ID 112203
Title Alternative
Development of monitoring tool by pharmacists
Author
Ishida, Shunsuke Tokushima University
Bando, Hiroshi Tokushima University
Kirino, Yasushi Tokushima University
Nakamura, Toshimi Tokushima University
Teraoka, Kazuhiko Tokushima University
Keywords
atypical antipsychotics
clinical intervention
clinical value
monitoring
pharmacoepidemiology
side effects
Content Type
Journal Article
Description
Purpose: Drug side effects often lead to serious outcomes. Administration of second-generation antipsychotics has resulted in diabetic ketoacidosis and diabetic coma leading to death. Therefore, pharmacists are required to collect information on clinical test values, determine the appropriate test timing, and coordinate with doctors for further clinical laboratory orders, all of which are labor- and time-intensive tasks. In this study, we developed a side effect-monitoring tool and aimed to clarify the influence and efficiency of monitoring side effects by using the tool in patients taking atypical antipsychotics in whom it is necessary to check clinical test values such as blood sugar levels.
Methods: We extracted clinical test values for patients treated with second-generation antipsychotics from electronic medical records. The test values are automatically displayed in the side effect grade classification specified by CTCAE ver. 4.0. A database was constructed using scripts to provide alerts for the timing of clinical testing. The pharmacist used this tool to confirm clinical test values for patients taking medication and requested the physician to inspect orders based on the appropriate test timings.
Results: The management tool reduced the pharmacists’ effort in collecting information on patients’ prescription status and test values. It enabled patients to undergo tests at the appropriate time according to the progression of glucose metabolism and allowed for easy monitoring of side effects.
Conclusion: The results suggested that regardless of pharmacists’ experience or skill, the introduction of this tool enables centralization of side-effect monitoring and can contribute to proper drug use.
Journal Title
Pharmacoepidemiology and Drug Safety
ISSN
10538569
10991557
NCID
AA10836378
Publisher
John Wiley & Sons, Ltd.
Volume
27
Issue
12
Start Page
1379
End Page
1384
Published Date
2018-09-17
Remark
This is the peer reviewed version of the following article: Ishida S, Takechi K, Bando H, et al. Development and pharmacist‐mediated use of tools for monitoring atypical antipsychotic‐induced side effects related to blood glucose levels. Pharmacoepidemiol Drug Saf. 2018;27:1379–1384, which has been published in final form at https://doi.org/10.1002/pds.4656. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.

論文本文は2019-09-17以降に公開予定
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
language
eng
TextVersion
その他
departments
University Hospital
Medical Sciences