; font-size: 10pt;">)</span><span style="font-size: 10pt;">総会で発表しました。 </span><span style="margin: 0px; font-size: 10pt;">2014</span><span style="font-size: 10pt;">年</span><span style="margin: 0px; font-size: 10pt;">10</span><span style="font-size: 10pt;">月に、</span><span style="margin: 0px; font-size: 10pt;">236</span><span style="font-size: 10pt;">トレーから始めたセントリサ病院では、キットチェックで</span><span style="margin: 0px; font-size: 10pt;">5,500</span><span style="font-size: 10pt;">を超える薬剤トレーの回収、補充に使用し、薬剤科の作業の</span><span style="margin: 0px; font-size: 10pt;">79.6</span><span style="font-size: 10pt;">%をカットする事ができました。</span></span></p>
<p style="margin: 4px 405px 0px 48px; line-height: 115%;"><span style="margin: 0px; font-family: "><span style="font-size: 10pt;">以前の手作業から自動化に変わる事で</span><span style="margin: 0px; font-size: 10pt;">730</span><span style="font-size: 10pt;">時間を節約でき、薬剤師時間では</span><span style="margin: 0px; font-size: 10pt;">1/3</span><span style="font-size: 10pt;">の人員追加に相当する。 これによりオハイオ州の薬剤委員会はキットチェックを使う事で薬剤師による再検査手順を省くことを承認しました。</span></span></p>
<p style="margin: 4px 405px 0px 48px; line-height: 115%;"><span style="margin: 0px; font-family: ">セントリタは有効期限切れ廃棄薬の管理でコストを削減できただけでなく、補充の際の間違いを最小限にする事ができました。</span></p>
<p style="margin: 0px 405px 0px 48px; line-height: 115%;"><span style="margin: 0px; letter-spacing: -1.85pt; font-family: "><span style="font-size: 10pt;">全体では初年度の</span><span style="margin: 0px; font-size: 10pt;">ROI</span><span style="font-size: 10pt;">は</span><span style="margin: 0px; font-size: 10pt;">75</span><span style="font-size: 10pt;">%であったが、今後</span><span style="margin: 0px; font-size: 10pt;">7</span><span style="font-size: 10pt;">年間で</span><span style="margin: 0px; font-size: 10pt;">90</span><span style="font-size: 10pt;">%の</span><span style="margin: 0px; font-size: 10pt;">POI</span><span style="font-size: 10pt;">を想定している。 </span></span></p>
<p style="margin: 0px 421px 0px 48px; line-height: 115%;"><span style="margin: 0px; font-family: ">また、セントリタはキットチェックを使い、院内のトレーの所在を正確に追跡することができるようになり、薬剤トレーのプロセスの向上、使用期限管理、回収措置などに大きな助けになりました。</span></p> 2017-02-06T23:53:27+00:00麻酔用薬剤の返却処理の問題(サリーナスバレーホスピタル)
2017-02-05T21:58:19+00:00kitcheckhttp://kitcheckjapan.publishers.fm/editor/831/http://kitcheckjapan.publishers.fm/article/14530/
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<p style="margin: 0px 311px 0px 8px; line-height: 41pt; text-indent: -0.75pt;"><span style="margin: 0px; color: rgb(83, 200, 235); letter-spacing: -0.65pt; font-size: 40pt;">Salinas </span><span style="margin: 0px; color: rgb(83, 200, 235); letter-spacing: -1.1pt; font-size: 40pt;">Valley </span><span style="margin: 0px; color: rgb(83, 200, 235); letter-spacing: -0.6pt; font-size: 40pt;">Memorial</span><span style="margin: 0px; color: rgb(83, 200, 235); letter-spacing: -5.2pt; font-size: 40pt;"> </span><span style="margin: 0px; color: rgb(83, 200, 235); letter-spacing: -0.65pt; font-size: 40pt;">Hospital</span></p>
<p style="margin: 25px 311px 0px 11px;"><span style="margin: 0px; color: rgb(110, 117, 143); letter-spacing: -0.15pt; font-family: ">麻酔薬の素早い補充と回収</span></p>
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<p style="margin: 3px 311px 0px 48px;"><span style="margin: 94px 0px 0px 62px; left: 0px; width: 28px; height: 28px; position: absolute; z-index: 251651584;"><img width="28" height="28" src="file:///C:/Users/Yuichi/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" /></span><span style="margin: 0px; top: 0.5pt; color: rgb(26, 66, 100); font-family: ">状況</span><span style="margin: 0px; top: 0.5pt; color: rgb(26, 66, 100); font-size: 14pt; font-weight: bold; position: relative;"><span style="margin: 0px;"> </span></span><span style="margin: 0px; top: 0.5pt; color: rgb(83, 200, 235); font-size: 14pt; font-weight: bold; position: relative;">|</span><span style="margin: 0px; top: 0.5pt; color: rgb(83, 200, 235); font-family: "> </span><span style="margin: 0px; color: rgb(26, 66, 100); font-family: ">費用の削減と患者のリスク</span></p>
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<p style="margin: 4px 370px 0px 12px; line-height: 115%;"><span style="margin: 151px 0px 0px 605px; left: 0px; width: 357px; height: 237px; position: absolute; z-index: 251652608;"><img width="357" height="237" src="file:///C:/Users/Yuichi/AppData/Local/Temp/msohtmlclip1/01/clip_image004.jpg" /></span><span style="margin: 0px; font-family: ">269</span><span style="margin: 0px; font-family: "><span style="font-size: 10pt;">床を持つカリフォルニアの救急病院であるサリーナスバレーメモリアル病院では麻酔用薬剤の返却処理の問題に直面していました。夜間勤務の専門職員が薬剤を満載したカートを押しながら各手術室を巡回して、各部屋の麻酔薬の棚をチェックしていた。各部屋の棚には数量を管理している小型の引出しと、高さ</span><span style="margin: 0px; font-size: 10pt;">2.5</span><span style="font-size: 10pt;">mの区切られた棚に数量管理をしない薬剤が保管されていた。</span><span style="margin: 0px; letter-spacing: -1.7pt; font-size: 10pt;"> </span><span style="margin: 0px; letter-spacing: -1.8pt;"><span style="margin: 0px; font-size: 10pt;"> </span></span><span style="font-size: 10pt;">"この作業手順では時間の無駄が多く不確実で、このままでは期限切れ薬剤の見過ごしなどの色々な問題が発生する事が確実だ"と、薬剤科部長のマイケル・ブラウン医師は語りました。</span></span></p>
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<p style="margin: 4px 374px 0px 12px; line-height: 115%;"><span style="margin: 0px; letter-spacing: -0.25pt; font-family: "><span style="font-size: 10pt;">ブラウン医師は、"現在は補充作業に時間が掛かる為に日に</span><span style="margin: 0px; font-size: 10pt;">1</span><span style="font-size: 10pt;">回しか巡回できず、しかも夜遅くおこなわれていた。これでは在庫切れを度々起こす事があった。それに加えて、夜間勤務の職員に加算手当を支給しなくてはならず、昼勤務との待遇格差問題も発生しました。</span></span></p>
<p style="margin: 4px 374px 0px 12px; line-height: 115%;"><span style="margin: 0px; letter-spacing: -0.25pt; font-family: ">結果として病院側は余計に費用を掛けても患者を直接世話をする午後勤務の職員にも影響して人員の確保が困難となりました。</span><span style="margin: 0px; color: rgb(110, 117, 143);"><span style="margin: 0px; font-family: verdana; font-size: 10pt;"> </span><span style="margin: 0px; font-family: verdana; font-size: 10pt;"> </span></span></p>
<p style="margin: 4px 374px 0px 12px; line-height: 115%;"> </p>
<p style="margin: 4px 374px 0px 12px; line-height: 115%;">キットチェックでの解決:</p>
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<p style="margin: 4px 330px 0px 12px; line-height: 115%;"><span style="margin: 0px; font-family: ">薬剤界の主要な人達はキットチェックがこの問題解決に対応する事ができるとの認識を持っています。 手術室に置かれた麻酔薬保管ドロワーから薬品毎に回収補充を管理するモデルから、</span><span style="margin: 265px 0px 0px 670px; left: 0px; width: 292px; height: 264px; font-size: 10pt; position: absolute; z-index: 251654656;"><img width="292" height="264" src="file:///C:/Users/Yuichi/AppData/Local/Temp/msohtmlclip1/01/clip_image008.gif" /></span><span style="margin: 0px; font-family: ">薬剤局で専任職員がドロワーを回収、補充を行う事で迅速かつ正確に作業が行えます。そして再準備されたドロワーを手術室では入替えるだけで作業が終了します。</span></p>
<p style="margin: 4px 330px 0px 12px; line-height: 115%;"><span style="margin: 0px; font-family: ">この方法で行うと、3つの重要な点が浮かび上がります。「時間とコストの削減」、「安全性の向上」、そして「作業品質の向上」です。</span></p>
<p style="margin: 4px 330px 0px 12px; line-height: 115%;"><span style="margin: 0px; font-family: ">"現場の職員からは、変える事についての抵抗は少なからずあるものです。しかしながら導入に際しての軋轢は実際はありませんでした。実際に作業時間の短縮を目にして、それ以来あらゆる薬剤にタグを貼れないか探し回っています。”と締め括りました。</span></p>
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<p style="margin: 0px;"><span style="font-size: 10pt;"></span><span style="font-family: verdana;"></span><br />
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<p style="margin: 0px;"><span style="margin: 0px; font-size: 9pt;"> </span></p>
<p style="margin: 0px 243px 0px 84px;"><span style="margin: 116px 0px 0px 61px; left: 0px; width: 39px; height: 24px; position: absolute; z-index: 251658739;"><img width="39" height="24" src="file:///C:/Users/Yuichi/AppData/Local/Temp/msohtmlclip1/01/clip_image033.gif" /></span><span style="margin: 0px; top: 0.5pt; color: rgb(26, 66, 100); font-family: ">成果</span><span style="margin: 0px; top: 0.5pt; color: rgb(26, 66, 100); font-size: 14pt; position: relative;"><span style="margin: 0px;"> </span></span><span style="margin: 0px; top: 0.5pt; color: rgb(83, 200, 235); font-size: 14pt; position: relative;">| </span><span style="margin: 0px; color: rgb(26, 66, 100); font-family: verdana;">83%</span><span style="margin: 0px; color: rgb(26, 66, 100); font-family: ">の時間短縮と在庫切れの解消</span></p>
<p style="margin: 1px 0px 0px;"><span style="margin: 0px; font-size: 11.5pt;"> </span></p>
<p style="margin: 0px 373px 0px 48px; line-height: 115%;"><span style="margin: 0px; color: rgb(0, 112, 192); font-family: "><span style="font-size: 10pt;">薬剤科の職員が麻酔薬用システムを使い手作業による回収、補充作業に毎日</span><span style="margin: 0px; font-size: 10pt;">3</span><span style="font-size: 10pt;">時間を掛けていた。"キットチェックを使い薬剤ドロワーごと交換する方式を取り入れてから、</span><span style="margin: 0px; font-size: 10pt;">30</span><span style="font-size: 10pt;">分も掛らなくなった。今では回収、補充を日に</span><span style="margin: 0px; font-size: 10pt;">2</span><span style="font-size: 10pt;">回行う余裕が生まれた。更に在庫切れを起こす事もなくなった。”とブラウン医師は語り、" この変更は麻酔関連の職員達にも喜んで受け入れられた。”と付け加えました。</span></span></p>
<p style="margin: 1px 0px 0px;"><span style="margin: 0px; color: rgb(0, 112, 192); font-family: "> </span></p>
<p style="margin: 0px 379px 0px 48px; line-height: 115%;"><span style="margin: 0px; color: rgb(0, 112, 192); letter-spacing: -0.25pt; font-family: ">ブラウン医師はさらに話を続け、"トレー作業を進め、そして麻酔薬剤システムで回収、補充作業を行う手作業は</span><span style="margin: 0px; color: rgb(0, 112, 192); font-family: ">退屈で時間のかかる作業です。</span></p>
<p style="margin: 0px 379px 0px 48px; line-height: 115%;"><span style="margin: 0px; color: rgb(0, 112, 192); font-family: "><span style="font-size: 10pt;">キットチェックなら専門職員や薬剤師は個別責任の下で薬剤を検査しなければならない恐れはありません。またメーカーからの薬剤の回収指示に対しても対象薬剤がどこのキットにあるか直ちに知る事ができます。回収指示が出ても、その所在を見つけるために院内のトレーを探し回る必要はありません。こんな無駄な時間は必要ありません。</span><span style="margin: 0px; font-size: 10pt;">”</span></span></p>
<p style="margin: 1px 0px 0px;"><span style="margin: 0px; color: rgb(0, 112, 192); font-family: "> </span></p>
<p style="margin: 0px 373px 0px 48px; line-height: 115%;"><span style="margin: 0px; color: rgb(0, 112, 192); letter-spacing: 0.25pt; font-family: ">キットチェックはカート、救急車用麻酔トレー、</span><span style="margin: 0px; color: rgb(0, 112, 192); letter-spacing: -1.7pt; font-family: "> </span><span style="margin: 0px; color: rgb(0, 112, 192); font-family: ">RSI</span><span style="margin: 0px; color: rgb(0, 112, 192); font-family: "><span style="font-size: 10pt;">用キット、</span><span style="margin: 0px; font-size: 10pt;">L&D</span><span style="font-size: 10pt;">用キット、そして</span><span style="margin: 0px; letter-spacing: -1.7pt; font-size: 10pt;"> </span><span style="margin: 0px; font-size: 10pt;">PEDI</span><span style="font-size: 10pt;">キットに使われています。初年度に</span><span style="margin: 0px; font-size: 10pt;">45,000</span><span style="font-size: 10pt;">以上の治療に</span><span style="margin: 0px; font-size: 10pt;">6,000</span><span style="font-size: 10pt;">キットが使われ、百万回を上る有効期限管理の手作業を省くことが出来ました。</span></span></p> 2017-02-05T21:58:19+00:00