title: The participation of pharmacists in a team to introduce a clinical pathway to laparoscopic cystectomy in obstetrics and gynecology.
abstract: In the Department of Obstetrics and Gynecology at our hospital, a team of doctors, pharmacists, nurses, and other medical staff was established to prepare a clinical pathway for laparoscopic cystectomy. Various data on clinical charts including the use of drugs were collected from 57 patients by pharmacists and nurses. Based on the analysis of these data, hospitalization period, method of preoperative bowel preparation, time to initiation of food intake, duration of antibiotic administration, and time and content of pharmaceutical instructions to patients of dosage and administration were determined. Criteria for variances requiring the doctor's directions were determined for fever, wound pain, and vomiting. The clinical pathway established here allows of not only the efficient and uniform care of patients, but also the active exchange of opinions among members of the medical team. Moreover, most patients who replied to a questionnaire said that they were at ease during hospitalization because they had received detailed information about the clinical pathway including the use of drugs before surgery. Thus, the participation of pharmacists on a medical team that is introducing a clinical pathway is particularly important because the use of drugs and pharmaceutical care are an important part of good patient care.
authors.affiliation: Department of Pharmacy, Branch Hospital, Faculty of Medicine, University of Tokyo, 3-28-6, Mejirodai, Bunkyo-ku, Tokyo, 112-8688, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Sekine
authors.forename: Y
authors.initials: Y
authors.lastname: Takai
authors.forename: O
authors.initials: O
authors.lastname: Nishii
authors.forename: N
authors.initials: N
authors.lastname: Kudaka
authors.forename: A
authors.initials: A
authors.lastname: Onozawa
authors.forename: H
authors.initials: H
authors.lastname: Arai
authors.forename: J
authors.initials: J
authors.lastname: Kizu
authors.forename: Y
authors.initials: Y
authors.lastname: Arakawa
authors.forename: O
authors.initials: O
authors.lastname: Tsutsumi
mesh_terms: D000328:Adult; D019091:Critical Pathways / Q000592:standards*; D015653:Cystectomy / Q000379:methods*; D005260:Female; D005831:Genital Diseases, Female / Q000601:surgery; D006760:Hospitalization; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D010348:Patient Care Team; D010595:Pharmacists